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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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Concepts Covered:

Study Plan Lessons

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)

Blood Pressure (BP) Control

Breathing Control

Breathing Movements

Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)

EKG (ECG) Waveforms

Electrolytes – Location in Body Nursing Mnemonic (PISO)

Electrolytes Involved in Cardiac (Heart) Conduction

Fluid & Electrolytes Course Introduction

Fluid Volume Deficit

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

Nursing Care Plan (NCP) for Fluid Volume Deficit

Renal (Kidney) Fluid & Electrolyte Balance

Renal (Kidney) Acid-Base Balance

Respiratory Functions of Blood

Tonicity of Solutions – Live Tutoring Archive

Trach Suctioning

12 Points to Answering Pharmacology Questions

ACLS (Advanced cardiac life support) Drugs

Anti-Infective – Antifungals

Anti-Platelet Aggregate

Antianxiety Meds

Antidepressants

Buspirone (Buspar) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Interactive Pharmacology Practice

IV Infusions (Solutions)

IV Push Medications

Maintenance of the IV

Mannitol (Osmitrol) Nursing Considerations

Medication Errors

Meperidine (Demerol) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Mood Stabilizers

Olanzapine (Zyprexa) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Rh Immune Globulin in Pregnancy

SubQ Injections

The SOCK Method – Overview

Introduction to Metabolism

Anti-Infective – Antifungals

Antiviral Agents for Treatment

Hb (Hepatitis) Vaccine

Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive

Infection or Inflammation? The Quick & Dirty on CBCs 2 – Live Tutoring Archive

Infection Stages

Key Nutrients in the Prevention of Chronic Disease

Nursing Care Plan (NCP) for Infection

Tonicity of Solutions – Live Tutoring Archive

Viruses & Fungi

Scientific Notation & Measurement

Care for Asian-Indian Patient Populations

Care for Hispanic Patient Populations

Care for Native American Patient Populations

Care of Vulnerable Populations

Caring for African Patient Populations

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

Communicable Diseases

Community Health Course Introduction

Community Health Tool Nursing Mnemonic (MAP-IT)

Continuity of Care

Environmental Health

Fire and Electrical Safety

Health Promotion & Disease Prevention

High Risk Behavior Nursing Mnemonic (HEADSS)

Levels of Prevention

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Technology & Informatics

Program Planning

1st Degree AV Heart Block

Acute Confusion

Acute Coronary Syndrome (ACS)

Acute Respiratory Distress

Aneurysm & Dissection

Atrial Fibrillation (A Fib)

Calling for RRT, Code Blue

Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)

Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)

Dysrhythmia Emergencies

EKG Basics – Live Tutoring Archive

Fall and Injury Prevention

Heart (Heart) Failure Exacerbation

Hypertension (HTN) Concept Map

Hypertensive Emergency

Increased Intracranial Pressure

Legal & Ethical Issues in ER

Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)

Pulmonary Embolism

Rapid Sequence Intubation

Premature Ventricular Contraction (PVC)

Premature Atrial Contraction (PAC)

Safety Check Nursing Mnemonic (MADLE)

Stress and Crisis

Supraventricular Tachycardia (SVT)

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

Ventricular Fibrillation (V Fib)

Ventricular Tachycardia (V-tach)

Aggressive & Violent Patients

Cultural Awareness and Influences on Development

Developmental Stages and Milestones

Erikson’s Theory of Psychosocial Development

Handling Death and Dying

Kohlberg’s Theory of Moral Development

Overview of Childhood Growth & Development

Overview of Developmental Theories

Growth and Development – Prenatal

Piaget’s Theory of Cognitive Development

Brief CPR (Cardiopulmonary Resuscitation) Overview

Abortion in Nursing: Spontaneous, Induced, and Missed

Abruptio Placentae (Placental abruption)

Acyclovir (Zovirax) Nursing Considerations

Addicted Newborn

Antepartum Testing

Betamethasone and Dexamethasone

Bicarbonate (HCO3) Lab Values

Blood Transfusions (Administration)

Cardiac (Heart) Disease in Pregnancy

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Day in the Life of a Labor Nurse

Congestive Heart Failure (CHF) Labs

Disseminated Intravascular Coagulation (DIC)

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

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Fetal Alcohol Syndrome (FAS)

Fetal Circulation

Fetal Heart Monitoring (FHM)

Fundal Height Assessment for Nurses

Gestation & Nägele’s Rule: Estimating Due Dates

Gestational Diabetes (GDM)

Gestational HTN (Hypertension)

Hyperbilirubinemia (Jaundice)

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Initial Care of the Newborn (APGAR)

Maternal Risk Factors

Newborn of HIV+ Mother

Nifedipine (Procardia) Nursing Considerations

Nursing Care Plan (NCP) for Dystocia

Nursing Care Plan (NCP) for Mastitis

Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)

OB Non-Stress Test Results Nursing Mnemonic (NNN)

Oxytocin (Pitocin) Nursing Considerations

Pediatric Vital Signs (VS)

Placenta Previa

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Preload and Afterload

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Prolapsed Umbilical Cord

Spironolactone (Aldactone) Nursing Considerations

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Terbutaline (Brethine) Nursing Considerations

Transient Tachypnea of Newborn

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

Cardiac Terminology

Hematology Oncology & Immunology Terminology

MedTerm Basic Word Structure

Psychiatry Terminology

ACE (angiotensin-converting enzyme) Inhibitors

Acute Renal (Kidney) Module Intro

Addisons Assessment Nursing Mnemonic (STEROID)

Addisons Disease

Altered Mental Status Nursing Mnemonic (AEIOU TIPS)

Angiotensin Receptor Blockers

Anticonvulsants

Antidiabetic Agents

ASA (Aspirin) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Bleeding Precautions Nursing Mnemonic (RANDI)

