DRUG INDICATION ACTION SIDE/ADVERSE EFFECT NURSING CONSIDERATION PATIENT

TEACHING
Date ordered: to treat the • drowsiness • It may take several weeks or • Do not drink
symptoms of It works by • dizziness longer before you feel the alcohol while
Generic Name:
schizophrenia (a changing the • restlessness full benefit of olanzapine. taking
Brand Name: mental illness activity of • unusual behavior Continue to take olanzapine olanzapine.
that causes certain natural • depression even if you feel well. • Do not smoke
Class: atypical disturbed or substances in the • difficulty falling asleep or staying • get out of bed
antipsychotics unusual thinking, brain. asleep • Do not stop taking slowly, resting
loss of interest in • weakness olanzapine without talking to your feet on the
Route: life, and strong • difficulty walking your doctor. Your doctor will floor for a few
Dose:
or inappropriate • constipation probably want to decrease minutes before
emotions) in • weight gain your dose gradually. standing up.
Frequency: adults and • dry mouth • tell your doctor and • Tell your doctor
teenagers 13 • pain in arms, legs, back, or joints pharmacist if you are allergic if you plan to do
years of age and • breast enlargement or discharge to olanzapine or any other vigorous exercise
older. • late or missed menstrual periods medications. or be exposed to
It is also used to • decreased sexual ability extreme heat.
treat bipolar • tell your doctor and olanzapine may
disorder (manic • seizures pharmacist what prescription make it harder
depressive • changes in vision and nonprescription for your body to
disorder; a • swelling of the arms, hands, feet, medications, vitamins, cool down when
disease that ankles, or lower legs nutritional supplements, and it gets very hot
causes episodes • unusual movements of your face herbal products you are • drink plenty of
of depression, or body that you cannot control taking or plan to take water every day
episodes of • sore throat, fever, chills, and
• Talk to your
mania, and other other signs of infection • tell your doctor if you use or
doctor about
abnormal • very stiff muscles have ever used street drugs or
eating grapefruit
moods) in adults • excess sweating have overused prescription
and drinking
and teenagers 13 • fast or irregular heartbeat medications and if you have
grapefruit juice
years of age and • rash or have ever had a stroke, a
while taking this
older. • hives mini-stroke, heart disease or
medicine.
a heart attack, an irregular
• difficulty breathing or heartbeat, seizures, breast
swallowing cancer, any condition that
makes it difficult for you to
swallow, high or low blood
pressure, a high level of fats
DRUG INDICATION ACTION SIDE/ADVERSE EFFECT NURSING PATIENT TEACHING
CONSIDERATION
Date ordered: • used to interferes with the •CNS: extrapyramidal • Assess for: • Assess mental status prior to and
control tics and effects of symptom such as muscle • seizure disorder periodically during therapy.
Generic Name: vocal utterances neurotransmitters rigidity or spasm, shuffling • glaucoma • Monitor BP and pulse prior to and
haloperidol that are part of in the brain which gait, posture leaning forward, • elderly clients frequently during the period of
Tourette's are the chemical drooling, masklike facial • Monitor WBC lab dosage adjustment. May cause QT
Brand
Name:Haldol
syndrome. messengers that appearance, dysphagia, and liver function test interval changes on ECG.
• Used for nerves akathisia, tardive dyskinesia, every month • Observe patient carefully when
Class: psychotic manufacture and headache, seizures. • Monitor I and O, administering medication, to ensure
antipsychotics disorders or release to •CV: tachycardia, arrhythmias, BP, changes in ECG, and that medication is actually taken and
Organic communicate with hypertension, orthostatic mental status not hoarded.
Route: by mouth Psychoses one another. It hypertension. periodically •Monitor I&O ratios and daily eight.
• acute blocks receptors •EENT: blurred vision, Assess patient for signs and
Dose: psychotic for the glaucoma symptoms of dehydration.
symptoms neurotransmitters • GI: dry mouth, anorexia, • Monitor for development of
Frequency Relieve (specifically the nausea, vomiting, constipation, neuroleptic malignant syndrome
hallucinations, dopamine and diarrhea, weight gain. (fever, respiratory distress,
delusions, serotonin type 2 • GU: urinary frequency, urine tachycardia, seizures, diaphoresis,
disorganized receptors) on the retention, impotence, enuresis, hypertension or hypotension, pallor,
thinking nerves. As a amenorrhea, gynecomastia tiredness, severe muscle stiffness,
severe anxiety result, the nerves • Hematologic: anemia, loss of bladder control. Report
seizures are not "activated" leucopenia, agranulocytosis symptoms immediately. May also
by the • Skin: rash, dermatitis, cause leukocytosis, elevated liver
neurotransmitters phtosensitivity function tests, elevated CPK.
released by other • Advise patient to take medication
nerves as directed. Take missed doses as
soon as remembered, witih remaining
doses evenly spaced through out the
day. May require several weeks to
obtain desired effects. Do not
increase dose or discontinue
medication without consulting health
care professional. Abrupt withdrawal
may cause dizziness, nausea,
vomiting, GI upset, trembling, or
uncontrolled movements of mouth,
tongue or jaw.