College of Nursing PSYCHOTROPIC DRUG STUDY IN PSYCHIATRY AS A NURSING SPECIALTY
Name of student: Inclusive Dates of Exposure: ______
Yr & Section: _______________________________________________ Area of Exposure: ___________________________________________ Client Initials: _______________________________________________ Date of submission: _________________________________________ Diagnosis: _________________________________________________________________________________________________________________ Doctor: _______________________________________________________________________________________________________________
DRUG DATA CLASSIFICATION MECHANISM OF INDICATIONS CONTRAINDICATIONS S/E or ADVERSE NURSING
ACTION REACTIONS RESPONSIBILITIES GENERIC NAME: THERAPEUTI Blocks dopamine -Management of -Contraindicated CNS: drowsiness, Assess for hallucinations, Clozapine C: receptors in the severely ill with allergy to sedation, seizures, mental status, dementia, Antipsychotic brain, depresses the schizophrenics clozapine, CNS dizziness, bipolar disorder (initially and BRAND NAMES: RAS; who are depression, syncope, throughout therapy). Clozaril, FazaClo, anticholinergic, unresponsive to comatose states, headaches Obtain complete health Versacloz antihistaminic, and standard history of seizure CV: tachycardia, history, especially alpha-adrenergic antipsychotic disorders, lactation, hypotension, psychological, neurologic PATIENTS PHARMACOL blocking activity drugs therapy with other potentially-fatal and blood diseases: including DOSE: O-GIC: may contribute to drugs that cause myocarditis blood studies: CBC, WBC 100mg tab OD Dopaminergic some of its bone marrow GI: nausea, with differential, electrolytes, blocker therapeutic (and -Reduction of the depression. vomiting, BUN, creatinine, liver MINIMUM DOSE: adverse) actions. risk of recurrent constipation enzymes. 12.5 mg orally Clozapine produces suicidal behavior PRECAUTION: GU: urinary Do not let client engage in fewer extrapyramidal in patients with Use cautiously with abnormalities any hazardous activity until MAXIMUM effects than other schizophrenia or CV disease, narrow- Hematologic: response to the drug is DOSE: antipsychotics. schizoaffective angle glaucoma, agranulocytosis known. Drowsiness and 450 mg PREGNANCY disorder (for pregnancy. Others: fever, sedation are common adverse CATEGORY: B orally weight gain, effects. AVAILABILITY: ONSET: varies disintegrating rashes Let client rise slowly to Tablets 25, PEAK: 1 6 hr tablet) DRUG-DRUG avoid orthostatic 100mg; orally DURATION: weeks INTERACTIONS: hypotension. disintegrating METABOLISM: -increased Report immediately any of tablets 12.5, 25, hepatic, 4 12 hr therapeutic effect the following: unexplained 50, 100 mg DISTRIBUTION: and toxic effects fatigue, especially with crosses placenta, with cimetidine, activity; shortness of breath, ROUTE: enters breast milk caffeine sudden weight gain or edema PO EXCRETION: feces, -decreased of the lower extremities. urine therapeutic effect Document and record. with phenytoin, SOURCE: ethotoin 2011 Lippincotts SOURCE: SOURCE: SOURCE: Nursing Drug 2011 Lippincotts 2011 Lippincotts SOURCE: Guide pages 318- Nursing Drug Guide 2011 Lippincotts Nursing Drug Guide SOURCE: SOURCE: 2011 Lippincotts Nursing Drug 320 pages 318-320 Nursing Drug pages 318-320 2011 Lippincotts 2011 Lippincotts Guide pages 318-320