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The document provides information about the psychotropic drug clozapine, including its classification, mechanism of action, indications, contraindications, side effects, nursing responsibilities, dosing, and drug interactions. Clozapine is an atypical antipsychotic used to treat severely ill schizophrenics who do not respond to standard antipsychotics. Important nursing responsibilities for patients taking clozapine include monitoring for side effects like seizures, dizziness, and potentially fatal myocarditis. Nurses must also assess for symptoms of the patient's underlying condition and ensure safety during periods of drowsiness.
The document provides information about the psychotropic drug clozapine, including its classification, mechanism of action, indications, contraindications, side effects, nursing responsibilities, dosing, and drug interactions. Clozapine is an atypical antipsychotic used to treat severely ill schizophrenics who do not respond to standard antipsychotics. Important nursing responsibilities for patients taking clozapine include monitoring for side effects like seizures, dizziness, and potentially fatal myocarditis. Nurses must also assess for symptoms of the patient's underlying condition and ensure safety during periods of drowsiness.
The document provides information about the psychotropic drug clozapine, including its classification, mechanism of action, indications, contraindications, side effects, nursing responsibilities, dosing, and drug interactions. Clozapine is an atypical antipsychotic used to treat severely ill schizophrenics who do not respond to standard antipsychotics. Important nursing responsibilities for patients taking clozapine include monitoring for side effects like seizures, dizziness, and potentially fatal myocarditis. Nurses must also assess for symptoms of the patient's underlying condition and ensure safety during periods of drowsiness.
College of Nursing PSYCHOTROPIC DRUG STUDY IN PSYCHIATRY AS A NURSING SPECIALTY
Name of student: Inclusive Dates of Exposure: ______
Yr & Section: _______________________________________________ Area of Exposure: ___________________________________________ Client Initials: _______________________________________________ Date of submission: _________________________________________ Diagnosis: _________________________________________________________________________________________________________________ Doctor: _______________________________________________________________________________________________________________
DRUG DATA CLASSIFICATION MECHANISM OF INDICATIONS CONTRAINDICATIONS S/E or ADVERSE NURSING
ACTION REACTIONS RESPONSIBILITIES GENERIC NAME: THERAPEUTI Blocks dopamine -Management of -Contraindicated CNS: drowsiness, Assess for hallucinations, Clozapine C: receptors in the severely ill with allergy to sedation, seizures, mental status, dementia, Antipsychotic brain, depresses the schizophrenics clozapine, CNS dizziness, bipolar disorder (initially and BRAND NAMES: RAS; who are depression, syncope, throughout therapy). Clozaril, FazaClo, anticholinergic, unresponsive to comatose states, headaches Obtain complete health Versacloz antihistaminic, and standard history of seizure CV: tachycardia, history, especially alpha-adrenergic antipsychotic disorders, lactation, hypotension, psychological, neurologic PATIENTS PHARMACOL blocking activity drugs therapy with other potentially-fatal and blood diseases: including DOSE: O-GIC: may contribute to drugs that cause myocarditis blood studies: CBC, WBC 100mg tab OD Dopaminergic some of its bone marrow GI: nausea, with differential, electrolytes, blocker therapeutic (and -Reduction of the depression. vomiting, BUN, creatinine, liver MINIMUM DOSE: adverse) actions. risk of recurrent constipation enzymes. 12.5 mg orally Clozapine produces suicidal behavior PRECAUTION: GU: urinary Do not let client engage in fewer extrapyramidal in patients with Use cautiously with abnormalities any hazardous activity until MAXIMUM effects than other schizophrenia or CV disease, narrow- Hematologic: response to the drug is DOSE: antipsychotics. schizoaffective angle glaucoma, agranulocytosis known. Drowsiness and 450 mg PREGNANCY disorder (for pregnancy. Others: fever, sedation are common adverse CATEGORY: B orally weight gain, effects. AVAILABILITY: ONSET: varies disintegrating rashes Let client rise slowly to Tablets 25, PEAK: 1 6 hr tablet) DRUG-DRUG avoid orthostatic 100mg; orally DURATION: weeks INTERACTIONS: hypotension. disintegrating METABOLISM: -increased Report immediately any of tablets 12.5, 25, hepatic, 4 12 hr therapeutic effect the following: unexplained 50, 100 mg DISTRIBUTION: and toxic effects fatigue, especially with crosses placenta, with cimetidine, activity; shortness of breath, ROUTE: enters breast milk caffeine sudden weight gain or edema PO EXCRETION: feces, -decreased of the lower extremities. urine therapeutic effect Document and record. with phenytoin, SOURCE: ethotoin 2011 Lippincotts SOURCE: SOURCE: SOURCE: Nursing Drug 2011 Lippincotts 2011 Lippincotts SOURCE: Guide pages 318- Nursing Drug Guide 2011 Lippincotts Nursing Drug Guide SOURCE: SOURCE: 2011 Lippincotts Nursing Drug 320 pages 318-320 Nursing Drug pages 318-320 2011 Lippincotts 2011 Lippincotts Guide pages 318-320