DRUG STUDY:

DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION SIFE EFFECTS/ADVERSE NURSING

ACTION EFFECTS CONSIDERATION/RESPONSIBILITIES

Generic Name: Antipsychotic Haloperidol Various psychosis eg, Neurologic disorders Extrapyramidal  When administering oral
Haloperidol competitively blocks schizophrenia, mania accompanied with symptoms eg, muscular form, encourage the patient
Brand Name: post-synaptic and in behavior pyramidical or extra- hypertonia and tremor to take it with or after
Haldol dopamine (D2) disturbances, severe pyramidical symptoms (pseudoparkinsonism), meals to reduce gastric
Route: receptors in the brain, anxiety, Tourette’s restless feeling in the irritation
Oral eliminating dopamine syndrome lower limb (akathisia),  Monitor vital signs
Dosage: neurotransmission and muscle cramps regularly, especially during
Frequency: leading to the relief of the initial stages of
delusions and treatment.
hallucinations that are  Monitor for neuroleptic
commonly associated malignant syndrome (fever,
with psychosis. muscular rigidity, altered
mental status, and
autonomic dysfunction)
 Continuous monitoring of
physical and mental status,
including checking for EPS
and signs of tardive
dyskinesia, especially during
long-term therapy
NURSING CARE PLAN:

Cues Nursing Diagnosis Rationale to Nursing Goals and Objectives Nursing Intervention Rationale to Nursing Evaluation
Diagnosis Intervention

Subjective Cues: Risk for Violence Psychotic disorder like After 1 hour of my Independent: Independent: At the end of I hour of my
“Minsan natatakot po related to altered schizophrenia, often nursing intervention the  Continuous  Early identification of nursing intervention the
ako kasi may mga mental status (e.g., present with patient will be able to: assessment of increased agitation client was able to:
nakikita po ako at may hallucinations), and hallucinations that Short Term Goals: mental status and or worsening Short Term Goals:
naririnig” as verbalized aggressive behaviour impair the patient’s  Not harm self, behaviours symptoms allows for  Not harm herself,
by the patient ability to perceive staff, or family timely intervention staff and family
reality accurately. This members and prevents members
Objective Cues: altered mental state  Recognize and escalation of  Report signs for
 Hallucination increases the risk of report signs of aggressive wanting to hurt
 Restrained at aggressive behaviour wanting to behaviour. This helps herself or others
Room 1 as the individual might harm herself or in recognizing
 Hysterical act on their others triggers early and At the end of 1 week of my
hallucinations in an addressing them nursing intervention the
effort to protect After 1 week of my before violence client was able to:
themselves or escape nursing intervention the occurs Long Term Goals:
perceived reality. patient will be able to:  Remained free
Long Term Goals:  Provide a safe  A calm, safe form injury and
Reference:  Patient will environment environment reduces self-harm
https:// remain free external stressors
www.nursetogether.c from injury and and provides a sense
om/schizophrenia- self-harm of security for
nursing-diagnosis-  Demonstrate patients, which helps
care-plan/ improve reduce feelings of
impulse control fear or agitation that
and ability to might lead to violent
manage behaviour
aggressive
behaviours  Use de-escalation  De-escalation
independently technique (speak in techniques are
 a calm, slow, and designed to defuse
soft tone, use tension, reduce fear,
clear, simple and prevent the
language and avoid patient from
confrontation or becoming more
argument) agitated. Offering
choices and
maintaining a calm
demeanour can help
the patient feel less
threatened and more
in control of the
situation.

 When the patient  Acknowledging the

experiences patient's feelings
hallucinations while gently
validate their redirecting them
feelings without away from the
reinforcing the hallucination helps
content of the reduce the likelihood
hallucination. of an aggressive
reaction.
Reassurance and
non-confrontational
responses prevent
further escalation.

 Teach and  Providing the patient

encourage the use with tools to manage
of coping their emotions and
strategies, such as stress helps prevent
deep breathing, violent outbursts by
 relaxation
techniques, or addressing the
guided imagery. emotional distress
Help the patient that can contribute
identify early to aggression.
warning signs of
agitation and
practice these
techniques before
they escalate.

 In extreme cases,
when the patient is  Physical restraint
a direct threat to and seclusion should
themselves or only be used when
others, use absolutely necessary
therapeutic for the safety of the
physical patient or others.
interventions such The goal is to
as restraints (as a prevent injury while
last resort) or minimizing the
seclusion. Always trauma or
follow institutional humiliation of the
policies regarding patient.
the use of
restraints and
obtain consent
when possible.

 Involve the
patient's family or  Family members can
support system in be instrumental in
education and recognizing early
support. Teach signs of aggression
 them about and can help
warning signs of manage the
agitation and how patient’s behavior in
to handle violent familiar settings.
behavior in a non- Providing education
confrontational helps family
way. members feel
empowered and
prepared to assist in
the management of
the patient’s
condition.
Dependent:
 Work closely with Dependent:
psychiatrists,  A comprehensive
psychologists, treatment plan that
social workers, and addresses all aspects
other healthcare of the patient's
professionals to condition (medical,
develop an psychological, and
individualized care social) can reduce
plan. This may the overall risk of
include therapy, violence by providing
medication holistic care and
adjustments, and support.
family counselling.

 Administer
antipsychotic  Medications can help
medications, mood stabilize mood,
stabilizers, or reduce delusions,
anxiolytics as hallucinations, and
prescribed to agitation, and
manage symptoms decrease the
of psychosis, likelihood of
agitation, or aggressive behavior.
aggression.
Monitor the
patient for side
effects and
therapeutic
responses.