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Chlorpromazine medication template ati assignment
Using the ATI Active Learning Medication Template and ATI text PN PHAR...
Course
Comm Mental Health - Partially Online (SSW 791.93)
27 Documents
Students shared 27 documents in this course
University
Hunter College CUNY
Academic year: 2020/2021
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mentalPreview text
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A
Medication
STUDENT NAME _____________________________________
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CL A SS ______________________________________________________________________
ACTIVE LEARNING TEMPLATE:
PURPOSE OF MEDICATION
Expected Pharmacological Action
Complications
Contraindications/Precautions
Interactions
Medication Administration
Evaluation of Medication Effectiveness
Therapeutic Use
Nursing Interventions
Client Education
Nadia Louis
Chlorpromazine (Droperidol, Fluphenazine, Fluphenthixol, Haloperidol)
Conventional Antipsychotics (Pericyazine, Pimozide, Thioridazine, Thiothixen)
- Blockade of dopamine 2 receptors (D2) is responsible for
reducing the positive signs of pyschosis & improving other
behaviors - The combined effect to block D2, histamine H1 &
muscarinic M1 receptors in the vomiting center is
postulated to reduce N/V
- Give oral dose with food and/or full glass
of water to prevent GI effects - Have
client swallow SR form whole - Give IM
injection in large muscle; rotate sites -
Keep client recumbent for 30 minutes after
IM or IV dose due to possi- ble
hypotension - IV form incompatible in
solution w/ mult drugs - Give IV bolus no
faster than 1 mg/minute
- CNS depressants increase sedation - Antacids and
Antidiarrheals space 2 hours from chlorpromazine
admin r/t poor absorption - Decreased blood level of
antiseizure drugs
*CONTRAINDICATED - Allergy to phenothiazine anti psychotic
drugs - Alcohol withdrawal - Bone marrow suppression - CNS
depression - Pregnancy and lactation *PRECAUTIONS - Resp
Disease - Glaucoma - Diabetes mellitus - Hypertension - Prostatic
hypertrophy - Thyroid - Cardiac - Liver Disorders
- Akathisia occurs within first 2 months of therapy - Parkinson-like symptoms may occur within first month of therapy - Acute dystonia occurs hours to days following first dose - Tardive dyskinesia occurs months to years after therapy begins - Anticholinergic effects dry mouth, constipation, urinary retention, blurred vision, tachycardia - Suppressed sexual drive, erectile dysfunction - Severe dysrhythmias - Dermatitis, photosensitivity when exposed to sunlight - Neuroleptic malignant syndrome (NMS) high fever, rigidity, VS instability, loss of consciousness (more common with haloperidol and other high-potency drugs than chlorpromazine)
-Suppresses symptoms of schizophrenia
Acute manic phase of bipolar disorder
Relieves nausea/vomiting - Intractable
hiccups
Treat with beta blocker or benzodiazepine - Possibly switch to a low-potency antipsychotic - Treat on short-term basis with anti-Parkinson drugs - Be prepared to administer IM or IV anticholinergic, such as diphenhydramine, in case of acute dystonia - Monitor for these irreversible symptoms - Switch client to an atypical antipsychotic - Monitor client for dry mouth, constipation, and urinary retention - Counsel client about sexual dysfunction - Change to different antipsychotic - Monitor vital signs, periodic ECG, and serum potassium levels - Wear gloves when handling phenothiazines to prevent personal derma- titis - Prepare to administer IV dantrolene and bromocriptine - Use cooling measures and antipyretics - Keep client hydrated - Give benzodiazepines for anxiety
- Suppression or cessation of schizophrenia SS/SX -
Relief of nausea/vomiting and hiccups
- Instruct client to notify provider for feelings of inner restlessness, inability to sit still - Instruct client to notify provider if muscle rigidity, tremors, and sluggish movements, drooling, and shuffling gait occur - Instruct client to notify provider for severe spasms of the neck and body - Instruct client to notify provider if involuntary movements of tongue face, limbs, trunk begin to occur - Chew gum or suck hard candy to treat dry mouth - Increase fluids/fiber to prevent constipation - Urinate just before taking drug dose - Encourage client to report these symptoms - Instruct client to report palpitations, fainting spells, other cardiac symptoms - Instruct clients to wear gloves when handling phenothiazines - Instruct clients to avoid sun exposure, use sunscreen, wear protective clothing, wear sunglasses - Instruct client to report sudden fever immediately to provider
Was this document helpful?
Chlorpromazine medication template ati assignment
Course: Comm Mental Health - Partially Online (SSW 791.93)
27 Documents
Students shared 27 documents in this course
University: Hunter College CUNY
Was this document helpful?
