Name of Patient: LAride Age: 45 years old Sex: Male

Attending Physician: Dr. Ismael

Generic Name: Clozapine Brand Name: Clozaril
Date ordered: April 17,2018/ May 25, 2018
Dosage Indication Mechanism of Side effects/ adverse Nursing
Action reactions Considerations
100 mg Anti- Block dopamine Side effects: 1. Asses for
1 tab psychotic receptors in the  Drowsiness/ hallucination
1 ½ tab (typical) brain, depresses Fatigue s and mental
in Am Dopaminerg the RAS;  Dizziness status.
2 tabs in ic blocker anticholinergic,  Constipation 2. Obtain
PM Indicated for antihistamine,  Dry mouth complete
severely ill and alpha-  Sweating health
schizophreni adrenergic  Weight gain history,
cs who are blocking activity Adverse Reactions: especially
unresponsiv may contribute  Extrapyramidal pyschologica
e to standard to some of its signs l, neurologic
anti- therapeutic  Liver toxicity and blood
psychotic actions.  Hypotension diseases:
drugs including
CBC, WBC
with
differential,
electrolyte,
BUN,
creatinine,
liver
enzymes
3. Do not let
patient
engage in
any
hazardous
activity until
response to
the drug is
known.
4. Let the client
rise slowly to
avoid
orthostatic
hypotension.
5. Report
immediately
any of the
following:
unexplained
fatigue,
especially
with activity,
 shortness of
breath,
sudden
weight gain
or edema of
the lower
extremities.
6. Document
and record.

Name of Patient: LAride Age: 45 years old Sex: Male

Attending Physician: Dr. Ismael
Generic Name: Ferrous Sulfate Brand Name: Feosol
Date ordered: April 17, 2018
Dosage Indication Mechanism of Side effects/ adverse Nursing
Action reactions Considerations
1 tab OD Minerals/ Supply Iron to Side effects: 1. Store all
Supplement the body.  Constipation forms at
s Elevates to  Nausea and room
serum iron vomiting temperature.
Prevention concentration  Upset Stomach 2. Give
and which then helps Adverse reactions: between
treatment of to form high or  Hepatic Disease meals with
iron trapped in the  Sulfite allergy water but
deficiency reticuloendotheli  Intestinal may give
anemia due al cells for obisenero with meals if
to storage and  Aggravate peptic gastrointesti
inadequate eventual ulcer nal
diet, conversation to a  Regional discomfort
malabsorpti usable form such enteritis occurs.
on and as iron.  Ulcerative colitis 3. Avoid
blood loss  Hyperventilation simultaneous
 Pallor or administratio
cyanosis n of antacids
 Cardiovascular or
collapse tetracycline
4. Do not crush
sustained-
release
preparation
5. Avoid eggs
and milk for
it inhibits
absorption
6. Monitor
serum iron,
total iron –
binding
capacity,
 reticulocyte
count,
hemoglobin,
and ferritin
7. Monitor
daily pattern
of bowel
activity and
stool
consistency
8. Asses for
clinical
improvemen
t, record of
relief of
symptoms
(fatigue,
irritability,
pallor,
paresthesia,
and
headache)

Name of Patient: LAride Age: 45 years old Sex: Male

Attending Physician: Dr. Ismael
Generic Name: Flupentixol Brand Name: Depixol
Date ordered: February 17, 2018
Dosage Indication Mechanism of Side effects/ adverse Nursing
Action reactions Considerations
25 mg/ Anti- Alters the Side Effects: 1. Instruct patient
amp psychotics effects of  Decrease libido to take as
dopamine in the  Excess salivation directed.
Maintenance CNS. Has some  Dry mouth 2. Inform patient
therapy of anticholinergic  Weight change. of possibility
chronic and alpha- Adverse reactions: of
schizophrenic drenergic  Agranolocytosis extrapyramidal
patients blocking  Granulcytopenia symptom andd
whose main activity.  Neutropenia tardive
manifestation  Eash dyskinesia
do not  Photosensitivity 3. Advise patient
include reaction to change
excitement,  Neuroleptic positions
agitation or malignant slowly to
hyperactivity. syndrome minimize
 Extrapyramidal orthostatic
reactions hypertension.
 Hyperthermia 4. Inform patient
that flupentixol
can
 occasionally
cause a dry
mouth.

Name of Patient: LAride Age: 45 years old Sex: Male

Attending Physician: Dr. Ismael
Generic Name: Olanzapine Brand Name: Zyprexa
Date ordered: April 25, 2018
Dosag Indication Mechanism Side effects/ adverse Nursing
e of Action reactions Considerations
10 mg Indicated for Block Side effects: 1. Assess for
OD/ schizophreni receptors in  Drowsiness/Fatigue history of
ODT a the brain’s  Dizziness allergy to
25 dopamine  Dry mouth olanzipine
ODT pathway,  Abdominal pain 2. Monitor for
depresses  Headache the many
RAS, blocks Adverse effects: possible
serotonin  Neuroleptic drug
receptor sites, malignant syndrome interaction
anticholinergi  Orthostatic before
c, hypotension beginning
antihistaminic  Pharyngitis therapy.
(H1), and  Constipation 3. Encourage
alpha-  Tachycardia patient to
adrenergic  Tardive dyskinesia void before
blocking taking the
activity may drug to help
contribute to decrease
some of its anti-
therapeutic cholinergic
actions. effects of
urinary
retention.
4. Take this
drug as
prescribed.
5. Instruct
patient to do
oral hygiene
6. Instruct
patient to
report
immediately
signs of
infection.
Name of Patient: LAride Age: 45 years Sex: Male
old
Attending Physician: Dr. Ismael
Generic Name: Biperiden Brand Name: Akineton
Date ordered: February 3, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse Considerations
reactions
2mg/tab, 1 tab Parkinsonian Synthetic anti- CNS and 1. Assess for
BID prn (EPS) syndrome cholinergic peripheral mental
especially to drug, blocks effects status
counteract cholinergic Skin rashes 2. Assess
muscular responses in Dyskinesia patient
rigidity and CNS Ataxia response if
tremor extra Twitching anticholiner
pyramidial Impaired speech gics are
symptoms Micturition given.
difficulty 3. Assess for
Fatigue tolerance
Dizziness over long
Restlessness term
Agitation therapy,
Anxiety dosage may
have to be
increased or
changed.
4. Avoid
activities
that require
alertness,
may cause
dizziness,
drowsiness
and
blurring
vision
5. Take the
drug as
prescribed.