Generic Name / Classification Action Contraindication Adverse NSG.

Brand Name Effects Responsibilities

 Chlorpromazine  Antispsychotic • Block dopamine • Hypersensitivity • CNS: hypotension • Assess mental status
receptors in the • Cross-sensitivity may • GI: constipation, prior to and periodically
 Thorazine brain; also alter exist among dry mouth, anorexia, during therapy.
dopamine release phenothiazines. Should hepatitis, ileus • Monitor BP and pulse
and turnover not be used in narrow • GU: urinary prior to and frequently
Prevention of glaucoma. retention during the period of
seizures` • Should not be used in Skin: dosage adjustment.
patients who have CNS photosensitivity, May cause QT interval
depressions. pigment changes, changes on ECG.
rashes. • Observe patient
carefully when
administering
medication, to ensure
that medication is
actually taken and not
hoarded.
•Monitor I&O ratios and
daily eight. Assess
patient for signs and
symptoms of
dehydration.

 Haloperidol  Antipsychotics • Alters the effects • seizure disorder •CNS: • Assess mental status
of dopamine in the • glaucoma extrapyramidal prior to and periodically
 Haldol CNS • elderly clients symptom such as during therapy.
• Also has muscle rigidity or • Monitor BP and pulse
anticholinergic and spasm, shuffling gait, prior to and frequently
alpha-adrenergic posture leaning during the period of
blocking activity. forward, drooling, dosage adjustment.
• Diminished signs masklike facial May cause QT interval
and symptoms of appearance, changes on ECG.
psychoses dysphagia, akathisia, • Observe patient
tardive dyskinesia, carefully when
headache, seizures. administering
• GI: dry mouth, medication, to ensure
anorexia, nausea, that medication is
vomiting, actually taken and not
constipation, hoarded.
diarrhea, weight •Monitor I&O ratios and
gain. daily eight. Assess
• GU: urinary patient for signs and
 frequency, urine symptoms of
retention, impotence, dehydration.
enuresis,
amenorrhea,
gynecomastia
• Skin: rash,
dermatitis,
photosensitivity

 Carbamazepine  Anticonvulstant • Decreases • Hypersensitivity •CNS: headache, • Administer medication

synaptic • Kidney disease tremors, confusion, with food to minimize
 Tegretol, Tegretol transmission in the • Cardiovascular restlessness, gastric irritation. Tablets
XR , Equetro, CNS by affecting disease memory loss, may be crushed if
Carbatrol sodium channels in • Seizure disorder, seizures, slurred patient has difficulty
neurons myasthenia gravis speech, muscle swallowing. Do not
• Prevention of • Dehydration weakness, lack of crush or chew
seizures • Hypothyroidism coordination, extended-release
lethargy, stupor tablets.
• GI: anorexia, • Advise patient not to
nausea, vomiting, take alcohol or other
abdominal cramps or CNS depressant
pain, diarrhea, dry concurrently with this
mouth, extreme medication.
thirst, metallic taste, •Inform patient that
weight gain frequent mouth rinses,
• GU: polyuria, good oral hygiene, and
glycosuria, sugarless gum or candy
proteinuria, may help reduce dry
incontinence, mouth. Saliva substitute
edema, may be used.
hyponatremia
• Skin: rash, pruritus,
alopecia, sweating,
dryness or thinning
of hair