Drug Study

Drug Name Classificatio Indications Side Effects Special Nursing

n and and and Precautions Responsibil
Mechanism Contraindic Adverse ities
of Action ations Effects
Generic Classificatio Indications:
Name: ns:
Managemen Body as a Monitor BP
t of Whole: Do not and HR
Olanzapine psychotic Weight become periodically.
Psychothera overheated;
disorders, gain, fever, Monitor
peutic avoid
treatment of back and temperature
Trade/ Agent, conditions
bipolar chest pain, , especially
Brand Central leading to
disorder, peripheral under
Name: Nervous dehydration.
acute and lower conditions
system
agitation extremity such as
Agent,
Zyprexa (IM). edema, joint strenuous
Atypical, Avoid
pain, exercise,
Antipsychoti alcohol and
twitching, extreme
Dosage: c, Agent do not take
premenstrua heat, or
Selective additional
l syndrome. treatment
serotonin Contraindic medications
10mg with other
Inhibitor, ations CNS: without anticholiner
Dopamine- Somnolence informing gic drugs.
Reuptake , dizziness, physician.
Route:
Inhibitor Hypersensiti headache,
vity to agitation,
Oral insomnia, Monitor for
olanzapine; Learn
Administrati nervousness seizures,
Actions: abrupt common
on , hostility, especially in
discontinuat adverse
anxiety, older adults
ion, coma, effects and
personality and
Antipsychoti severe CNS possible
Frequency disorder, cognitively
c activity is depression, drug
and akathisia, impaired
thought to subcutaneo interactions.
Timing: hypertonia, persons.
be due to us or
antagonism intramuscul tremor
BID for both ar injection amnesia,
serotonin of euphoria,
5HT2A/2C and olanzapine; stuttering,
dopamine tardive extrapyrami
D1–4 dyskinesia; dal
receptors. infants, symptoms
May inhibit pregnancy (dystonic
the CNS (category C), events,
presynaptic lactation. parkinsonis
 neuronal m,
reuptake of akathisia),
serotonin tardive
and dyskinesia.
dopamine.
CV: Postural
Antagonism
hypotension
of alfa-
,
adrenergic
hypotension
receptors
,
results in
tachycardia.
the adverse
Special
effect of
Senses:
orthostatic
Amblyopia,
hypotension
blepharitis.
.

Drug Name Classificatio Indications Side Effects Special Nursing

n and and and Precautions Responsibil
Mechanism Contraindic Adverse ities
of Action ations Effects

Generic Classificatio Indications:

Name: ns: Avoid use of
Managemen CNS: Monitor for
alcohol
t of Extrapyrami and report
during
Haloperidol manifestatio dal immediately
Central therapy.
ns of reactions: : Mental
Nervous
psychotic Parkinsonia confusion,
system
Trade/ disorders n Do not drive drowsiness,
Brand Agent,
and for symptoms, or engage in dizziness,
Name: Psychothera control of dystonia, other agitation,
peutic, tics and akathisia, potentially hematuria,
butyrophen vocal tardive hazardous and
Haldol
one utterances dyskinesia activities decrease in
of Gilles de (after long- until urinary flow.
Dosage: la Tourette's term use); response to
syndrome; insomnia, drug is
Assess for
20mg, ¼ Actions: for restlessness, known.
and report
tab treatment of anxiety,
blurred
agitated euphoria,
vision.
Potent, states in agitation, Patients on
Route: long-acting acute and drowsiness, prolonged
butyrophen chronic mental therapy can Biperiden
one psychoses. depression, develop usually
Oral
derivative Used for lethargy, tolerance; reduces
Administrati
with short-term fatigue, an increase muscle
on
pharmacolo treatment of weakness, in dosage rigidity. In
gic actions hyperactive tremor, may be patients
similar to children and ataxia, required.
Frequency with severe
those of for severe headache,
and parkinsonis
piperazine behavior confusion,
Timing: m, tremors
phenothiazi problems in vertigo;
may
nes but with children of neuroleptic
Once a day higher increase as
combative, malignant
in the incidence of spasticity is
explosive syndrome,
morning relieved.
extrapyrami hyperexcita hyperthermi
dal effects bility. a, grand mal
and less seizures,
hypotensive exacerbatio
and n of
relatively Contraindic psychotic
low sedative ations symptoms.
activity.

Parkinson's CV:
disease, Tachycardia,
parkinsonis ECG
m, seizure changes,
disorders, hypotension
 coma; ,
alcoholism; hypertensio
severe n (with
mental overdosag.
depression,
CNS
depression; Endocrine:
thyrotoxicos Menstrual
is. Safe use irregularities
during ,
pregnancy galactorrhea
(category C), , lactation,
lactation, or gynecomasti
in children a,
<3 y is not impotence,
established. increased
libido,
hyponatrem
ia,
hyperglyce
mia,
hypoglycem
ia.

Special
Senses:
Blurred
vision.

Drug Name Classificatio Indications Side Effects Special Nursing

n and and and Precautions Responsibil
Mechanism Contraindic Adverse
 of Action ations Effects ities

Generic Classificatio Indications:

Name: ns:
Adjunct in CNS: Do not drive Monitor
Autonomic all forms of Drowsiness, or engage in patient's
Biperiden Nervous parkinsonis dizziness, potentially mental
hydrochlor System, m, muscle hazardous status daily.
Anticholiner particularly weakness, activities
ide
gic postenceph lack of until Monitor for
(Parasympat alitic and coordinatio response to
exacerbatio
Trade/ holytic), idiopathic n, drug is
n of seizure
Brand Antiparkinso parkinsonis disorientatio known.
activity.
Name: nism Agent m (appears n, euphoria,
to be less agitation, Observe
effective in confusion. patients
Akineton
arteriosclero closely for
Actions: Do not drive
tic type). rapid mood
CV: Mild, or engage in
Dosage: Also used to shift to
transient other
control depression
Synthetic postural potentially
drug- when
2 mg 1 tertiary hypotension hazardous
induced haloperidol
per tablet amine, (following activities
parkinsonis is used to
antimuscari m IM), until
control
nic. In tachycardia. response to
(extrapyrami mania or
Route: common drug is
dal cyclic
with other known.
symptoms) disorders.
antiparkinso Special
Oral associated Depression
nism drugs Senses: Avoid
Administrati with may
has Blurred overexposur represent a
on reserpine
atropine- vision, e to sun or
and drug
like photophobi sunlamp
phenothiazi adverse
Frequency (anticholiner ne therapy. a. and use a effect or
and gic) action. sunscreen; reversion
Timing: Antiparkinso drug can
GI: Dry from a
nism activity Contraindic cause a
mouth, manic state.
is thought ations photosensiti
BID nausea,
to be vity
caused by vomiting,
reaction.
reducing Narrow- constipation
central angle .
excitatory glaucoma;
action of GI or GU
acetylcholin obstruction,
e on megacolon;
cholinergic tardive
receptors in dyskinesia.
the Safety
extrapyrami during
dal system. pregnancy
(category C),
lactation, or
in children is
not
established.