NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Seroquel Antipsychotics 100 mg PO HS
Quetiapine

Peak Onset Duration Normal dosage range

Unknown Unknown 8-12 hours 100-800 mg

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

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

(Why med ordered) Contraindications/warnings/interactions
Probably acts by serving as an antagonist of dopamine Hypersensitivity, Use cautiously in history of suicide
and serotonin. Also antagonizes histamine H1 receptors attempts, hepatic impairment.
and alpha1-adrenergic receptors. Indicated for Common side effects
Schizophrenia and Bipolar mania Dizziness and weight gain

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause asymptomatic increase in AST andALT
Alcohol, opioid analgesics, and sedative/hyponotics,
Phenytoin ↑ clearance and ↓ effectiveness of quetiapine
Be sure to teach the patient the following about this
(dose change may be necessary) medication
Take medication as directed. Inform of possibility of extrapyramidal
symptoms. Advise to change position slowly to minimize orthostatic
hypotension. May cause drowsiness. Avoid extremes in temp. Notify
health care provider promptly of sore throat, fever, unusual bleeding
bruising or rash. Emphasize need for follow up. Opthalmologic exams
should be preformed before and every 6 months during therapy, Caution
patient to avoid concurrent use of alcohol, other CNS depressants
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor mental status, blood pressure, med? Decreased in excited, manic,
Monitor mood changes. Assess for suicidal If extrapyramidal side effects are paranoic, or withdrawn
tendencies, especially during early therapy. present a reduction or discontinuation behavior
Restrict amount of drug available to patient.
Observe patient carefully when administering to
may be necessary, Monitor for tardive
ensure medication is swallowed and not dyskinesia (involuntary rhythmic
hoarded movement of mouth, face, and
extremities). Report immediately; may be
irreversible.