Patient Medication Worksheet #1 MEDICATION TRADE/GENERIC TIME DUE Olanzapine (Zyprexa) 5 mg Q Bedtime Daily DOSE ROUTE PO PHARMACOLOGICAL CLASSIFICATION & ACTION (HOW DOES IT WORK) Atypical (2nd generation) antipsychotic THERAPEUTIC CLASSIFICATION Reason YOUR pt is taking Bipolar Disorder Works primarily on dopamine and serotonin receptors; Blocks dopamine from potential action Lamotrigine (Lamictal) 50 mg Q Evening PO Docusate (Colace) BID PO Stool softener PO Draws water into stool to make it softer Antihistamine Hydroxyzine (Vistaril) 25 mg QID PRN Anticonvulsant Mood Binds and inhibits voltage-sensitive sodium channels Reduces activity in CNS Relieve constipation Given as needed for severe anxiety Write out Priority Nursing Actions based on: Assessments, Labs, Side effects, Contraindications (or hold) and what to teach patient to administer medication ● Monitor for elevations in temperature to differentiate between infection and neuroleptic malignant syndrome (NMS) ● Monitor for orthostatic hypotension ● Do not use while breastfeeding ● Monitor liver function tests ● Assess mental status ● Can cause suicidal thoughts and seizures ● Monitor for signs of allergic and hypersensitivity reactions (skin rash; tightness in throat and chest, cough) ● Liver function testing ● Renal function assessment ● May cause suicidal thoughts ● Do not discontinue abruptly ● Evaluate therapeutic response ● Discontinue if cramping, rectal bleeding, nausea or vomiting occur ● Do not administer with one hour of other drugs, antacids, or milk ● Monitor any respiratory problems (wheezing, tightness in chest) ● May cause CNS depression ● Be alert for increased anxiety or agitation References Contributor, N. T. (2019, August 1). Docusate sodium. Nursing Times. Retrieved May 23, 2022, from https://www.nursingtimes.net/clinical-archive/medicine-management/docusate-sodium-18-12-2004/#:~:text=Nursing%20consid erations&text=%2D%20Evaluate%20therapeutic%20response%20 Cunha, J. (2021, November 29). Lamictal (Lamotrigine): Uses, dosage, side effects, interactions, warning. RxList. Retrieved May 23, 2022, from https://www.rxlist.com/lamictal-drug.htm#description Cunha, J. (2022, March 17). Olanzapine usesImages & Side effects. RxList. Retrieved May 23, 2022, from https://www.rxlist.com/zyprexa-drug/patient-images-side-effects.htm Entringer, S. (2022). Hydroxyzine uses, dosage & side effects. Drugs.com. Retrieved May 23, 2022, from https://www.drugs.com/hydroxyzine.html