DRUG INDICATION and MECHANISM OF DOSE, ROUTE SIDE – CONTRAINDICATION NURSING

CLASSIFICATION ACTION and EFFECTS RESPONSIBILITIES

FREQUENCY
Generic Indication: Mood- stabilizing Dose: Headache, Liver and renal disease, 1. Observe sign and
Name: To treat bipolar effects has been lethargy, pregnancy, lactation, symptoms of
Lithonate manic-depressive postulated to drowsiness, severe dehydration, brain depression; mood
psychosis, manic reduction of dizziness, tumor damage, sodium changes, insomnia,
episodes. catecholamine tremors, depletion, severe apathy, or lack of
Brand Name: neurotransmitter slurred speech, cardiovascular disease interest in activities.
Lithium concentration Route: dry mouth, 2. Record patient’s the
Carbonate Classification: anorexia, vital signs;
Antimanic vomiting, orthostatic
diarrhea, hypotension is
polyuria, common.
hypertension, 3. Monitor for signs of
Frequency abdominal lithium toxicity.
pain, muscle 4. Monitor for suicidal
weakness, tendencies when
urinary marked depression
incontinence, is present
restlessness,
stupor, clonic
movements
 DRUG INDICATION and MECHANISM OF DOSE, ROUTE SIDE – EFFECTS CONTRAINDICATION NURSING
CLASSIFICATION ACTION and RESPONSIBILITIES
FREQUENCY
Generic Name: Indication: The precise Dose: Mild Liver and renal disease 1. Take with or after
Divalproex To treat certain anticonvulsant drowsiness or dysfunction. Known meals to minimize
sodium types of seizures action in or weakness, urea cycle disorders. GI upset and at
and convulsions unknown; may depression, Lactation bedtime to
increase brain anxiety, or minimize sedative
levels of the other effects.
neurotransmitter Route: emotional 2. Take only as
Classification: GABA. changes, directed and do not
Brand Name: Anticonvulsant enlarged stop suddenly; may
Depakote breasts, induce seizures
weight with disorder.
changes, 3. Avoid alcohol, any
Frequency tremors other CNS
(shaking), depressants, or
vision changes, OTC products
hallucination, without approval.
fever, sore throat, 4. Report for periodic
headache, dry CBC, serum
skin, leg cramps. glucose/acetone
ammonia and LFT’s

DRUG INDICATION and MECHANISM OF DOSE, ROUTE SIDE – EFFECTS CONTRAINDICATION NURSING
CLASSIFICATION ACTION and RESPONSIBLITIES
FREQUENCY
Generic Name: Indication: Clonazepam Dose: Anxiety, It is allergic to 1. Observe and record
Clonazepam Clonazepam is exerts its action increased heart clonazepam, any other the intensity , duration
used to treat by binding to the rate, tremor, benzodiazepine (e.g., and location of seizure
seizure benzodiazepine general unwell lorazepam, diazepam, activity
disorders. It helps site of the GABA feeling, behavior oxazepam), or to any of 2. Assess patient for
by slowing the receptors, which problems, the ingredients of the drowsiness,
 DRUG INDICATION and MECHANISM OF DOSE, ROUTE SIDE – CONTRAINDICATION NURSING
CLASSIFICATION ACTION and EFFECTS RESPONSIBILITIES
FREQUENCY
Generic Indication: My act by Dose: Sedation, Hypersensitivity, 1. Encourage the
Name: It is indicated for the antagonizing height gain, hypertension, dysrthmias, patient to void in
Risperidone short-term treatment dopamine and headaches, dry blood dyscrasias, liver extremes in
of acute manic or serotonin in the mouth, damage temperatures, and
mixed episodes CNS. Decreased photosensitivity increased exercise.
Brand Name:
associated symptoms of , urinary 2. Advice the patient to
Risperidal
with Bipolar psychoses. Route: retention, rise slowly from
sexual sitting or lying to
Classification: dysfunction, standing to prevent a
Atypical orthostatic sudden decrease of
Antipsychotic hypotension, blood pressure.
convulsion. 3. Instruct the patient to
Frequency avoid direct sunlight
to prevent
photosensitivity and
use sunscreen and
protective clothing to
prevent a skin rash.
 ASSESSMENT NURSING SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION
DIAGNOSIS EXPLANATION INTERVENTION
Subjective Data: Discharge Independent: Short Term Goal:
“Nahihirapan ako Insomnia Outcome: 1. Identify presence • That can The goal was
makatulog kagabe” related to Upon discharge, the of related factors contribute to achieved. After 3
as stated elevated patient will be able insomnia hours of Nursing
energy level as to report Intervention, the
evidenced by 3 improvement in 2. Encourage • To aid in stress patient will be able to:
hours of sleep sleep/rest pattern. participation in control/release 1. Verbalize 3/5
regular exercise of energy. understanding of
program during sleep impairment.
Objective: day 2. Identify 2/3
• Difficulty falling individually
asleep 3. Recommend • Reduce need appropriate
• Waking up too Short Term Goal: limiting intake of for night time intervention to
early After 3 hours of chocolate and elimination promote sleep.

