Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency

Name BuSpar antianxiety 15 mg Po q tid
buspirone agents

Peak Onset Duration For IV meds, compatibility with IV drips and /or
3-4 wk 7-10 days unknown solutions
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to serotonin and dopamine receptors in the Ingestion of large amounts of grapefruit
brain Receiving other psychotropics
Increases norepinephrine metabolism in the brain Common side effects
Relief of anxiety dizziness, drowsiness, excitement, fatigue, headache,
insomnia, nervousness, weakness, blurred vision, nasal
congestion, sore throat, tinnitus, chest pain, palpitations,
tachycardia, nausea, rashes, myalgia, incoordination,
numbness, paresthesia
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) None known
Prozac: Potentiate risk of serotonin syndrome
Be sure to teach the patient the following about this
Seroquel, Geodon: Central nervous system- and/or
medication
respiratory-depressant effects may be additively or
Instruct patient to notify health care professional if any
synergistically increased in patients taking multiple
chronic abnormal movements occur (dystonia, motor
drugs that cause these effects.
restlessness, involuntary movements of facial or
cervical muscles) or if pregnancy is suspected
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess degree and manifestations of med? Increase in sense of well-being
anxiety before and periodically None known Decrease in subjective feelings
during therapy of anxiety. Some improvement
may be seen in 7-10 days.
Optimal results take 3-4 wk of
therapy. Buspirone is usually
used for short-term therapy (3-
4 wk). If prescribed for long-
term therapy, efficacy should
be periodically assessed.