Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^440) M o d e r a t e t o S e v e r e D e p r e s s i o n A s s o c i a t e d w i t h M o d e r a t e Route and DosageOLANZAPINE● Depression Associated with Bipolar I Disorder and CHLORDIAZEPOXIDEPERPHENAZINEAnxiety/Agitation/Depression: 2. Risk for injury related to side effects of sedation, lowered 1. Risk for suicide related to depressed mood.to Severe Anxiety:nazine 2 to 4 mg/amitriptyline 10 to 50 mg, 3 or 4 times/day. effiTreatment-resistant Depression:Once a satisfactory response is achieved, reduce to smallest to smaller doses and can be maintained on 2 tablets daily. increase to 6 times a day, as required. Some patients respond amitriptyline 25 given 3 or 4 times a day in divided doses. May Dosage adjustments, if indicated, can be made according to olanzapine 6 mg/flamount necessary to obtain relief. TO ALL ANTIDEPRESSANTSNURSING DIAGNOSES RELATED (^) sensitivity, arrhythmias, and hypertensive crisis.seizure threshold, orthostatic hypotension, priapism, photo-^ cacy and tolerability. ●^ PSYCHOTROPIC MEDICATIONS/FLUOXETINE/AMITRIPTYLINE/AMITRIPTYLINE uoxetine 25 mg once daily in the evening. PO: (Symbyax) Initial dose: chlordiazepoxide 10/ HCL PO: (^) (Etrafon) (Limbitrol) (^) Initial dose: perphe-PO: Initial dosage:

2 2506_Ch26_417-446.indd 1440 506 Ch 26 417 - 446 .ind1. 4. Risk for constipation related to side effects of the medication.^ side effects from antidepressant medications. Nursing implica-tions are designated by an asterisk ().^ ^ ● 3. Social isolation related to depressed mood.The plan of care should include monitoring for the following d May occur with all chemical classes: 1 NURSING IMPLICATIONS b. FOR ANTIDEPRESSANTS^ a. 440 Sedation**Dry mouth^ Request an order from the physician for the drug to be^ ment while experiencing sedation. haps order a less sedating drug.Instruct the client not to drive or use dangerous equip-Strict oral hygiene is very important. given at bedtime.waterOffer the client sugarless candy, ice, frequent sips of Request that the physician decrease the dosage or per- 1 10/1/10 9:39:26 AM 0 / 1 / 10 9 : 39 : 26 AM