UNIVERSITY MISSION

UNIVERSITY VISON
The Premier University in historic Cavite
recognized for excellence in the
development of globally competitive and
morally upright individuals.

Republic of the Philippines

CAVITE STATE UNIVERSITY

(CvSU)
Don Severino Delas Alas Campus
Indang, Cavite

Cavite State University shall provide excellent,

equitable and relevant educational opportunities
in the arts, science and technology through
quality instruction and relevant research and
development activities. It shall produce
professional, skilled and morally upright
individuals for global competitiveness.

DRUG STUDY
Name of Patient (Initial): R.M

Date of Admission:

Age: 34 years old

Diagnosis: Schizophrenia

Sex: Male

DRUG

MECHANISM
OF ACTION

INDICATION

Generic Name:
Chlorpromazine

Potentiation of
anticholinergic
effects
of
antiparkinson
agents and TCAs
may lead to
ananticholinergic
crisis. Additive
orthostatic
hypotensive
effect
in
combination with
MAOIs.
Reverses

Chlorpromazine
is used virtually
in all types of
psychoses.
It
can
be
combined with
other
antipsychotics.

Brand Name:
Thorazine
Classification:
Antipsychotic
Dosage:
200mg
Route:
Oral

Chlorpromazine
is also used to
control anxiety
or agitation in
certain patients,

CONTRAINDICATION

Hypersensitivity.
Cross-sensitivity may
exist
among
phenothiazines. Should
not be used in narrowangle glaucoma.
Should not be used in
patients who have CNS
depression.
Coma
bone-marrow
suppression
phaeochromocytoma
Lactation.

EFFECTS

NURSINGR
RESPONSIBILITIES

Side effects:
Blurred vision;
constipation;
dizziness;
drowsiness; dry
mouth;
light
sensitivity; nasal
congestion.
Severe allergic
reactions (rash;
hives; itching;
difficulty
breathing;
tightness in the

Nurse
should
instructed
the
patient:
1. Assess mental status
prior
to
and
periodically
during
therapy.
2. Monitor BP and
pulse prior to and
frequently during the
period
of
dosage
adjustment. May cause
QT interval changes on

Frequency:
OD
Form:
Tablet
Color:
Orange

antihypertensive
effect
of
guanethidine,
methyldopa and
clonidine.

to relieve a wide
range of drug or
disease induced
vomiting, and in
severe hiccups.
Chlorpromazine
Potentially
is also used in
Fatal:
the treatment of
Additive
tetanus
in
depressant effect combination
with sedatives, with
other
hypnotics,
drugs.
antihistamines,
general
Acute
and
anaesthetics,
chronic
opiates
and psychoses,
alcohol.
particularly
Chorpromazine
when
has
additive accompanied by
depressant effect increased
with sedatives, psychomotor
hypnotics,
activity.
antihistamines,
opiates and with
alcohol.
It
potentiates
the
anti-cholinergic
effects
of
antiparkinson

chest or throat;
swelling of the
mouth,
face,
lips, or tongue);
involuntary
movements of
the face, mouth,
tongue, or jaw;
jitteriness;
lip
smackingor
puckering;
mask-like face.
Adverse effect:
CNS:
neuroleptic
malignant
syndrome,
sedation,
extrapyramidal
reactions,
tardive
dyskinesia
CV:
hypotension
(increased with
IM, IV)

ECG.
3. The drug may be
taken with or without
food.
6.
Monitor
for
development
of
neuroleptic malignant
syndrome
(fever,
respiratory
distress,
tachycardia, seizures,
diaphoresis,
hypertension
or
hypotension,
pallor,
tiredness,
severe
muscle stiffness, loss
of bladder control.
Report
symptoms
immediately. May also
cause
leukocytosis,
elevated liver function
tests, elevated CPK.
7. Advise patient to
take medication as
directed. Take missed
doses as soon as
remembered,
with

agents
and
tricyclicantidepressants,
which may lead
to
an
anticholinergic
crisis. It has
additive
orthostatic
hypotensive
effect
in
combination with
MAO inhibitors.

