Module 4 Medication Form NIHI.doc

Module 4 Medication Form NIHI.doc - MEDICATION FORM Name of...

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MEDICATION FORM Name of Medication a. Classification b. Generic c. Trade Dosage Route Frequenc y Reason Patient Receiving Drug Pertinent Nursing Implications Pertinent Side Effects Significant Drug/Food Interactions A . Psychotherapeutic agent B . Sertraline C . Zoloft 25 mg, 50 mg, 100 mg tablets; 20 mg/mL liquid Major depression, obsessive-compulsive disorder, panic disorder, social anxiety disorder, premenstrual dysphoric disorder, generalized anxiety, post-traumatic stress disorder. Supervise patients at risk for suicide closely during initial therapy. Monitor for worsening of depression or emergence of suicidal ideation. Monitor older adults for fluid and sodium imbalances. Monitor patients with a history of a seizure disorder closely. Lab tests: Monitor PT and INR with patients receiving concurrent warfarin therapy. Palpitations, chest pain, hypertension, hypotension, edema, syncope, tachycardia, :Agitation, insomnia, headache, dizziness, somnolence, fatigue, ataxia, incoordination, vertigo, abnormal dreams, aggressive behavior, delusions, hallucinations,muscl e weakness Drug: MAOIs (e.g., selegiline, phenelz ine) should be stopped 14 d before sertraline is started because of serious problems with other SEROTONIN REUPTAKE INHIBITORS(shivering, nausea, diplopia, confusion, anxiety). Sertraline may increase levels and toxicity of diazepam, pimozide, tolbutamide. Use cautiously with other centrally acting CNS drugs; increase risk of ergotamine toxicity with dihydroergotamine, ergotamine.Concentrate interacts with disulfiram. Herbal: St. John's wort may cause serotoninsyndrom e (headache, dizziness, sweating, agitation) A . Psychotherapeutic agent B . Lithium C . Eskalith 150 mg, 300 mg, 600 mg capsules; 300 mg, 450 mg sustained release tablets Control and prophylaxis of acute mania and the acute manic phase of mixed bipolar disorder. Monitor response to drug. Usual lag of 1–2 wk precedes response to lithium therapy. Keep physician informed of progress. Lab test: Periodic lithium levels (draw blood sample prior to next dose or 8–12 h after last dose); periodic thyroid function tests. Monitor for S&S of lithium toxicity (e.g., vomiting, diarrhea, lack of coordination, drowsiness, muscular weakness, slurred speech when Dizziness, headache ,lethargy,drowsiness ,fatigue, slurred speech, psychomotor retardation, giddiness, incontinence, restlessness, seizures, confusion, blackout spells, disorientation, recen t memory Drug: Carbamazepine, h aloperidol, PHENOTHIAZ INES increase risk of neurotoxicity, extrapyramidal effects, and tardive dyskinesias; DIURETICS, NSAIDS, methyldopa,pr obenecid, TETRACYCLIN ES decrease renal clearance of lithium, increasing pharmacologic and toxic
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level is 1.5–2.0 mEq/L; ataxia, blurred vision, giddiness, tinnitus, muscle twitching, coarse tremors, polyuria when >2.0 mEq/L).
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  • Fall '15
  • Sandra Rodriguez
  • Morphine, Headache

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