DRUG STUDY Date ordered: January 29,2012 Physician: Generic Name: Chlorpromazine Brand Name: Thorazine Classification: Antipsychotics

Dose, Route and frequency: 100 mg 1 tab BID Mechanism of action: Alters the effects of dopamine in the CNS. Has significant anticholinergic/ alpha-adrenergic blocking activity Desired Effect: This is given to the patient to diminish the signs and symptoms of psychosis. Nursing Responsibilities 1. Verify doctors order Rationale To confirm order of drug administration and prevent incorrect administration as to dosage, route and time To verify patients identity and to administer the right drug to the right patient

2. Ask the patients name

3. Observe the patient carefully when To ensure medication is actually taken and administering medication. not hoarded. 4. Assess the mental status (orientation, mood, behavior) prior to and periodically during therapy. 5. Keep patient in recumbent position for at least 30 minutes following parenteral administration. 6. Administer oral doses with food, milk or a full glass of water. 7. Monitor input & output ratios and daily weight. To serve as baseline data. To minimize hypotensive effects. To minimize gastric irritation. To assess for signs and symptoms of dehydration.

8. Monitor the development of neuroleptic To be able to report the symptoms malignant syndrome such as fever, immediately be able to give intervention to it. repiratory distress, tachycardia,convulsios, diaphoresis, hypertension or hypotension, pallor, tiredness, sever muscle stiffness, loss of bladder contol. 9. Document To prevent double administration of drug and for legal purposes (anything not documented is considered undone)

Date ordered: January 29,2012 Physician: Dr. Generic Name: Biperiden HCl Brand Name: Akineton Classification: Anticholinergic, Antiparkinsonian drug Dose, Route and frequency: 2 mg 1 tab PRN for EPS Mechanism of action: Blocks central cholinergic receptors, helping to balance cholinergic activity in the basal ganglia. Desired Effect: This is given to the patient to control of extrapyramidal disorders secondary to neuroleptic drug therapy Nursing Responsibilities 1. Verify doctors order Rationale To confirm order of drug administration and prevent incorrect administration as to dosage, route and time To verify patients identity and to administer the right drug to the right patient

2. Ask the patients name

3. Observe the patient carefully when To ensure medication is actually taken and administering medication. not hoarded. 4. Assess the mental status (orientation, mood, behavior) prior to and periodically during therapy. 5. Administer with food or immediately after meals. 6. Monitor clients output; increase intake of fluids, fruit juices and fiber 7. Assess extrapyramidal symptoms such as restlessness or desire to keep moving, rigidity, tremors, pill rolling, mask-like face, shuffling gait, muscle spasm, twisting motions, difficulty speaking or swallowing, loss of balance control prior to and throughout course of therapy. 8. Change position slowly. 9. Document To serve as baseline data. To minimize gastric irritation. To avoid constipation To be able to report the symptoms immediately and be able to give intervention to it.

To avoid sudden drop in BP To prevent double administration of drug and for legal purposes (anything not documented is considered undone)

Date ordered: January 29,2012 Physician: Generic Name: Valproic Acid/ Valproic Sodium Brand Name: Valpros Classification: Neurological agent, anticonvulsant, Psychotropic agent, antimanic Dose, Route and frequency: 250 mg 1 tab OD AM Mechanism of action: It exerts its effects by increasing the concentration of gammaaminobutyric acid (GABA) in the brain. GABA is a neurotransmitter, a chemical that nerves use to communicate with one another. Desired Effect: It is given to the patient for the treatment of mania and bipolar disorder Nursing Responsibilities 1. Verify doctors order Rationale To confirm order of drug administration and prevent incorrect administration as to dosage, route and time To verify patients identity and to administer the right drug to the right patient

2. Ask the patients name

3. Observe the patient carefully when To ensure medication is actually taken and administering medication. not hoarded. 4. Assess the mental status (orientation, To serve as baseline data. mood, behavior) prior to and periodically during therapy. 5. Administer with food. It can cause stomach upset. 6. Document To prevent double administration of drug and for legal purposes (anything not documented is considered undone)