University of Southern Mindanao

College of Health Sciences

Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________Diet: __________________

NAME CLASSIFICATIO INDICATION MECHANIS CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

OF N M OF N EFFECTS RESPONSIBILITIES
DRUG ACTION
Brand Therapeutic class:  Schizophrenia May block  In patients with  Dizziness, CNS:  Do not dispense more than
name: Antipsychotics  Short-term dopamine and hypersensitivity feeling Somnolence, 1-wk supply at a time.
Zyprexa treatment of 5-HT2 to drug. unsteady, or insomnia, ·       Peel back foil on blister
Pharmacologic acute manic receptors.  Use cautiously having trouble parkinsonism,
pack of disintegrating
Generic class: episodes linked in with heart keeping your headache.
name: Debenzapine tablets; do not push
to bipolar I disease. balance.
Olanzapin derivatives disorder.  Restlessness. CV: through foil; use dry
e  Agitation caused  Unusual orthostatic hands to remove tablet
by schizophrenia behavior. hypotension, and place in mouth.
Dosage: 5 and bipolar I  Depression. tachycardia, ·        Prepare solution for IM
to 10mg mania.  Difficulty falling chest pain, injection using 2.1 mL
P.O Once asleep or HTN, sterile water for injection.
daily. staying asleep. Peripheral Resulting solution
 Weakness. edema. contains 5 mg/mL.
 Difficulty Solution should be clear
EENT:
walking. yellow. Use within 1 hr of
Amblyopia,
 Constipation. reconstitution. Discard
rhinitis,
pharyngitis, any unused portion.
conjunctivitis. ·        Monitor for the many
possible drug interactions
Metabolic: before beginning therapy.
hyperglycemia ·        WARNING: Monitor
, weight gain. elderly patients for
dehydration and institute
 remedial measures
promptly; sedation and
decreased sensation of
thirst related to CNS
effects of drug can lead to
dehydration.
·        Encourage patient to void
before taking the drug to
help
decrease anticholinergic ef
fects of urinary retention.
·        Monitor for elevations of
temperature and
differentiate between
infection
and neuroleptic malignant
syndrome.
·        Monitor for orthostatic
hypotension and provide
appropriate safety
measures as needed.
 Take this drug exactly as
prescribed; do not change
dose without consulting
your physician.
·        Peel back foil on blister
pack of disintegrating
tablets; do not push
through foil; use dry
hands to remove tablet,
place entire tablet in
mouth.
·        This drug cannot be taken
during pregnancy. If you
think you are pregnant or
 wish to become pregnant,
contact your health care
provider.
·        You may experience
these side effects:
Drowsiness, dizziness,
sedation, seizures (avoid
driving, operating
machinery, or performing
tasks that require
concentration); dizziness,
faintness on arising
(change positions slowly,
use caution); increased
salivation (if bothersome,
contact your health care
provider); constipation
(consult with your health
care provider for
appropriate relief
measures); fast heart rate
(rest and take your time if
this occurs).
·        Report lethargy,
weakness, fever, sore
throat, malaise, mouth
ulcers,
and flulike symptoms.

Bibliography: : Kluwer, W. (2020). Nursing 2020 Drug Handbook, C&E Publishing, Inc.
Submitted By: MOHAMAD M. SALIPLA Submitted to: NORABIN MOLINA MAN, RN

Student Nurse Clinical Instructor

University of Southern Mindanao

College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATION SIDE EFFECTS ADVERSE NURSING

DRUG ACTION EFFECTS RESPONSIBILITIES
Haldol Therapeutic Class: Haloperidol is A butyronphenone that Contraindicated in patients Dizziness, light- CNS: Sever Monitor patient for
(Haldoperol Antipsychotics indicated for a number probably exerts hypersensitive to drug and headedness, extrapyramidal tardive dyskinesia, which
) of conditions including antipsychotic effects by in those with Parkinson drowsiness, sleep reactions, may occur after
Pharmacologi Class for the treatment of blocking postsynaptic disease or CNS disturbances, seizures, prolonged use. It may
Dosage: Butyrophenone schizophrenia, for the dopamine receptors in depression. headache, and tardive not appear until months
TABLET derivatives manifestations of the brain. anxiety dyskinesia, or years later and may
0.5mg psychotic disorders, sedation, disappear spontaneously
1mg for the control of tics lethargy, or persist or life, despite
2mg and vocal utterances depression, ending drug
5mg of Tourette’s Disorder tonic-clonic
10mg in children and adults, seizure, Don’t withdraw drug
20mg for treatment of hallucination abruptly unless required
severe behavior CV: by severe adverse
ORAL problems in children tachycardia, reactions.
CONCENT of combative, hypotension,
RATE explosive pro-longed QT Complete fall risk
2mg/mL hyperexcitability interval and assessments at start of
(which cannot be other ECG antipsychotic treatment
SCHIZOPH accounted for by changes, and recurrently for
RENIA, immediate torsades de patients on long-term
PSYCHOSI provocation). pointes with therapy, especially those
S high doses at increased risk for falls.
EENT: blurred
PO vision, Esophageal dysmotility
Moderate cataracts, and aspiration can
disease, retinopathy occur. Use cautiously in
0.5-2 mg GI: dry mouth, patients at risk for
q8-12hr anorexia, aspiration (those with
initially constipation, pneumonia, Alzheimer
Severe diarrhea, Disease)
disease, 3- nausea,
5 mg q8- vomiting Look alike-sound alike:
12hr GU: Urine Don’t confuse Haldol
initially; not retention with Halcion or Halog.
to exceed Hematologic:
30 mg/day leukopenia Advise patient to report
Hepatic: all adverse reactions,
jaundice
Metabolic: Although drug is the
hyperglycemia least sedating of
Skin: Rash antipsychotics, warn
patient to avoid activities
that require alertness
and good coordination
until effects of drug are
known. Drowsiness and
dizziness usually
subside after a few
weeks.

