Medications for Psych Clinical 10 PDF

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Medications for Psych Clinical 10-20-2020 Abilify (aripiprazole) Classification: antipsychotics, mood stabilizers Uses: Acute and maintenance therapy of manic and mixed episodes associated with bipolar disorder Action: Decreased manifestations of schizophrenia. Decreased mania in bipolar patients; Decreased symptoms of depression; Decreased agitation associated with schizophrenia or bipolar disorder; Decreased emotional and behavioral symptoms of irritability. Adverse reaction: drowsiness, extrapyramidal reactions, constipation, tremor Nursing Implications: 1) Assess mental status (orientation, mood, behavior) before and periodically during therapy. Assess for suicidal tendencies, especially during early therapy for depression. Restrict amount of drug available to patient. Risk may be increased in children, adolescents, and adults 24yrs. 2) Assess weight and BMI initially and throughout therapy. Compare weight of children and adolescents with that expected during normal growth. 3) Monitor BP (sitting, standing, lying), pulse, and respiratory rate before and periodically during therapy

Cogentin (benztropine) Classification: antiparkinson agents Uses: Adjunctive treatment of all forms of Parkinson’s disease, including drug-induced extrapyramidal effects and acute dystonic reactions. Action: Reduction of rigidity and tremors. Adverse reaction: blurred vision, dry eyes, constipation, dry mouth Nursing Implications: 1) Assess parkinsonian and extrapyramidal symptoms (restlessness or desire to keep moving, rigidity, tremors, pill rolling, masklike face, shuffling gait, muscle spasms, twisting motions, difficulty speaking or swallowing, loss of balance control) before and throughout therapy. 2) Assess bowel function daily. Monitor for constipation, abdominal pain, distention, or absence of bowel sounds. 3) Monitor intake and output ratios and assess patient for urinary retention. 4) IM/IV: Monitor pulse and BP closely and maintain bedrest for 1 hr. after administration. Advise patients to change positions slowly to minimize orthostatic hypotension.

Luvox (fluvoxamine) Classification: antidepressants, antiobsessive agents Uses: Obsessive-compulsive disorder (OCD). Unlabeled uses include: Depression. Generalized anxiety disorder (GAD). Social anxiety disorder (SAD). Post-traumatic stress disorder (PTSD). Action: Decrease in obsessive-compulsive behaviors. Adverse reaction: dizziness, drowsiness, headache, insomnia, nervousness, weakness, constipation, diarrhea, dry mouth, dyspepsia, nausea Nursing Implications: 1) Monitor mood changes. Assess patient for frequency of obsessive-compulsive behaviors. 2) Monitor appetite and nutritional intake. Weigh weekly. Report significant changes in weight. Adjust diet as tolerated to support nutritional status.

Lamotrigine (Lamictal) Classification: anticonvulsants Uses: Adjunct treatment of partial seizures in adults and children with epilepsy Action: Decreased incidence of seizures. Delayed time to recurrence of mood episodes Adverse reaction: ataxia, dizziness, headache, nausea, vomiting, photosensitivity, rash Nursing Implications: 1) Monitor closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts or behavior or depression. 2) Assess patient for skin rash frequently during therapy. Discontinue lamotrigine at first sign of rash; may be life-threatening. 3) Seizures: Assess location, duration, and characteristics of seizure activity....