SIDE EFFECTS/

NAME OF DRUG NURSING

INDICATION MODE OF ACTION ADVERSE
(Generic/ Brand) CONSIDERATION
REACTION
Monotherapy or Blocks dopamine and 5-HT2 CNS: akathisia, Monitor patient for tardive
Generic Name: combination receptors in the brain somnolence, dyskinesia, which may occur
therapy with lithium dystonia, after prolonged use. It may not
Brand name: or valproate for 3- headache, appear until months or years
week treatment of insomnia, later and may disappear
acute manic or agitation, anxiety, spontaneously or persist for
mixed episodes pain, life, despite stopping drug.
from bipolar parkinsonism,
disorder. neuroleptic Life-threatening
malignant hyperglycemia may occur in
- 12-week parental syndrome, suicide patients taking atypical
therapy for attempt, antipsychotics.
schizophrenia. dizziness, fever, Monitorpatients with diabetes
hallucination, regularly. Periodically
-Irritability, including mania, impaired reevaluate drugs risks and
aggression, self- concentration. benefits, especially during
injury, and prolonged use.
tantrums, CV: tachycardia,
associated with an chest pain, Monitor patient for weight gain
autistic disorder. orthostatic
hypotension,
- TouretteSyndrome peripheral edema,
syncope,
- Obsessive hypertension.
Compulsive disorder
EENT: rhinitis,
sinusitis,
pharyngitis,
DOSAGE: abnormal vision,
ear disorder.
2mg ODHS
GI: constipation,
nausea, vomiting,
dyspepsia,
abdominal pain.

Generic Name: Parkinsonian Synthetic CNS and peripheral Assess for Parkinsonism, EPS.
Biperiden syndrome especially anticholinergic drug, blocks effects, skin
to counteract cholinergicr esponses in the rashes,dyskinesia, Assess for mentalstatus.
Brand Name: muscular rigidity CNS. ataxia, twitching,
Akineton and tremor; impaired speech, Assess patien tresponse
extrapyramidal micturition if anticholinergics aregiven.
symptoms. difficulties.
Fatigue, dizziness, Assess for tolerance over long
DOSAGE: at higher doses, term therapy ,dosage may have to
2mg OD PRN for EPS restlessness, be increased or changed.
agitation,
anxiety ,confusion. Avoid activitiesthat require
alertness, may cause
dizziness,drowsiness and
blurring of vision
Generic Name: Temporary Action on bloodvessel, GI, Orthostatichypote Monitor cardiovascular status
Diphenhydramine symptomatic relief respiratory tract by nsion especially with preexisting
HCL of various allergic antagonizing the effects cardiovascular disease.
conditions and to of histamine for H1- Palpitations
Brand Name: treat or prevent Receptor site decreases Monitor for adverse effects
Histazyn motion sickness, allergic response by Drowsiness especially in children and the
vertigo,and blocking histamine caused older adult.
reactions to blood increased heart rate, Sedation
or plasma in vasodilation secretions;
susceptible significant CNS depressant Disturbedcoordina
patients. Also used and anticholinergic tion
in anaphylaxis as
adjunct
to epinephrine
andother standard
measures after
acute symptoms
have
been controlled; in
treatment of
parkinsonism and
drug-
inducedextrapyrami
dal reactions; as a
nonnarcotic cough
suppressant; as a
sedative-hypnotic
 DOSAGE:
50mg ODHS for
poor sleep

Generic Name: The prevention or Elevates the serum iron Dizziness Advise patient to take
Ferrous Sulfate treatment of iron concentration which then medicine as prescribed.
deficiency anemia helps to formHigh or N&V
due toinadequate trapped in the Caution patient to make
diet, malabsorption reticuloendothelial cells for Nasal Congestion position changes slowly to
pregnancy, and storage andeventual minimize orhtostatic
blood loss. conversion to a usable form Dyspnea hypotension.
of iron
DOSAGE: Hypotension Instruct patient to avoid
325 mg OD concurrent use of alcohol or
CHF OTC
medicine without consulting
MI the physician.

Muscle cramps Advise patient to consult

physician if irregular
Flushing heartbeat,
dyspnea, swelling of hands
and feet and hypotension
occurs.

Inform patient that angina

attacks may occur 30 min.
after
administration due reflex
tachycardia.

Encourage patient to comply

with additional intervention for
hypertension like proper diet,
regular exercise, lifestyle
changesand stress
management
NOTE: May use another sheet when necessary.