Bromocriptine PDF

Preview

Summary

Bromocriptine...

Description

INSTRUCTIONS: For each chapter that teaches about medications, fill in the following table regarding the chosen meds. CLASS: GENERIC NAME: Bromocriptine TRADE NAMES: Cycloset, Parlodel! antidiabetics and antiparkinson agents Dopamine agonists MOA: Activates dopamine receptors in the CNS. Decreases prolactin secretion. INDICATIONS: Therapeutic Effects: Relief of rigidity and tremor in parkinsonism. Restoration of fertility in hyperprolactinemia. Decreased growth hormone in acromegaly. CONTRAINDICATIONS/PRECAUTIONS: You shouldn't take bromocriptine if you have certain types of sugar intolerance. These include galactose intolerance, severe lactase deficiency, or problems with absorbing certain types of sugars. INTERACTIONS with other Drugs/Substances: Some products that may interact with this drug include antipsychotic drugs (such as chlorpromazine, haloperidol, thioridazine), other ergot medications (such as ergotamine). Other medications can affect the removal of bromocriptine from your body, which may affect how bromocriptine works. ADVERSE PATIENT COMMON SIDE EFFECTS: S/S TOXICITY: TOXICITY/OVERDOS REACTIONS: CNS: dizziness, confusion, nausea, vomiting, RESPONSE / E TX: REACTIONS: drowsiness, hallucinations, constipation, Fainting, watery DESIRED It said to call poison headache, insomnia, diaphoresis, dizziness, discharge from the OUTCOME: control? nightmares. EENT: burning eyes, pallor, severe nose, numbness, nasal stuffiness, visual hypotension, malaise, tingling, or pain in Relief of rigidity disturbances. Resp: effusions, confusion, lethargy, your fingers and tremor in pulmonary drowsiness, delusions, especially in cold parkinsonism. infiltrates. CV: MI, hypotension. GI: hallucinations, and weather, black and Restoration of nausea, abdominal pain, anorexia, repetitive yawning. tarry stools, bloody fertility in dry mouth, metallic taste, hyperprolactinemia vomiting. Derm: urticaria. MS: leg vomit, vomiting . Decreased cramps. Misc: digital vasospasm material that looks growth hormone in (acromegaly only). like coffee grounds, acromegaly. swelling of the feet, ankles, or lower legs, seizures, severe headache, blurred or impaired vision, slow or difficult speech, weakness or numbness of an arm

or leg, chest pain, pain in the arms, back, neck or jaw, shortness of breath, confusion, hallucinations NURSING ACTIONS:

ASSESS: -Assess patient's motor function to

-Assess patient's

help determine antiparkinson

motor function to help determine antiparkinson effects, especially when starting drug therapy, or during dosing changes or addition of other antiparkinson drugs. Motor function should be assessed at different times of the day, such as when drugs are reaching peak therapeutic levels (i.e., 1–2 hr after oral dose), as well as when drug

CARE/IMPLEMENT:

Document) increased)side) effects, especially when starting effects)such)as) drug therapy, or during dosing involuntary) changes or addition of other movements) antiparkinson drugs. Motor function (dyskinesias))or) fluctuations)in) should be assessed at different response)(on-off) times of the day, such as when phenomenon,)enddrugs are reaching peak therapeutic of-dose)akinesia).) levels (i.e., 1–2 hr after oral dose), Notify)physician) as well as when drug effects are because)increased) minimal (just before the next dose). side)effects)might) require)dose) -Assess dizziness and drowsiness adjustment)or)a) that might affect gait, balance, and change)in) medication) other functional activities. Report regimen.) balance problems and functional limitations to the physician and caution the patient and family/caregivers to guard against falls and trauma.

TEACH: Monitor cardiac symptoms at rest and during exercise. Seek immediate medical assistance if symptoms of MI develop, including sudden chest pain, pain radiating into the arm or jaw, shortness of breath, dizziness, sweating, anxiety, and nausea. bromocriptine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Your doctor will probably start you on a low dose of bromocriptine and gradually increase your dose, not more than once every 2 to 28 days.

EVALUATE: Evaluate your patients’ symptoms and evaluate the service and what changes could be considered to improve service delivery.

effects are minimal (just before the next dose).

-Assess blood pressure (BP) periodically and compare to normal values. Report low BP (hypotension), especially if patient experiences increased dizziness, syncope, or other symptoms.

SPECIAL CONSIDERATIONS/NOTES:...