Drug Class Prototype Drug What is it used for? Most Common Side List concerns or Other Nursing What to teach the patient:
List other common How does it work? Effects & contraindications Considerations: 1. Side effects
drugs in class What is the goal of Adverse Reactions List most common What assessments? 2. Adverse effects to
treatment with this interactions How to administer report
class? (what is the (food or drugs) What evaluations? 3. How to take
benefit to the patient?) Interventions 4. Lifestyle changes
What to Monitor?
Traditional Chlorpromazine It treats conditions Sedation Pt with Routes: Make injections into the
Antipsychotics [Thorazine] like schizophrenia or dysrhythmia Oral, inhalation, deltoid or gluteal
(low potency) manic depression Orthostatic factors intramuscularly (IM) muscle. Rotate the
First-generation hypotension or intravenously (IV), injection site
Schizophrenia
antipsychotics Can also relieve Pt with seizure and subcutaneous
meds
(FGA) nausea, vomiting, Anticholinergic disorders (subQ). Ensure that medication
6 dynamic hiccups, effects (dry is swallowed and not
questions hallucinations, mouth, blurred Risk for Monitor blood “cheeked.”
delusions, agitation vision, urinary neuroleptic pressure
and severe behavioral retention, malignant • Encourage family
problems in children photophobia, syndrome Monitor client's urine members to oversee
constipation, output medication for
Goal of treatment: tachycardia) Avoid Levodopa outpatients.
alleviate symptoms, Patient should stay • Provide patients with
improve quality of life Neuroendocrine contraindicated supine for 30 min written and verbal
and enhance overall effects for patients who after taking drug instructions on dosage
functioning for (galactorrhea, are comatose or size and timing and
parents. gynecomastia, severely Monitor heart rate encourage them to take
menstrual depressed and their medicine as
irregularities) for patients with Give amantadine to prescribed.
PD, prolactin- treat parkinsonism for • Inform patients and
Photosensitivity dependent EPS effects their families that
carcinoma of the antipsychotic drugs
Severe breast, bone must be taken on a
dysrhythmias marrow regular schedule.
depression, and • Inform patients about
severe side effects and teach
,[Type here] Module 3 Drug Table [Type here]
Drug Class Prototype Drug What is it used for? Most Common Side List concerns or Other Nursing What to teach the patient:
List other common How does it work? Effects & contraindications Considerations: 1. Side effects
drugs in class What is the goal of Adverse Reactions List most common What assessments? 2. Adverse effects to
treatment with this interactions How to administer report
class? (what is the (food or drugs) What evaluations? 3. How to take
benefit to the patient?) Interventions 4. Lifestyle changes
What to Monitor?
hypotension or them how to minimize
hypertension undesired responses.
• Assure patients that
Use with caution antipsychotic drugs do
in patients with not cause addiction.
glaucoma, • Establish a good
adynamic ileus, therapeutic relationship
prostatic with the patient and
hypertrophy, family.
cardiovascular • Use a depot
disease, hepatic preparation (e.g.,
or renal paliperidone palmitate)
dysfunction, and for long-term therapy.
seizure disorders.
Early sign of EPS: Acute
patients with risk Dystonia, Parkinsonism,
factors for and Akathisia: Inform
torsades de patients and their
pointes (e.g., families about
hypokalemia, symptoms (e.g., muscle
hypomagnesemia spasm of tongue, face,
, bradycardia, neck, or back; tremor;
congenital QT rigidity; restless
prolongation, or movement) and instruct
a history of them to notify the
dysrhythmias, prescriber if these
MI, or severe appear
heart failure)
, [Type here] Module 3 Drug Table [Type here]
Drug Class Prototype Drug What is it used for? Most Common Side List concerns or Other Nursing What to teach the patient:
List other common How does it work? Effects & contraindications Considerations: 1. Side effects
drugs in class What is the goal of Adverse Reactions List most common What assessments? 2. Adverse effects to
treatment with this interactions How to administer report
class? (what is the (food or drugs) What evaluations? 3. How to take
benefit to the patient?) Interventions 4. Lifestyle changes
What to Monitor?
Late sign of EPS: Tardive
avoid all FGAs in Dyskinesia: Inform
older adults with patients and their
dementia-related families about early
psychosis. signs (e.g., fine, worm-
like movements of the
tongue), and instruct
them to notify the
prescriber if these
develop.
advise them to sit or lie
down if these occur.
Inform patients that
hypotension can be
minimized by moving
slowly when standing up
Avoid driving
Advise them to avoid
excessive exposure to
sunlight, apply
sunscreen, and wear
protective clothing.