Advise patient that drug

may cause somnolence,
orthostatic hypotension,
and motor and sensory
instability, which may
lead to falls
 Warn patient to avoid
alcohol, during therapy.

Tell patient to relieve dry

mouth with sugarless
gum or hard candy.

Bibliography: : D. (2021, January 9). Haldol drug, retrieved from: https://www.drugs.com/pro/haldol.html#:~:text=Haldol%20%28haloperidol%29%20is

%20contraindicated%20in%20patients%20with%3A%20Severe,%28see%20WARNINGS%2C%20Hypersensitivity%20Reactions%20and%20ADVERSE
%20REACTIONS%20%29.
Kluwer, W. (2020). Nursing 2020 Drug Handbook, C&E Publishing, Inc.

Submitted By: MOHAMAD M. SALIPLA Submitted to: NORABIN MOLINA MAN, RN.
___________________________________ ___________________________________
Student Nurse Clinical Instructor

University of Southern Mindanao

College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________Diet: __________________
NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATION SIDE EFFECTS ADVERSE NURSING
DRUG ACTION EFFECTS RESPONSIBILITIES
Chlorproma Therapeutic Class: Chlorpromazine is used Chlorpromazine is a Chlorpromazine is Drowsiness Dystonic Assess patient’s mental
zine Antipsychotics to treat the symptoms of member of the typical contraindicated in patients Dizziness Movements status prior to and
(Thorazine) schizophrenia and other antipsychotic or who have a known Lightheadedness Torticollis periodically throughout
Pharmacologic Class: psychotic disorders and hypersensitivity to the Dry Mouth Oculogyric the therapy.
neuroleptic drug
DOSAGE: Phenothiazine to treat the symptoms of drug. Cross-sensitivity Blurred Vision crises
Derivative mania (in people who class, also known as
between chlorpromazine Tiredness Parkinsonian Check doctor’s order for
Schizophr have bipolar. first-generation and other phenothiazine Nausea symptoms the drug name, dosage,
enia, Chlorpromazine is also antipsychotics drugs may occur. Constipation  ranging from route and frequency.
Psychotic used to treat severe (FGAs). It produces Weight Gain akathasia
Disorders behavior problems such its antipsychotic Chlorpromazine should Trouble Sleeping during early Monitor blood pressure
as explosive, aggressive effect by the post- not be used in patients
PO: 30-75 treatment to (sitting, standing, lying,
behavior and who are comatose, in
mg/day
hyperactivity in children
synaptic blockade at tardrive pulse and respiratory
divided q6- patients with severe CNS dyskenia after rate) prior to and
1 to 12 years of age. the D2 receptors in
12hr depression secondary to long term use. frequently during the
Chlorpromazine is also the mesolimbic the use of CNS
initially; used to control nausea pathway An NMS period of dosage
maintenanc depressant medications resembling adjustment.
and vomiting, to relieve and in patients with blood
e: usually hiccups that have lasted sever
200 mg/day dyscrasias or bone parkinsonism Observe patient carefully
one month or longer, marrow depression.
(up to 800 and to relieve may occur. when administering
mg/day in restlessness and Phenothiazines are medication is actually
some nervousness that may contraindicated in patients taken and not hoarded.
patients; occur just before with suspected or
some surgery. Chlorpromazine established subcortical Administer oral doses
patients is alsohi. brain damage with or with food, milk or full
may require without hypothalamic glass of water to
1-2 g/day) damage, since a minimize gastric
hyperthermic reaction with irritations.
temperatures in excess of
40°C may occur in such Advise patient to take
patients, sometimes not medication exactly as
until 14 to 16 hours after directed and not to skip
drug administration. doses or double up on
missed doses. If a dose
Warnings: The antiemetic is missed, take within 1
effect of phenothiazines hour or skip dose and
may mask vomiting as a return to regular
 sign of toxicity due to schedule. Abrupt
overdosage of other drugs withdrawal may lead to
or may obscure the cause use gastritis, nausea,
of vomiting in various vomiting, dizziness,
disorders such as brain headache, tachycardia,
tumor, intestinal and insomnia.
obstruction or Reye’s
syndrome. Caution patient to avoid
other activities requiring
alertness until response
to medication is known.

Instruct patient to use

frequent mouth rinses,
good oral hygiene, and
sugarless gum or candy
to minimize dry mouth

Advise patient to make

position changes slowly
to prevent minimize
orthostatic hypotension

Inform patient that the

medication may turn
urine in a pink-reddish
color.

Bibliography: Kluwer, W. (2020). Nursing 2020 Drug Handbook, C&E Publishing, Inc.

Submitted By: MOHAMAD M. SALIPLA Submitted to: NORABIN MOLINA MAN, RN.
___________________________________ ___________________________________
Student Nurse Clinical Instructor