Patients Profile

Name: N.D.M

Age: 28

Civil status: married

Date of Admission:

Diagnosis: Schizophrenia

Attending Physician:

MECHANISM OF
ACTION

DRUG

A benzodiazepine
Generic
that probably acts by
name:
Clonazepam facilitating the effects of
the inhibitory
Brand
neurotransmitter GABA
name:
Klonopin
SIDE EFFECTS
Classificatio
n:
anticonvulsa Drowsiness
Behavioral
nt
disturbances
Frequency:
Palpitations
HS
Leukopenia
Route:
Thrombocytopenia
PO
Respiratory
Dosage:
depression
2mg / tab

INDICATIONS
Adjunct treatment
for schizophrenia

CONTRAINDICATIONS

Generic
name:
Fluoxetine
HCl
Brand
name:
Prozac
Classificatio
n:
antidepressa
nt
Frequency:
OD
Route:
PO
Dosage:
20mg/1tab

Sex:

Contraindicated in
patients
hypersensitive to
benzodiazepines
and in those with
significant hepatic
disease or acute
angle-closure
glaucoma.
Use cautiously in
patients with mixedtype seizures
because drug may
cause generalized
tonic-clonic seizures.

Thought to be linked to
drugs inhibition of CNS
neuronal uptake of
serotonin.

Depression,
Obsessive
Compulsive Disorder
(OCD)

Nervousness
Somnolence
Anxiety
Insomnia
Dizziness
Fatigue
Suicidal behavior

Contraindicated in
patients
hypersensitive to
drug and in those
taking MAO
inhibitors within 14
days of starting
therapy. MAO
inhibitors shouldnt
be started within 5
weeks of stopping
fluoxetine therapy.
Avoid using
thioridazine with
fluoxetine or within
a minimum of 5
weeks after stopping
fluoxetine.

NURSING
RESPONSIBILITIES
1. Observe 10 rights in
giving medication.
2. Watch for behavioral
disturbances, especially in
children.
3. Dont stop abruptly
because this may worsen
seizures. Call prescriber at
once if adverse reactions
develop.
4. Monitor patient for
oversedation.
5. Monitor CBC and liver
function tests.
6. Withdrawal symptoms
are similar to those of
barbiturates.

1. Observe 10 rights in
giving medication.
2. Use antihistamines or
topical corticosteroids to
treat rashes or pruritus.
3. Watch for weight
change during therapy,
particularly in underweight
or bulimic patients.
4. Record mood changes.
Watch for suicidal
tendencies.

Use cautiously in
patients at high risk
for suicide and in
those with history of
diabetes mellitus,
seizures, mania, or
hepatic/renal/CV
disease.

DRUG STUDY

MECHANISM OF
ACTION

DRUG

Generic
name:
Biperiden
HCl
Brand
name:
Akineton
Classificatio
n:
anticholiner
gic
Frequency:
OD
Route:
PO
Dosage:
2mg/ tab

Generic
name:
Cefuroxime
Brand
name:
Ceftin
Classificatio
n:
antibacterial
Frequency:
BID
Route:
PO
Dosage:
500mg/tab

It is considered to
relate to competitive
antagonism of
acetylcholine at
cholinergic receptors in
the corpus striatum.
SIDE EFFECTS

Drowsiness
Loss of appetite
Postural hypotension
Agitation
Gastric irritation
Deceased heart rate

Second-generation
cephalosporin that
inhibits cell wall
synthesis promoting
osmotic instability
usually bactericidal.

INDICATIONS
To control
extrapyramidal
disorders secondary
to neuroleptic drug
therapy

CONTRAINDICATIONS

Contraindicated in
patients
hypersensitive to
the drug, with
narrow angle
glaucoma, intestinal
stenosis or
obstruction,
megacolon, prostatic
hypertrophy, lifethreatening
tachycardia

Secondary bacterial
infection of acute
bronchitis

Phlebitis

Thrombophlebitis
Pseudomembranous
colitis
Transient neutropenia
Hemolytic anemia

Thrombocytopenia
Rashes
Temperature
elevation
Hypersensitivity
reactions

NURSING
RESPONSIBILITIES
1. Observe 10 rights in
giving medication.
2. Assess for Parkinsonism,
EPS.
3. Assess for mental
status.
4. Assess patient response
if anticholinergics are
given
5. Assess for tolerance
over long term therapy,
dosage may have to be
increased or changed
6. Avoid activities that
require alertness, may
cause dizziness,
drowsiness and blurring of
vision.

1. Observe 10 rights in
giving medication.
2. Before administration,
ask patient if he is allergic
to penicillin or
cephalosporins.

Contraindicated in
patients
hypersensitive to
drug or other
cephalosproins.
Use cautiously in
patients
hypersensitive to
penicillin because of
possibility of crosssensitivity with other
beta-lactam
antibodies.

3. Obtain specimen for

culture and sensitivity
tests before giving first
dose. Therapy may be
given while waiting for
results.
4. Absorption of
cefuroxime axetil is
enhanced by food.
5. Cefuroxime axetil
tablets may be crushed, if
absolutely necessary, for
patients who cant swallow
tablets.
6. If large doses are given,
therapy is prolonged, or
patient is at high risk,
monitor patient for signs

and symptoms of
superinfection.