Name of the Mechanism of Indication and Contraindicatio Side Effects/ Adverse Reaction Nursing Responsibility

Drug Action Dosage n

LITHIUM Inhibits Control and Significant CNS: Dizziness, headache, lethargy, drowsiness, * Monitor response to drug.
CARBONATE neurotransmitters; prophylaxis of cardiovascular or fatigue, slurred speech, psychomotor retardation, Usual lag of 1–2 wk precedes
decreases over- acute mania and kidney disease, giddiness, incontinence, restlessness, seizures, response to lithium therapy. Keep
activity of the acute manic brain damage, confusion, blackout spells, disorientation, recent physician informed of progress.
Brand name: receptors phase of mixed severe memory loss, stupor, coma, EEG changes. CV:
involved in bipolar disorder. debilitation, Arrhythmias, hypotension, vasculitis, peripheral * Monitor lithium level:
Eskalith, stimulating manic dehydration or circulatory collapse, ECG changes. Special Generally dosage regimen is
Eskalith CR, states. Response sodium depletion; Senses: Impaired vision, transient scotomas, designed to maintain serum
Lithane, evidenced by patients on low- tinnitus. Endocrine: Diffuse thyroid enlargement, lithium levels of 1.0–1.5 mEq/L in
1mg BID (900 acute mania and 0.6–1.6 mEq/L
Lithobid, changed facial mg) salt diet or hypothyroidism, nephrogenic diabetes insipidus,
Lithonate, affect, improved receiving transient hyperglycemia, glycosuria, during maintenance treatment;
Lithotabs posture, diuretics; hyponatremia. GI: Nausea, vomiting, anorexia, blood sample to determine serum
assumption of pregnancy, abdominal pain, diarrhea, dry mouth, metallic lithium level is drawn prior to next
self-care, especially first taste. Musculoskeletal: Fine hand tremors, dose (8–12 h after last dose)
improved ability to trimester coarse tremors, choreoathetotic movements; when lithium level is fairly stable.
concentrate, (category D), fasciculations, clonic movements, incoordination * Monitor for S&S of lithium
improved sleep lactation, children including ataxia, muscle weakness, hyperreflexia, toxicity, often when lithium levels
pattern. <12 y. encephalopathic syndrome (weakness, lethargy, are 1.5–2.0 mEq/L (e.g., vomiting,
fever, tremors, confusion, extrapyramidal diarrhea, lack of coordination,
symptoms). Skin: Thought to be toxicity rather drowsiness, muscular weakness,
than allergy: Pruritus, maculopapular rash, slurred speech). Withhold one
hyperkeratosis, chronic folliculitis, transient dose and call physician. Drug
acneiform papules (face, neck, intertriginous should not be stopped abruptly.
areas), anesthesia of skin, cutaneous ulcers,
drying and thinning of hair, allergic vasculitis.
Hematologic: Reversible leukocytosis (14,000 to
18,000/mm3). Urogenital: Albuminuria, oliguria,
urinary incontinence, polyuria, polydipsia,
increased uric acid excretion. Body as a Whole:
 Edema, weight gain (common) or loss,
exacerbation of psoriasis; flu-like symptoms.

Risdone Risperidone is an RISPERDAL® Preexisting CV Preexisting CV diseases; discontinue use if signs Advise patient not to take drugs
atypical (risperidone) is diseases; and symptoms of tardive dyskinesia occur; renal with cola drink or tea.
Generic antipsychotic. Its indicated for the discontinue use if and hepatic impairment, elderly, epilepsy;
name: activity is acute and signs and parkinsonism; pregnancy. May cause drowsiness The risperidone orally
Risperidone mediated through maintenance symptoms of and orthostatic hypotension. Gradual withdrawal disintegrating tablet may contain
a combination of treatment of tardive is recommended. Monitor blood glucose in phenylalanine. If patient has a
dopamine (D2) schizophrenia dyskinesia occur; diabetics and patients at risk of developing phenylketonuria (PKU), as a
Other brand nurse you must coordinate with
name: and serotonin (5- renal and hepatic diabetes.
HT2) receptor RISPERDAL® is impairment, the doctor if the drug is okay to be
Risdone M- indicated for the administer.
Tab antagonism. It elderly, epilepsy;
also exhibits short-term parkinsonism;
treatment of Risperidone may cause you to
affinity to pregnancy. May have high blood sugar
adrenergic (α1 acute manic or cause
mixed episodes (hyperglycemia). check your
and α2) and drowsiness and patient’s blood sugar levels on a
histamine (H1) associated with orthostatic
Bipolar I Disorder hypotension. regular basis while taking
receptors. It is risperidone.
less likely to in adults and in Gradual
cause children and withdrawal is
extrapyramidal adolescents recommended.
effects than aged 10-17 years Monitor blood
conventional 2mg once a day glucose in
antipsychotics. diabetics and
patients at risk of
developing
diabetes.