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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Pharmacology

Concepts Covered:

  • Depressive Disorders
  • Medication Administration
  • Learning Pharmacology
  • Circulatory System
  • Upper GI Disorders
  • Concepts of Pharmacology
  • Studying
  • Test Taking Strategies
  • Tissues and Glands
  • Neurological
  • Pregnancy Risks
  • Emergency Care of the Cardiac Patient
  • Microbiology
  • Cardiac Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Understanding Society
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postpartum Complications
  • Postoperative Nursing
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Newborn Care
  • Psychotic Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Peripheral Nervous System Disorders
  • Prenatal Concepts
  • Substance Abuse Disorders

Study Plan Lessons

MAOIs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Selecting THE vein
Ranitidine (Zantac) Nursing Considerations
Pharmacology Course Introduction
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Tattoos IV Insertion
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Mannitol (Osmitrol) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Atropine (Atropen) Nursing Considerations
Barbiturates
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Combative: IV Insertion
Dark Skin: IV Insertion
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Epoetin Alfa
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
Ketorolac (Toradol) Nursing Considerations
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Parasympathomimetics (Cholinergics) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Positioning
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Sedatives-Hypnotics
Streptokinase (Streptase) Nursing Considerations
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Verapamil (Calan) Nursing Considerations
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Fentanyl (Duragesic) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Atenolol (Tenormin) Nursing Considerations
Antidepressants
Antianxiety Meds
Anesthetic Agents
Neostigmine (Prostigmin) Nursing Considerations
Opioid Analgesics in Pregnancy
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacodynamics
Pharmacokinetics
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Interactive Pharmacology Practice
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydralazine
Eye Prophylaxis for Newborn