This document provides information about the antidepressant medication Fluoxetine (Prozac) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the medication's mechanism of action for treating major depressive disorder and obsessive-compulsive disorder. Nursing implications focus on monitoring for contraindications, side effects and drug interactions. The nursing process of assessment, implementation and evaluation for safe administration is outlined.
This document provides information about the antidepressant medication Fluoxetine (Prozac) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the medication's mechanism of action for treating major depressive disorder and obsessive-compulsive disorder. Nursing implications focus on monitoring for contraindications, side effects and drug interactions. The nursing process of assessment, implementation and evaluation for safe administration is outlined.
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This document provides information about the antidepressant medication Fluoxetine (Prozac) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the medication's mechanism of action for treating major depressive disorder and obsessive-compulsive disorder. Nursing implications focus on monitoring for contraindications, side effects and drug interactions. The nursing process of assessment, implementation and evaluation for safe administration is outlined.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as XLS, PDF, TXT or read online from Scribd
INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet
(You will need to made additional copies of these forms)
Generic Trade Classification Dose Route Time/Frequency Name Name Antidepressant 20 Mg PO 1 in the AM Fluoxetine Prozac Q AM
Peak Onset Duration Normal Dosage range
6-8 hours 20 Mg daily
Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions Depression
Mechanism of action and indications Nursing Implications (what to focus on)
Inhibits the CNS neuron uptoake of serotonin but not of Contraindications/warnings/interactions norepinephrine Assess mental status for mood, sensorium, affect, sucidial tendancies, increase in psychiatric symptoms, depression, panic, monitor for seizures, monitor patients Major depressive disorder, ovsessive-compulsive disorder blood pressure, weight every week- appetite bulumia nervosa Sarafem: premenstrual dysphoric Disorder Common side effects headache, nervousness, insomnia, drowsiness, anxiety tremor, dizziness, fatigue, sedation, poor concentration, abnormal dreams agitation, seizures, apathy euphoria, hallucinations, delusions, psychosis, hot flashes, palpitations, angina, hemorrhage, tachycardia, bradycardia, MI thrombophlebitis,first degress AV block, Visual changes, ear/eye pain. Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Increase: serum vilirubin, blood flucose, alk phosphatase Do not use with thirodazine or within 5 weeks of DC Decrease: VMA, 5 HIAA or Fluoxetine False increase: urinary catecholamines Do not use MAOIs with or 14 days prior to fluoxetine Be sure to teach the patient the following about this medication Do not use together, increased risk of serotonin syndrome: Theraputic effect may take 1-4 weeks, to use caution in driving and other activity St. John's wort, SAM-e that involves alertness due to drowsiness, use sunscreen due to photophobia. avoid alcohol injestion and other CNS depressants, change position slowly, orthostatic hypotention, avoid all OTC drugs unless approved
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving make sure there is not a drop in BP more than this med? dry mouth, GI upset, make sure patient gets 20 mmHG, administer with food or milk, crush if If there is a drop in blood pressure more than help with ambulation and moving (ortho-hypo) patient is unable to swallow, dosage at bed time 20 mm Hg make sure patient has plenty of fluids if oversedation during day time, gum, hard candy, frequent sips of water for dry mouth,