Generic Name Hydroxyzine Peak 3 hr

Trade Name Vistaril Onset 15-30 min

Classification Dose Route Time/frequency Anxiolytic See Below PO See Below (cant fit it all) Antihistamine IM Antiemetic Duration Normal dosage range 4-6 hr Prepartum and postpartum: 25100 mg For IV meds, compatibility with IV drips and/or solutions N/A

Why is your patient getting this medication Symptomatic relief of anxiety, Management of pruritus due to allergic conditions, Sedation, Control of nausea and vomiting. Mechanism of action and indications (Why med ordered) Suppressess subcorticalareas of the CNS; has clinically demonstrated antihistaminic, analgesic, antispasmodic,antiemetic, mild antisecretory, and bronchodilator activity. Preg C

Nursing Implications (what to focus on) Contraindications/warnings/interactions Contraindicated with allergy to hydroxyzine. Common side effects Drowsiness, involuntary motor activity, including tremor and seizures, Dry mouth, Wheezing, dyspnea, chest tightness

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) N/A for pt.

Nursing Intervention Use caution if driving or performing tasks, avoid alcohol, sedatives, sleep aids; use frequent mouth care Be sure to teach the patient the following about this medication May cause drowsiness or tremors Evaluation Check after giving Decrease in subjective feelings of anxiety without excessive sedation

Nursing Process- Assessment (Pre-administration assessment) Allergy to hydroxyzine or cetirizine, Skin color, lesions, texture. Orientation, reflexes, affect; R, adventitious sounds

Assessment Why would you hold or not give this med? Adverse side effects