• Dissatisfaction Nursing Intervention, caffeine/alcoholic The plan is

with sleep the patient will be beverages, terminated.

• 3 hours of sleep able to: especially prior to

1. Verbalize 3/5 bedtime.
understanding of
sleep 4. Recommend • To reduce
impairment. inclusion of sleep
 2. Identify 2/3 bedtime snacks in interference Discharge
individually dietary program from hunger. Outcome:
appropriate The goal was
intervention to Collaborative: • Indicates long achieve. Upon
promote sleep. 1. Use barbiturates – term use of discharge, the patient
and/or other these was able to report
sleeping medication can improvement in
medication as actually induce sleep/rest pattern.
ordered. sleep The plan is
disturbances. terminated

• Follow- up
2. Refer to sleep intervention
specialist as may be
indicated needed when
insomnia is
seriously
impacting
patient’s
quality of life
productivity
and safety.

ASSESSMENT NURSING SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION

 DIAGNOSIS EXPLANATION INTERVENTION
Subjective Data: Discharge 1. Communicate • Establishing Short Term Goal:
“Walang dumadalaw Ineffective Outcome: properly and rapport to the The goal was
sakin simula nuong copping Upon discharge, the provide comfort. client. achieved. After 2
pumasok ako dito” related to patient will be able weeks of Nursing
• May help the
as stated inadequate to demonstrate use 2. Explain the Intervention, the
client to
family support or more adaptive disease patient will be able to
express
as coping skills as process/procedur develop the trust in
emotions,
verbalization of evidenced by es/events in a community people
grasp situation,
“walang appropriateness of simple, concise The plan is
and feel more
dumadalaw interactions and manner. terminated.
in control
Objective Data: sakin simula willingness to
• Verbalization of nuong participate in 3. Avoid physical • Suspicious Discharge
“walang pumasok ako therapies. contact. client may Outcome:
dumadalaw dito” perceive touch The goal was
sakin simula Short Term Goal: as a achieve. Upon
nuong pumasok After 2 weeks of threatening discharge, the patient
ako dito” Nursing Intervention, gesture. will be able to
• Inadequate level the patient will be demonstrate use or
of confidence in able to develop the 4. Encourage client • Verbalization more adaptive coping
ability to cope trust in community to of feelings in a skills as evidenced by

• Poor people verbalize feeling. non- appropriateness of

concentration threatening. interactions and

• Behavioural willingness to

changes participate in
• Inadequate 5. Establish a • An ongoing therapies.
support of the working relationship The plan is
family relationship with establishes terminated
• Inadequate patient through trust, reduces
social support continuity of care. the feeling of
isolation and
may facilitate
coping.

6. Encourage • During crises,

patient to identify patients may
own strengths not be able to
and abilities. recognize their
strengths.
Fostering
awareness can
expedite use of
these
strengths.

7. Provide outlets • Opportunities

that foster to role play or
 feelings o rehearse
personal appropriate
achievement and actions can
self-esteem. increase
confidence
behaviour in
actual
situation.

8. Point out signs of • Patients who

positive progress are coping
or change. assess
progress
ineffectively
may not be
able to.
Collaborative:
1. Administer anti- • These facilitate
psychotic drugs as ability to cope.
ordered.

2. Collaborate with • Additional

the psychiatrist about knowledge is
the additional needed to
knowledge for the conduct a
therapy. therapy.