Increase protein and give B6
Neuroleptic Malignant Syndrome
Tolerance develop until seven days
A- void abrupt discontinuation after prolonged use
N- Not give if BP is up, hepatic/renal dysfunction or history of drug abuse
X-xanax, ativan, serax is also an anti-anxiety meds
I-increase in 3D's- drowsiness, dizziness, decreased BP
Enhances action of GABA
T-teach client to rise slowly from supine position
Y-es alcohol should also be avoided.
Hypertensive crisis within several hours of ingestion of tyramine containing foods
aged cheese, beer, ale, red wine, pickled foods, smoked or pickled fish, beef or chopped liver, avocado of figs.
D-riving is contraindicated
E-ffect has a delayed onset of 7-21 days
P-regnancy consult with your physician
R-elieves symptoms but never cure
E- valuate vital sign
S-toppind drug abruptly is Out!
I-nstruct to report undesirable side effect
O-bserve for suicidal tendencies
N-o alcohol or CNS depressants
Increase risk of toxicity when given with: thiazide diuretics, methyldopa, and NSAIDs
Decrease lithium levels with excess sodium and antacids.
Increase CNS toxicity with Haloperidol
0.6-1.2 -meq/l Therapeutic Effect
> 1.5 meq/l Toxic
2.0 meq/l lethal
L- evel - therapeutic 0.6-1.2 meq/l
H-eadaches and Tremors
M-orton's Salt -adequate intake
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