8/6/2019 Halo Per Idol Uploaded

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Name of Drug Indication Mechanism of  

Action

Side Effects/ Adverse

Effects s)

Nursing Considerations Health Teachihng/

Patient Teaching

Generic:haloperidol

Brand:Haldol

• OrganicPsychoses

• Acute psychotic symptoms

• Relieve

hallucinations,delusions,

disorganizedthinking

• Severe anxiety

• Seizures

• Alters the effects of dopamine in theCNS

• Also hasanticholinergic &alpha-adrenergic

 blocking activity

•

Diminished signs &symptoms of 

 psychoses

•CNS: extrapyramidal

symptom such as musclerigidity or spasm, shuffling

gait, posture leaningforward, drooling, masklikefacial appearance,dysphagia, akathisia,tardive dyskinesia,headache, seizures.•CV: tachycardia,arrhythmias, hypertension,orthostatic hypertension.•EENT: blurred vision,glaucoma• GI: dry mouth, anorexia,nausea, vomiting,constipation, diarrhea,weight gain.• GU: urinary frequency,urine retention, impotence,enuresis, amenorrhea,gynecomastia• Hematologic: anemia,leucopenia, agranulocytosis• Skin: rash, dermatitis,

 phtosensitivity

• Assess mental status prior 

to and periodically duringtherapy.

• Monitor BP and pulse prior to and frequentlyduring the period of dosageadjustment. May cause QTinterval changes on ECG.• Observe patient carefullywhen administeringmedication, to ensure thatmedication is actually takenand not hoarded.•Monitor I&O ratios anddaily eight. Assess patientfor signs and symptoms of dehydration.• Monitor for developmentof neuroleptic malignantsyndrome (fever,respiratory distress,tachycardia, seizures,diaphoresis, hypertensionor hypotension, pallor,tiredness, severe muscle

stiffness, loss of bladder control. Report symptoms

immediately. May alsocause leukocytosis,

elevated liver functiontests, elevated CPK.

• Advise patient to take

medication as directed. Takemissed doses as soon as

remembered, witih remainingdoses evenly spaced throughout the day.

• Inform client that it may

require several weeks toobtain desired effects soadvise the client to notincrease dose or discontinuemedication without consultinghealth care professional.

• Instruct the client to take

antacids 2 hrs before or after this drug.

• Advice client to avoidhazardous activities until drug

response is determined because dizziness and blurred

vision are common.

• Remind client to avoid OTC preparations bec. serious druginteractions may occur.

• Instruct client to avoid theuse of alcohol & other CNSdepressants since increaseddrowsiness may occur.

• Advice client to shift

 positions slowly becauseorthostatic hypotension mayoccur. Due to the danger of 

hypotension, tell patient toavoid hot tubs, hot showers,tub baths and to take extra

 precautions during hotweather to prevent heat stroke.