DRUG STUDY

DOSAGE / NURSING
GENERIC / CONTRAINDICATI
FREQUENC CLASSIFICATION INDICATION SIDE EFFECTS RESPONSIBILITIE
TRADE NAME ON
Y S
Olanzapine 10mg HS Atypical • negative and • hypersensitivity to • agitation • Assess mental
(Zyprexa) Antipsych positive the drug • changes in status
otics symptoms of vision
schizophrenia • coma • Assess vital
• constipation signs
• agitation • depression
psychotic • difficulty falling • Monitor
symptoms in asleep or swallowing of
dementia staying oral medication
• dizziness
• obsessive- • drowsiness • Give
compulsive • dry mouth antiparkinson
disorder agent for EPS
• fast heartbeat
• restlessness
• Give by mouth
• seizures
with full glass of
• slurred speech
water
• unusual
behaviour
• Provide
• unusual decreased stimuli
movements of
your face or
• Give increase
body that you
fluid to prevent
cannot control
constipation
• very stiff
muscles
• weight gain
 Biperiden 2mg OD Antiparkinsonism • As an • Hypersensitivity to • CNS and • Given with meal
Hydrochloride adjunct in biperiden puerperal or after meal
the therapy effects
of all forms • Narrow angle • Do not let the
of glaucoma • skin rases patient perform
parkinsonism activity that
• Bowel obstruction • dyskenesia requires
• Control of alertness for it
extrapyramid • Megacolon • ataxia mas cause
al disorders dizziness,
secondary to • Disease leading • twitching drowsiness and
neuroleptic to perilous blurring of vision
drug therapy tachycardia • impaired
speech • Caution patient to
rise slowly from
• micturition sitting or
difficulty recumbent
position to
minimize
• fatigue
orthostatic
hypotension
• dizziness

• restlessness

• agitation

• anxiety

• confusion
 NURSING CARE PLAN

Goals and
Assessment Diagnosis Analysis Intervention Rationale Evaluation
Objectives
Disturbed Auditory Goals: After 2 days of
Subjective: thought hallucination After 2 days of nursing
process occurs when nursing intervention, the
“May lalaking related to people hear intervention, the client was able to
voices or other
bumubulong auditory client will be able use coping
noises although
sa akin. “ hallucination nothing is there.
to use coping strategies to deal
“Ako lang ang secondary to One sign that the strategies to deal with
nkakarinig.” schizophrenia person may be with hallucinations hallucinations.
having
“Ginugulo hallucinations Objectives:
nya ako. involving voices
Iniinis nia when they talk to 1. Recognize 1. Initiate A therapeutic
themselves and and asses nurse-patient relationship will
ako“ pause. People patient relationship provide support
are less likely to present and trust to the
Parang hear imaginary
situation and patient
bubuyog sounds while they
are talking to
assess
“Noong isang someone real so changes in 2. Conduct a To determine
taon pa company can thinking and mental status mental disorders
ngsimula.” help. behaviour. examination
Auditory
“Medyo hallucinations are 2. Apply 3. Approach in Client may respond
more common in therapeutic a calm, with anxious if
matagal na
psychotic technique in nurturing startled or over
rin nung conditions such
huling interacting manner. stimulated
as schizophrenia, with the
nagkaroon.” although they
patient The client ability to
may sometimes
(+) Smoker be associated
4. Use deal in abstractions
(+)Alcohol with high doses of concrete, is diminished.
drinker cocaine, specific verbal
(+)Prohibited amphetamine or communication
drug user other stimulants. with the client. The client may
Auditory misinterpret your
hallucinations are 5. Avoid gestures
particularly
gestures.
associated with
psychotic
The client may
disorders such as need help to see
schizophrenia, that hallucinations
and hold special 6. Show were a part of the
significance in acceptance of illness, nor under
diagnosing these the client the client control.
conditions. This behaviour and Joking or being
does not mean of the client as judgemental is not
that the a person; do appropriate and
experience of not joke about can be damaging
'hearing voices' is
or judge the the patient
necessarily a sign
of mental illness
client
and many people 3. Determine the It is important to
may have these possible determine if
or similar effect of auditory
hallucinations hallucinations 7. Explore the hallucinations are
without ever content of the “command”
becoming client’s hallucinations that
impaired or hallucination to direct the
distressed in any determine what
way. kind of stimuli
Auditory
4. Let the patient the client is You must be
hallucinations can
range from
be aware of receiving honest with the
primitive noises reality from client, letting him or
such as bangs, hallucinations 8. Avoid her know that
whistles, claps, conveying to hallucinations are
screams, ticks, the patient the not real
and others to belief that
speech and hallucinations The patient can
music. Commonly are real. learn to focus on
people who have
auditory reality and ignore
hallucinations 9. Assist the perceptual
hear voices which patient in experience.
utter short differentiating
comprehensible
between his
phrases.
5. Assist client own thoughts The client has the
Sometimes the
person may to develop and reality. chance to seek
recognize the coping others and to cope
voice as one of a strategies 10. Enco with problems
family member or urage the client caused by
deceased friend to tell the staff hallucinations.
and sometimes it members about
may be the voice hallucinations It is more difficult
of a stranger or for the client to
even God. The respond to
voices or sounds
11. If the hallucinations when
can be thought to
originate from
client appears he or she is engage
anywhere. The to be in real activities and
walls, the ground, hallucinating, in interactions.
trees, a shoe are attempt to
all possible engage the
origins of client in
hallucinatory 6. Promote conversation or To maintain, gain,
sounds. wellness a concrete continue progress
activity.
http://neurology.healt
h-cares.net/auditory-
hallucination.php 12. Identi
fy ongoing
treatment
needs and
emphasize the
importance of
cooperation
with
therapeutic
regimen