sn PHARMACOL DOSE MECHANISM OF INDICATION CONTRAINDICATI ADVERSE EFFECTS NURSES RESPONSIBILITY

OGICAL /ROUTE ACTION ON

NAME /
TRADE NAME
1 Olanzapine/o 10-20 they block the d2 Delirium, Parkinsons
leanz oral . receptors of Dementia, disorder, Agranulocytosis, A. monitor blood pressure
mesolimbic and Schizophrenia, Heart disease, jaundic, signs of in standing and supine
mesofrontal area.and Paranoid Jaundice,
sedation caused by disorder, Kidney disorder, extrapyramidal tract positions B. Monitor for
alpha adrenergic Mania & low WBC count, irritation, drowsiness, signs of infection (e.g., sore
action. Major
depression, orthostatic hypotension throat)
Autism, (CNS depression), C. monitor hepatic toxicity.
Enuresis,
constipation and urinary D. Offer sugar-free
Coduct disorder,
Heat stroke, retention chewing gum or hard candy
Tetanus, (anticholinergic effects), to increase salivation and
Huntingtons
chorea, anorexia, relieve dry mouth
hypersensitivity E. Assist with ambulation
reactions , photoallergic as necessary; keep siderails
reaction, impotence, up when nonambulatory
cardiac toxicity (direct G. Monitor blood work
toxic effect during long-term therapy.

A. monitor autonomic side

effects. Ex dry
Autonomic side effects, mouth,constipation.
Cardiac disorder, B. Monitor for signs of
Agranulocytosis, infection ,
 jaundic, signs of C. Monitor blood pressure
2 Risperidone/ 2- 20mg block the d2 Delirium, Neuroleptic extrapyramidal tract in standing and supine
sizodone oral. receptors of Dementia, malignant
mesolimbic and Schizophrenia, syndrome irritation, drowsiness, positions
mesofrontal area.and Paranoid Parkinsons orthostatic hypotension D. Offer sugar-free
sedation caused by disorder, disorder,
alpha adrenergic Mania & Heart disease, (CNS depression), chewing gum or hard candy
action. Major Jaundice, constipation and urinary to increase salivation and
depression, Kidney disorder,
retention relieve dry
Autism, low WBC count,
Enuresis, (anticholinergic mouth
Coduct disorder, effects), anorexia, E. Assist with ambulation
Heat stroke,
Tetanus, hypersensitivity as necessary; keep side rails
Huntingtons reactions , photoallergic up
chorea,
reaction, impotence, F. Assess for extra
pyramidal symptoms
G. Monitor blood work
during long-term therapy.