EENT: blurred remaining

doses
vision, dry eyes, evenly
spaced
lens opacities
throughout the day.

GI:
constipation, dry
mouth, anorexia,
hepatitis, ileus

8. Do not increase dose

or
discontinue
medication
without
consulting health care
professional.

GU:
urinary
retention
9. Instruct patient to
report
significant
Hematologic:
changes
in
agranulocytosis, neurological
status,
leukopenia
such
as
seizures,
Skin:
extreme
lethargy,
photosensitivity, slurred
speech,
pigment
disorientation
or
changes, rashes ataxia.
10.
Store
Intramuscular
injections
of
Chlorpromazine at 1530C and oral dosages
at 15-30C
12. Watch out for
somnolence,
coma,

hypotension
and
extrapyramidal
symptoms,
agitation
and
restlessness,
convulsions,
fever,
autonomic
reactions
such as dry mouth and
ileus, EKG changes
and
cardiac
arrhythmias.
Submitted to: Mr Rolando Antonio

Submitted by: Flora Angeli D. Pastores

Year & Sec. Grp.: BSN 3-1 3
Date: May 14, 2014

UNIVERSITY MISSION
UNIVERSITY VISON
The Premier University in historic Cavite
recognized for excellence in the
development of globally competitive and
morally upright individuals.

Republic of the Philippines

CAVITE STATE UNIVERSITY

(CvSU)
Don Severino Delas Alas Campus
Indang, Cavite

Cavite State University shall provide excellent,

equitable and relevant educational opportunities
in the arts, science and technology through
quality instruction and relevant research and
development activities. It shall produce
professional, skilled and morally upright
individuals for global competitiveness.

DRUG STUDY
Name of Patient (Initial): R.M

Date of Admission:

Age: 34 years old

Diagnosis: Schizophrenia

Sex: Male

DRUG

MECHANISM
OF ACTION

Generic Name:
Ferrous Sulfate
(FeSo4)

*Provides
elemental iron, an
essential
component in the
formation of
haemogobin.

Brand Name:
Feosol, Apoferrous
sulfate,Fer-Irr
Sol,FeSo, Fergen-sol
Classification:
HEMATOLOGI
C DRUGS
(HEMATINICS)

INDICATIO
N

CONTRAINDICATIO
N

*Indicate for
the treatment
of iron
deficiency
anemias.

*Patient with known

allergy t ny of these
preparation.

CNS: Seizures,
dizziness, headache,
syncope

*Patient with primary

hemochromatics,
haemolytic anemia.

CV: hypotension and

tachycardia

*Iron
preperations
elevate the secum
iron
concentration.

*Also used as
adjunctive
therapy in
patients
receiving
epoetin alta.

* They are either

converted to

*As a
supplement

*Products containing
alcohol, tartrazine or
sulfites.
*Avoided in patient with
known tolerance

EFFECTS

GI: Nausea,
constipation, dark stools,
diarrhea, epigastric pain,
Gi bleeding, taste
disorder, vomiting.
DERM:
Flushing,

NURSINGR
RESPONSIBILITIE
S
*Assess nutritious
food and dietary
history to determine
possible cause of
anemia and need for
patient teaching
*Assess for allergy.
*Assess bowel
function for
constipation or
diarrhea
*Monitor

Dosage:

Route:
Frequency:

haemoglobin or
tapped in
reticuloendotheli
al cells for
storage and
eventual release
and conversion
into a useable
form of iron for
RBC production.

during
pregnancy

Form:
Color:

Submitted by: Flora Angeli D. Pastores

Year & Sec. Grp.: BSN 3-1 3
Date: May 14, 2014

*Normal iron
balance

urticuria,arthralgia,mylgi haemogobin,
a
hematocrit,
reticulocyte values
prior to theraphy.
*Confirm that patient
does have irondeficiency anemia or
at risk for IDA.
*Inform patient that
stools may become
dark green/black and
that change harmless.
*Instruct patient to
follow diet high in
iron.
Submitted to: Mr Rolando Antonio