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MCCGroup5

Nursing Interventions for Psychotropic Drugs

QuestionAnswer
Nursing Interventions for Blurred Vision Explain Anticholinergic effect of medication should clear Caution the patient about driving and operation of heavy machinery Inform patient to notify attending practitioner if blurred vision continues after 1-2 weeks
Nursing Intervention for Constipation Assess and monitor bowel movements Promote adequate fluid intake Promote dietary intake of fresh fruits and vegetables along with bran products Provide stool softeners or bulk forming agents prescribed by physician
Nursing Intervention for Drowsiness Caution patient about driving and operation of heavy equipment Give entire daytime dose of medication at bedtime if drowsiness persists Explain that drowsiness is usually a transient symptom
Dry mouth Encourage the use of low calorie or sugarless hard candy, mints, gum, or beverages
GI disturbances Explain that anorexia, N/V or irritation may present as transient adverse effects Encourage taking medication with food Refer to attending practitioner if clinical symptoms do not improve
Hypo/Hyperglycemia Monitor blood sugar routinely and establish baseline data if the client is taking a TCA or antipsychotic medication Report any irregular results to attending practitioner
Hypo- tension orthostactic Monitor blood pressure to establish baseline data before start of medication and during period of dosage adjustment Instruct patient to raise slowly when changing from lying to sitting or standing position Instruct patient to avoid hot showers or bath
Insomnia Assess sleep patterns and sleep hygiene practices Advise against use of caffeine Take medications as prescribed
Libido changes (sexual dysfunction) Discuss potential adverse effects with the client (effect can vary depending on the drug category) Conduct a sexual history Provide emotional support
Tachycardia Monitor pulse to obtain base line data if the client is taking TCA, lithium, anticholinergic medication Educate patient about effects of caffeine Report any irregularities to attending practitioner
Urinary retention Educate the patient about anticholinergic effects of antipsychotic drugs and TCA Instruct the patient to report any changes in urinary frequency and notify attending practitioner of changes
Weight gain Instruct the patient to monitor weight on a weekly basis Educate the patient about dietary measures to avoid weight gain Refer to dietitian or nutritionist Encourage development of an exercise program
Created by: MCCGroup5