DRUG THERAPEUTIC RECORD

Name Reason for Admission

Age Sex Female Medical Impression

DRUG DRUG CLASS MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE EFFECTS/ADVERSE NURSING

NAME ACTION REACTIONS CONSIDERATIONS
Acts at many levels in
Generic: Therapeutic: the CNS, producing Patient’s Contraindicated in: Side Effects: Before:
triazolam sedative/hypnotics generalized Indications: -Assess mental
-Contraindicated in CNS: abnormal thinking,
depression. Effects Short-term status before
pregnant patients and behavior changes, dizziness,
may be mediated by management starting therapy
those hypersensitive to excessive sedation,
gamma-aminobutyric of insomnia. and reduce doses in
benzodiazepines. hangover, headache,
Brand: Pharmacologic: acid (GABA), an elderly patients;
Apo-Triazo, benzodiazepines inhibitory anterograde amnesia, these patients may
General: Use cautiously in. confusion, hallucinations,
Gen- neurotransmitter. be more sensitive
Triazolam, sleep driving, lethargy, to drug’s adverse
-Breast-feeding mental depression,
Halcion, Therapeutic Effects: CNS effects.
women. paradoxical excitation.
Novo- Reliefs Insomnia
Triolam, Nu- EENT: blurred vision. GI: -Look alike–sound
-Patients with impaired constipation, diarrhea,
Triazo alike: Don’t confuse
hepatic or renal nausea, vomiting. Derm: Halcion with Haldol
function, chronic rashes. Misc: physical or halcinonide.
pulmonary dependence, psychologic
insufficiency, sleep dependence, tolerance During:
apnea, mental
Complete -Anaphylaxis and
depression, suicidal Adverse Reactions:
Prescription: angioedema may
tendencies, or history CNS: complex sleep-related
occur as early as
of drug abuse behaviours,
the first dose;
drowsiness, amnesia, ataxia,
monitor the
depression,
patient closely.
dizziness, headache, lack of
coordination,
Pregnancy Category: -Take precautions
mental confusion,
Date of Rx: to prevent hoarding
nervousness, physical or overdosing by
or psychological patients who are
dependence, rebound depressed, suicidal,
insomnia. or drug-dependent
GI: nausea, vomiting. or who have history
Other: anaphylaxis, of drug abuse.
angioedema
Overdose S&S: Somnolence, After:
impaired coordination, - Monitor CBC,
slurred speech, confusion, chemistry, and
coma, decreased reflexes, urinalysis.
hypotension, seizures,
respiratory depression, -Monitor minor
apnea changes in EEG
patterns (usually
Low-voltage fast
activity) may occur
during and after
therapy report to
the physician
immediately

-Warn patient that

drug may cause
allergic reactions,
facial swelling, and
complex sleep-
related behaviors,
such as driving,
eating, and making
phone calls
while asleep.

-Advise patient to
report these
adverse effects.

-Warn patient not

to take more than
prescribed amount;
overdose can occur
at total daily dose
of 2 mg (or four
times highest
recommended
amount).

-Tell patient to
avoid alcohol use
while taking drug.

-Warn patient not

to stop drug
abruptly after
taking for 2 weeks
or longer.
- Caution patient to
avoid performing
activities that
require mental
alertness or
physical
coordination.

-Inform patient that

drug doesn’t tend
to
cause morning
 drowsiness.

- Tell patient that

rebound insomnia
may occur for 1 or
2 nights after
stopping therapy.
Reference: