Chassie Turnbow BSN Nursing Student
Middle Tennessee State University
The Mental Health Case Study helped me to understand the importance of a detailed assessment. I was able to pull information from the patient history and form nursing diagnosis, interventions and reasonable outcomes. The experience also showed me the importance of basing your interventions on evidenced based practice.
Mosby.
Medication
|
Dose
|
Route
|
Schedule
|
Purpose
|
Side Effects
|
Teaching
|
benztropine
(Cogentin)
|
0.5mg
|
PO
|
H.S.
|
Decrease involuntary movements
|
Confusion, anxiety, dizziness, tachycardia, dry mouth, muscular weakness, cramping, heat stroke
|
Use caution in hot weather. Do not abruptly discontinue. Do not drive. Maintain good oral hygiene. Hard candy and sips of water to help with dry mouth.
|
carbamazepine
(Tegratol XR)
|
400mg
|
PO
|
B.I.D.
|
Absence of seizures and decrease neuralgia pain
|
Drowsiness, fatigue, paralysis, hypertension, thrombocytopenia, renal failure, aplastic anemia
|
Monitor B/P, Blood studies and liver function. Wear medical alert bracelet. Do not drive or discontinue abruptly. Report chills, rash, abdominal pain, blurred vision or dizziness.
|
lorazepam
|
0.5mg
|
PO
|
T.I.D./ PRN
|
Relieve Anxiety, Induce Sleep, Relaxation
|
Dizziness, Drowsiness, Confusion, Orthostatic hypotension, ECG changes, tachycardia, apnea, dry mouth, constipation
|
Give with food or milk. Avoid OTC medication. Do not discontinue abruptly. Stand slowly dizziness may occur.
|
olanzapine
(Zyprexa)
|
20mg
|
PO
|
H.S.
|
Decreases psychotic symptoms
|
Extrapyramidal symptoms, seizures, headache, drowsiness, fatigue, hypotension, tachycardia, urinary retention, cough, muscle twitching.
|
Assess mental status. Monitor I&O, bilirubin, CBC, urinalysis. Teach patient to use good oral hygiene. Avoid hazardous activities. Avoid hot tubes, hot showers or baths since hypotension may occur. Do not abruptly discontinue.
|
sertraline
(Zoloft)
|
200mg
|
PO
|
Q.D.
|
Relief of depression
|
Insomnia, agitation, dizziness, headache, tremor, fatigue, diarrhea, nausea, dry mouth, flatulence.
|
Assess mental status and suicidal tendencies. Do not take with alcohol. Therapeutic effects may take 1 week. Do not discontinue with out consulting doctor. Increase fluids. Wear sunscreen.
|
ziprasidone
(Geodon)
|
160mg
|
PO
|
Take with supper
|
Decreases signs and symptoms of psychosis.
|
Extrapyramidal symptoms, drowsiness, insomnia, agitation, anxiety, headache, seizures, tachycardia, prolonged QT/QTc, sudden death, weight gain.
|
Assess mental status before administration. Assess for Extrapyramidal symptoms. Teach patient and family hypotension may occur, do not discontinue abruptly, increase fluids, report blurred vision, do not drink alcohol.
|