Clinical Form 3: Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

haloperidol Haldol Antipsychotics 0.5 mg PO Q 6 hr

Peak Onset Duration Normal dosage range

2-6 hr 2 hr 8-12 hr 0.5-5mg 2-3 times daily. Patients with severe symptoms may require
up to 100 mg/day
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions

Acute and chronic psychotic disorders including schizophrenia, N/A

manic states, drug-induced psychoses. Also useful in managing
aggressive or agitated patients. Tourette’s syndrome.
Rate of Administation

Mechanism of action and indications
(Why med ordered)
Alters the effects of dopamine in the CNS. Also has anticholinergic
and alpha-adrenergic blocking activity.
N/A
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Hypersensitivity, narrow angle glaucoma. Bone marrow depression.
CNS depression. Severe liver or cardiovascular disease. Use
cautiously in geriatric or debilitated patients (dosage reduction
required) Cardiac disease; diabetes; respiratory insufficiency.
Common side effects

Seizures, extrapyramidal reactions, confusion, drowsiness,

Interactions with other patient drugs, OTC or herbal medicines
(ask patient specifically)
Increased hypotension with antihypertensives.
restlessness, tardive dyskinesia, blurred vision, dry eyes. Respiratory
depression, hypotension, tachycardia, constipation, dry mouth,
anorexia, urinary retention, diaphoresis, Neuroleptic malignant
syndrome, hypersensitivity reactions.
Lab value alterations caused by medicine
Monitor CBC with differential and liver function tests periodically
during therapy
Be sure to teach the patient the following about this medication

Take medication as directed. Take missed doses as soon as

remembered with remaining doses evenly spaced throughout the day.
May take several weeks for therapeutic effects. Do not increase dose
or discontinue meds without consulting professional. Abrupt
withdrawal may cause dizziness, nausea; vomiting; GI upset;
trembling; or uncontrolled movements of mouth, tongue, or jaw.
Nursing Process- Assessment Assessment Evaluation

Assess mental status prior to and periodically during
therapy. Monitor BP and pulse prior to and frequently
during the period of dosage adjustment. Observe
patient carefully when administering medication to
ensure that medication in actually taken and not
hoarded
Why would you hold or not give this med?
Hypersensitivity, Hypotension, evidence of
EPS, respiratory depression.
Check after giving
Decrease in hallucinations,
insomnia, agitation, hostility,
and delusions. Decreases tics
and vocalization in Tourette’s
syndrome.