Professional Documents
Culture Documents
DRUG STUDY
Name of Drug Dose/
Mechanism of Indicatio
Generic Classification Frequency/ Contraindication Side effects Nursing Precaution
action n
(brand) Route
Lithium Antimanic Oral: Thought to alter Manic None Nausea and Advise
agent adult:300- sodium, episodes vomiting, patient to
600mg tid- potassium ion of bipolar abdominal take with
qid, slow transport across disorder. pain, food to
release:300m cell membrane in diarrhea,
g bid; may nerve and muscle blurred minimize GI
increase q 7 cells; balance vision, upset.
days by biogenic amines drymouth. Instruct
300mg; of nor patient to
epinephrine and swallow slow
serotonin in CNS release tablet
area involve in
whole
emotional
responses without
chewing or
crushing.
Tell patient
to maintain
adequate
fluid intake.
Emphasis
importance
of having
regular blood
test, to help
detect and
prevent
serious
adverse
reactions.
Divalproex Depakote Initially, Increases level of For extra Hypersensitive to Ataxia, monitor gait
750mg P.O gamma- pyramida drug or tartrazine drowsiness, and assist as
daily in aminobutyric l side weakness,
Hepatic necessary
divided doses. acid in brain, effect fatigue,
Titrate reducing seizure impairment menstrual provide rest
rapidly to activity Urea cycle changes, period
desired effect disorders dyspepsia, give with
or through nausea,
pregnancy food
level of 50 to vomiting,
125 mcg/ml. weight gain, establish
hair loss balanced
nutrition
Gabapentin Neurontin Initially, Unknown. For extra hypersensitivity to Dizziness, assist client
300mg P.O. Possesses pyramida drug hypotension, to rise slowly
as a single properties l side ataxia,
from sitting
dose on day resembling those effect coordination
1; then of other , sedation, position
600mg in two anticonvulsants, headache, provide rest
divided doses which appear to fatigue, period
on day 2 and stabilize cell nystagmus, give with
900mg in membranes by nausea,
three divided altering cation vomiting food
doses on day transport, there
3. Then by decreasing
titrate excitability and
upward as suppressing
needed to seizure discharge
1800mg/day or focus.
given in three
divided doses
Lamotrigine Lamictal Target dose is Unknown. For extra Hypersensitivity to Dizziness, assist client
200mg P.O Thought to block pyramida drug or its hypotension, to rise slowly
daily titrated sodium channel l side ataxia,
component. from sitting
over 7 weeks membranes, effect coordination
which in turn , sedation, position
inhibits release of headache, monitor gait
neurotransmitter weakness and assist as
s glutamate and fatigue, necessary
aspartate in menstrual
brain. changes, provide rest
sore throat, period
flu-like monitor
symptoms, physical
blurred or
health
double
vision, give with
nausea, food
vomiting, report rashes
rashes to physician
Topiramate Topamax P.O. 50- Blocks sodium For extra Hypersensitivity to Dizziness, assist client
200mg/day, channels, pyramida drug or its hypotension, to rise slowly
max of enhancing the l side anxiety,
components from sitting
400mg/day action gamma- effects ataxia, in
amino butyrate; coordination position
also inhibits acid , confusion, Monitor gait
excitatory sedation, and assist as
receptors slurred necessary.
speech,
tremor, Orient client.
weakness, Protect client
blurred or
from
double
vision, potential
anorexia, injury.
nausea, Give with
vomiting food