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mm2018-name-consider
thru Neuro 2
| drug | nurse considerations |
|---|---|
| lithium carbonate Eskalith® | GI upset, excessive thirst, hand tremor. Lithium toxicity is closely related to serum lithium levels, and can occur at doses close to therapeutic levels. |
| alprazolam Xanax® (Schedule IV) | fall risk , confusion, amnesia, abuse hepatic function (LFTs) |
| amitriptyline Elavil® | Dry mouth, constipation, sedation |
| amphetamine and dextroamphetamine sulfate Adderall® Schedule II | baseline cardiac eval. in pts w/ risk factors; BP, HR at baseline, after dose incr, then periodically; height, weight in peds at baseline, then periodically |
| baclofen Lioresal® | CNS depression, hyperglycemia, lowers seizure threshold |
| betaxolol Betoptic | shake well-suspension. Eye drop can have systemic adverse reactions include: Cardiovascular: Bradycardia, heart block and congestive failure |
| bupropion Wellbutrin®/Zyban® | Monitor risk of suicidal thoughts and behavior. Higher risk of seizures |
| buspirone BuSpar® | sedation, lethargy |
| carbamazepine Tegretol® | BUN/Cr, CBC w/ diff, LFTs, urinalysis, ophthalmic exam at baseline, then periodically; serum drug levels; s/sx depression, behavior changes, suicidality |
| carbidopa/ levodopa Sinemet® | Cr at baseline, CBC, LFTs i; IOP if chronic wide angle glaucoma; cardiac fxn if extended tx or during initial inpatient dose adjustment then periodically thereafter if arrhythmias w/ MI hx; dermatologic exams |
| chlorpromazine Thorazine® | Elderly patients w dementia-related psychosis treated w antipsychotic drugs are at increased risk of death. Neuromuscular reactions: dystonias, motor restlessness, pseudo-parkinsonism and tardive dyskinesia, dose-related, NMS |
| diazepam Valium® (Schedule IV) | fall risk , confusion, amnesia, abuse hepatic function (LFTs) |
| donepezil Aricept ODT® | s/sx GI bleeding |
| echothiophate Phospholine Iodide | Stinging, burning, lacrimation, lid muscle twitching, conjunctival and ciliary redness, browache, induced myopia with visual blurring may occur |
| fentanyl Sublimaze® Schedule II | Cr at baseline; ECG, vital signs continuously |
| fluoxetine Prozac® | Monitor risk of suicidal thoughts and behavior. Side-effects may come and go before pt experiences full therapeutic effects (~4 weeks) |
| haloperidol Haldol® | Elderly patients w dementia-related psychosis treated w antipsychotic drugs are at increased risk of death. Neuromuscular reactions: dystonias, motor restlessness, pseudo-parkinsonism and tardive dyskinesia, dose-related, NMS |
| Interferon beta 1b Betaseron® | CBC w/ diff, Plt q6mo or more frequently if myelosuppression; blood chemistries incl. LFTs q6mo; TFTs |
| Interferon beta-1a Avonex® | CBC w/ diff, Plt q6mo or more frequently if myelosuppression; blood chemistries incl. LFTs q6mo; TFTs |
| lidocaine Xylocaine® | skin irritation, allergic rx |
| memantine Namenda® | Cr at baseline |
| methylphenidate Ritalin® Schedule II | baseline cardiac eval. in pts w/ risk factors; BP, HR at baseline, after dose incr, then periodically; height, weight in peds at baseline, then periodically |
| midazolam Versed® Schedule IV | amnesia, monitor resp, fall risk |
| modafinil Provigil® Schedule II | BP, HR |
| phenelzine Nardil® | Monitor risk of suicidal thoughts and behavior. Major food and drug interactions leading to hypertensive crisis |
| phenytoin Dilantin® | Cr at baseline; CBC; LFTs; folate; serum drug levels periodically and if change dosage form/brand; dental exam q3mo; s/sx depression, behavior changes, suicidality |
| pilocarpine Pilocar | Patients should be advised to exercise caution in night driving and other hazardous occupations in poor illumination |
| pramipexole Mirapex® | Cr at baseline; s/sx orthostatic hypotension especially during dose titration; dermatologic exams |
| risperidone Risperdal® | Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. |
| selegiline Eldepryl® | dermatologic exams |
| sodium thiopental Pentothal®Schedule II | depressed respiratory fxn, porphyria |
| sumatriptan Imitrex® | BP at baseline; cardiovascular eval. at baseline, then periodically during long-term tx if risk factors |
| temazepam Restoril® Schedule IV | Monitor respirations, fall risk |
| valproic acid Depakote® | LFTs, CBC w diff |
| venlafaxine Effexor® | Monitor risk of suicidal thoughts and behavior, asthenia |
| zolpidem Ambien® Schedule IV | Monitor respirations, fall risk |
Created by:
mchugh100
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