Olanzapine (Zyprexa) Nursing Considerations

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Kara Tarr
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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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Mental health

Concepts Covered:

  • Anxiety Disorders
  • Central Nervous System Disorders – Brain
  • Cognitive Disorders
  • Substance Abuse Disorders
  • Depressive Disorders
  • Medication Administration
  • Psychotic Disorders
  • Personality Disorders
  • Eating Disorders
  • Trauma-Stress Disorders
  • Psychological Emergencies
  • Somatoform Disorders
  • Bipolar Disorders
  • Developmental Considerations
  • Concepts of Mental Health

Study Plan Lessons

08.01 Psychological Review for CCRN Review
Alprazolam (Xanax) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Ammonia (NH3) Lab Values
Antidepressants
Antidepressants
Chlorpromazine (Thorazine) Nursing Considerations
Day in the Life of a Mental Health Nurse
Depression Concept Map
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Encephalopathy Case Study (45 min)
Escitalopram (Lexapro) Nursing Considerations
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Mental Health Course Introduction
Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Mania (Manic Syndrome)
Olanzapine (Zyprexa) Nursing Considerations
Palliative Care for Progressive Care Certified Nurse (PCCN)
Phases of Nurse-Client Relationship
Post-Traumatic Stress Disorder (PTSD)
Potassium-K (Hyperkalemia, Hypokalemia)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Schizophrenia
Schizophrenia Case Study (45 min)
Suicidal Behavior
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)