Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

TRAZODONEPanic Disorder or Agoraphobia with Panic Attacks:Aggressive Behavior:Insomnia:ExamplesMigraine Prevention:Depression:● Elderly and debilitated patients:Generic Mirtazapine Name(Trade) 300 mg/day. doses. May be increased by 50 mg/day every 3 to 4 days to maximum dose of 400 mg/day. Inpatients or severely depressed patients may be given up to a maximum of 600 mg/day. Drowsiness may require that largest dose of the medication Increases should be titrated slowly and based on careful as-sessment of the patient’s clinical response. tryptophan 500 mg 2 times a day). be taken at bedtime. CHEMICAL CLASS: ALPHA-2 RECEPTOR ANTAGONIST PO: Pregnancy Half-life (hr)Category/ PO: 50 to 100 mg at bedtime.Adults: Indications (^) PO: PO: Initial dosage: 150 mg/day in divided^ PO: 100 mg/day.50 mg 2 times a day (along with 100 mg/day, in 2 divided doses. Therapeutic RangePlasma Level Antidepressants Available Forms (mg) ●^ PO:^435

2 2506_Ch26_417-446.indd 1435 506 Ch 26 417 - 446 .indd Contraindications and Precautions● drug • Patients with suicidal ideation • Concurrent use with, or within 14 days of therapy with, MAOIsUse Cautiously in:Actionor hypomania • Elderly or debilitated patients • Patients with he-patic, renal, or cardiovascular disease • Pregnancy and lactation Contraindicated in: 1 (safety not established) • Children (safety not established) 43 potent antagonist of histamine (Hautoreceptors and heteroreceptors, resulting in an increase antagonist at central presynaptic Potent antagonist of 5-HTin central noradrenergic and serotonergic activity. It is also a (Remeron) 5 C/20–40 • History of seizures • History of mania • Patients with hypersensitivity to the ●^ Depression^2 and 5-HT^1 Not well ) receptors.establishedα^2 -adrenergic inhibitory^3 receptors. Acts as Tabs: 7.5, 15, 30, 45 Tabs (orally disintegrating): 15, 30, 45 1 10/1/10 9:39:24 AM 0 / 1 / 10 9 : 39 : 24 AM