NURS 2466 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Risperidone Risperdal Antipsychotics 0.5 mg PO 3x daily
Peak Onset Duration Normal dosage range
Unknown 1-2 weeks Up to six Hepatic Impairment: 0.5 mg twice daily; increase by 0.5 mg
weeks twice daily, up to 1.5 mg twice daily.
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Unkown at this time NA

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
May act by antagonizing dopamine and serotonin in Hypersensitivity; increases CNS depression may be seen
the CNS. Decreases the symptoms of psychoses or with opioids and sedative/hypnotics.
bipolar mania. Indicated for tx of Schizophrenia and Common side effects
bipolar mania. Aggressive behavior, dizziness, EPS, Headache, increased
dreams, increased sleep duration, insomnia, sedation,
pharyngitis, rhinitis, visual disturbances, cough, constipation,
diarrhea, dry mouth, nausea, decreased libido,
dysmenorrhea/menorrhagia, itchin/skin rash, weight gain
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause increased prolactin, AST, ALT levels. May also
CNS Depressants cause anemia, thrombocytopenia, leukocytosis, and
leucopenia.
Be sure to teach the patient the following about this
medication
Inform pt of possible EPS, change position slowly to
minimize orthostatic hypertention, notify health care
provider promptly if sore throat, fever, unusual bleeding or
bruising, rash, or tremors occur.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor pt mental status, mood changes, med? Decrease in excited, paranoic,
and suicidal tendencies. Monitor for EPS: Hold med and notify primary care or withdrawn behavior and
akathisia, dystonia, pseudoparkinsonism. provider if EPS, TD, or NMS occur decrease in bipolar mania.
Monitor for tardived dyskinesia and
Neuroleptic Malignant Syndrome: fever,
respiratory distress, tachucardia, seizures,
diaphoreses, hypertention or hypotention,
pallor and tiredness.