Methadone (Methadose) Nursing Considerations
Generic Name methadone Trade Name Mathadose Indication withdrawal symptoms, pain Action Suppresses withdrawal symptoms. Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class opioid analgesic Pharmacologic Class opioid agonist […]
Oxycodone (OxyContin) Nursing Considerations
Generic Name oxycodone Trade Name Oxycontin Indication pain Action binds to opiate receptors in CNS altering the perception and sensation of pain Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists, opioid agonists/nonopioid, analgesic combinations Nursing Considerations • may cause respiratory depression, constipation, confusion , sedation, hallucinations, urinary retention • use caution with increased intracranial pressure […]
Haloperidol (Haldol) Nursing Considerations
Generic Name haloperidol Trade Name Haldol Indication Schizophrenia, mania, aggressive and agitated patient Action Alters the effect of dopamine Therapeutic Class Antipsychotic Pharmacologic Class butyrophenones Nursing Considerations • extrapyramidal symptoms, tardive dyskinesia • use caution in QT prolongation • may cause seizures, constipation, dry mouth, agranulosytosis • assess for hallucinations • monitor hemodynamics • monitor […]
Quetiapine (Seroquel) Nursing Considerations
Generic Name quetiapine Trade Name Seroquel Indication schizophrenia, depressive disorder, mania Action dopamine and serotonin antagonist Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class none Nursing Considerations • may cause neurolyptic malignant syndrome, seizures, dizziness, palpitations, weight gain, anorexia • QT interval prolongation • don’t use with CNS depressants • assess weight frequently • monitor liver […]
Olanzapine (Zyprexa) Nursing Considerations
Generic Name olanzapine Trade Name Zyprexa Indication schizophrenia, mania, depression, anorexia nervosa, nausea/vomiting related to chemotherapy Action antagonizes dopamine and serotonin Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class thienobenzodiazepines Nursing Considerations • do not use while breastfeeding • can cause neurolyptic malignant syndrome, seizures, suicidal thoughts, insomnia, tardive dyskinesia, agranulocytosis, constipation, tremors • assess mental […]
Lorazepam (Ativan) Nursing Considerations
Generic Name lorazepam Trade Name Ativan Indication anxiety, sedation, seizures Action general CNS depression by potentiating inhibitory neurotransmitters Therapeutic Class anesthetic adjuncts, antianxiety agents, sedative hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • use caution with COPD and sleep apnea • avoid alcohol use • antidote is Flumazenil (Romazicon) • may cause apnea, cardiac arrest, bradycardia, […]
Midazolam (Versed) Nursing Considerations
Generic Name midazolam Trade Name Versed Indication sedation, conscious sedation, anesthesia, status epilepticus Action acts to produce CNS depression, may be mediated by GABA Therapeutic Class antianxiety agent, sedative/hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • assess level of sedation during and for 2-6 hours following • monitor blood pressure, pulse, respirations during IV administration • […]
Lamotrigine (Lamictal) Nursing Considerations
Generic Name lamotrigine Trade Name Lamictal Indication seizures r/t epilepsy, bipolar Action Inhibits sodium transport in neurons Therapeutic Class anticonvulsant Nursing Considerations • may cause suicidal thoughts, dizziness, behavior changes, nausea, vomiting, photosensitivity, rash, Stevens-Johnson Syndrome • use caution with oral contraceptive use • assess mental status • assess for seizures • do not discontinue […]
Paroxetine (Paxil) Nursing Considerations
Generic Name paroxetine Trade Name Paxil Indication major depressive disorder, OCD, anxiety, PTSD Action block reuptake of serotonin in CNS Therapeutic Class antianxiety agent, antidepressant Pharmacologic Class SSRI Nursing Considerations • do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, serotonin syndrome, constipation, diarrhea, insomnia • decrease effectiveness of digoxin • […]
Sertraline (Zoloft) Nursing Considerations
Generic Name sertraline Trade Name Zoloft Indication major depressive disorder, OCD, anxiety Action inhibits uptake of serotonin allowing for higher quantities available within synaptic cleft Therapeutic Class Antidepressant Pharmacologic Class SSRI Nursing Considerations • do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, drowsiness, insomnia, diarrhea, dry mouth, tremors, serotonin syndrome, […]