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
Medication
STUDENT NAME _____________________________________
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CL ASS ______________________________________________________________________
ACTIVE LEARNING TEMPLATE:
PURPOSE OF MEDICATION
Expected Pharmacological Action
Complications
Contraindications/Precautions
Interactions
Medication Administration
Evaluation of Medication Effectiveness
Therapeutic Use
Nursing Interventions
Client Education
Nadia Louis
Chlorpromazine (Droperidol, Fluphenazine, Fluphenthixol, Haloperidol)
Conventional Antipsychotics (Pericyazine, Pimozide, Thioridazine, Thiothixen)
- Blockade of dopamine 2 receptors (D2) is responsible for
reducing the positive signs of pyschosis & improving other
behaviors - The combined effect to block D2, histamine H1 &
muscarinic M1 receptors in the vomiting center is
postulated to reduce N/V
- Give oral dose with food and/or full glass
of water to prevent GI effects - Have
client swallow SR form whole - Give IM
injection in large muscle; rotate sites -
Keep client recumbent for 30 minutes after
IM or IV dose due to possi- ble
hypotension - IV form incompatible in
solution w/ mult drugs - Give IV bolus no
faster than 1 mg/minute
- CNS depressants increase sedation - Antacids and
Antidiarrheals – space 2 hours from chlorpromazine
admin r/t poor absorption - Decreased blood level of
antiseizure drugs
*CONTRAINDICATED - Allergy to phenothiazine anti psychotic
drugs - Alcohol withdrawal - Bone marrow suppression - CNS
depression - Pregnancy and lactation *PRECAUTIONS - Resp
Disease - Glaucoma - Diabetes mellitus - Hypertension - Prostatic
hypertrophy - Thyroid - Cardiac - Liver Disorders
- Akathisia – occurs within first 2 months of therapy - Parkinson-like symptoms may occur within first month of
therapy - Acute dystonia – occurs hours to days following first dose - Tardive dyskinesia – occurs months to years
after therapy begins - Anticholinergic effects – dry mouth, constipation, urinary retention, blurred vision, tachycardia -
Suppressed sexual drive, erectile dysfunction - Severe dysrhythmias - Dermatitis, photosensitivity when exposed to
sunlight - Neuroleptic malignant syndrome (NMS) – high fever, rigidity, VS instability, loss of consciousness (more
common with haloperidol and other high-potency drugs than chlorpromazine)
-Suppresses symptoms of schizophrenia
- Acute manic phase of bipolar disorder
- Relieves nausea/vomiting - Intractable
hiccups
Treat with beta blocker or benzodiazepine - Possibly switch to a
low-potency antipsychotic - Treat on short-term basis with
anti-Parkinson drugs - Be prepared to administer IM or IV
anticholinergic, such as diphenhydramine, in case of acute
dystonia - Monitor for these irreversible symptoms - Switch client
to an atypical antipsychotic - Monitor client for dry mouth,
constipation, and urinary retention - Counsel client about sexual
dysfunction - Change to different antipsychotic - Monitor vital
signs, periodic ECG, and serum potassium levels - Wear gloves
when handling phenothiazines to prevent personal derma- titis -
Prepare to administer IV dantrolene and bromocriptine - Use
cooling measures and antipyretics - Keep client hydrated - Give
benzodiazepines for anxiety
- Suppression or cessation of schizophrenia SS/SX -
Relief of nausea/vomiting and hiccups
- Instruct client to notify provider for feelings of inner
restlessness, inability to sit still - Instruct client to notify provider if
muscle rigidity, tremors, and sluggish movements, drooling, and
shuffling gait occur - Instruct client to notify provider for severe
spasms of the neck and body - Instruct client to notify provider if
involuntary movements of tongue face, limbs, trunk begin to
occur - Chew gum or suck hard candy to treat dry mouth -
Increase fluids/fiber to prevent constipation - Urinate just before
taking drug dose - Encourage client to report these symptoms -
Instruct client to report palpitations, fainting spells, other cardiac
symptoms - Instruct clients to wear gloves when handling
phenothiazines - Instruct clients to avoid sun exposure, use
sunscreen, wear protective clothing, wear sunglasses - Instruct
client to report sudden fever immediately to provider
Recommended for you
Students also viewed
- Risperidone medication template ati assignment
- Atomoxetine medication template ati assignment
- Anemia system disorder ati ASSIGNMENT
- Nanda Risk of falls - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
- Bupropion Hydrochloride (Wellbutrin)
- Clonodine - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
Related documents
- Methadone - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
- Buprenorphine - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
- Bupropion - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
- Disulfiram medication template
- Naltrox - Using the ATI Active Learning Medication Template and ATI text PN PHARM complete
- Lithium, Prototype drug – lithium carbonate (Lithobid)