NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Trade Name Classification Dose Route Time/frequency

Name Seroquel Antipsychotics 200 mg PO HS
Quetiapine

Peak Onset Duration Normal dosage range

Unknown Unknown 8-12 hours 100-800 mg

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Bipolar Disorder N/A

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

(Why med ordered) Contraindications/warnings/interactions
Probably acts by serving as an antagonist of dopamine Hypersensitivity, Use cautiously in hypothyroidism and
and serotonin. Also antagonizes histamine H1 receptors history of suicide attempts
and alpha1-adrenergic receptors. Indicated for Common side effects
Schizophrenia and Bipolar mania Dizziness and weight gain

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Alcohol, opioid analgesics,
Nursing Process- Assessment
(Pre-administration assessment)
Monitor mental status, blood pressure,
extrapyramidal side effects, tardive
dyskinesia, and neuroleptic malignant
syndrome.
Lab value alterations caused by medicine
May cause asymptomatic increase in AST andALT
Be sure to teach the patient the following about this
medication
Take medication as directed. Inform of possibility of extrapyramidal
symptoms. Advise to change position slowly to minimize orthostatic
hypotension. May cause drowsiness. Avoid extremes in temp. Notify
health care provider promptly of sore throat, fever, unusual bleeding
bruising or rash. Emphasize need for follow up. Opthalmologic exams
should be preformed before and every 6 months during therapy
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Decreased in excited, manic,
If extrapyramidal side effects are paranoic, or withdrawn
present a reduction or discontinuation behavior
may be necessary