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    Risperdal

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    Adrianne Bazo
    This document provides information about the generic drug risperidone (trade name Risperdal) including its classification, dose, route of administration, time/frequency, peak effect, onset, and duration. It describes the drug's mechanism of action for treating senile dementia and lists potential nursing implications like monitoring for side effects in geriatric or impaired patients. The document also notes possible drug interactions, lab abnormalities caused by the drug, and things to teach the patient regarding risks, side effects, and safety precautions when taking this medication.

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    Risperdal

    Uploaded by

    Adrianne Bazo
    2K views2 pages
    This document provides information about the generic drug risperidone (trade name Risperdal) including its classification, dose, route of administration, time/frequency, peak effect, onset, and duration. It describes the drug's mechanism of action for treating senile dementia and lists potential nursing implications like monitoring for side effects in geriatric or impaired patients. The document also notes possible drug interactions, lab abnormalities caused by the drug, and things to teach the patient regarding risks, side effects, and safety precautions when taking this medication.

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    This document provides information about the generic drug risperidone (trade name Risperdal) including its classification, dose, route of administration, time/frequency, peak effect, onset, and duration. It describes the drug's mechanism of action for treating senile dementia and lists potential nursing implications like monitoring for side effects in geriatric or impaired patients. The document also notes possible drug interactions, lab abnormalities caused by the drug, and things to teach the patient regarding risks, side effects, and safety precautions when taking this medication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views2 pages

    Risperdal

    Uploaded by

    Adrianne Bazo
    This document provides information about the generic drug risperidone (trade name Risperdal) including its classification, dose, route of administration, time/frequency, peak effect, onset, and duration. It describes the drug's mechanism of action for treating senile dementia and lists potential nursing implications like monitoring for side effects in geriatric or impaired patients. The document also notes possible drug interactions, lab abnormalities caused by the drug, and things to teach the patient regarding risks, side effects, and safety precautions when taking this medication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    NURS 2516 Clinical Medications Worksheets

    (You will need to make additional copies of these forms)

    Generic Name Trade Name Classification Dose Route Time/frequency


    risperidone Risperdal antipsychotics 1 mg po q hs

    Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
    unknown 1-2 wk up to 6 wk†

    Mechanism of action and indications Nursing Implications (what to focus on)


    (Why med ordered) Contraindications/warnings/interactions
    May act by antagonizing dopamine and serotonin in the CNS Geriatric or debilitated patients, patients with renal or hepatic
    Senile dementia impairment (initial dosage reduction recommended)
    Geriatric patients (may ↑ cardiovascular morbidity/mortality in
    elderly patients with dementia-related psychoses)
    Diabetes or risk factors for diabetes (may worsen glucose control)
    Common side effects
    aggressive behavior, dizziness, extrapyramidal reactions,
    headache, increased dreams, increased sleep duration, insomnia,
    sedation, fatigue, pharyngitis, rhinitis, visual disturbances, cough,
    constipation, diarrhea, dry mouth, nausea, itching/skin rash, weight
    gain

    Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
    medicines (ask patient specifically) May cause ↑ serum prolactin levels, May cause ↑ AST and ALT,
    ↑ CNS depression may occur with other CNS depressants , May also cause anemia, thrombocytopenia, leukocytosis, and
    including, sedative/hypnotics leukopenia
    Be sure to teach the patient the following about this
    medication
    Advise patient to change positions slowly to minimize orthostatic
    hypotension
    Advise patient to use sunscreen and protective clothing when
    exposed to the sun to prevent photosensitivity reactions. Extremes
    in temperature should also be avoided; this drug impairs body
    temperature regulation
    Instruct patient to notify health care professional promptly if sore
    throat, fever, unusual bleeding or bruising, rash, or tremors occur

    Nursing Process- Assessment Assessment Evaluation


    (Pre-administration assessment) Why would you hold or not give this Check after giving
    Monitor patient's mental status (delusions, med? Decrease in excited, paranoic, or
    hallucinations, and behavior) before and Monitor mood changes. Assess for withdrawn behavior
    periodically during therapy suicidal tendencies, especially during Decrease in bipolar mania
    early therapy. Restrict amount of drug
    available to patient
    Monitor blood pressure (sitting, standing,
    lying down) and pulse before and
    frequently during initial dose titration. May
    cause prolonged QT interval, tachycardia,
    and orthostatic hypotension
    Monitor patient for onset of
    extrapyramidal side effects (akathisia--
    restlessness; dystonia--muscle spasms
    and twisting motions; or
    pseudoparkinsonism--mask-like face,
    rigidity, tremors, drooling, dysphagia)

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