Marquez, Crystal Queen C.

DRUG NAME MECHANISM OF ACTION INDICATION / CONTRAINDICATION ADVERSE EFFECT NURSING RESPONSIBILITIES

GENERIC: Lexapro Potentiates serotonergic activity in the CNS by INDICATION: CNS: Somnolence, dizziness, insomnia, Dx:
inhibiting reuptake of serotonin resulting in fatigue  Check Doctors order
BRAND: Escitalopram antidepression effects with little effect on  Treatment of major depressive  Monitor the adverse reactions
Oxalate norepinephrine or dopamine, an isomer of disorder Dermatologic: sweating  Assess patient’s VS
citalopram.  Maintenance treatment for patients  Culture site of infection before
CLASS: Antidepressant with major depressive disorder. GI: Nausea, dry mouth, constipation, therapy.
 Treatment of generalized anxiety diarrhea, indigestion, abdominal pain,  Culture site of infection before
THERAPEUTIC: SSRI SOURCE: disorder. decrease appetite. therapy
 PPD’s Better Pharmacy 
PHARMACOLOGIC: Drug hand book 9th Edition 2009 GU: Ejaculatory disorders, impotence,
 https://www.scribd.com/ CONTRAINDICATION: anorgasmia in females, decreased libido. Tx:
DOSAGE:
document/6982071/Escitalopram-Oxalate  Contraindicated with MAOI use,  Establish appropriate safety
with allergy to drug or to Respiratory: Rhinitis, sinusitis, flulike
Tablet: 5 mg, 10 mg, 20 precautions if patient experiences
citalopram or any component of the symptoms.
mg adverse CNS effects.
Liquid: 1 mg per mL drug  Institute appropriate therapy for
ROUTE: ORAL  Use cautiously in the elderly, with patients suffering from
renal or hepatic impairment, illness depressive.
of metabolism or hemodynamic  Provide comfort measures
response, pregnancy, lactation ,  Provide safety measures (e.g.
suicidal patients, patients with adequate lighting, raised side
seizure disorders. rails, etc.) to prevent injuries.
 Provide comfort measures
DRUG INTERACTIONS  Provide safety measures (e.g.
Risk of serious effects if combined with adequate lighting, raised side
citalopram; do not use these drug rails, etc.) to prevent injuries
concomitantly.
EDx:
 Advice any depressed patients to
avoid the use alcohol while being
treated with ant depressive drug.
 Encourage patient to continue use
for 4/u20136 weeks, as directed,
to ensure adequate levels to affect
depression.
 Inform patient of signs and
symptoms of adverse reactions
and therapeutic effects; instruct
him to report changes.
