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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

Joshua Cohen

Chlorpromazine

Conventional antipsychotic

-Block norepinephrine, acetylcholine,

dopamine, and histamine receptors.

-Give oral dose with food and/or full glass of

water to preven GI effects

-Have patient swallow sustained release form

whole

-Give IM injection in large muscle; rotate sites

-Keep patient 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 1mg/minute

-CNS depressants increase sedation

-Antacids and antidiarrhealsspace 2 hours from

chlorpromazine administration due to poor absorption

-Decreased blood level of antiseizure drugs

Contraindications:

-Allergy to phenothiazine antipsychotic drugs

-Alcohol withdrawal

-Bone marrow suppression

Precautions:

-Diabetes mellitus

-Hypertension

-Prostatic Hypertrophy

-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

-Suppresses symptoms of schizophrenia

-Acute manic phase of bipolar disorder

-Relieves nausea/vomiting

-Intractable hiccups

-Treat with beta blocker or benzodiazepine;

possibly switch to an atypical antipsychotic

-Treat on short-term basis with

anti-Parkinson

drugs

-Be prepared to administer IM or IV

anticholinergic, such as diphenhydramine

-Prevention of acute psychotic maifestations, absence of

hallucinations, delusions, anxiety, and hostility

-Ability to perform ADLs

-Ability to interact socially with peers

-Sleeping and eating habits

-Notify for feelings of inner restlessness, inability

to sit still; muscle rigidity, tremors, and sluggish

movements, drooling, and shuffling gait occur;

sever spasms of the neck and body; involuntary

movements of tongue, face, limbs, trunk.

-Chew gum or suck hard candy to treat dry

mouth, increase fluids/fiber to prevent

constipation; urinate just before taking drug dose

-Wear gloves when handling phenothiazines;

avoid sun exposure; report sudden fever

Chlorpromazine - Drug template

Principles of Pharmacology/Medicinal Chemistry/Toxicology (PHM 321)

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

Joshua Cohen

Chlorpromazine

Conventional antipsychotic

-Block norepinephrine, acetylcholine,

dopamine, and histamine receptors.

-Give oral dose with food and/or full glass of

water to preven GI effects

-Have patient swallow sustained release form

whole

-Give IM injection in large muscle; rotate sites

-Keep patient 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 1mg/minute

-CNS depressants increase sedation

-Antacids and antidiarrhealsspace 2 hours from

chlorpromazine administration due to poor absorption

-Decreased blood level of antiseizure drugs

Contraindications:

-Allergy to phenothiazine antipsychotic drugs

-Alcohol withdrawal

-Bone marrow suppression

Precautions:

-Diabetes mellitus

-Hypertension

-Prostatic Hypertrophy

-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

-Suppresses symptoms of schizophrenia

-Acute manic phase of bipolar disorder

-Relieves nausea/vomiting

-Intractable hiccups

-Treat with beta blocker or benzodiazepine;

possibly switch to an atypical antipsychotic

-Treat on short-term basis with

anti-Parkinson

drugs

-Be prepared to administer IM or IV

anticholinergic, such as diphenhydramine

-Prevention of acute psychotic maifestations, absence of

hallucinations, delusions, anxiety, and hostility

-Ability to perform ADLs

-Ability to interact socially with peers

-Sleeping and eating habits

-Notify for feelings of inner restlessness, inability

to sit still; muscle rigidity, tremors, and sluggish

movements, drooling, and shuffling gait occur;

sever spasms of the neck and body; involuntary

movements of tongue, face, limbs, trunk.

-Chew gum or suck hard candy to treat dry

mouth, increase fluids/fiber to prevent

constipation; urinate just before taking drug dose

-Wear gloves when handling phenothiazines;

MEDICATION ________________________________________________________________ REVIEW MODULE CHAPTER _