Cebu Normal University

College of Nursing
PSYCHOTROPIC DRUG STUDY IN
PSYCHIATRY AS A NURSING SPECIALTY

Name of student: Inclusive Dates of Exposure: ______

Yr & Section: _______________________________________________ Area of Exposure: ___________________________________________
Client Initials: _______________________________________________ Date of submission: _________________________________________
Diagnosis: _________________________________________________________________________________________________________________
Doctor: _______________________________________________________________________________________________________________

DRUG DATA CLASSIFICATION MECHANISM OF INDICATIONS CONTRAINDICATIONS S/E or ADVERSE NURSING

ACTION REACTIONS RESPONSIBILITIES
GENERIC NAME: THERAPEUTIC: Blocks dopamine -Management of -Contraindicated with CNS: drowsiness, • Assess for hallucinations,
Clozapine Antipsychotic receptors in the brain, severely ill allergy to clozapine, sedation, seizures, mental status, dementia, bipolar
depresses the RAS; schizophrenics who CNS depression, dizziness, syncope, disorder (initially and throughout
BRAND NAMES: anticholinergic, are unresponsive to comatose states, headaches therapy).
Clozaril, FazaClo, antihistaminic, and standard history of seizure CV: tachycardia, • Obtain complete health history,
Versacloz alpha-adrenergic antipsychotic drugs disorders, lactation, hypotension, especially psychological,
PHARMACOLO- blocking activity may therapy with other potentially-fatal neurologic and blood diseases:
PATIENT’S DOSE: GIC: contribute to some of its drugs that cause bone myocarditis including blood studies: CBC,
100mg tab OD Dopaminergic therapeutic (and -Reduction of the marrow depression. GI: nausea, WBC with differential,
blocker adverse) actions. risk of recurrent vomiting, electrolytes, BUN, creatinine,
MINIMUM DOSE: Clozapine produces suicidal behavior in PRECAUTION: constipation liver enzymes.
12.5 mg orally fewer extrapyramidal patients with Use cautiously with GU: urinary •Do not let client engage in any
effects than other schizophrenia or CV disease, narrow- abnormalities hazardous activity until response
MAXIMUM DOSE: antipsychotics. schizoaffective angle glaucoma, Hematologic: to the drug is known. Drowsiness
450 mg disorder (for orally pregnancy. agranulocytosis and sedation are common
PREGNANCY disintegrating tablet) Others: fever, adverse effects.
AVAILABILITY: CATEGORY: B ONSET: varies weight gain, rashes •Let client rise slowly to avoid
Tablets – 25, 100mg; PEAK: 1 – 6 hr DRUG-DRUG orthostatic hypotension.
orally disintegrating DURATION: weeks INTERACTIONS: •Report immediately any of the
tablets – 12.5, 25, 50, METABOLISM: -increased therapeutic following: unexplained fatigue,
100 mg hepatic, 4 – 12 hr effect and toxic effects especially with activity;
DISTRIBUTION: with cimetidine, shortness of breath, sudden
ROUTE: crosses placenta, enters caffeine weight gain or edema of the
PO breast milk -decreased therapeutic lower extremities.
EXCRETION: feces, effect with phenytoin, •Document and record.
urine ethotoin

SOURCE: SOURCE: SOURCE: SOURCE: SOURCE: SOURCE: SOURCE:

2011 Lippincott’s 2011 Lippincott’s 2011 Lippincott’s 2011 Lippincott’s 2011 Lippincott’s 2011 Lippincott’s 2011 Lippincott’s Nursing Drug
Nursing Drug Guide Nursing Drug Guide Nursing Drug Guide Nursing Drug Guide Nursing Drug Guide Nursing Drug Guide Guide pages 318-320
pages 318-320 pages 318-320 pages 318-320 pages 318-320 pages 318-320 pages 318-320