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DRUG

Risperidone is an antipsychotic medication used to treat psychotic disorders and bipolar mania. It works by selectively blocking serotonin and dopamine receptors in the brain. Common side effects include dizziness, headache, fatigue, and weight gain. It should be used cautiously in elderly patients, those with liver or kidney problems, or a seizure history. Close monitoring is needed due to risks of hyperglycemia, extrapyramidal symptoms, and hematologic reactions.

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47 views2 pages

DRUG

Risperidone is an antipsychotic medication used to treat psychotic disorders and bipolar mania. It works by selectively blocking serotonin and dopamine receptors in the brain. Common side effects include dizziness, headache, fatigue, and weight gain. It should be used cautiously in elderly patients, those with liver or kidney problems, or a seizure history. Close monitoring is needed due to risks of hyperglycemia, extrapyramidal symptoms, and hematologic reactions.

Uploaded by

Zmia
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Download as docx, pdf, or txt
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Mechanism of Side Effects/ Adverse Effect

Drug Name Indication Contraindication Nursing Consideration


Action

Generic Name: Selectively blocks To manage CNS: NEUROLEPTIC MALIGNANT Hypersensitivity to Administer risperidone with caution
Risperidone serotonin and psychotic disorders SYNDROME, aggressive risperidone or its in debilitated patients, elderly
dopamine receptors behavior, dizziness, extrapyramidal components patients, and patients with hepatic
Brand Name: in the mesocortical To treat bipolar reactions, headache, increased or renal dysfunction or hypo-
Risperdal Consta tract of the CNS mania as dreams, increased sleep tension because of their increased
monotherapy or as duration, insomnia, sedation, fatigue, sensitivity to the drug
Chemical adjunct to lithium impaired temperature regulation,
Classification: nervousness, tardive dyskinesia. Administer risperidone cautiously
Benzisoxazole Suppress psychotic in patients with a history of
derivative symptoms EENT: pharyngitis, rhinitis, visual seizures;
disturbances.
Therapeutic Be aware that risperidone should
Classification: Resp: cough, dyspnea. not be used to treat elderly
Antipsychotic patients with dementia-related
CV: arrhythmias, orthostatic hypotension, psychosis because it increases
Dosage: tachycardia. risk of death in these patients.
1 Tab;BID
GI: constipation, diarrhea, dry Have a glass of water to help in
mouth, nausea, abdominal pain, anorexia, swallowing the medication.
dyspepsia, increased salivation,
vomiting, weight gain, weight loss, Make sure that the patient has
polydipsia. taken his daily dose of the
medications. Check the patient’s
GU: decreased
libido, dysmenorrhea/menorrhagia, difficulty mouth – side of the mouth, and
urinating, polyuria. under the tongue.

Derm:itching/skin rash, dry skin, increased Monitor for orthostatic


pigmentation, increased sweating, hypotension, especially in patients
photosensitivity, seborrhea. with cardiac or cerebrovascular
disease.
Endo: galactorrhea, hyperglycemia.

MS: arthralgia, back pain. Monitor patient’s blood glucose


and lipid levels as ordered
because drug increases the risk of
hyperglycemia and
hypercholesterolemia.

Monitor patient’s CBC, as ordered,


because serious adverse
hematologic reactions may occur,
such as agranulocytosis,
leukopenia, or neutropenia.

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