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ALT Medication form CMS Chlorpromazine Psychotic Disorder
Mental-Health Nursing (NR-326)
Chamberlain University
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NR326Preview text
STUDENT NAME
MEDICATION REVIEW MODULE CHAPTER
CATEGORY CLASS
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
Complications
Contraindications/Precautions
Interactions
Evaluation of Medication Effectiveness
Medication Administration
Nursing Interventions
Client Education
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A
ANNIE OMONIYI
CHLORPROMAZINE 24
Conventional Antipsychotic
Exerts its antipsychotic effects by blocking postsynaptic dopamine receptors in the cortical and limbic areas of the brain, thereby preventing the excess of dopamine in the brain. This leada to oa reduction in psychotic symptoms, like hallucinations and delusion
To treat psychotic disorders such as : Schizophrenia, or manic depression in adults.
Treats also N/V, anxiety before surgery, chronic hiccups, acute intermittent porphyria & symptoms of tetanus.
Nervousness, dizziness, feeling of unsteady gait, shufflingwalk, blank facial blank,
Restlessness, agitation, unusual, slowed or uncontrollable movements of any part of the body
- PO
- IM
- IV
Hypersensitivity
Dopamine
Lithium
Amiodarone
Erythromycin
Quinidine
High prolactin level - Low levels of neutrophils
Overweight - Breast cancer
Anemia - Parkinsonism
low levels WBC - Tardive dyskinesia
Low levels of platelets - Severe liver/CVD
Alcoholism - Bone marrow depression
Keep patient recumbent (lyingdown) for atleast 30 mins following parenteral administration to reduce hypotension effects.
Hiccups: initial treatment is with oral doses. if persist 2- days, IM injection may be used, followed by IV infusion.
PO: give with food, milk, or a full glass of water to reduce gastric irritation.
IM: Do not injectb subcut. Inject slowly into deep, defined muscle. May dilute with 0%NaCl/2% procain.
Advise patient to take medications as prescribed & not skip a doses or double up on missed doses.
Do not stop abruptly it may cause gastritis, tachycardia, HA, dizziness, N/V, and insomnia.
Inform patient of possibility of EPS & tardive dyskinesia.
Instruct patient to report these symptoms ASAP to HCP.
Advise patient to change position slowly to reduce orthostatic hypotension.
instruct patient to to use frequent mouth rinses, good oral care, & sugarless gum or candy to reduce dry mouth.
Decrease in excitable, manic behavior - Relief HA
Terapeutic effects may not be seen for 7-8 weeks - Decrease in +ve (hallucinations,
Relief of N/V delusions, agitation) symptoms of
Relief Hiccups schizophrenia.
Preoperation sedation
Management of porphyria
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ALT Medication form CMS Chlorpromazine Psychotic Disorder
Course: Mental-Health Nursing (NR-326)
University: Chamberlain University
