Drug Name & Classification Risperidone Antipsychoti c Benzisoxazol e

Dose & Route 12mg BID

Action

Indication

Contraindication

Adverse Effect

Nursing Responsibilities Assessment History: allergy to risperidone, lactation, pregnancy, renal or hepatic impairment, hypotension Physical: T, weight; reflexes, orientation; bowel sounds, normal output, liver evaluation; CBC, urinalysis, LFTs, renal function test Do not use drug to treat geriatric patient with dementia Maintain seizure precautions, especially when initiating therapy and increasing

Blocks dopamine and serotonine receptors in the brain, depresses the RAS; anticholinergi c, antihistaminic ,, and alphaadrenergic blocking activity may contribute to some of its therapeutic and adverse reaction

Treatment for Contraindicat schizophreni ed to a hypersensitivi ty to Short term risperidone, treatment of lactation acute manic or mixed Use episodes cautiously associated with CV with bipolar disease, 1 disorder pregnancy, renal or hepatic impairment, hypotention

CNS: insomnia, anxiety agitation, headache, somnolence, aggression, dizziness, tardive dyskinesias CV: orthostatic hypotension, arrhythmias Dermatologic : rash, dry skin, seborrhea, photosensitiv ity GI: nausea, vomiting, constipation, abdominal discomfort, dry mouth, increase saliva

 Respiratory: Rhinitis, coughing, sinusitis, pharyngitis, dyspnea Other: chest pain, arthralgia, back pain, fever, NMS, diabetes mellitus, hyperglycem ia Multivitamins 1 tab OD Promotes normal biochemical reactions, strengthens the immune system, supports normal growth and development and helps prevent growth retardation in children and young adult. Treatment and prevention for vitamin deficiency Hypersensitivi ty to preservatives, colorant or additives, including tartrazine, saccharin, and aspartame. GI: nausea, vomiting, constipation, abdominal discomfort, dry mouth CNS: agitation, headache, dizziness,

dosage Monitor patient regularly for signs and symptoms of diabetes mellitus Mix oral solution on 3-4 ounces of water, coffee, orange juice, or low-fat milk. Do not mix with cola or tea Assess patient for signs of nutrition deficiency prior to and throughout therapy Instruct to notify side effects of medication to physician Encourage to comply to medication Encourage to

comply with physicians recommendatio ns. Explain that the best source of vitamins is well balance diet with foods from the four basic food groups