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Olanzapine (Zyprexa) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

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Outline

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 status
• monitor hemodynamics
• assess blood sugars
• assess intake and output
• monitor liver function tests

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Transcript

Hey guys, let’s talk about alanine, also known as Zyprexa. This is an oral medication, as you can see here with the tablets, and it also comes as an injection, the therapeutic class of Lanine or how it works in the body is an antipsychotic and also a mood stabilizer. The pharmacologic class, or the chemical effect of Lanine is a D benzodiazepine. So Lanine works by antagonizing dopamine in serotonin, which is why we use this drug for the management of schizophrenia, mania, depression, anorexia nervosa, and a also nausea and vomiting related to chemotherapy with Lanine. We can see side effects, including insomn suicidal thoughts, constipation, and also tremors.

Let’s take a look at a few nursing considerations for alanine. Be sure to assess your patient’s mental status. Remember what this drug is used for. Also assess their blood sugar and intake an output while on alanine, your patient’s hemodynamics and liver function tests should be monitored. And alanine may cause in serious situations. Neuroleptic malignant syndrome, tardive dyskinesia seizures and a granulocyte hosts. It is important to know and teach that if your patient is breastfeeding, they should definitely not be taking this medication. So there is a black box warning for injectable Lanine patients receiving this medication injected should E in a healthcare facility only, and they should be observed for three hours following because alanine can cause post-injection delirium and sedation syndromes. That’s it for Lanine or Zyprexa. Now go out and be your best self today. And as always happy nursing.

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pharmacology

Concepts Covered:

Study Plan Lessons

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Hepatitis B Vaccine for Newborns

Ibuprofen (Motrin) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Antidepressants

Levothyroxine (Synthroid)

Betamethasone and Dexamethasone in Pregnancy

Sedatives-Hypnotics

Opioid Analgesics in Pregnancy

Meds for Postpartum Hemorrhage (PPH)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Mood Stabilizers

Magnesium Sulfate in Pregnancy

Antianxiety Meds

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Iodine Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Amoxicillin (Amoxil) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Captopril (Capoten) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides