Podcast Beta
Questions and Answers
What is the expected oral maintenance dose of baclofen (Lioresal) for an adult client with muscle spasms?
What is the prescribed dosage of carisoprodol (Soma) for an adult client with muscle spasms?
What important action should the nurse take before leaving a client who has received diazepam (Valium)?
Which symptom would indicate a toxic effect of haloperidol (Haldol) in a client with a psychotic disorder?
Signup and view all the answers
What medication would the nurse prepare to treat neuroleptic malignant syndrome related to chlorpromazine?
Signup and view all the answers
What statement by a nursing student indicates understanding of the action of haloperidol (Haldol)?
Signup and view all the answers
What would be the expected serum lithium level for a client experiencing loose, watery stools and difficulty walking?
Signup and view all the answers
When teaching a client who is starting on imipramine hydrochloride (Tofranil), what should the nurse inform the client?
Signup and view all the answers
A client taking an anxiolytic medication feels faint when standing. This symptom is likely due to:
Signup and view all the answers
What instruction should the nurse give a client on lithium carbonate (Lithobid) scheduled for surgery?
Signup and view all the answers
What nursing action indicates an understanding of the major side effect of chloral hydrate (Somnote) for short-term treatment?
Signup and view all the answers
What behavior observed in a client would validate noncompliance with clomipramine (Anafranil)?
Signup and view all the answers
To determine effectiveness of haloperidol (Haldol), what should the nurse check?
Signup and view all the answers
Why is diphenhydramine hydrochloride (Benadryl) being discontinued for a hospitalized client with a chronic psychotic disorder?
Signup and view all the answers
What food item should the nurse remove from a tray delivered to a client on phenelzine sulfate (Nardil)?
Signup and view all the answers
What should the nurse include in the care plan for a client receiving a tricyclic antidepressant?
Signup and view all the answers
During initial treatment phases with amitriptyline hydrochloride, what is the most important nursing intervention?
Signup and view all the answers
What is the most important instruction for a client being discharged on lithium carbonate (Lithobid)?
Signup and view all the answers
How is ribavirin (Virazole) prescribed for a hospitalized child with respiratory syncytial virus (RSV) administered?
Signup and view all the answers
What specific precaution should the nurse take during the administration of ribavirin (Virazole) to a child?
Signup and view all the answers
Study Notes
Muscle Relaxants and Anxiolytics
- Baclofen's standard oral maintenance dosage for adults is 15 mg taken four times daily.
- Carisoprodol is prescribed at 350 mg four times daily, which is the normal adult dosage for muscle spasms.
- After administering diazepam, ensure that bed rails are raised as per agency policy for patient safety.
Medication Side Effects and Toxicity
- Excessive salivation is a potential toxic effect of haloperidol (Haldol) in patients treated for psychosis.
- Bromocriptine (Parlodel) is prepared to combat neuroleptic malignant syndrome caused by chlorpromazine usage.
- Haloperidol works by blocking dopamine from binding to postsynaptic receptors in the brain, effectively managing schizophrenia symptoms.
Lithium Treatment Management
- Symptoms like loose stools and balance issues may indicate a high serum lithium level, potentially reaching 1.7 mEq/L.
- Lithium carbonate is to be discontinued 1 to 2 days before surgery and resumed once oral intake is acceptable.
Antidepressants Protocols
- Imipramine (Tofranil) effects may not be noticeable for 2 to 3 weeks after initiation of treatment.
- Tachycardia or pulse rate issues can highlight noncompliance with clomipramine, particularly excessive handwashing behavior seen in patients.
Monitoring and Patient Safety
- Evaluation of haloperidol's effectiveness involves checking the client’s orientation and delusion status.
- Diphenhydramine (Benadryl) is discontinued for patients on psychotropic medication due to the risk of enhanced addictive properties.
Dietary Restrictions and Interventions
- Yogurt should be removed from meal trays for patients on phenelzine sulfate (Nardil) due to potential tyramine interactions.
- Providing hard candy or gum can mitigate common side effects of tricyclic antidepressants, including dry mouth.
Nursing Interventions in Psychopharmacology
- For amitriptyline hydrochloride treatment, monitoring postural blood pressure is critical in the initial treatment phase.
- Patients on lithium should be advised to consult with their psychiatrist before using over-the-counter medications to avoid complications.
Administration Routes in Pediatrics
- Ribavirin (Virazole) for respiratory syncytial virus (RSV) is administered via a face mask.
- Goggles must be worn during the administration of ribavirin for safety during aerosol treatment.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on medication dosages for adult clients. This quiz focuses on muscle relaxants like baclofen and carisoprodol, comparing their maintenance doses and usage in clinical settings. Perfect for nursing students and professionals needing a refresher.