Essay About Side Effects And Patient Teaching

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Thorazine
Indications/Use: Acute and chronic psychosis
Usual Dosage: 200mg per day, up to 1g per day
Side effects: Sedation, blurred vision, photo sensitivity
Interactions/Contraindications: Hyper sensitivity, pregnancy or lactation
Patient teaching/Labs: May cause drowsiness
Mellaril
Indication/Use: Antipsychotic
Usual Dosage: 50 – 100mg 2x daily, up to 800mg daily
Side effects: Neuroleptic Malignant Syndrome, sedation, blurred vision
Interactions/Contraindications: Other phenothiazines, diuretics increase risk of dehydration
Patient teaching/Labs: May cause drowsiness
Haldol
Indications/Use: Antipsychotic
Usual Dosage: 0.5 – 5mg 2-3 x daily, up to 100mg daily
Side effects: Seizures, extra pyramidal reactions, blurred vision
Interactions/Contraindications: CNS depression with alcohol and other depressants
Patient teaching/Labs: May cause drowsiness, avoid alcohol
Artane
Indications/Use: Antiparkison agent
Usual Dosage: 6 – 10mg daily divided in 3 doses
Side effects: Dizziness, nervousness, blurred vision, nausea
Interactions/Contraindications: Epilepsy, resp. disease, pregnancy or lactation
Patient teaching/Labs: Avoid alcohol
Ativan
Indications/Use: Antianxiety, sedative/hypnotic
Usual Dosage: 1 – 3mg daily 2-3 x daily
Side effects: Apnea, cardiac arrest, drowsiness
Interactions/Contraindications: CNS suppressant, alcohol, analgesics
Patient teaching/Labs: May cause drowsiness, avoid alcohol
Cogentin
Indications/Use: Antiparkinson
Usual Dosage: 1 – 2mg/daily divided in 2 doses
Side effects: Blurred vision, dry eyes, constipation
Interactions/Contraindications: Antihistamines, phenothiazines, TCA antidepressants
Patient teaching/Labs: May cause drowsiness, avoid antacids
Risperdal
Indications/Use: Antipsychotic (schizophrenia)
Usual Dosage: 1mg/2 x daily, after 3rd day increase to 3mg/2 x daily
Side effects: Neuroleptic Malignant Syndrome, aggressive behavior
Interactions/Contraindications: Hypersensitivity, liver dysfunction, pregnancy
Patient teaching/Labs: May cause drowsiness, avoid alcohol
Restoril
Indications/Use: Sedative/Hypnotic (insomnia)
Usual Dosage: 15 – 30mg @ bedtime
Side effects: Hangover, lethargy, blurred vision
Interactions/Contraindications: CNS depression with alcohol, antidepressant
Patient teaching/Labs: Avoid nicotine, caffeine, and alcohol
Ambien
Indications/Use: Sedative/Hypnotic (insomnia)
Usual Dosage: 10mg @ bedtime
Side effects: Amnesia, “drugged” feeling
Interactions/Contraindications: increase CNS depression with antidepressants and sedative/hypnotics
Patient teaching/Labs: Avoid alcohol, go to sleep after taking
Prolixin
Indications/Use: Antipsychotic
Usual Dosage: 12.5 – 25mg may be repeated every 1-4 weeks
Side effects: Extra pyramidal reactions, photo sensitivity
Interactions/Contraindications: Increase CNS depression with alcohol, antihistamines
Patient teaching/Labs: May cause drowsiness, use sun cream when in sun
Depakote
Indications/Use: Anticonvulsant (seizures)
Usual Dosage: 5 – 15mg/kg/day
Side effects: Hepatotoxicity, indigestion, toxicity
Interactions/Contraindications: Increase risk for bleeding with antiplatelet agent, CNS depression
Patient teaching/Labs: Avoid taking aspirin, contact doctor if anorexia or abdominal pain occurs
Dilantin
Indications/Use: Anticonvulsant
Usual Dosage: 300 – 400mg/daily
Side effects: Ataxia, nystagmus, hypotension
Interactions/Contraindications: Hyper sensitivity, alcohol intolerance
Patient teaching/Labs: May cause drowsiness, avoid alcohol
Clozaril
Indications/Use: Antipsychotic (schizophrenia)
Usual Dosage: 300 – 450mg/daily
Side effects: Seizures, myocarditis, leukopenia
Interactions/Contraindications: Malnourished PTS or PTS with cardio, hepatic, or renal disease
Patient teaching/Labs: Avoid alcohol
Lithium
Indications/Use: Antimanic (mania)
Usual Dosage: 300mg/3 x daily
Side effects: Seizures,