Nursing Interventions for Psychotropic Drugs
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| 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
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| 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
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| 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
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| Dry mouth | Encourage the use of low calorie or sugarless hard candy, mints, gum, or beverages
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| 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
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| 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
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| 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
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| Insomnia | Assess sleep patterns and sleep hygiene practices
Advise against use of caffeine
Take medications as prescribed
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| 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
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| 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
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| 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
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| 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
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