Individual Considerations of Medication Administration
Because the percentage of body fat an individual has can alter the distribution of a medication. This factor must be taken into account for dosages and responses.
What is body weight?
Generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, social anxiety disorder, and posttraumatic stress disorder.
What are Anxiety disorders?
The first-line treatment for depression, although they can take 1-3 weeks or longer before pharmacological benefits take effect
What are SSRIs (Selective Serotonin Reuptake Inhibitors)?
This drug is the first-line treatment for bipolar disorder
What is lithium carbonate?
Involuntary movements of the tongue and face, such as lip-smacking, which cause speech and/or eating disorders.
What is Tardive Dyskinesia?
This population has immature liver and kidney function, therefore requiring proportionately smaller medication doses to compensate for their heightened sensitives to medication.
What is Young Children?
Generally used for short-term due to the risk of dependence.
What are Benzodiazepines?
What is serotonin syndrome?
The therapeutic range of lithium blood levels
What is 0.6-1.2 mEq/L?
Client is unable to stand still or sit and is continually pacing and agitated.
What is Akathisia?
Medication concentration in the body increases due to the inability to metabolize or excrete medication rapidly enough, resulting in a toxic medication effect. For older adults, decreased kidney and liver function are the major cause of this leading to toxicity.
What is Accumulation?
Effects do not occur immediately. It can take a week to notice the first therapeutic effects and 2 to 5 weeks for the full benefit. Take on a regular basis and not PRN.
What is Atypical anxiolytic/nonbarbiturate anxiolytic (Buspirone)?
The intake of dietary tyramine and this drug category can cause intensive vasoconstriction leading to hypertensive crisis
What is MAOIs?
Grapefruit juice should be avoided with this drug
Findings include bradykinesia, shuffling gait, drooling, and tremors.
What is Parkinsonism?
Obtain a complete medication history, and include all OTC medications, illicit drugs, and herbal supplements.
What is a nursing intervention to decrease the risk of adverse medication effects?
Use this drug cautiously in clients who have liver and renal dysfunction, seizure disorders, or a history of GI bleeding.
What is paroxetine?
The use of this supplement has adverse interactions with SSRIs, SNRIs, and tricyclic antidepressants
What is St. John's Wort?
Baseline levels of these labs should be obtained prior to starting lithuim carbonate drug therapy
What is T3, T4, and TSH levels?
Severe spasms of the tongue, neck, face, or back. If the laryngeal muscles are affected, respiration can decrease.
What is Acute Dystonia?
These clients should avoid medications that have an extended half-life, are sustained-released, or are harmful to infants.
What is lactating clients?
Contraindicated for current use with MAOI antidepressants or for 14 days after MAOIs are discontinued. Hypertensive crisis can result.
What is Buspirone?
These antidepressants are also used to treat system disorders such as neuropathic pain and fibromyalgia
Severe lithium toxicity, which is at a level greater than 2.5 mEq/L and includes manifestations of oliguria, seizures, and possibly coma and death, should be treated with this
What is hemodialysis?
Main medications used to treat Neuroleptic malignant syndrome.
What is Dantrolene, bromocriptine (muscle relaxation) and diazepam (controls anxiety)?