by zarulm


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benztropine (Cogentin)
SE: dry mouth; constipation Nursing Considerations:
  • treatment of Parkinson sxs, EPS associated with neuroleptic drugs, acute dystonic reactions
  • IM/IV: onset 15 minutes, duration 6-10 hours PO: onset 1 hour, duration 6-10 hours.
  • Tablet may be crushed and mixed with food
  • Taper med over a week, or withdrawal sxs: EPS, tremors, insomnia, tachycardia, restlessness
  • avoid hazardous activities until stabilized on omed
  • Avoid alcohol, antihistamines unless directed
caffeine/ergotamine (Cafergot)
SE:  headache; tremors; convulsions; blood vessel contraction, with decreased circulation, especially limbs
Nursing Considerations:
  • treatment of vascular HA
  • take at onset of pain/during prodomal stage to abort HA
  • Lie down in darkened quiet room for several hours
carbidopa/levodopa (Sinemet)
SE: twitching; HA, dizziness; dark urine/sweat; cardiac arrhythmias; mental changes: confusion, agitation, mood alterations
Nursing Considerations:
  • Replacement dopaminergic agent
  • change positions slowly
  • take with food, decreased effect with liver, pork, wheat germ, and vit B6
  • full therapeutic effect may take several months
donepezil (Aricept)
SE: N/V, diarrhea; HA; insomnia; seizures
Nursing Considerations:
  • used in treatment of mild to moderate dementia
  • drug does not cure but stabilizes or relieves sxs
  • take at regular intervals
  • take between meals or may be given with meals to decrease GI upset
levodopa (Dopar, Larodopa)
SE:  twitching; HA, dizziness; dark urine/sweat; cardiac arrhythmias; mental changes: confusion, agitation, mood alterations Nursing Considerations:
  • replacement dopaminergic agent
  • change position slowly
  • take with food, decreased effect with liver, pork, wheat germ, and vit B6
  • full therapeutic effect may take several weeks to a few months
methylphenidate (Ritalin)
SE: hyperactivity; insomnia; restlessness; talkativeness; palpitations; tachycardia Nursing Considerations:
  • management of ADHD, narcolepsy, depression in the elderly
  • onset 1/2 hour, duration 4-6 hours
  • take at least 6 hours before bedtime (regular release) or 10 hours before bedtime (sustained release, extended release)
  • taper med over several weeks, or depression, increased sleeping, lethargy will occur
  • avoid hazardous activities until stabilized on med
  • decrease caffeine consumption (coffee, tea, cola, chocolate) to decrease irritability
selegiline (Eldepryl)
SE:  dizziness; cardiac dysrhythmias Nursing Considerations:
  • indirect acting dopaminergic agent
  • used in management of Parkinson's disease with levodopa/carbidopa
  • do not use with tricyclics or opioids
  • monitor for signs of toxicity: twitching, eye spasms
  • do not stop abruptly; parkinsonian crisis may occur
  • avoid foods high in tyramine: cheese, pickled products, alcohol, large amounts of caffeine
zolmitriptan (Zomig)
SE: weakness; neck stiffness; tingling; hot sensation; burning; feeling of pressure; tightness; numbness; dizziness; sedation Nursing Considerations:
  • used for treatment of acute migraine with or without aura
  • take with fluids as soon as symptoms occur
  • PO: tablet may be split.
  • Avoid foods high in tyramine: cheese, pickled products, alcohol, large amounts of caffeine
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