Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^458) ● Contraindications and Precautions ● Contraindicated in:ular dysfunction • Heart block • Hypotension • Cardiogenic shock • Congestive heart failure • Patients with atrial flExamplesatrial fiUse Cautiously in:thy • Intracranial pressure • Elderly patients • Pregnancy and lactation (Action(Trade) NameGeneric Verapamil Action in the treatment of bipolar disorder is unclear. Isoptin)(Calan; CHEMICAL CLASS: CALCIUM CHANNEL BLOCKERS^ ● brillation and an accessory bypass tract^ PSYCHOTROPIC MEDICATIONS safety not establishedPregnancy Half-life (hr)Categories/C/3–7 (initially) ~12 (SR) 2–5 (IV)4.5–12 (repeated dosing) • Liver or renal disease • Cardiomyopa- • Hypersensitivity • Severe left ventric-●●●●●Unlabeled uses:Indications (^) Migraine headache prophylaxisHypertensionBipolar maniaAnginaArrhythmias) Plasma Level Range 80–300 ng/mlTherapeutic Tabs (XR; SR): Caps XR: 100, Available Injection: 2.5/mLForms (mg) Tabs: 40, 80, 120240, 300, 360120, 18 0, 240120, 180, 200, utter or

2 2506_Ch27_447-471.indd 0458 506 Ch 27 447 - 471 .ind● ● ● Interactions● ● ● ● ● ● ● Adverse Reactions and Side Effectsd tant use of verapamil: Effects of the following drugs are increased with concomi-antineoplastics. barbiturates, calcium salts, hydantoins, rifampin, Effects of verapamil are decreased with concomitant use of bamazepine, digoxin, dofetilide, ethanol, imipramine, Drowsiness cainide, doxorubicin, benzodiazepines, buspirone, car-amiodarone, beta-blockers, cimetidine, ranitidine, Effects of verapamil are increased with concomitant use of ConstipationNausea Bradycardia Hypotension Headache Dizzinessgrapefruit juice. 0458 beta-blockers, disopyramide, fland and e- 10/1/10 9:39:44 AM 10 / 1 / 10 9 : 39 : 44 AM