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Antipsychotic Drugs
Nursing Diagnosis to use with Antipsychotic M
Planning/Implementation of s/e w/ Antipsychot
Planning/Implementation of s/e w/ Antipsychot
100
Most Psych medications are metabolized here.
What is liver.
100
Major
What are tranquilizers and neuroleptics
100
Risk for other-directed violence r/t
What is panic anxiety and mistrust of others
100
Anticholinergic effect Dry Mouth
What is hard candy, ice chips, frequent sips of water, good oral hygiene
100
Skin Rash
What is Report appearance of skin rashes; avoid spilling any of the liquid concentrate on skin
200
Most Psych medications are excreted here.
What are kidneys.
200
Used to treat acute and chronic ________ particularly when accompanied by increased psychomotor activity as well as _____ _____ ______ behaviors.
What is psychoses and hallucinations, bizarre or paranoid
200
Risk for _________ r/t mediation side effects of sedation, photosensitivity, reduction of seizure threshold, agranulocytosis, extra pyramidal symptoms, Tardive dyskinesia, and neuroleptic malignant syndrome
What is injury
200
Will mostly likely subside after a few weeks Caution driving or operating equipment
What is Blurred Vision
200
Take medication at HS Adjusting dosage or splitting dosage
What is Sedation
300
Most drugs bind to specific _______ or have an effect on one or more _________ __________ systems,
What are brain receptor and brain neurotransmitter
300
Produce a calming effect without significantly ______ or ______ ______.
What is sedating or reducing alertness
300
Risk for activity intolerance r/t
What is medication side effects of sedation, blurred vision, and weakness
300
3 Major s/e to watch for include:
What are Extrapyramidal symptoms (EPS) Neuroleptic Malignant Syndrome (NMS) Hyperglycemia and Diabetes
300
Move slowly when changing position
What is Orthostatic hypotension
400
Time that it takes for plasma concentrations of a drug to decrease to half an an initial value.
What is half-life. (pg 684)
400
Precautions/Contraindications
What are Hypersensitivity CNS depression Blood dyscraias Parkinson’s Patients Liver, renal or cardiac insufficiency Caution with the elderly Pregnancy
400
Noncompliance with medication regimen r/t
What is suspiciousness and mistrust of others
400
Report any difficulty voiding; Monitor I & O
What is Urinary retention
400
Use sun block, sun glasses hats etc
What is Photosensitivity
500
The capillary barrier between blood and brain.
What is blood-brain barrier. (pg 879)
500
Drug Action
What is They all bind to brain dopamine receptors which produces a degree of indifference to both external and internal stressful stimuli. The response to pain remains appropriate
500
Desired outcomes/evaluation
What are Has not harmed others/self Has not experienced injury caused by side effects Maintains a WBC count within normal limits Exhibits no S/S of extrapyramidal side effects, etc. Maintains weight within normal limits Takes medication willingly Verbalizes an understanding of Mediation regimen and the importance of regular administration
500
Rare; will occur in the first 3 months of treatment Observe for c/o sore throats, fever or malaise
What is Agranulocytosis
500
Decreased libido, gynecomastia (reversible) Amenorrhea (continue use of contraception) Weight gain (reduce calories in diet, weigh QOD, exercise)
What is Hormonal effects