GENERIC SIDE

SPECIAL DOSAGE &

NAME/BRAND CLASSSIFICATION INDICATION ACTION CONTRAINDICATION EFFECTS/ADVE NSG. RESPONSIBILITIES
PRECAUTION AVAILABILITY
NAME RSE REACTION
-preanesthetic to relieve Has significant
restlessness & antiemetic, -Pregnancy category c -use during Side effects: Dosage: -The maximum daily P.O.
apprehension hypotensive, pregnancy if benefits Constipation, Oral concentrate, and parenteral dose for
and sedative -hypersensitivity to outweigh risks drowsiness, tablets, syrup: adults and adolescents
-adjunct to treat tetanus effects, phynothiazine derivatives -lactation blurred vision, (Adults) 10 mg3-4 should be 1 gram of the
moderate Children less than 6 decreased times a day or 25 mg base.
-severe bahavioral anticholinergic -comatose state months except sweating, difficulty 2-3 times a day
problem in children 1-12 and where potentially life- urinating, dark -Solutions may cause
years old marked by extrapyramidal -withdrawal from alcohol saving urine, swollen Suppository, rectal: contact dermatitis: avoid
combativeness and or effects. breasts (Children) 1 mg/kg contact with hands or
explosive -brain damage (0.5mg/lb) q 6-8 hours clothing.
hyperexcitable bahavior Adverse as needed
Reaction: -The oral concentrate is
tremor Available forms: light sensitive: protect from
Injection: 25 mg/ml light and dispense in
Oral concentrate: 100 amber glass bottle.
mg/ml
Suppository, rectal:
100mg
Syrup: 10mg/5ml
CHLORPROMAZ Tablets: 10 mg, 25
INE mg, 50 mg, 100mg,
Antipsychotic 200 mg
Thorazine
 Psychiatric
RATIONALE
ASSESSMENT Nursing PLANNING Therapeutic Approach EVALUATION
(with Theories)
Diagnosis
Subjective Cue:
When asked about the day, Disturbed Short term A. INDEPENDENT:
the patient verbalized Thought Processes outcome: 1. Assess degree of Outcome Achieved:
“Sabado”, mistaken it for related to disorientation to 1. This will determine the amount
Thursday, even if initially developmental After 8 hours of time, place, of reorientation and intervention
oriented. delay of cognition nursing person, and the patient will need to evaluate  The patient reduced disorientation
as evidenced by intervention, the pt situation reality accurately. Based on Carl to time, place, person, and
Objective: cognitive will be able to : regularly and Jung's Theory of Psychological situation.
GA: dissonance  Reduce frequently. Types, perception involves all the  The patient interacted with others
 Loosing eye contact disorientation ways of becoming aware of appropriately.
Sensory & Cognition: to time, place, things, people, happenings, or  The patient assisted in assuming
 Impaired memory on person, and ideas. Judgment involves all the self-care responsibilities to the
personal information situation. ways of coming to conclusions limits of his ability.
 Poor focus regarding  Interact with about what has been perceived. If  The patient participated in social
specific topic others people differ systematically in activities and group therapies
appropriately. what they perceive and in how
Attitude: they reach conclusions, then it is
 Assist in
 handily cooperative only reasonable for them to differ
assuming self-
 Withdrawn 2. Providing general correspondingly in their interests,
Thought Process: care
leads reactions, values, motivations,
responsibilities
a. Approach the client in and skills.
 looseness of to the limits of slow, calm, matter-of-
association his ability. fact manner 2. A calm approach helps to avoid
 blocking  Participate in b. Maintain facial distorting the client’s sensory
 perseveration social expression and perceptual field which helps could
Altered perceptions of activities and behaviors that are promote disturbed thoughts and
surrounding stimuli caused group consistent with verbal perceptions. The client with
by impairment in the therapies statements disturbed thought process may have
following cognitive difficulty in interpreting correct
processes: meanings if the nurse misrepresents
intent with a conflicting or double
 Memory message.
 Judgment Peplau defined Psychodynamic
 Comprehension Nursing as being able to understand
 Concentration 3. Giving one’s own behavior to help others
Inability to reason, problem
solve, calculate, and
conceptualize
information identify felt difficulties and to apply
a. Offer the client clear, principles of human relations to the
simple explanations of problems that arise at all levels of
environmental events,
experience.
activities and the
behaviors of other
clients as necessary
3. Clear direct explanations of
environment events help to lessen
the client’s suspiciousness and fear
or mistrust of the surroundings and
B. COLLABORATIVE
other. This can prevent aggressive
behavior. According to Sullivan, the
1. Continue to strand of interpersonal theory is the
administer and principle of complementarities
monitor the effects which contends that people in dyadic
of the prescribed interactions negotiate the definition
medication of their relationship through verbal
 haloperidol and non-verbal cues.
Haloperidol may cause dehydration.
Assessing I/O is important.