CARBAMAZEPINE ACTIONS: INDICATIONS: ADVERSE REACTIONS: NURSING

Decreases synaptic Prophylaxis of tonic- Ataxia, drowsiness, RESPONSIBILITIES:

Classification: transmission in the CNS clonic, mixed, and fatigue, psychosis, vertigo, • Instruct patient to
Anticonvulsants by affecting sodium complex-partial seizures. blurred vision, CHF, take medication
channels in neurons. Acute manic and mixed hypertension, hypotension, around the clock,
Dosage: 200 mg BID episodes due to bipolar I photosensitivity, rashes, as directed. Take
disorder. Management of fever, chills. missed doses as
pain in trigeminal soon as possible
neuralgia. but not just before
the next dose; do
CONTRAINDICATIONS: not double doses.
Hypersensitivity. Bone • May cause
marrow depression. dizziness or
Pregnancy. drowsiness.
Advise patients to
avoid driving or
other activities
requiring alertness
until response to
medication is
known.
• Instruct patients
that fever, sore
throat, mouth
ulcers, easy
bruising ,
petechiae, unusual
bleeding,
abdominal pain,
chills, rash, pale
stools, dark urine
or jaundice should
be reported to
health care
professional
immediately.
• Inform patient that
coating of Tegretol
XR is not
absorbed, but is
excreted in feces
and may be visible
in stool.
• Advised patient
not to take alcohol
or other CNS
depressants
concurrently with
this medication.
• Inform patient that
frequent mouth
rinses, good oral
hygiene, and
sugarless gum or
candy may help
reduce dry mouth.
Saliva substitute
may be used.
• Advise female
patients to use
nonhormonal form
of contraception
while taking
carbamazepine.
CHLORPROMAZINE ACTIONS: INDICATIONS: ADVERSE REACTIONS: NURSING
Alters the effects of Acute and chronic Sedation, blurred vision, RESPONSIBILITIES:
CLASSIFICATION: dopamine in the CNS. Has psychoses, particularly dry eyes, lens opacities. • Advise patient to
Antiemetics, significant when accompanied by Hypotension, tachycardia, take medication
antipsychotics anticholinergic /alpha- increased psychomotor constipation, dry mouth, exactly as directed
adrenergic blocking activity. Nausea and anorexia, photosensitivity. and not to skip
DOSAGE: 160 MG HS activity. vomiting . Intractable doses or double up
THERAPEUTIC hiccups. on missed doses.
EFFECTS: • Advise patient to
Diminished signs and CONTRAINDICATIONS: change positions
symptoms of psychosis. Hypersensitivity to sulfites slowly to minimize
Relief of or benzyl alcohol. Narrow- orthostatic
nausea/vomiting/intractabl angle glaucoma. Bone hypotension.
e hiccups. marrow depression. Sever • Medication may
liver/cardiovascular cause drowsiness.
disease. Advise patients to
avoid driving or
other activities
requiring alertness
until response to
medication is
known.
• Advised patient
not to take alcohol
or other CNS
depressants
concurrently with
this medication.
• Inform patient that
frequent mouth
rinses, good oral
hygiene, and
sugarless gum or
candy may help
reduce dry mouth.
Saliva substitute
 may be used.
• Inform patient that
this medication
may turn urine a
pink-to-reddish-
brown color.
• Instruct patient to
notify health care
professional
prompytly if sore
throat, fever,
unusual bleeding
or bruising , rash,
weakness, tremors,
visual
disturbances, dark-
colored urine, or
clay-colored stools
occur.