Blood Flow Through The Heart

Breast Cancer Concept Map

Calcium Channel Blockers

Canes Nursing Mnemonic (COAL)

Cardiac Stress Test

Cardiovascular Disorders (CVD) Module Intro

Causes of Dyspnea Nursing Mnemonic (The 6 P’s)

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

Central Line Dressing Change

Chest Tube Assessment Nursing Mnemonic (Two AA’s)

Chest Tube Management

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

Coagulation Studies (PT, PTT, INR)

Clopidogrel (Plavix) Nursing Considerations

Complications of Immobility

Continuous Renal Replacement Therapy (CRRT, dialysis)

COPD Concept Map

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

Coronary Artery Disease Concept Map

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

Cushings Assessment Nursing Mnemonic (STRESSED)

Dementia and Alzheimers

Diabetes Insipidus Nursing Mnemonic (DDD)

Diabetes Management

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diltiazem (Cardizem) Nursing Considerations

Discharge (DC) Teaching After Surgery

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

DKA Treatment Nursing Mnemonic (KING UFC)

Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)

Dopamine (Inotropin) Nursing Considerations

Encephalopathies

Enoxaparin (Lovenox) Nursing Considerations

Enteral & Parenteral Nutrition (Diet, TPN)

Essential NCLEX Meds by Class

Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)

Fluid Volume Overload

Gastrointestinal (GI) Bleed Concept Map

Genitourinary (GU) Assessment

Glipizide (Glucotrol) Nursing Considerations

Heart (Cardiac) Failure Therapeutic Management

Heart (Cardiac) Sound Locations and Auscultation

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

Hemodialysis (Renal Dialysis)

Heparin (Hep-Lock) Nursing Considerations

Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)

HMG-CoA Reductase Inhibitors (Statins)

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

Hyperthermia (Thermoregulation)

Hypertonic Solutions (IV solutions)

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

Hypoglycemia symptoms Nursing Mnemonic (DIRE)

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

Hypoparathyroidism

Hypotonic Solutions (IV solutions)

Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)

Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)

Informed Consent

Insulin Mnemonic (Ready, Set, Inject, Love)

Intake and Output (I&O)

Integumentary (Skin) Important Points

Interventions for Aphasia Nursing Mnemonic (PROP)

Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)

Isoniazid (Niazid) Nursing Considerations

Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

Losartan (Cozaar) Nursing Considerations

Macular Degeneration

Malignant Hyperthermia

Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)

Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)

Mechanical Aids

Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)

Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)

Meniere’s Disease

Metabolic Acidosis (interpretation and nursing diagnosis)

Methylprednisolone (Solu-Medrol) Nursing Considerations

Mobility & Assistive Devices

Montelukast (Singulair) Nursing Considerations

Myocardial Infarction Nursing Mnemonic (MONATAS)

Naproxen (Aleve) Nursing Considerations

Neurogenic Shock for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Cardiomyopathy

Nursing Care and Pathophysiology for Cholecystitis

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Nursing Care and Pathophysiology for Compartment Syndrome

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Distributive Shock

Nursing Care and Pathophysiology for Epididymitis

Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)

Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Meningitis

Nursing Care and Pathophysiology for Osteomyelitis

Nursing Care and Pathophysiology for Pulmonary Edema

Nursing Care and Pathophysiology for Rhabdomyolysis

Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)

Nursing Care and Pathophysiology for Sepsis

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care and Pathophysiology for SIRS & MODS

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)

Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care and Pathophysiology of Endocarditis and Pericarditis

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care and Pathophysiology of Myocarditis

Nursing Care and Pathophysiology of Nephrotic Syndrome

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Aspiration

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Nursing Care Plan (NCP) for Cardiogenic Shock

Nursing Care Plan (NCP) for Emphysema

Nursing Care Plan (NCP) for Enuresis / Bedwetting

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Care Plan (NCP) for Hypovolemic Shock

Nursing Care Plan (NCP) for Respiratory Failure

Nursing Care Plan (NCP) for Risk for Fall

Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma

Nursing Care Plan (NCP) for Spinal Cord Injury

Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)

Nursing Care Plan (NCP) for Thoracentesis (Procedure)

Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)

Nursing Care Plan (NCP) for Thrombocytopenia

Nursing Care Plan for Amputation

Nursing Care Plan for Compartment Syndrome

Nursing Care Plan for Distributive Shock

Nursing Case Study for Pneumonia

Nursing Case Study for Diabetic Foot Ulcer

Oncology Important Points

Oxygen Delivery Module Intro

Pain and Nonpharmacological Comfort Measures

Pain Assessment Questions Nursing Mnemonic (OPQRST)

Patient Consent for Treatment for Certified Emergency Nursing (CEN)

Patient Communication Techniques for Certified Perioperative Nurse (CNOR)

Patients with Communication Difficulties

Perioperative Nursing Course Introduction

Peritoneal Dialysis (PD)

Pneumonia Concept Map

PPE Donning & Doffing

Pressure Ulcers/Pressure injuries (Braden scale)

Propylthiouracil (PTU) Nursing Considerations

Pulmonary edema treatment Nursing Mnemonic (MAD DOG)

Sepsis Concept Map

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

Specialty Diets (Nutrition)

Stages of Hepatitis Nursing Mnemonic (PIP)

Stroke Assessment (CVA)

TB Drugs Nursing Mnemonic (RIPE)

The Medical Team

Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)

Traction – Nursing Care Nursing Mnemonic (TRACTION)

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)

Understanding Blood Pressure Meds! – Live Tutoring Archive

Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

Warfarin (Coumadin) Nursing Considerations

Who Needs Dialysis Nursing Mnemonic (AEIOU)

Wound Infections for Certified Emergency Nursing (CEN)