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Adrianne Bazo

11-18-08

Clinical Medications Worksheets


Generic Name Trade Name Classification Dose Route Time/frequency
sertraline Zoloft Antidepressant 50mg PO Q day
Peak Onset Duration Normal dosage range
Unknown Within 2-4 Unknown 50 mg/day as a single dose in the morning or evening initially; after
wk several weeks may be increased at weekly intervals up to 200 mg/day,
depending on response
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Depression/anxiety solutions
NA

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


(Why med ordered) Contraindications/warnings/interactions
Inhibits neuronal uptake of serotonin in the CNS, Hypersensitivity
thus potentiating the activity of serotonin. Has
little effect on norepinephrine or dopamine Common side effects
Dizziness, drowsiness, fatigue, headache, insomnia,
diarrhea, dry mouth, nausea, increased sweating, tremor

Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) None known
None for this pt
Be sure to teach the patient the following about this
medication
Instruct patient to take sertraline as directed. Take missed doses as soon
as possible and return to regular dosing schedule. Do not double doses.
Avoid alcohol or other CNS depressant drugs during therapy
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor appetite and nutritional intake. Weigh med? Increased sense of well-
weekly. Notify physician or other health care Monitor mood changes. Inform physician or being. May require 1-4 wk
professional of continued weight loss. Adjust other health care professional if patient
diet as tolerated to support nutritional status
of therapy
demonstrates significant increase in anxiety,
nervousness, or insomnia

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