HOLY ANGEL UNIVERSITY

School of Nursing and Allied Medical Sciences

2nd Semester, SY 2023-2024
NCM117 RLE: Care of Clients With Maladaptive Patterns of Behavior, Acute and Chronic

Name of Student: REYES, JHEREMY LOUIESE ____________________________________ Date: ____________

Section: NU303____________________
NURSING DRUG STUDY
DRUG CLASSIFICATION SPECIFIC ACTION THERAPEUTIC EFFECT NURSING INTERVENTIONS

Generic Name: Pharmacotherapeutic: Quetiapine is a It diminishes the symptoms 1. Monitor mental status and vital signs of
Quetiapine Dibenzapine derivative dibenzothiazepine associated with schizophrenia/ the patient (WOF hypotension,
atypical antipsychotic bipolar disorders. It is used as a tachycardia, fever)
Clinical: treatment of acute manic 2. Supervise suicidal-risk pt closely during
agent. Its clinical
Brand Name: Second-generation episodes associated with bipolar early therapy (as psychosis, depression
Ketilept, Qpine, (atypical) antipsychotic antipsychotic properties disorder (alone or in lessens, energy level improves,
Qtipine, Quantia, and low extrapyramidal combination), maintenance
increasing suicide potential)
Quekline, Quetadin, side effect are mediated treatment of bipolar disorder,
Q-win, Serendra, treatment of acute depressive 3. Avoid exposing the client to extreme
through a combination
Seroquel, Serotia, episodes associated with bipolar heat and ensure client is always well
of D2 and 5-
Victus, disorder, and an adjunctive hydrated.
HT2 receptor
treatment to antidepressants in
antagonism. It has an
major depressive disorder (MDD). Pharmacological interactions:
affinity for serotonin
1. Effects decreased
(e.g. 5-HT2), histamine OFF-LABEL: Delirium in critically ill
with phenytoin, thioridazine, carbamaze
(H1) and adrenergic pts, psychosis/agitation related to
Alzheimer’s dementia. Treatment pine, phenobarbital, rifampin, glucocorti
(e.g. α1 and α2) and
of autism, and treatment- coids; monitor patient closely and adjust
dopamine (D1 and D2)
resistant obsessive-compulsive dosages appropriately when these drugs
receptors.
disorder. are added to or discontinued from
regimen
2. Potential for heatstroke and intolerance
with drugs that affect temperature
regulation (anticholinergics); use
extreme caution and monitor patient
closely
3. Increased effects
of antihypertensives, lorazepam