Vhince Pisco BSN III NCM 117 - Drug Study

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Pilar College of Zamboanga City, Inc.

Nursing Program

Name: Vhince Norben C. Pisco Date: September 15, 2020

Instruction: Use this template for your drug study. Below are the following drug;
1. chlorpromazine hydrochloride
2. lamotrigine
3. fluoxetine hydrochloride
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE NSG.
ACTION N REACTION RESPONSIBILITY
Generic name: Unknown. May Treatment for -Hypersensitivity to -sedation - Observe the 12
block postsynaptic Acute drug -drowsiness rights of drug
chlorpromazine dopamine receptors Schizophrenia -other phenothiazine -extrapyramidal administration
hydrochloride in brain and or mania -sulfites reactions - monitor blood
depress areas -benzyl alcohol -tardive dyskinesia pressure closely
Brand Name involved in -Angle-closure -pseudoparkinsonism during IV infusion
Apo-Chlorpromazine wakefulness and glaucoma -neuroleptic -Assess for
Novo-Chlorpromazine emesis. Also -Bone Marrow malignant sysndrome extrapyramidal
possesses depression -seizures symptoms
Dosage: anticholinergic, -Severe hepatic and -tachycardia -Inform patient to take
Capsule: 30mg-76mg,150mg antihistaminic and cardiovascular disease -hypotension capsules or tablets
Inj: 25 mg/ml adrenergic- -breast cancer. -dy eyes with a full glass of
Tab: 10 mg-20 mg blocking -high prolactin level. -nasal congestion water with or without
Frequency: properties. -overweight. -constipation food.
25 I.M -anemia. -dry mouth -Instruct patient not to
PRN – 25-50 mg in 1 hr -alcoholism. -priapism crush sustained-
Route: -rashes release capsules.
Oral, IM -photosensitivity
-pain in the injection
Classification: site
Antipsychotic, anxiolytic,
antiemetic
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE NSG.
ACTION N REACTION RESPONSIBILITY
Generic name: Unknown. Thought to Treatment for Bipolar -hypersensitivity to dizziness, vertigo, Observe the 12 rights
block sodium Disorder, Partial drugs headache, of drug
lamotrigine channel membranes, seizures, generalized -meningitis not due to drowsiness, ataxia, administration.
which in turn seizures of Lennox- an infection. incoordination, -Monitor renal and
Brand Name Inhibits release of the Gastaut syndrome, -low blood counts due to insomnia, sleep hepatic function.
Lamictal, neurotransmitters and primary bone marrow failure. disorders, tremor, -Watch for signs and
Apo- Lamotrigine glutamate and generalized -anemia. depression, anxiety, symptoms of
PMS - Lamotrigine aspartate in brain. tonic-clonic seizures -decreased blood diplopia, nystagmus, hypersensitivity
platelets. blurred reaction (anaphylaxis)
Dosage: -low levels of a type of vision, possible long- -Monitor patient with
Tablets: 25 mg, 100 white blood cell called term ophthalmologic bipolar disorder
mg, 150 mg, 200 mg neutrophils. effects, ear disorder, closely for clinical
Tablets (orally -suicidal thoughts. nausea, vomiting, worsening and
disintegrating): 25 -depression. diarrhea, suicidality.
mg, constipation, ● Monitor vital signs
50 mg, 100 mg, 200 abdominal pain, regularly.
mg ● Monitor CNS status
Frequency: carefully, noting
OD adverse reactions and
Route: changes in seizure
Oral pattern.
Classification:
Mood stabilizer,
Anticonvulsant
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION ADVERSE NSG. RESPONSIBILITY
ACTION REACTION
Generic name: Selectively inhibits Treatment for Hypersensitivity to drug\ headache, dizziness, Observe the 12 rights of
fluoxetine serotonin reuptake in Major -MAO inhibitor use paresthesia, drug administration.
hydrochloride CNS; has little to no depressive within past migraine, asthenia, -Continue to closely
effect disorder (MDD) 14 days depression, : monitor CBC
Brand Name on norepinephrine , Obsessive ● Concurrent use of hypertension, with differential; be aware
Prozac, Prozac and dopamine Compulsive thioridazine or bradycardia, AV that because
Weekly, Prozit , reuptake Dsiorder within 5 weeks of conduction drug reduces blood
Sarafem discontinuing fluoxetine abnormalities, : lymphocyte counts.
● Concurrent use of macular edema, -Be aware that patient with
Dosage: pimozide blurred vision, preexisting liver disease
Capsules: 10 mg, 15 eye pain, sinusitis, : may be at increased
mg, 20 mg, 40 mg lymphopenia, risk for developing elevated
Capsules (delayed- leukopenia, dyspnea, liver
release): 90 mg bronchitis, enzyme levels. Closely
Oral solution: 20 cough, alopecia, monitor liver
mg/5 ml eczema, pruritus enzyme levels if hepatic
Tablets: 10 mg, 15 injury is suspected.
mg, 20 mg Discontinue drug if
Frequency: significant
1 capsule OD hepatic injury is confirmed.
Route: -Observe patient for 6
Oral hours after
first dose for bradycardia.
Classification: Should postdose
Antidepressant bradyarrhythmia-related
signs
and symptoms occur,
initiate appropriate
management and continue
observation

SOURCE: McGraw – Hill NURSE’S DRUG HANDBOOK 7TH EDITION by Patricia Dwyer
Schull

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