Drug Mechanism of Action Indication/Contraindication Adverse Effects Nursing Responsibilities

GENERIC NAME: Haloperidol is used to treat certain INDICATION CNS: Drowsiness, insomnia, Before
Haloperidol mental/mood disorders.  Management of vertigo, headache, weakness, Dx:
Haloperidol is a first-generation manifestation of psychotic tremor, ataxia  Assessed vital signs
BRAND NAME: (typical antipsychotic) which disorder  Assessed for any drug
Haldol exerts its antipsychotic action by  Short term treatment of CV: Hypotension, orthostatic allergy
blocking dopamine D2 receptors hyperactive children with hypotension, hypertension,  Checked for the doctor’s
DOSAGE: in the brain. When 72% of excessive motor activity. tachycardia, bradycardia order
10mg dopamine receptors are blocked,  Monitor WBC count with
this drug achieves its maximal CONTRAINDICATION HYPERSENSITIVITY: jaundice, differential and liver
ROUTE: effect. This medicine helps you to  Contraindicated with urticaria, laryngeal edema, asthma function in patients on
PO think more clearly, feel less hypersensitivity to typical prolonged therapy
nervous, and take part in everyday antipsychotic, coma or RESPIRATORY: bronchospasm, Tx:
CLASSIFICATION: life. It can also help prevent severe CNS depression. laryngospasm, dyspnea.  Administered drug at right
Antipsychotic suicide in people who are likely to time, dosage and patient
Dopaminergic blocker harm themselves.  Restricted amount of drug
available to the patient
 Observe patients closely
for rapid mood shift to
depression when
haloperidol is used to
control mania or cyclic
disorders.
Edx:
 Instructed the patient to
eat before taking the
medication
During
Dx:
 Assessed patient’s and
family’s knowledge of
drug therapy
 Assessed patients physical
status
Tx:
 Assisted in medication
intake
  Do not increase or double
dosage
Edx:
 Advised to increase oral
fluid intake to1500-2000
ml/day to prevent
dehydration
 Reiterated potential side
effects
AFTER:
Dx:
 Check if patient
manifested any adverse
effects
 Monitor vital signs
 Monitor for therapeutic
effectiveness.
Tx:
 Taken vital signs
continuously
 Discontinued if
hypersensitivity reaction
occurs.
Edx:
 Report any signs of
unusual symptoms.
 Educated the patient about
the drug taken
 Explain that to avoid
overexposure to sun or
sunlamp and use a
sunscreen; 
 Discuss oral hygiene with
health care provider; dry
mouth may promote
dental problems.
Drug Mechanism of Action Indication/Contraindication Adverse Effects Nursing Responsibilities
GENERIC NAME: Unknown. Thought to antagonize INDICATION: CNS: somnolence, dizziness, Before
Olanzapine dopamine and serotonin type 2 in  Treatment of nervousness, headache Dx:
CNS. Also antagonizes muscarinic schizophrenia  Assessed vital signs
BRAND NAME: receptors in respiratory tract, CV: orthostatic hypotension,  Assessed for any drug
Zyprexa causing cholinergic activation. peripheral edema, tachycardia allergy
CONTAINDICATION:  Checked for the doctor’s
DOSAGE:  Contraindicated with GI: constipation, abdominal pain order
10mg allergy to olanzapine,  Assess patient’s mental
diabetes, a high prolactin RESPIRATORY: cough status during therapy.
ROUTE: level, high cholesterol, pharyngitis Tx:
PO high amount of  Administered drug at
triglyceride in the blood. right time, dosage and
CLASSIFICATION: patient
Antipsychotic  Restricted amount of
Dopamine Blocker drug available to the
patient
Edx:
 Instructed the patient to
eat before taking the
medication
 review all other
 significant and life-
threatening adverse
reactions and
interactions, especially
those related to the drugs,
tests, and behaviors
mentioned above.
During
Dx:
 Assessed patient’s and
family’s knowledge of
drug therapy
 Assessed patients
physical status
Tx:
 Assisted in medication
intake
 Do not increase or
double dosage
Edx:
 Advised to increase oral
fluid intake to1500-2000
ml/day to prevent
dehydration
 Reiterated potential side
effects
AFTER:
Dx:
 Check if patient
manifested any adverse
effects
 Monitored vital signs
 Monitor baseline and
periodic lipid and liver
enzyme levels.

 Monitor CBC frequently

during first few months
 of therapy
Tx:
 Taken vital signs
continuously
 Discontinued if
hypersensitivity reaction
occurs.
Edx:
 Report any signs of
unusual symptoms.
 Educated the patient
about the drug taken
 Tell patient to exercise
in moderation and to
avoid overly hot baths
and showers, because
drug impairs body
temperature regulation.

Drug Mechanism of Action Indication/Contraindication Adverse Effects Nursing Responsibilities

GENERIC NAME: Antagonizes serotonin2 and INDICATION CNS: insomnia, agitation, Before
Risperidone dopamine2 receptors in CNS.  used to treat schizophrenia, headache, somnolence Dx:
Also binds to alpha1- and bipolar disorder, or irritability  Assessed vital signs
BRAND NAME: alpha2-adrenergic receptors and associated with autistic disorder. CV: orthostatic hypotension,  Assessed for any drug
Risperdal histamine H1 receptors. This medicine should not arrhythmia allergy
be used to treat behavioral  Checked for the doctor’s
DOSAGE: problems in older adults who DERMATOLOGIC: rash, dry order
10mg have dementia.  skin  monitor neurologic
 status, especially for
ROUTE: CONTRAINDICATION GI: nausea, vomiting, mood changes or
PO  contraindicated in patients with constipation suicidal ideation,
a known hypersensitivity neuroleptic malignant
CLASSIFICATION: to risperidone or paliperidone, or RESPIRATORY: rhinitis, syndrome
Antipsychotic to any of the excipients in coughing, sinusitis Tx:
the risperidone formulation.  Administered drug at
There is a risk of serious right time, dosage and
hypersensitivity reactions or patient
anaphylaxis.  Restricted amount of
drug available to the
patient
Edx:
 Instructed the patient to
eat before taking the
medication
 review all other
significant and life-
threatening adverse
reactions
During
Dx:
 Assessed patient’s and
family’s knowledge of
drug therapy
 Assessed patients
physical status
Tx:
 Assisted in medication
intake
 Do not increase or
double dosage
Edx:
 Advised to increase oral
fluid intake to1500-2000
ml/day to prevent
dehydration
  Reiterated potential side
effects
 Instruct patient to move
slowly when sitting up
or standing, to avoid
dizziness from sudden
blood pressure
decrease.


AFTER:
Dx:
 Check if patient
manifested any adverse
effects
 Monitored vital signs
 monitor CBC with
differential, especially
during first few months
of therapy
 Reassess patients
periodically to
determine need for
maintenance treatment.


Tx:
 Taken vital signs
continuously
 Discontinued if
hypersensitivity reaction
occurs.
Edx:
 Report any signs of
unusual symptoms.
 Educated the patient
about the drug taken