Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^) ● 10. ● ● ●^ 11.● 12.^536 Use caution in driving or operating dangerous machinery. Take no later than 6 hours before bedtime.Avoid taking CNS stimulants late in the day to prevent insomnia. produce serious withdrawal symptoms. Do not stop taking CNS stimulants abruptly. To do so could Do not take other medications (including over-the-counter Drowsiness, dizziness, and blurred vision can occur. New or worsened psychiatric symptoms (^) TO AGENTS FOR ADHDCLIENT/FAMILY EDUCATION RELATED Severe liver damage **Rebound syndrome stimulants and atomoxetine) Monitor for manic symptoms, including aggressive and Client should be instructed not to discontinue therapy Monitor for the following side effects and report to physi- Monitor for psychotic symptoms (e.g., hearing voices, ●ness, agitation, headache, and tremor, and a rapid rise in paranoid behaviors, delusions).rant pain, yellow skin or eyes, sore throat, fever, malaise. cian immediately: itching, dark urine, right upper quad-the supervision of the physician.hostile behaviors.abruptly. To do so may result in symptoms of nervous-blood pressure. Dosage should be tapered gradually under^ PSYCHOTROPIC MEDICATIONS(with clonidine and guanfacine) (with atomoxetine) (with CNS
2506_Ch31_522-537.indd 1536 2506 Ch 31 522 - 537 .ind● ● ● d Avoid consumption of large amounts of caffeinated products (coffee, tea, colas, chocolate), as they may enhance the CNS stimulant effect.drugs) without physician’s approval. Many medications con-Notify physician if symptoms of restlessness, insomnia, an-orexia, or dry mouth become severe or if rapid, pounding heartbeat becomes evident. Report any of the following side effects to the physician immediately: shortness of breath, chest pain, jaw/left arm pain, fainting, seizures, sudden vision tain substances that, in combination with agents for ADHD, changes, weakness on one side of the body, slurred speech, confusion, itching, dark urine, right upper quadrant pain, yellow skin or eyes, sore throat, fever, malaise, increased hyperactivity, believing things that are not true, or hearing voices.Diabetic clients should monitor blood sugar 2 or 3 times a day or as instructed by the physician. Be aware of the need for possible alteration in insulin requirements because of changes in food intake, weight, and activity.can be harmful. 1536 1 10/1/10 9:40:59 AM 0 / 1 / 10 9 : 4 0 : 59 AM