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Imipramine med template
Course: Nursing (NUR 340)
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University: Long Island University
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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
Imipramine
Chpt 8
TCA/ Antidepressant
- blocks the re uptake of norepinephrine and
serotonin in the synaptic space
- Monitor blood pressure and heart
rate for clients in the hospital for
orthostatic changes before
administration and 1 hr after. If a
significant decrease in blood
pressure or increase in heart rate is
noted, do not administer the
medication, and notify the provider.
- Concurrent use with MAOIs or St. John’s wort can lead to
serotonin syndrome.
- Antihistamines and other anticholinergic agents have
additive anticholinergic effects.
- Increased effects of epinephrine, dopamine
- decrease the effects of ephedrine, amphetamine
- Contraindications: Pregnancy risk category C, clients who have seizure
disorders or who have recently experienced a myocardial infarction.
- Precautions: clients who are elderly or who have coronary artery
disease; diabetes, liver, kidney, or respiratory disorders; urinary retention
Orthostatic hypotension.
Anticholinergic effects
Sedation
Decreased seizure threshold
Excessive sweating
- Depression
- Depressive episodes of bipolar disorders
- Obtain baseline ECG.
- Monitor vital signs frequently.
- Monitor signs of toxicity.
- Decrease in depressive symptoms
- Advise clients to avoid
hazardous activities such as
driving if sedation is excessive.
- Inform clients of adverse effects.
-Assist clients with frequent linen
changes.
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