NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

risperidone Risperdal antipsychotics 1 mg po q hs

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
unknown 1-2 wk up to 6 wk†

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
May act by antagonizing dopamine and serotonin in the CNS Geriatric or debilitated patients, patients with renal or hepatic
Senile dementia impairment (initial dosage reduction recommended)
Geriatric patients (may ↑ cardiovascular morbidity/mortality in
elderly patients with dementia-related psychoses)
Diabetes or risk factors for diabetes (may worsen glucose control)
Common side effects
aggressive behavior, dizziness, extrapyramidal reactions,
headache, increased dreams, increased sleep duration, insomnia,
sedation, fatigue, pharyngitis, rhinitis, visual disturbances, cough,
constipation, diarrhea, dry mouth, nausea, itching/skin rash, weight
gain

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
↑ CNS depression may occur with other CNS depressants ,
including, sedative/hypnotics
Lab value alterations caused by medicine
May cause ↑ serum prolactin levels, May cause ↑ AST and ALT,
May also cause anemia, thrombocytopenia, leukocytosis, and
leukopenia
Be sure to teach the patient the following about this
medication
Advise patient to change positions slowly to minimize orthostatic
hypotension
Advise patient to use sunscreen and protective clothing when
exposed to the sun to prevent photosensitivity reactions. Extremes
in temperature should also be avoided; this drug impairs body
temperature regulation
Instruct patient to notify health care professional promptly if sore
throat, fever, unusual bleeding or bruising, rash, or tremors occur

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment)
Monitor patient's mental status (delusions,
hallucinations, and behavior) before and
periodically during therapy
Why would you hold or not give this Check after giving
med? Decrease in excited, paranoic, or
Monitor mood changes. Assess for withdrawn behavior
suicidal tendencies, especially during Decrease in bipolar mania
early therapy. Restrict amount of drug
available to patient
Monitor blood pressure (sitting, standing,
lying down) and pulse before and
frequently during initial dose titration. May
cause prolonged QT interval, tachycardia,
and orthostatic hypotension
Monitor patient for onset of
extrapyramidal side effects (akathisia--
restlessness; dystonia--muscle spasms
and twisting motions; or
pseudoparkinsonism--mask-like face,
rigidity, tremors, drooling, dysphagia)