NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Paroxetine Paxil Antianxiety, 10 mg PO Q Day
hydrochloride antidepressant
agents
Peak Onset Duration Normal dosage range
Unknown 1-4 weeks Unknown 10 mg/day initially; may be slowly increased not to exceed
40 mg/day.
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of Depression N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Inhibits neuronal reuptake of serotonin in the CNS, thus Hypersensitivity, use cautiously in geriatric patients.
potentiating the activity of serotonin; has little effect on
norepinephrine or dopamine Common side effects
Anxiety, dizziness, drowsiness, headache, insomnia,
weakness, constipation, diarrhea, dry mouth, nausea,
sweating, tremors.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor CBC and differential periodically during therapy.
None for this patient. Do not use with concurrent MAO Report leucopenia or anemia.
inhibitor therapy due to serious potentially fatal Be sure to teach the patient the following about this
reactions. May decrease metabolism and increase medication
effectiveness of certain drugs that are metabolized by the May cause drowsiness or dizziness, avoid alcohol and other
liver. CNS depressants. Frequent mouth rinses, good oral hygiene,
and sugarless gum to help with symptoms of dry mouth.
Photosensitivity.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor appetite and nutritional intake, med? Increased sense of well being,
monitor mood changes. Hypersensitivity, Extreme alteration in renewed interest in
mood or suicidal ideation. surroundings.