Neurological

Question 1

Alprazolam (PO)

Answer 1

Indication: Generalized anxiety disorder (GAD), panic disorders, anxiety associated with depression

Contraindications: Previous hypersensitivity, sensitivity to other benzodiazepines, pre-existing CNS depression

Side Effects: nausea, vomiting, dizziness, drowsiness

Adverse Reactions: Blurred vision, tinnitus, chest pain

Nursing Considerations: Monitor patients for S/S of respiratory depression, Give smallest possible therapeutic dose to prevent ataxia

Patient Teachings: Take exactly as prescribed, avoid grapefruit juice and alcohol, drowsiness may occur so avoid driving

Question 2

Gabapentin (PO)

Answer 2

Indication: Partial seizures, Post-herpetic neuralgia

Contraindications: Hypersensitivity

Side Effects: dizziness, drowsiness, depression

Adverse Reactions: Hypersensitivity reactions, Suicidal thoughts

Nursing Considerations: Monitor patients for changes in behavior (depression, suicidal behavior). When stopping medication, must be stopped gradually over course of >1 week to avoid seizures.

Patient Teachings: Take exactly as prescribed, May cause drowsiness (avoid driving), Call HCP if thoughts of suicide, depression or anxiety occur