NURS 1566 Clinical Form 3: Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

fluoxetine Prozac antidepressants 40mg PO Q am
Peak Onset Duration Normal dosage range
Unknown 1-4 wk 2 wk 20mg/day q am. After several weeks may increase by 20mg/day at
weekly intervals. Doses greater than 20mg.day should be given in 2
divided doses, in the morning and at noon (NTE 80mg/day).
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)

Selectively inhibits the reuptake of serotonin in
the CNS.
Contraindications/warnings/interactions
Use cautiously in: severe hepatic or renal impairment; patients with
concurrent chronic illness, or multiple drug therapy
Common side effects
SEIZURES, anxiety, drowsiness, headache, insomnia, nervousness,
diarrhea, sexual dysfunction, excessive sweating, pruritus, tremor.

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
BuSpar: increased risk of serotonin syndrome
Motrin: May potentiate the risk of bleeding
Nursing Process- Assessment
(Pre-administration assessment)
Significant mood changes (assess for
suicidal tendancies, appetite and
nutritional intake, sensitivity reaction)
Lab value alterations caused by medicine
Monitor CBC and differential periodically during therapy. Notify
physician or other health care professional if leukopenia, anemia,
thrombocytopenia, or increased bleeding time occurs. Proteinuria and
mild ↑ in AST may occur during sensitivity reactions. May cause ↑ in
serum alkaline phosphatase, ALT, BUN, creatine phosphokinase;
hypouricemia, hypocalcemia, hypoglycemia or hyperglycemia, and
hyponatremia
Be sure to teach the patient the following about this medication
Take with food to avoid stomach irritation, take as directed (if a dose is
missed – skip it and remember to take the next dose), may cause
drowsiness, dizziness, impaired judgement, blurred vision. Don’t drive
or operate heavy machiniery until effects of medication are known,
sudden discontinuation of medication may cause anxiety, insomnia,
nervousness, change positions slowly to minimize dizziness, avoid
alcohol and other CNS depressants during therapy, inform provider if
pregnancy is planned or suspected, instruct on methods to relieve dry
mouth, skin may become more sensitive to sunlight – protective
clothing, sunscreen, may cause decreased libido, inform provider of
undesired or problematic side effects.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Results may take 1-4 wk of therapy to
Suicidal ideation or intent, sensitivity obtain antidepressant effects. Monitor
reaction. for increased sense of well-being,
Sudden cessation of medication can renewed interest in surroundings.
result in anxiety, insomnia and
nervousness.