RESIDENT_____________________________________

DATE

PROBLEM

GOAL

TO DATE

INTERVENTIONS

RESP

DISC

Medication

Potential for discomfort and side effects related to the use of

Phenothiazine-Related  Antiemetics

Prochlorperazine

Promethazine

For the diagnosis of

Resident will be free of any discomfort or adverse side effects

Administer medication as ordered

Ask physician to review medication for possible dose reduction every three months

Report pertinent lab results to physician

Observe for possible side effects every shift

Use with caution in individuals with Parkinson’s disease, narrow-angle glaucoma, BPH, seizure disorder

Monitor for Adverse Consequences

May cause sedation, dizziness, drowsiness, postural hypotension, and neuroleptic malignant syndrome

May lower seizure threshold

Promethazine and prochlorperazine may cause anticholinergic effects, such as constipation, dry mouth, blurred vision, urinary retention

May cause extrapyramidal symptoms, including medication-induced parkinsonism, acute dystonic reactions, akathisia, and tardive dyskinesia

May alter cardiac conduction or induce arrhythmias