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Drugs Generic/Trade name Generic name: Chlorpromazine Brand name: Thorazine Dosage/ Classification Frequency 50 mg HS Antipsychotic Anxiolytic Dopaminergic

blocker Indication Management of manifestations of psychotic disorders; control of manic phase of manic depressive illness. Contraindication Comatose states Presence of large amounts of CNS depressants. Presence of bone marrow depression Hypersensitivity Side effects Drowsiness, sensitivity to sun, pink or reddish brown urine, faintness, and dizziness Nursing Responsibilities Assess mental status prior to and periodically during therapy. Monitor BP and pulse prior to and frequently during the period of dosage adjustment. May cause QT interval changes on ECG. Observe patient carefully when administering medication, to ensure that medication is actually taken and not hoarded. Monitor I&O ratios and daily eight. Assess patient for signs and symptoms of

dehydration. Monitor for development of neuroleptic malignant syndrome (fever, respiratory distress, tachycardia, seizures, diaphoresis, hypertension or hypotension, pallor, tiredness, severe muscle stiffness, loss of bladder control. Report symptoms immediately. May also cause leukocytosis, elevated liver function tests, elevated CPK. Caution the client that the medication may cause drowsiness, creating

Generic name: diphenhydramin e Brand name:

50 mg/cap HS PRN

Antihistamine Antiparkinson ian Anti-motion sickness drug Cough

Parkinsonism (including drug induced parkinsonism and extrapyramidal reactions) in the

cardiac disease or hypertension, glaucoma, gastric or duodenal ulcers

Dizziness, sedation, drowsiness, epigastric distress, diarrhea or

Benadryl

suppressant Sedative hypnotic

elderly intolerant of more potent drugs and in combination with centrally acting anticholinergic antiparkinsonian drugs.

Allergy to antihistamine, third trimester of pregnancy and lactation.

constipation, dry mouth, thickening of bronchial secretions and dryness of nasal mucosa.

difficulties or hazards or other activities that require alertness. Tell the client to take the medication with food to decrease GI upset. Explain to the client that arising quickly forms a lying or sitting position may cause orthostatic hypotension. When taking these medications, the client needs to have blood cells counts, renal function, hepatic function, and blood pressure monitored. Adverse effects of these drugs occur more

commonly in elderly clients. Explain to the client that use of these drugs in warm weather may increase the likelihood of heatstroke. Generic name: Olanzapine 5 mg BID 10 mg/tab HS Brand Name: Zydis Atypical Antipsychotic Dopaminergic blocker Treatment of schizophrenia Acute mixed or manic episodes associated with bipolar 1 disorder and maintenance of bipolar 1 disorder as monotherapy or combined with lithium or valproate Agitation associated with schizophrenia and bipolar 1 mania (injection) Contraindicated with allergy to olanzapine, myeloproliferative disorders, severe CNS depression, comatose states, and lactation Drowsiness, dizziness, sedation, seizures, increased salivation, constipation and fast heart rate. Inspect I.M. solution for particulate matter and discoloration before administration. Encourage patient to void before taking the drug to help decrease anticholinergic effects of urinary retention. Monitor for elevations of temperature and differentiate between

5 mg/tab 2 tabs HS

infection and neuroleptic malignant syndrome. Monitor for orthostatic hypotension and provide appropriate safety measures as needed. Monitor patient regularly for signs and symptoms of diabetes mellitus; monitor lipid and triglyceride levels. Peel back foil on blister pack of disintegrating tablets; do not push through foil; use dry hands to remove tablet, place entire tablet in mouth

Generic name: Paracetamol Brand name: Biogesic

500 mg q 4 hrs if temp 37.6 and above

Antipyretic, analgesia

Fever, Relief of mild to moderate pain

Hypersensitivity; intolerance to tartrazine, alcohol, table sugar and saccharin

Stimulation, drowsiness, nausea, vomiting, abdominal pain, hepatotoxicit y, rash and urticaria.

If to be given as analgesia, assess onset, type, location, duration of pain. Can be given without regards to meals. Assess temperature directly before and 1 hour after giving medication. If respirations are <12/min (<20/min in children), withhold the medication and contact the physician.

Generic name: Biperiden

2 mg/tab PRN 2mg HS

Antiparkinson ism

Brand name: Akidin

2mg PRN

Adjunct in the therapy of parkinsonism Relief of symptoms of extrapyramidal disorders that accompany

Prostatic enlargement, paralytic ileus or pyloric stenosis & ulcerative colitis, angle-closure glaucoma & myasthenia gravis.

Drowsiness, dizziness, confusion, blurred vision, nausea, dry mouth, painful or

Decrease dosage or discontinue temporarily if dry mouth makes swallowing or speaking difficult.

phenothiazine therapy

difficult urination, and constipation.

Give with meals if GI upset occurs; Give before meals to patients with dry mouth; give after meals if drooling or nausea occurs. Ensure that patients voids just before receiving each dose of drug if urinary retention is a problem.

Generic name: Vitamin B Complex

Tab OD

Vitamin BComplex

Used to treat or prevent vitamin deficiency due to poor diet or certain illnesses.

Hypersensitivity to Vitamin B Complex

Constipation, Nausea, vomiting, dizziness.

Inform client to take it with meals to reduce GI discomfort. Inform client not to put it on a refrigerator, can cause darkening of the solution due to riboflavin content.

Brand name: Surbex

Generic name

1 cap OD

Hepatic

Intoxications

Hypersensitivity

Nausea.

Do not use Essentiale in

and Brand name: Essentiale Forte

past dose 1 cap TID current dose

protectors

(from drugs) to Essentiale Forte

hypersensitivity. Taken with meals to reduce GI upset. Instruct patient to take Essentiale as directed.

Generic name: Sertraline

50 mg/tab OD

Trade name: Zoloft

Selective Serotonin Reuptake Inhibitors (SSRIs)

Used for

treating depression.

Hypersensitivity to Sertraline.

Drowsiness, Dizziness, Nausea, Dry mouth.

Monitor appetite and nutritional intake. Weigh weekly. Monitor mood changes. Assess for suicidal tendencies, especially during early therapy. Instruct patient to take Sertraline as directed. Caution patient to avoid driving and other activities

requiring alertness until response to the drug is known. Advise patient to avoid alcohol during therapy.

Generic name: Lactulose

30cc HS/PRN

Laxatives

Used to treat constipation.

Brand name: Cephulac

Contraindicated to patient with galactosemia, intestinal onstruction and on low galactose diet.

Nausea, Vomiting.

Evaluate therapeutic response. Assess amount, color and consistency of stool. Advise to drink plenty of fluid while taking this medicine. Advise to store in a cool environment

Generic name:

Hypersensitivity

Nausea,

May be given

Ciprofloxacin Brand name: Cipro

500 mg BID for 7 days

Antibiotic

Used to treat GI tract or UTI.

to ciprofloxacin

Vomiting, without regards Constipation, to meals. Dry mouth. Preferred dosing time 2 hours after meals. Do not administer antacids within 2 hours of Ciprofloxacin. Encourage cranberry juice or citrus fruits. Evaluate food tolerance. Determine pattern of bowel activity. Observe therapeutic response.