UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, INDICATION/MECHANISM

NAME & STRENGTH & S OF DRUG ACTION CLASSIFICATION FORMULATION (10%) (10%) (15%) Generic: amitriptyline Ordered: Indications: -to relieve depression, especially when accompanied by anxiety and insomia Mechanisms of Action: Normally, when an impulse reaches adrenergic nerves, the nerves release serotonin and norepinephrine reaches receptors sites on target tissues. Most is taken back into the nerves and stored by the reuptake mechanism. DRUG STUDY Hospital No.: Room No.:

Brand: levate

Timing:

Classification: -tricyclic antidepressant

Duration: unknown

Other forms: -tablets

(10%) (20%) (20%) Side effects: *closely monitor -because *instruct patient with CV amitriptyline patient to disorder. may cause take arrhythmias, amitriptyline such as sinus at bedtime to tachycardia. avoid daytime drowsiness. Jones & Bartlett. *instruct 2011 patient to p.70 avoid using alcohol or OTC Drug *monitor blood -for drugs that pressure. hypertension contain interaction: or alcohol during hypotension. amitriptyline therapy Jones & because Bartlett. alcohol 2011 enhances CNS p.70 depressant effects.

SIDE EFFECTS/DRUG INTERACTION (15%)

NURSING RESPONSIBILITIE S

RATIONALE

CLIENT TEACHING

Amitriptyline blocks serotonin and norepinephrine reuptake by adrenergic nerves. By doing so, it raises serotonin and norepinephrine levels at nerve synapses. This action may elevate mood and reduce depression. Jones & Bartlett. 2011 p.69

*watch patients closely (especially children, adolescents, and young adults)

*urge family or caregiver to watch patient Jones & closely for Bartlett. suicidal 2011 tendencies, p.70 especially when therapy *use caution if -because of starts or patient has a amitriptyline dosage changes history of atropine-like and seizures, urine effect. particularly retention, or if patient is angle-closure Jones & a child, glaucoma. teenager, or Bartlett. young adult. 2011 p.70

-for suicidal tendencies.

UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, INDICATION/MECHANIS NAME & STRENGTH & MS OF DRUG ACTION CLASSIFICATION FORMULATION (10%) (10%) (15%) Generic: aripiprazole Ordered: DRUG STUDY Hospital No.: Room No.:

SIDE EFFECTS/DRUG INTERACTION (15%)

NURSING RESPONSIBILITIE S (20%) *monitor patient for difficulty for swallowing or excessive somnolence

RATIONALE (10%) -which could predispose to accidental injury or aspiration. Jones & Bartlett. 2011 p.101

CLIENT TEACHING (20%) -instruct patient prescribed orally disintegrati ng tablets to open the blister pack only when ready to take the tablet. -advise patient to get up slowly from a lying or sitting position during aripiprazole

Brand: Abilify

Classification: -atypical antipsychotic

Indications: Side effects: -to treat acute schizophrenia; to maintain stability in patients with schizophrenia Timing: -to treat acute manic and mixed episodes in bipolar I disorder with or without psychotic features; to Duration: maintain stability Drug unknown in patients with interaction: bipolar I disorder; as adjunct with lithium or valproate in Other forms: patients with bipolar I disorder. -tablets -as adjunct to -I.M. treat depression in injection

*monitor patients blood glucose level routinely

-risk of hyperglycemia may increase. Jones & Bartlett. 2011 p.101 -for suicidal tendencies.

*watch patients closely

patients already taking an antidepressant -to treat agitation in schizophrenia or bipolar mania. Mechanisms of Action: May produce antipsychotic effects through partial agonist and antagonist actions. Aripiprazole (especially D2) receptors and serotonin (especially 5-HT1A) receptors. The drug acts an antagonist at %-HT2A serotonin receptor sites. Jones & Bartlett. 2011 p.100

(especially children, adolescents, and young adults)

Jones & Bartlett. 2011 p.101

therapy to minimize orthostatic hypotension. -urge patient to avoid alcohol during aripiprazole therapy.

UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, STRENGTH INDICATION/ NAME & & FORMULATION MECHANISMS OF CLASSIFICATION (10%) DRUG ACTION (10%) (15%) Generic: Ordered: Indications: benztropine -as adjunct, to mesylate treat all forms of Parkinsons disease. Timing: -to control Brand: extrapyramidal symptoms benztropine (except tardive dyskinesia) Duration: caused by P.O.=24hr phenothiazines Classification: I.V.,I.M.=24hr and other -antiparkinsonian neuroleptics -central-acting -to treat acut anticholinergic dystonic Other forms: reactions. -tablets Mechanisms of -I.M. or I.V. Action: injection DRUG STUDY Hospital No.: Room No.:

SIDE EFFECTS/DRUG INTERACTION (15%) Side effects:

NURSING RESPONSIBILITIES (20%)

RATIONALE (10%)

CLIENT TEACHING (20%)

Drug interaction:

*therapy -because - warn patient typically begins benztropine that drug has with a low dose has a a cumulative followed by cumulative effect, gradual increase action. increasing of 0.5 mg every risk of 5 or 6 days. Jones & adverse Bartlett. reactions and 2011 overdose. p.135 -caution *assess muscle -for against rigidity and baseline driving and tremor. data. similar activities Jones & until Bartlett. benztropines 2011 effects are p.135 known because it may cause blurred vision,

Blocks acetlycholines action at cholinergic receptor sites. This restores tha brains normal dopamine and acetylcholine balance, which relaxes muscle movement and decreases drooling, rigidity, and tremor. Benztropine also may inhibit dopamine reuptake and storage, which prolongs dopamines action. Jones & Bartlett. 2011 p.135

dizziness, or drowsiness.

UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, INDICATION/ NAME & STRENGTH & MECHANISMS OF CLASSIFICATION FORMULATION DRUG ACTION (10%) (10%) (15%) Generic: Ordered: Indications: bupropion -to treat hydrochloride depression. -to aid in smoking cessation -to prevent Timing: seasonal major Brand: depressive episodes in Aplenzin patient with seasonal affective Duration: disorder. unknown Classification: Mechanisms of -antidepressant Action: May inhibit norepinephrine, Other forms: serotonin, and -E.R. dopamine uptake tablets by neurons, which -tablets significantly DRUG STUDY Hospital No.: Room No.:

SIDE EFFECTS/DRUG INTERACTION (15%) Side effects: *

NURSING RESPONSIBILITIES (20%)

RATIONALE (10%)

CLIENT TEACHING (20%) -advise patient to take bupropion for 7 or more days before stopping smoking. -tell patient to take bupropion with food. -tell patient to swallow E.R. tablets whole and not to cut, crush, or chew them.

Drug interaction:

relieves evidence of depression. Jones & Bartlett. 2011 p.157

UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, INDICATION/MECHANIS SIDE NAME & STRENGTH & MS OF DRUG ACTION EFFECTS/DRUG CLASSIFICATION FORMULATION INTERACTION (10%) (10%) (15%) (15%) Generic: Ordered: Indications: Side effects: buspirone -to manage anxiety hydrochloride Mechanisms of Action: May act as a partial agonist at Brand: Timing: serotonin 5Buspar hydroxytryptamine1A receptors in the brain, producing antianxiety effects. Classification: Duration: Drug interaction: -antianxiety Unknown Jones & Bartlett. 2011 p.159 Other forms: -tablets DRUG STUDY Hospital No.: Room No.:

NURSING RESPONSIBILITIES (20%) *institute the medication with safety precautions.

RATIONALE

CLIENT TEACHING

(10%) (20%) -because of -advise possible patient to adverse CNS take reactions. buspirone consistently Jones & , either Bartlett. always with 2011 or always p.159 without food. -caution patient to avoid drinking large amounts of grapefruit juice. -inform patient that 1-2 weeks of

therapy may be needed before she notices drugs antianxiety effect. -stress the importance of not taking more buspirone than prescribed. -advise patient to avoid hazardous activities until drugs CNS effects are known.

UNIVERSITY OF CEBU-BANILAD COLLEGE OF NURSING Patients Name: Age: Impression/Diagnosis: Attending Physician: Allergy to: GENERIC/BRAND DOSE, INDICATION/MECHANIS SIDE NAME & STRENGTH & MS OF DRUG ACTION EFFECTS/DRUG CLASSIFICATION FORMULATION INTERACTION (10%) (10%) (15%) (15%) Generic: Ordered: Indications: Side effects: DRUG STUDY Hospital No.: Room No.:

NURSING RESPONSIBILITIES (20%)

RATIONALE (10%)

CLIENT TEACHING (20%)

Brand:

Timing:

Classification:

Duration:

Mechanisms of Action:

Drug interaction:

Other forms: