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Chlorpromazine - Drug template done during the semester
Nursing (NUR 340)
Long Island University
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ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A
Medication
STUDENT NAME _____________________________________
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CLASS ______________________________________________________________________
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
Chlorpromazine
Antipsychotics
Block several CNS and non-CNS receptors
- give oral dose with food and/or full glass of
water to prevent GI effects
- have client swallow sustained-release form
whole
- give IM injection in large muscle, rotate sites
- keep client recumbent for 30 minutes after IM
or IV dose due to possible hypotension
- IV form incompatible in solution with multiple
drugs
give IV bolus no faster than 1 mg/minute
CNS depressants increase sedation
antacids and antidiarrheals - space 2 hours from
chlorpromazine administration due to poor absorption
decreased blood level of antiseizure drugs
allergy to phenothiazine antipsychotic drugs
alcohol withdrawl
bone marrow suppression
CNS depression
pregnancy and lactation
respiratory disease
glaucoma
diabetes mellitus
hypertension
prostatic hypertrophy
thyroid, cardiac, liver disorders
Akathisia: within 2 months of therapy Parkinson-like symptoms: within first month of therapy Acute dystonia: hours to days following first dose Tardive dyskinesia: months to years after therapy begins
Anticholinergic effects: dry mouth, constipation, urinary retention, blurred vision, tachycardia
Suppressed sexual drive, erectile dysfunction
Severe dysrhythmias
Dermatitis, photosenitivity when exposed to sunlight
Neuroleptic malignant syndrome - high fever, rigidity, VS instability, loss of consciouness
suppresses symptoms of schizophrenia
acute manic phase of bipolar disorder
relieves nausea/vomitting
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 anticholingergic
monitor for these irreversible symptoms
switch client to an atypical antipsychotic
monitor for dry mouth, constipation, and urinary retention
counsel client about sexual dysfunction
change to diff antipsychotic
monitor vital signs, periodic ECG, and serum potassium levels
wear gloves when handling phenothiazines to prevent personal dermatitis
prepare to administer IV dantrolene and bromocriptine
use cooling measures and antipyretics
keep client hydrated
give benzodiazepines for anxiety
Relieves hallucinations, delusions, and disorganized
thoughts associated with schizophrenia.
- notify provider for feelings of inner restlessness, inability to sit still
- notify if muscle rigidity, tremors, and sluggish movements, drooling, and shuffling gait occur
- notify for severe spasms of the neck and body
- notify 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
- report symptoms
- report palpations, fainting spells, other cardiac symptoms
- wear gloves when handling phenothiazines
- avoid sun exposure, use sunscreen, wear protective clothing, wear sunglasses
- report sudden fever immediately to provider
Chlorpromazine - Drug template done during the semester
Course: Nursing (NUR 340)
University: Long Island University
