1.1

Question 1

generic - haloperidol

Answer 1

trade - haldol

dose/route: PO 0.5-5mg 2-3/day

Action: alters function of Dopamine in the CNS & has anticholinergic & alpha-adrenergic blocking activity

Side effects: seizures, extrapyramidal rxns, blurred vision, dry eyes, dry mouth, constipation, agranulocytosis, neuroleptic malignant syndrome

Nsg indications: monitor I/O, assess mental status before & periodically during, assess BP before & during, ^ fluids & ^ fiber, assess fall risk & change in vision

Lab indications: monitor CBC with differential & liver fxn tests periodically during therapy; monitor serum prolactin prior to & periodically during therapy

Question 2

generic: Imipramine

Answer 2

trade: Tofranil

dose/route: PO 25-50 mg 3-4/day

actions: potentiates function of serotonin & NE; has significant anticholinergic properties

side effects: suicidal thoughts, drowsiness, fatigue, blurred vision, dry eyes, arrhythmias, hypotension, constipation, dry mouth

Nsg indications: assess suicidal tendencies, ^ fiber/fluid, assess heart, check wt regularly, assess pain & depression

lab indications: leukocyte-differential bld counts, renal & hepatic functions prior to & during therapy. change in BG levels

Question 3

Generic: chlordiazepoxide

Answer 3

trade: librium

dose/route: PO 50-100 mg (alcohol withdrawal)
- 2-25 mg (anxiety) 34/day

action: acts at many levels of the CNS to produce anxiolytic effect, depresses the CNS, probably by potentiating GABA, an inhibitory neurotransmitter

side effects: dizziness, drowsiness, mental depression, HA, constipation, N/V/D, wt ^, tolerance, physical/psychological dependence

Nsg indications: assess anxiety & sedation levels, ^ fluids, warn about driving safely (drowsiness/dizziness), seizure precautions, assess for tremor, agitation, delirium, & hallucinations

lab indications: CBC & liver, may ^ serum bilirubin, AST & ALT, decreased thyroidal uptake

Question 4

generic: divalproex sodium

Answer 4

trade: Depokote

Dose/route: ADD THIS!!!

action: ^ GABA

side effects: suicidal thoughts, agitation, dizziness, HA, insomnia, sedation, usual disturbances, hepatotoxicity, pancreatitis, abd pain, anorexia, N/V/D, indigestion, thrombocytopenia, hyperammonemia, tremors, hypothermia, drug reactions with eosinophilia & systemic sx (dress)

Nsg indications: assess suicidal tendencies, S/S pancreatitis (abd pain, N/V, anorexia), s/s dress, assess moods, seizure precautions

lab indications: CBC, platelet count, bleeding time before and during therapy - leukopenia & thrombocytopenia, monitor hepatic fxn (LDH, AST, ALT, & bilirubin), interferes with thyroid fxn test