NATIONAL CENTER FOR MENTAL HEALTH

Nursing Education Training and Research

nursing.training@ncmh.gov.ph

DATE SUBMITTED:
September 7, 2016

RESIDENTS NAME: Jasmin Joie C. Santiago

GRADE:

ENTRANCE TO DUTY: March 7, 2016

DRUG STUDY No. 1

NAME OF DRUG
(Generic/ Brand)
Generic Name:
Risperidone
Brand name:
Risperdal

INDICATION

MODE OF ACTION

Monotherapy or
combination
therapy with lithium
or valproate for 3week treatment of
acute manic or
mixed episodes
from bipolar
disorder.

Blocks dopamine and 5-HT2

receptors in the brain

- 12-week parental
therapy for
schizophrenia.
-Irritability, including
aggression, selfinjury, and
tantrums,
associated with an
autistic disorder.
- TouretteSyndrome
- Obsessive

SIDE EFFECTS/
ADVERSE
REACTION
CNS: akathisia,
somnolence,
dystonia,
headache,
insomnia,
agitation, anxiety,
pain,
parkinsonism,
neuroleptic
malignant
syndrome, suicide
attempt,
dizziness, fever,
hallucination,
mania, impaired
concentration.
CV: tachycardia,
chest pain,
orthostatic
hypotension,
peripheral edema,
syncope,
hypertension.

NURSING
CONSIDERATION
Monitor patient for tardive
dyskinesia, which may occur
after prolonged use. It may not
appear until months or years
later and may disappear
spontaneously or persist for
life, despite stopping drug.
Life-threatening
hyperglycemia may occur in
patients taking atypical
antipsychotics.
Monitorpatients with diabetes
regularly. Periodically
reevaluate drugs risks and
benefits, especially during
prolonged use.
Monitor patient for weight gain

Compulsive disorder
EENT: rhinitis,
sinusitis,
pharyngitis,
abnormal vision,
ear disorder.

DOSAGE:
2mg ODHS

GI: constipation,
nausea, vomiting,
dyspepsia,
abdominal pain.
Generic Name:
Biperiden
Brand Name:
Akineton

Parkinsonian
syndrome especially
to counteract
muscular rigidity
and tremor;
extrapyramidal
symptoms.

Synthetic
anticholinergic drug, blocks
cholinergicr esponses in the
CNS.

DOSAGE:
2mg OD PRN for EPS

Generic Name:
Diphenhydramine
HCL
Brand Name:
Histazyn

Temporary
symptomatic relief
of various allergic
conditions and to
treat or prevent
motion sickness,
vertigo,and
reactions to blood
or plasma in
susceptible
patients. Also used
in anaphylaxis as
adjunct
to epinephrine

Action on bloodvessel, GI,

respiratory tract by
antagonizing the effects
of histamine for H1Receptor site decreases
allergic response by
blocking histamine caused
increased heart rate,
vasodilation secretions;
significant CNS depressant
and anticholinergic

CNS and peripheral

effects, skin
rashes,dyskinesia,
ataxia, twitching,
impaired speech,
micturition
difficulties.
Fatigue, dizziness,
at higher doses,
restlessness,
agitation,
anxiety ,confusion.

Orthostatichypote
nsion

Assess for Parkinsonism, EPS.

Assess for mentalstatus.
Assess patien tresponse
if anticholinergics aregiven.
Assess for tolerance over long
term therapy ,dosage may have to
be increased or changed.
Avoid activitiesthat require
alertness, may cause
dizziness,drowsiness and
blurring of vision
Monitor cardiovascular status
especially with preexisting
cardiovascular disease.

Palpitations
Drowsiness
Sedation
Disturbedcoordina
tion

Monitor for adverse effects

especially in children and the
older adult.

andother standard
measures after
acute symptoms
have
been controlled; in
treatment of
parkinsonism and
druginducedextrapyrami
dal reactions; as a
nonnarcotic cough
suppressant; as a
sedative-hypnotic
DOSAGE:
50mg ODHS for
poor sleep
Generic Name:
Ferrous Sulfate

The prevention or
treatment of iron
deficiency anemia
due toinadequate
diet, malabsorption
pregnancy, and
blood loss.
DOSAGE:
325 mg OD

Elevates the serum iron

concentration which then
helps to formHigh or
trapped in the
reticuloendothelial cells for
storage andeventual
conversion to a usable form
of iron

Dizziness

Advise patient to take

medicine as prescribed.

N&V
Nasal Congestion
Dyspnea
Hypotension
CHF
MI
Muscle cramps
Flushing

Caution patient to make

position changes slowly to
minimize orhtostatic
hypotension.
Instruct patient to avoid
concurrent use of alcohol or
OTC
medicine without consulting
the physician.
Advise patient to consult
physician if irregular
heartbeat,
dyspnea, swelling of hands
and feet and hypotension
occurs.
Inform patient that angina
attacks may occur 30 min.
after

administration due reflex

tachycardia.
Encourage patient to comply
with additional intervention for
hypertension like proper diet,
regular exercise, lifestyle
changesand stress
management

NOTE: May use another sheet when necessary.