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DRUG STUDY (Risperidone, Lithium Carbonate, Multivitamins, Biperiden)
DRUG STUDY (Risperidone, Lithium Carbonate, Multivitamins, Biperiden)
DRUG STUDY (Risperidone, Lithium Carbonate, Multivitamins, Biperiden)
3. Multivitamins 1 cap OD
Classification: Vitamins
Trade name: Theravim, Thera Multi
Indications: Treatment and prevention of vitamin deficiencies.
Action: Prevention of deficiency or replacement in patients whose nutritional status is questionable.
Contraindications: Hypersensitivity to preservative, colorants or additives, including tartrazine, saccharin, and aspartame.
Side effects/ Adverse Reactions: Allergic reactions to preservatives, additives, or colorants.
Nursing Considerations:
1. Assess patient for signs of nutrition deficiency prior to and throughout therapy.
2. Instruct to notify side effects of medications to physician.
3. Encourage to comply on medications.
4. Encourage patient to comply with physicians’ recommendations. Explain that the best source of vitamins is a well balanced diet with foods from the 4 basic
food groups.
5. Advise parents not to refer to chewable multivitamins for children as candy.
Nursing Considerations:
1. Assess Parkinson and extrapyramidal symptoms ( restlessness or desire to keep moving, rigidity, tremors, pill rolling, masklike face, shuffling gait, muscle
spasms, twisting motions, difficulty speaking or swallowing, loss of balance control) prior to and throughout course of therapy.
2. Assess bowel function daily. Monitoring for constipation, abdominal pain, distention, or the absence of bowel sounds.
3. Monitor intake and output ratios and assess patient for urinary retention.
4. Advise patient to make position changes slowly to minimize orthostatic hypotension.
5. Withhold drug and notify physician or other health care provider if significant behavioral changes occur.
6. Administer with food or immediately after meals to minimize gastric irritation.
7. Advise patient to take medication as directed.
8. Advise patient that frequent mouth rinses, good oral hygiene, and sugarless gum or candy may decrease dry mouth.
9. Caution patient that this medication decreases perspiration.
10. Emphasize the importance of routine follow-up examinations.
5. Clonazepam 2 mg 1 tab at HS PO
Classification: Anticonvulsant (benzodiazepine)
Trade name: Klonopin
Indications: Prophylaxis for petit mal, petit mal variant, akinetic, myoclonic seizures, uncontrolled leg movements during sleep.
Action: Prevention of seizures.
Contraindications: Hypersensitivity to clonazepam or other benzodiazepines. Severe liver disease.
Side effects/ Adverse Reactions: drowsiness, ataxia, behavioral changes
Nursing Considerations:
1. Observe and record intensity, duration and location of seizure activity.
2. Assess patient for drowsiness, unsteadiness, and clumsiness.
3. Instruct patient to take medication exactly as directed.
4. Inform patient medication may cause drowsiness or dizziness.
5. Caution patient to avoid taking alcohol or other CNS depressants concurrently with this medication.
6. Advise patient to notify physician, dentist, or other health care provider of medication regimen prior to treatment or surgery.
7. Instruct patient and family to notify physician or other health care provider of unusual tiredness, bleeding, sore throat, fever, clay colored stools, yellowing
of skin, or behavioral changes.
8. Emphasize the importance of follow-up examinations to determined effectiveness of the medication.
BIBLIOGRAPHY
Principles and Practice of Psychiatric Nursing 8th ed. By Stuart and Laraia
Pharmacology ( A nursing process approach ) 5th ed. By Kee, Hayes, and McCuistion
Davis Drug Guide for Nurses 5th ed. By Deglin and Vallerand