Generic Name Brand Name Classification Action Indication Dose Nursing

Responsibilities
chlorpromazin Thorazine Antipsychotics • Block dopamine •Acute and PO 10- • Assess mental
e receptors in the chronic 25mg 2=4 status prior to and
brain; also alter psychoses, times periodically during
dopamine release particularly when daily; may therapy.
and turnover. accompanied by increase • Monitor BP and
pulse prior to and
increased every 3-4
frequently during
• Prevention of psychomotor days the period of dosage
seizures activity. Nausea (usual adjustment. May
and vomiting. dose is cause QT interval
• Also used in the 200ng/day; changes on ECG.
treatment of up to • Observe patient
intractable 1g/day) carefully when
hiccups. administering
medication, to
ensure that
CONTRA- medication is
INDICATIONS: actually taken and
•Hypersensitivity. not hoarded.
•Monitor I&O ratios
•Cross-sensitivity
and daily eight.
may exist among Assess patient for
phenothiazines. signs and symptoms
Should not be of dehydration.
used in narrow- • Monitor for
angle glaucoma. development of
•Should not be neuroleptic
used in patients malignant syndrome
who have CNS (fever, respiratory
depression. 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.
• Advise patient to
take medication as
directed. Take
missed doses as
soon as
remembered, witih
remaining doses
evenly spaced
through out the day.
May require several
weeks to obtain
desired effects. Do
not increase dose or
discontinue
medication without
consulting health
care professional.
Abrupt withdrawal
 may cause
dizziness, nausea,
vomiting, GI upset,
trembling, or
uncontrolled
movements of
mouth, tongue or
jaw.

Generic Brand Name Classification Action Indication Dose Nursing Responsibilities

Name
haloperidol Haldol Antipsychotics • Alters the effects of •Organic Tablets: • Assess mental status
dopamine in the CNS Psychoses 0.5mg, prior to and periodically
• Also has • acute psychotic 1mg, during therapy.
anticholinergic and symptoms 2mg, • Monitor BP and pulse
alpha-adrenergic • Relieve 5mg, prior to and frequently
blocking activity. hallucinations, 10mg during the period of
• Diminished signs delusions, dosage adjustment. May
and symptoms of disorganized cause QT interval
psychoses thinking changes on ECG.
• severe anxiety • Observe patient
• seizures carefully when
administering
CONTRA- medication, to ensure
INDICATIONS: that medication is
• seizure disorder actually taken and not
• glaucoma hoarded.
• elderly clients •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.
• Advise patient to take
medication as directed.
Take missed doses as
soon as remembered,
witih remaining doses
evenly spaced through
out the day. May require
several weeks to obtain
desired effects. Do not
increase dose or
discontinue medication
without consulting health
care professional. Abrupt
withdrawal may cause
dizziness, nausea,
vomiting, GI upset,
trembling, or
uncontrolled movements
of mouth, tongue or jaw.