Drug Study

Drug Order Brand Name Pharmacologic Indications and Adverse Effects Desired Action Nursing
(Generic Name, Action Contraindicatio of the Drug on Client Responsibililties
dosage, route, ns
frequency,
etc.)
Biperiden HCl Akineton Decreases the Indications: dry eyes, blurred Reduction of Assess Parkinson
level of Adjunctive vision, rigidity and and extrapyramidal
Anti-parkinsonian acetylcholine and treatment of all constipation, dry tremors. symptoms
Drug also inhibits forms of mouth, urinary ( restlessness or
reuptake of Parkinson’s retention desire to keep
2 mg/ tab; 1 tab dopamine. disease, moving, rigidity,
OD PRN for 6 including drug tremors, pill rolling,
months induced masklike face,
extrapyramidal shuffling gait,
effects and acute muscle spasms,
dystonic twisting motions,
reactions. difficulty speaking
or swallowing, loss
Contraindicatio of balance control)
ns: prior to and
Hypersensitivity, throughout course
narrow angle of therapy.
glaucoma, bowel
obstruction, Assess bowel
megacolon, function daily.
tardive Monitoring for
dyskinesia constipation,
Chlorpromazine Thorazine May block post- Indications: CNS: Produces abdominal pain,
HCl synaptic For Psychosis Extrapyramidal calmness and distention, or the
dopamine reactions, sleep. absence of bowel
Anti-psychotic receptors in brain Contraindicatio sedation, sounds.
drug and inhibit ns: dizziness
medullary Contraindicated Monitor intake and
100 mg/ tab; 1 chemoreceptor in patients CV: orthostatic output ratios and
tab OD @ HS trigger zone. hypersemsitive hypotension, assess patient for
to drug andin tachycardia urinary retention.
patients with
CNS depression, EENT: blurred Advise patient to
bone marrow vision make position
suppression and changes slowly to
coma. GU: urine minimize
retention orthostatic
 hypotension.
Hepatic: jaundice
Administer with
Other: allergic food or
reactions immediately after
Fluphenazine Prolixin May block Indications: CNS: Relieves meals to minimize
decanoate decanoate dopamine For Psychotic Extrapyramidal psychotic signs gastric irritation.
receptors in disorders reactions, and symptoms.
Antipsychotic brain. drowsiness, Advise patient to
drug Contraindicatio seizures, take medication as
ns: dizziness, directed.
5-10 mg P.O. not Contraindicated
to exceed 20 mg in patients CV: orthostatic Advise patient that
hypersemsitive hypotension, frequent mouth
to drug andin tachycardia rinses, good oral
patients with hygiene, and
CNS depression, EENT: dry mouth, sugarless gum or
bone marrow blurred vision, candy may
suppression and nasal congestion decrease dry
coma. mouth.
GI: constipation

GU: urine when giving I.M. or

retention S.C. for long acting
oil preparation
Metabolic: weight (decanoate), use
gain, increased dry needle of at
appetite least 21G.

Other: allergic Assist patient

reactions carefully and
assess for blurred
Haloperidol Haldol May block post- Indications: CNS: severe Decreases vision
synaptic For Psychotic extrapyramidal Psychotic
Antipsychotic dopamine disorders reactions, behavior Withhold drug and
drug receptors in seizures notify physician or
brain. Contraindicatio other health care
6 – 15 mg up to ns: CV: bradycardia, provider if
100 mg to Contraindicated hypotension significant
achieve control in patients behavioral changes
monthly hypersensitive to EENT:blurred occur.
drug and any of vision
its components
and in those with GU: urine
parkinsonism, retention
coma or CNS
depression. Skin: rash