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Risperidone: Indications and Nursing Care

Risperidone is an antipsychotic drug used to treat schizophrenia, delaying relapse of schizophrenia, and bipolar disorder. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include insomnia, anxiety, headache, dizziness, and nausea. It can interact with other drugs like clozapine and carbamazepine. Nurses should monitor patients for side effects like fever and seizures when starting or increasing the dose of risperidone.

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4K views2 pages

Risperidone: Indications and Nursing Care

Risperidone is an antipsychotic drug used to treat schizophrenia, delaying relapse of schizophrenia, and bipolar disorder. It works by blocking dopamine and serotonin receptors in the brain. Common side effects include insomnia, anxiety, headache, dizziness, and nausea. It can interact with other drugs like clozapine and carbamazepine. Nurses should monitor patients for side effects like fever and seizures when starting or increasing the dose of risperidone.

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Cheezy Bread
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Risperidone Drug Study

In making a Drug Study, the following elements must be present:Generic Name and the
Brand name (not all brands, just the brand used by the patient), Action, Indication, Pregnancy
Category, Drug Classification, and Contraindication, Adverse Effect, Drug interaction and
Nursing Consideration/Intervention. Most clinical instructors preferred this to be in a long
bond paper in printed or handwritten with paper in landscape.
Risperidone
Brand Name: Risperdal
Pregnancy Category C
Drug classes: Antipsychotic, Benzisoxazole
Therapeutic actions
Mechanism of action not fully understood: blocks dopamine and serotonin receptors in the brain,
depresses the RAS; anticholinergic, antihistaminic, and alpha-adrenergic blocking activity may
contribute to some of its therapeutic and adverse actions.
Indications
Treatment of schizophrenia
Delaying relapse in long-term treatment of schizophrenia
Unlabeled uses: bipolar disorder; treatment of patients with dementia-related psychotic
symptoms
Contraindications
Contraindicated with hypersensitivity to risperidone, lactation.
Use cautiously with cardiovascular disease, pregnancy, renal or hepatic impairment,
hypotension.
Adverse effects

Insomnia, anxiety, agitation, headache, somnolence, aggression,


dizziness, tardive dyskinesias, Orthostatic hypotension, arrhythmias, Rash, dry skin, seborrhea,
photosensitivity, Nausea, vomiting, constipation, abdominal discomfort, dry mouth, increased
saliva, Rhinitis, coughing, sinusitis, pharyngitis, dyspnea, Chest pain, arthralgia, back pain,
fever, neuroleptic malignant syndrome
Drug Interactions:
Increased therapeutic and toxic effects with clozapine
Decreased therapeutic effect with carbamazepine
Decreased effectiveness of levodopa
Nursing considerations
Maintain seizure precautions, especially when initiating therapy and increasing dosage.
Mix oral solution with 34 oz of water, coffee, orange juice, or low-fat milk.
Do not mix with cola or tea.
Monitor T. If fever occurs, rule out underlying infection, and consult physician for
appropriate comfort measures.
Advise patient to use contraception during drug therapy.
Follow guidelines for discontinuation or reinstitution of the drug carefully.

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