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 M M M %%
(Xanax), R M  1. Drowsiness
(Librium), MM
(Valium),
2. Decreased BP
MMM (ativan)
 increases GABA, 3. Dizziness
depresses CNS and limbic 4. Dependence
system 5. Liver dysfunction
!: buspirone 6. Respiratory
(Buspar) depression
"#$ Hypersensitivity, 7. Blood dyscrasias
elderly, COPD, depression


„ r void abrupt d/c
- ot give if BP, renal/hepatic dysfunction , Hx. Of drug
abuse

 r anax, Ativan : a few examples


 r ncreased in 3 D¶s
 r nhances action of GABA
 r each to rise slowly
 r es! Alcohol is out
#
##
M  (Elavil),  M  (Tofranil),  
(Aventyl,
Pamelor),  M 
(Norpramin)
 receptor &#$ !
sensitivity to serotonin and 1. Instruct client to change
norepinephrine position slowly
"#$ urinary retention, 2. Administer daily dose
glaucoma, seizure, P/L preferably at bedtime
%% 3. Avoid alcohol
1. 'ypotension 4. Promote safety24/7
2. nticholinergic effects/arrhythmias
3. achycardia
4. edation

()# &*
+!#,

0 
(Prozac), 0  M 
(Luvox), M 


(Paxil), M M (Celexa), M
(
Zoloft)
 Depression, OCD, Panic &#$ !
disorder, and appetite disorder
1. Initiate safety precaution
%%
1. CNS stimulant 2. Administer with snack or
2. Nervousness meals to reduce risk of
3. GI distress dizziness
4. Skin rash 3. Administer early in the day
5. Sexual dysfunction 4. Monitor for priapism
6. Photosensitivity
7. Seizure

( -
+!#,

0M
(Nardil), %%
 M M

1. Orthostatic hypotension
(Marplan),M 
2. CNS effects: agitation,
0M
(Parnate) headache, anxiety, mania
"#$ hypotension, 3. Delay ejaculation
uncontrolled 4. GI distress
hypertension, CHF, 5. Anticholinergic effects
pheochromocytoma, 6. Photosensitivity
headache 7. Hypertensive crisis, if food
contains Tyramine

( -
+!#,
&#$ !
1. Monitor BP!!
2. Rise slowly
3. Administer with food , if
with GI distress
4. Avoid administering at
evening
5. Avoid caffeine, OTC meds,
Tyramine containing food

- !#

M M
(Eskalith, %% 
Lithobid, Lithonate),
1. Polyuria
MM M (Tegretol),
M 

(Depakote), 2. Anorexia, nausea, thirst,
MM
(Neurontin) dry mouth
 Increases norepinephrine 3. Abdominal bloating
and serotonin uptake 4. Fine hand tremors
 Bipolar disorders, manic
episodes 5. Inability to concentrate
.#& hypertension , 6. Headache
dehydration, elderly

- !#
&#$ !
1. Monitor for lithium toxicity Normal level is 0.6 to 1.2 mEq/L
‡   lethargy, coarse hand tremors, slight muscle weakness,
mild ataxia
‡ #  nausea, vomiting, severe diarrhea, tinnitus,
slurred speech, muscle twitching, irregular tremors
‡ Severe Toxicity: nystagmus, muscle fasciculations, deep tendon
hyperreflexia, Oliguria/Anuria, impaired LOC, tonic-clonic seizures
2. Administer med with food
3. Increase fluid intake
4. Avoid coffee, tea, cola, and alcohol (Diuretic effect)

/+
%% 
  M

(Thorazine),
1. Sedation
0 M
(Prolixin),
2. Photosensitivity
0 M
(Stelazine),
3. Tachycardia, tremors
M  
(Haldol),   
4. Anticholinergic effect
(Risperdal),  M
(Clozaril)
5. Hypotension
 Block dopamine receptor
6. Drowsiness
sites, depresses limbic system,
control aggression. Antiemetic 7. Agranulocytosis
 Schizoprenia, mania, 8. Extrapyramidal Syndrome:
agitation, delusional disorder a. Parkinsonism
b. Dystonia
c. Tardive dyskinesia
d. Akathisia

/+
&#$ !
1. Monitor for EPS: Tx: M R    R
2. Teach that urine may turn pink or reddish
brown
3. Change position slowly
4. Administer med with food or milk
5. Avoid alcohol

)&
 depress abnormal neuronal discharges and prevent
the spread of seizures
#
#)
1. Give with food to decrease GI irritation, avoid giving with
milk and antacids, impairs absorption
2. Do not discontinue
3. Avoid alcohol and OTC drugs
4. Maintain good oral hygiene
5. Monitor serum glucose levels
6. Note that urine may turn pink-red or red-brown color

)&
'0 O  #!&#1
(|, O  
( &-,
 treat seizures
%%  tonic-clonic seizures,
1. Gingival hyperplasia status epilepticus
2. Slurred speech %%
3. Confusion, depression 1. Drowsiness, dizziness
4. GI distress 2. Hypotension
5. Blood dyscrasia: decreased 3. Respiratory depression
platelet and WBC 4. Tolerance to medication
6. Elevated blood glucose
7. Hirsutism

)&
|Ô
O    (
1 |*2|*,
 O(/&-,2  seizures, manic episodes

  O (), %%


 treat absence seizures 1. GI distress
%% 2. Weight gain
1. Ataxia 3. Sedation, Confusion
2. Respiratory and cardiac 4. Tremor
depression 5. Hepatotoxic
3. Drug dependency &#$ ! Avoid
carbonated beverages


   O
( $#,2 O( &#,
 tonic-clonic, mixed seizures
 partial seizures
%%
1. Anorexia (sign of toxicity)
%%
2. Nausea 1. Dizziness
3. Dizziness and sedation 2. Insomnia
4. Headaches 3. Somnolence
5. Dry mouth
4. Ataxia
6. Constipation
&#$ ! Give with
5. Nervousness
food, milk 6. Nausea/vomiting
7. Rhinitis, pruritus

/#* 
|-#$|#&$
%%
M MM  (Symmetrel), 1. Dyskinesia
 
(Parlodel),
2. Involuntary movements
 M
M M M

(Sinemet) 3. Tachycardia
 stimulates dopamine 4. Nausea and Vomiting
receptors increasing the amount 5. Urinary retention, constipation
of dopamine available for CNS 6. Hypotension, dizziness

cardiac, renal, psychiatric 7. Confusion
disorder 8. Mood changes
9. Hallucinations

/#* 
|-#$|#&$
&#$ !
1. Promote safety
2. Give with food, if nausea and vomiting occurs
3. carbidopa-levodopa: avoid high protein diet
4. Change position slowly
5. Avoid alcohol
6. DO not discontinue drug abruptly

/#* 

+#$ %%
 
 M
1. Blurred vision
(Cogentin),  
2. Dry mouth and dry
     (Akineton), secretions
 


(Artane), 3. Increased PR
 Suppresses Ach 4. Constipation
activity, reducing the 5. Urinary retention
rigidity tremors 6. Restlessness and confusion

Glaucoma, COPD 7. Photophobia

/#* 
+#$
&#$ !
1. Avoid alcohol, smoking, caffeine, and
aspirin
2. Avoid OTC meds
3. Relieve dry mouth and constipation
4. Use sunglasses