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Pharmacologic Class: Therapeutic Class: Atypical: Dibenzothiazepine Derivative Antipsychotic

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Fernandez, Bianca Nicole G.

February 22-24, 2020


BSN 3B-2a CI: Ma’am Ruth Abigail Valdez
Generic Name / Brand Name Mode of Action Side effects and Adverse Reaction Nursing Responsibility
Drug Classification
Generic Name May slow the decline of cognitive Side Effects Administration
function in patients with Alzheimer’s  Monitor fasting blood lipids
quetiapine fumarate Frequent (19%–10%): Headache, before treatment.
disease by increasing acetylcholine
drowsiness, dizziness.  Give immediate-release tablets
Brand Name concentration at cholinergic
transmission sites. This action Occasional (9%–3%): Constipation, with or without food; give
Seroquel, Seroquel XR prolongs and exaggerates the effects extended-release tablets without
orthostatic hypotension, tachycardia,
of acetylcholine that are otherwise food or with a light meal.
Drug Classification dry mouth, dyspepsia, rash, asthenia,
blocked by toxic levels of  Don’t confuse Seroquel with
abdominal pain, rhinitis.
Pharmacologic class: Serzon (an antidepressant).
anticholinergics.
Dibenzothiazepine derivative Rare (2%): Back pain, fever, weight
Uses gain.Adverse reactions Patient monitoring
Therapeutic class: Atypical  Monitor neurologic status,
antipsychotic Treatment of schizophrenia. CNS: dizziness, sedation, cognitive especially for signs and
Treatment of acute manic episodes impairment, extrapyramidal symptoms of tardive dyskinesia,
associated with bipolar disorder symptoms, suicidal ideation, or neuroleptic
(alone or in combination with lithium tardive dyskinesia, neuroleptic malignant syndrome.
or valproate). Maintenance treatment malignant syndrome, seizures,  Be aware that patient should
of bipolar disorder as an adjunct to suicide undergo lens examination when
lithium or valproic acid. Treatment of CV: tachycardia, palpitations, starting treatment and at 6-month
acute depressive episodes associated intervals during long-term
peripheral edema, orthostatic
with bipolar disorder. treatment.
hypotension, hypertension, QT-
 Monitor blood pressure for
interval prolongation
orthostatic hypotension.
EENT: cataracts, ear pain, rhinitis,  Monitor patient closely for
pharyngitis prolonged QT interval.
GI: constipation, dyspepsia, dry  Monitor fasting blood lipids
mouth, anorexia periodicall during treatment.
Hematologic: leukopenia
Metabolic: hypothyroidism Patient teaching
Respiratory: cough, dyspnea  Tell patient to take immediate-
Skin: diaphoresis release tablets with or without
Other: weight gain, flulike food and to take extended-release
symptoms, acute withdrawal form preferably in the evening,
symptoms with abrupt cessation swallowed whole, without food or
with a light meal.
 Instruct patient not to crush,
Fernandez, Bianca Nicole G. February 22-24, 2020
BSN 3B-2a CI: Ma’am Ruth Abigail Valdez
break, or chew extended-release
tablets.
 Teach patient to recognize and
immediately report signs and
symptoms of neuroleptic
malignant syndrome (such as high
fever, sweating, unstable blood
pressure, stupor, muscle rigidity,
changes in mood or behavior and
tardive dyskinesia) and prolonged
QT interval.

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