Sample Care Plan Template Page 24

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(Deglin,
Valleran, &
Sanoski,
2013).
Haldol
The drug is a
The drug is part of
5mg; q6hrs;
Agranulocytosis, urinary
Contraindicated in
Assess mental status and
butyrophenon
the PRN set of
PRN
retention, impotence,
hypersensitivity, CNS
monitor BP, pulse, and
es and acts by
orders MIHS
psychotic
constipation, dry mouth,
depression, severe liver, or
ECG for QT prolongation
altering the
implements for
agitation; IM
hypotension, tachycardia,
cardiovascular disease
(Deglin, Valleran, &
effects of
patients diagnosed
and ECG change (QT
(Deglin, Valleran, &
Sanoski, 2013).
dopamine in
with alcohol
prolongation) (Deglin,
Sanoski, 2013).
the CNS
withdrawal
Valleran, & Sanoski,
(Deglin,
syndrome.
2013).
Valleran, &
Sanoski,
2013).
Lorazepam
The drug is a
This drug is ordered
2-8mg; q4hrs;
Dizziness, drowsiness,
Contraindications are
Regularly assess for
benzodiazepin
PRN for this patient
IV; PRN
blurred vision, rashes,
hypersensitivity,
continued need for
e and acts by
as part of MIHS
Alcohol
lethargy, and respiratory
uncontrolled severe pain,
treatment (Deglin,
depressing the
Alcohol withdrawal
withdrawal
depression (Deglin,
angle-closure glaucoma,
Vallerand, & Sanoski,
CNS (Deglin,
protocol. The
score
Vallerand, & Sanoski,
and sleep apnea (Deglin,
2013).
Vallerand, &
dosage is based on
2013).
Vallerand, & Sanoski,
Sanoski,
the score and
2013).
2013).
whether or not the
patient is showing
signs of psychotic
agitation.
References:
Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2013). Davis’s drug guide for nurses 13th edition (13
th
ed.). Philadelphia, PA: E.A. Davis
Company.
Fentanyl: Drug monograph. (2012). MD Consult. Retrieved from
Page 24
F:\group\MEPN\MEPN Level III\NURS610B\2013NURS 610B\610BCarePlan
12/17/2012

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