Name of Drug Classification Mechanism of Indication Contraindication Nursing

Action Responsibilities
Generic Name: Antipsychotic Blocks dopamine and  Treatment of  Hypersensitivity Before
Risperidone Benzisoxazole serotonin receptors in Schizophrenia to risperidone,  Maintain
the brain, depresses lactation. seizure
Route: the RAS; precautions
Oral anticholinergic,  Delaying relapse  Use cautiously especially
antihistaminic, and in long-term with when
Frequency: alpha-adrenergic treatment of cardiovascular initiating
OD blocking activity may schizophrenia disease, therapy and
contribute to some of pregnancy, renal increasing
its therapeutic and  Unlabeled uses: or hepatic dosage.
adverse actions. bipolar disorder; impairment, During
treatment of hypotension.  Observe
patients with patient
dementia-related carefully
psychotic when
symptoms administering
medication,
to ensure that
medication is
actually taken
and not
hoarded.
After
 Advise
patient to
take
medication
as directed.
Take missed
doses as
soon as
remembered;
with
remaining
doses evenly
spaced
throughout
 the day.
 Monitor
temperature.
If ever
occurs, rule
out
underlying
infection and
consult
physician.

Name of Drug Classification Mechanism of Indication Contraindication Nursing

Action Responsibilities
Generic Name: Antipsychotic Olanzapine is an  Acute treatment  allergy to  Assess for
Olanzapine atypical (second of manic or olanzapine history of allergy
generation) mixed episodes  myeloproliferative to olanzapine.
Brand Name: antipsychotic that of bipolar disorders Monitor for the
Zyprexa exerts its action disorder.  severe CNS many possible
primarily on  Acute depression drug
dopamine and maintenance  comatose states interactions.
serotonin receptors. (long-term)  lactation  Encourage
It works on dopamine treatment of patient to void
D2 receptors in the bipolar disorder. use cautiously in before taking
mesolimbic pathway  Acute treatment  elderly debilitated the drug to help
as an antagonist, of agitation in patients decrease
blocking dopamine schizophrenia anticholinergic
 CV or
from potential action and bipolar effects of urinary
cerebrovascular
at the post-synaptic disorder. retention.
disease
receptor. Olanzapine  Take this drug
 Dehydration
binds loosely to the exactly as
receptor and  Seizure disorders
prescribed; do
dissociates easily,  Alzheimer’s
not change dose
allowing for normal disease
without
dopamine  Prostate
consulting your
neurotransmission. enlargement
health care
The effect on the D2  Narrow-angle provider.
receptors leads to a glaucoma
 Urge the client
decrease in positive  History of to stop smoking;
symptoms in patients paralytic ileus. may increase
including drug clearance.
hallucinations,  Urge client to
delusion and stop drinking
disorganized speech, alcohol; may
though, and increase CNS
behavior. effects.