Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^) d. c. b. withdrawal symptoms using propoxyphene (Darvon), (Serax), is more appropriate. Some physicians may order anticonvulsant medication to be used prophylactically; however, this is not a universal intervention. Multivitamin therapy, in combination with daily thiamine (either orally or by injection), is common protocol.haloperidol (Haldol). Antipsychotics should be adminis-(Librium) and progresses to major tranquilizers such as NarcoticsStimulants(Narcan), naltrexone (ReVia), or nalmefene (Revex), are administered intravenously for narcotic overdose. Withdrawal is managed with rest and nutritional ther-apy. Substitution therapy may be instituted to decrease begins with minor tranquilizers such as chlordiazepoxide methadone (Dolophine), or buprenorphine (Subutex).use of shorter-acting benzodiazepines, such as oxazepam Depressantsbarbiturate CNS depressant.to decrease withdrawal symptoms using a long-acting barbiturate, such as phenobarbital (Luminal). The dos-age required to suppress withdrawal symptoms is given. When stabilization has been achieved, the dose is gradu-ally decreased by 30 mg/day until withdrawal is complete. Long-acting benzodiazepines are commonly used for substitution therapy when the abused substance is a non-. Narcotic antagonists, such as naloxone. Treatment of stimulant intoxication usually. Substitution therapy may be instituted Substance-Related Disorders ●^91
2506_Ch04_071-104.indd Sec1:91 2506 Ch 04 071 - 104 .indd Outcome Criteria 1. Client is no longer exhibiting any signs or symptoms of sub-Sec 1 e. stance intoxication or withdrawal.: 91 and allowed to sleep and eat as much as is needed or seizure threshold. Repeated seizures are treated with desired. Suicide precautions may need to be instituted. Antidepressant therapy may be helpful in treating symp-toms of depression. Desipramine has been especially successful with symptoms of cocaine withdrawal and abstinence (Mack, Franklin, & Frances, 2003).tered with caution because of their propensity to lower Hallucinogens and Cannabinols. intravenous diazepam. Withdrawal treatment is usually is not required with these drugs. When adverse reactions, such as anxiety or panic, occur, benzodiazepines (e.g., diazepam or chlordiazepoxide) may be prescribed to pre-vent harm to the client or others. Psychotic reactions may be treated with antipsychotic medications.aimed at reducing drug craving and managing severe depression. The client is placed in a quiet atmosphere Substitution therapy 10/1/10 9:34:01 AM 10 / 1 / 10 9 : 34 : 01 AM