Generic/ Brand Name & Dosage, Strength & Indication/Mechanism Adverse/Side Effects Nursing Rationale Client Teaching

Classification Formulation of Action Drug Interaction Responsibilities

Generic: Ordered: Indication: Side Effects: 1. Document - To establish a 1. Take only as

Phenobarbital Give 7 mg slow IV - sedative or hypnotic CNS: sleepiness, indications for baseline data before directed and do not
Sodium push every 12 hours. - anticonvulsant drowsiness, therapy, type, onset, the start of therapy. stop abruptly.
- emergency control agitation, confusion, and characteristics of
Brand: Timing: of acute seizure hyperkinesias, symptoms. Note 2. Store away from
Luminal Sodium 8 am, 7 pm disorders ataxia, CNS clinical presentation bedside and out of
depression, and list other ganets child’s reach.
Classification Duration: Mechanism of Action: nightmares, used and the
Sedative-hypnotic, 10-16 hours Increase and/or mimic nervousness, anxiety, outcome. 3. Phenobarbital may
barbiturate the inhibitory activity dizziness, headache require an increase in
Other forms: of GABA on nerve 2. Assess VS, CBC, - To avoid further vitamin D
Capsules: 16 mg: synapses. Drug Interaction: liver and renal complications if consumption;
Elixir: 15 mg/5mL, Acetaminophen / risk function studies. different organ consume foods high
20 mg/5mL; of hepatotoxicity Reduce dose with dysfunction exist. in vitamin D. It may
Tablets:15 mg, 16 when used with large impairment and in also contribute to a
mg, 16.2mg, 30 mg, or chronic doses of debilitated/elderly folate deficiency;
60 mg, 90 mg, 130 barbiturates clients. may require
mg/mL Alcohol / supplemental folic
potentiation or 3. Be alert for - To be able to acid.
addition of CNS adverse reactions and establish proper
depressant effects. drug interactions. precautionary 4. Teach significant
Concominant use measures during the others the
may lead to occurrence of importance of the
drowsiness, lethargy, adverse reaction and drug
stupor, respiratory drug interaction.
collapse, coma or 5. Instruct the
death significant others to
adhere to the
4. Assess effects - drug may initially therapeutic regimen
before performing cause drowsiness
tasks that require
mental alertness.

5. Assess family’s - To be able to teach

knowledge about the family about the
therapy. drug and to gain
cooperation