Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence 5. Administer medication as ordered by physician. Several medications have been used to treat Tourette’s disorder. The most common ones include the following: a. b. c. 150 to 200 mcg/day.Haloperidol (Haldol).Tourette’s disorder has been mixed. Some physicians like choice for Tourette’s disorder. Children on this medica-tion must be monitored for adverse effects associated with most antipsychotic medications (see Chapter 28). Because of the potential for adverse effects, haloperidol should be reserved for children with severe symptoms or with symptoms that interfere with their ability to function. Usual dosage for children 3 to 12 years of age is 0.05 to 0.075 mg/kg/day in two or three divided doses.tive safety and few side effects. Recommended dosage is sive medication, the effiClonidine (Catapres).fiit and use it as a drug of fiused in the management of severe motor or vocal tics that have failed to respond to more conventional treatment. It is not recommended for children younger than age 12 years. Dosage is initiated at 0.05 mg/kg at bedtime; dosage may be increased every third day to a maximum of 0.2 mg/kg, not to exceed 10 mg/day.Pimozide (Orap). le of pimozide are similar to those of haloperidol. It is The response rate and side effect pro- cacy of which in the treatment of Haloperidol has been the drug of Clonidine is an antihyperten- rst choice because of its rela-●^45
2506_Ch02_014-053.indd Sec1:45 2506 Ch 02 014 - 053 .indd 1. Anxiety is maintained at a level at which client feels no need 3. Client has not harmed self or others. S 2. Client seeks out staff or support person for expression of true Outcome Criteriaec 1 d. for aggression.^ feelings.: 45 Atypical Antipsychotics.done have demonstrated effectiveness in decreasing tic (results that are similar to those of pimozide and cloni-duce symptoms by 21% to 61% compared with placebo chotic in Tourette’s disorder, has been shown to re-side effects, and ziprasidone has been associated with the older antipsychotics (e.g., haloperidol and pimo-zide). Risperidone, the most studied atypical antipsy-dine) (Dion et al., 2002). Both olanzapine and ziprasi-2004). and abnormal glucose tolerance may be troublesome symptoms of Tourette’s disorder. However, weight gain increased risk of QTc interval prolongation (Zinner, less likely to cause extrapyramidal side effects than are Atypical antipsychotics are 1 10/1/10 9:33:25 AM 0 / 1 / 10 9 : 33 : 25 AM