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    Geodon (Ziprasidone)

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    Ziprasidone is an antipsychotic medication prescribed to treat psychosis. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include dizziness, drowsiness, restlessness, and constipation. Nurses should monitor for neuroleptic malignant syndrome, prolonged QT interval, and changes in potassium and magnesium levels. When administering the medication, nurses should assess for signs of side effects and hold the drug if cardiac issues are present.

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    Geodon (Ziprasidone)

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    2K views2 pages
    Ziprasidone is an antipsychotic medication prescribed to treat psychosis. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include dizziness, drowsiness, restlessness, and constipation. Nurses should monitor for neuroleptic malignant syndrome, prolonged QT interval, and changes in potassium and magnesium levels. When administering the medication, nurses should assess for signs of side effects and hold the drug if cardiac issues are present.

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    Geodon (ziprasidone)

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    Ziprasidone is an antipsychotic medication prescribed to treat psychosis. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include dizziness, drowsiness, restlessness, and constipation. Nurses should monitor for neuroleptic malignant syndrome, prolonged QT interval, and changes in potassium and magnesium levels. When administering the medication, nurses should assess for signs of side effects and hold the drug if cardiac issues are present.

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    2K views2 pages

    Geodon (Ziprasidone)

    Uploaded by

    E
    Ziprasidone is an antipsychotic medication prescribed to treat psychosis. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include dizziness, drowsiness, restlessness, and constipation. Nurses should monitor for neuroleptic malignant syndrome, prolonged QT interval, and changes in potassium and magnesium levels. When administering the medication, nurses should assess for signs of side effects and hold the drug if cardiac issues are present.

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    NURS 1566 Clinical Form 3: Clinical Medications Worksheets

    Generic Name Trade Name Classification Dose Route Time/frequency


    Ziprasidone Geodon Antipsychotic 80mg PO Bid
    Peak Onset Duration Normal dosage range
    1-3 days Within Unknown 40mg twice on first day, then 60 or 80mg twice daily on
    hours second day, then 40-80mg twice daily.
    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
    Psychosis solutions
    N/A
    Mechanism of action and indications Nursing Implications (what to focus on)
    The mechanism of action of Ziprasidone, as with Contraindications/warnings/interactions
    other drugs used to treat schizophrenia, is unknown. Use cautiously during cases of diarrhea, hepatic
    Ziprasidone exhibited high in vitro binding affinity impairment, dehydration.
    for the dopamine D2 and D3, the serotonin 5HT2A, Common side effects
    5HT2C, 5HT1A, 5HT1D and alpha 1-adrenergic NEUROLEPTIC MALIGNANT SYNDROME, dizziness,
    receptors, and moderate affinity for the histamine drowsiness, restlessness, PROLONGED QT INTERVAL,
    H1 receptor. However, it has been proposed that the constipation, diarrhea, nausea
    drug's therapeutic activity in schizophrenia is
    mediated through a combination of dopamine Type 2
    (D2) and serotonin Type 2 (5HT2) receptor
    antagonism.
    Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
    herbal medicines (ask patient specifically) Monitor serum potassium and magnesium prior to and
    BuSpar: CNS and/or respiratory-depressant effects periodically during therapy.
    may be additively or synergistically increased in Be sure to teach the patient the following about this
    patients taking multiple drugs that cause these medication
    effects. Instruct patient to take medication as directed and not to
    Seroquel: There is some concern that quetiapine may discontinue medication without discussing it with provider.
    have additive adverse cardiovascular effects in Inform patient of risk of EPS and to report them
    combination with other drugs that are known to immediately if noticed. Advise patient to change position
    prolong the QT interval of the electrocardiogram. slowly to minimize orthostatic hypotension. May cause
    Data are conflicting. seizures and drowsiness, so don’t drive or operate heavy
    machinery until effects are known. Avoid alcohol, other
    CNS depressants, OTC medications and herbal products
    unless approved by provider. Notify provider if pregnancy
    is planned or suspected. Inform about need for follow-up
    psychotherapy, eye exams, and lab tests.
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration assessment) Why would you hold or not give this Check after giving
    Monitor mental status prior to and during med? Diminished psychotic
    therapy. Monitor orthostatic BP prior to Cardiac dysrythmias behaviors.
    and frequently during initial dose titration.
    Assess for rash. Ensure patient is not
    hording medication. Assess for onset of
    EPS every 2 months. Monitor for
    constipation, seizures.

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