I.

DRUG STUDY

MECHANISM OF NURSING
DRUG INDICATIONS CONTRAINDICATION SIDE EFFECTS
ACTION CONSIDERATIONS

Generic Name: inhibits reuptake of Prozac
Fluoxetine serotonin allowing it is a selective serotonin
to persist longer in reuptake inhibitor
Brand Name: the synaptic cleft (SSRI) and a widely
Prozac used antidepressant. It is
considered safe and
effective in treating
Classification: depression, anxiety, and
Therapeutic class: obsessive compulsive
Antidepressants disorder (OCD) bipolar
and treatment-resistant
Pharmacologic class: depression when used in
SSRIs combination with
olanzapine..
Dosage: Rationale: help patient
20mg with anorexia nervosa
to improve depressive
and obsessive-
Route of compulsive
Admission: P.O symptomatology in
long-term treatment.
Frequency:
OD
-Contraindicated in No visible side effect -Record mood
patient hypersensitive to on patient changes. Watch for
drug suicidal tendencies.
Headache, Insomnia,
-Avoid use in patients Drowsiness, -Take baseline vital
taking MAO inhibitors or Tremor, Light signs
other serotonergic drugs; Headedness, Agitation
may lead to serotonin Hot Flushes, -Administer drug in
toxicity Sweating, the morning.
Rash,
Acne, -Established suicide
Alopecia precautions for
severely depressed
patients. Limit
quantity of capsules
dispensed.
-Monitor appetite and
nutritional intake

MECHANISM OF NURSING
DRUG INDICATIONS CONTRAINDICATION SIDE EFFECTS
ACTION CONSIDERATIONS
Generic Name: It may work by Zyprexa used to assist -Contraindicated in Dizziness -Monitor appetite and
Olanzapine blocking with weight gain and patient hypersensitive to Insomnia nutritional intake
receptors for obsessive thinking in drug Headache -Monitor patient for
Brand Name: several patients. Tremor mental status changes
Zyprexa neurotransmitters Orthostatic-hypotension -Monitor weight gain
(chemicals that Rationale: Dry mouth -Inform the patient of
Classification: nerves use to olanzapine can be Constipation potential for weight
Therapeutic class: communicate effective in reducing Increased appetite gain.
Antipsychotics with each other) agitation and distress Vomiting -Tell patient to rise
in the brain. It during the weight Weight gain slowly to dizziness
Pharmacologic binds to alpha-1, restoration process. Hyperglycemia upon standing up
class: Dibenzapine dopamine, quickly.
derivatives histamine H-1, -Tell patient to take
muscarinic, and drug with or without
Dosage: serotonin type 2 food.
5mg (5-HT2) -Tell patient to avoid
receptors. alcohol

Route of
Admission: P.O

Frequency:
OD

MECHANISM OF NURSING
DRUG INDICATIONS CONTRAINDICATION SIDE EFFECTS
ACTION CONSIDERATIONS

Generic Name: Antagonizes the This medications also -Hypersensitivity to Drowsiness, - Tell the patient to take
Cyproheptadine effects of use in the treatment of cyproheptadine and other Dizziness, cyproheptadine at around
histamine at H1 patients with feeding drugs of similar chemical Dry mouth, nose or throat, the same time everyday.
Brand Name: receptor sites; difficulties is an structure. Constipation, --Monitor Vital signs
Periactin does not bind to appetite stimulant, Blurred vision,  -Instruct patient to report
or inactivate cyproheptadine Muscle weakness side effects such as
Classification: histamine. Also (Periactin). arrhythmias, hypotension, severe or prolonged skin
Therapeutic class: blocks the effects palpitations rash, blurred vision,
first-generation of serotonin, Rationale: photosensitivity, problems with urination,
antihistamine which may result It is an antihistamine rashes. or GI problems
in increased that is also used to (constipation, dry
Pharmacologic: appetite. stimulate appetite in a mouth).
piperidines variety of different -Monitor body weight
types of patients. and other anthropometric
Dosage: measures (body mass
5mg index, body
composition).
- Advise patient to avoid
Route of alcohol and other CNS
Admission: P.O depressants because of
the increased risk of
Frequency: sedation and adverse
OD effects.-
- Patients should be
warned about engaging
in activities requiring
mental alertness and
motor coordination, such
as driving a car or
operating machinery.