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

Fuoxetine Prozac Antidepressants 40 mg PO Q Day
Peak Onset Duration Normal dosage range
Unknown 1-4 weeks 2 weeks 10-60 mg per day in geriatric patients

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Depression N/A

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

(Why med ordered) Contraindications/warnings/interactions
Selectively inhibits the reuptake of serotonin in the Geriatric patients are at increased risk for excessive CNS
CNS. Indicated for various forms of depression. stimulation, sleep disturbances, and agitation. On Beers list.
Common side effects
Anxiety, drowsiness, headache, insomnia, nervousness,
diarrhea, sexual dysfunction, excessive sweating, pruritis,
tremor
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause increase in serum alkaline phosphatase, ALT,
none BUN, creatinine, phosphokinase; hypouricemia,
hypocalcemia, hypoglycemia or hyperglycemia, and
hyponatremia.
Be sure to teach the patient the following about this
medication
Avoid alcohol and other CNS depressants, wear protective
clothing and use sunscreen to prevent photosensitivity
reactions, inform pt that medication may cause decreased
libido
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor mood changes med? Increased sense of well being
If there were signs of a and renewed interest in
hypersensitivity reaction which are: surroundings, may require 1-4
headache, nausea, anorexia, anxiety, or weeks of therapy.
persistent insomnia