Table of Contents
What are the nursing responsibilities when dealing antipsychotic medicine?
General responsibilities of a psychiatric nurse Check vital signs before and after medication. Client is instructed to take sips of water frequently for avoiding of dry mouth; application of glycerine is also recommended. Increased intake of fluid and high fiber diet is recommended to avoid constipation.
What should you monitor when taking antipsychotic medications?
Monitoring recommendations
- Baseline fasting triglycerides and total cholesterol with any antipsychotic repeated three monthly with atypical agents for the first year of treatment.
- A full lipid profile performed annually as part of routine health monitoring with any antipsychotic.
What are the common side effects for patients who are taking antipsychotic medications first and second generation antipsychotics?
Possible side-effects of antipsychotics include:
- dry mouth.
- dizziness.
- weight gain that can lead to diabetes.
- blurred vision.
- movement effects (for example, tremor, stiffness, agitation)
- sedation (for example causing sleepiness or low energy)
- loss of menstrual periods in women.
- fluid retention.
What is a nurse duty?
Registered Nurse Job Duties and Responsibilities Assessing, observing, and speaking to patients. Recording details and symptoms of patient medical history and current health. Preparing patients for exams and treatment. Administering medications and treatments, then monitoring patients for side effects and reactions.
What are the nursing considerations for antidepressants?
| NURSING CONSIDERATIONS: ANTIDEPRESSANTS (TCAs, MAOIs) | |
|---|---|
| CLASS | MAOIs |
| CLIENT EDUCATION | MAOI Make position changes slowly to manage orthostatic hypotension Avoid tyramine-rich foods; also foods containing tryptophan, phenylalanine Seek medical attention for symptoms of hypertensive crisis |
What to do after administering medication?
After administering medication, it is important to immediately document the administration to avoid potential errors from an unintended repeat dose.
What labs need to be monitored with antipsychotics?
Newer atypical antipsychotics may carry less of a risk of metabolic side effects, but long-term data are lacking. Obtain baseline and periodic monitoring of BMI, waist circumference, HbA1c, fasting plasma glucose, and fasting lipids.
Why is metabolic monitoring important?
It aims to help services monitor for and manage Metabolic Syndrome. Metabolic Syndrome (MetS) refers to a cluster of cardiovascular risk factors including insulin resistance, hypertension, central obesity and dyslipidaemia, which result in significantly increased risk of cardiovascular disease and mortality.
How do you manage side effects of antipsychotics?
If an antipsychotic is providing substantial benefit, and the adverse effect is not life‐threatening, then the first management choice is to lower the dose or adjust the dosing schedule. The next option is to change the antipsychotic; this is often reasonable unless the risk of relapse is high.
Which of the following are common side effects of antipsychotic medications select all that apply?
Side effects of antipsychotics can include the following.
- Uncontrollable movements of the jaw, lips and tongue. This is known as tardive dyskinesia.
- Uncomfortable restlessness, known as akathisia.
- Sexual problems due to hormonal changes.
- Sedation.
- Weight gain.
- A higher risk of getting diabetes.
- Constipation.
- Dry mouth.
What are the nursing procedures?
Continue reading for a deeper dive into some of the specific duties and procedures typically performed by RNs and Advanced Nurse Practitioners.
- Venipuncture.
- Intubation.
- Blood Transfusion.
- Tracheostomy Care.
- Lifting Patients.
- Wound Care.
- Splints and Casts.
- Catheterization.
Which side effect would the nurse monitor for when administering a SSRI?
Use of SSRI medications with alcohol or other CNS depressant drugs should be avoided. Patients, family, and caregivers should monitor patients carefully for suicidality. Other side effects include possible decreased libido, urinary retention, constipation, and increased photosensitivity.
Which of the following is the most important nursing intervention for patients taking MAOI inhibitors?
These are vital nursing interventions done in patients who are taking MAOIs: Limit drug access if the patient is suicidal to decrease the risk of overdose to cause harm. Monitor patient for 2-4 weeks to ascertain onset of full therapeutic effect.
What are the physical monitoring requirements for antipsychotics?
What monitoring is required?
- Bodyweight, or body mass index (BMI) — weekly for the first 6 weeks, then at 3 months.
- Serum electrolytes and urea including creatinine and estimated glomerular filtration rate — every 12 months.
- Full blood count — every 12 months.
What should I know about perphenazine before taking it?
Perphenazine may impair the mental and/or physical abilities required for the performance of hazardous tasks such as driving a car or operating machinery; therefore, the patient should be warned accordingly. Perphenazine products are not recommended for pediatric patients under 12 years of age.
What is included in patient education about perphenazine?
Limit the use of opioid pain medications with perphenazine to only patients for whom alternative treatment options are inadequate. If concurrent use is necessary, use the lowest effective doses and minimum treatment durations needed to achieve the desired clinical effect. Educate patients about the risks and symptoms of excessive CNS depression.
What are the possible adverse effects of co-administration of perphenazine?
Co-administration of perphenazine with atypical agents (e.g., lurasidone and others) may increase the risk of adverse effects such as drowsiness, dizziness, orthostatic hypotension, anticholinergic effects, extrapyramidal symptoms, neuroleptic malignant syndrome, or seizures.
Can perphenazine be used to treat dementia-related psychosis in elderly patients?
Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Perphenazine is not approved for the treatment of patients with dementia-related psychosis (see BOXED WARNING).