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gabapentin (gab ah pen' tin)Neurontin . Pregnancy Category C . Drug class. Antiepileptic . Therapeutic actions. Mechanism of action not understood; antiepileptic activity may be related to its ability to inhibit polysynaptic responses and block posttetanic potentiation. Nursing Process Pre-Administraion Assessment: Post Administraion Evaluaion: Nursing Consideraions: Gabapentin (Neurontin) Nursing Considerations Created Date: Gabapentin is an anticonvulsive medication that received approval from the US Food and Drug Administration (FDA) in 1993 and has been available in generic form in the USA since 2004. Gabapentin was originally used as a muscle relaxant and an anti-spasmodic. However, it was later discovered that gabapentin has the potential of an anticonvulsive medication and can be used as an adjunct to more Identify appropriate indications for use of gabapentin. Relate general characteristics of gabapentin to specific patient situations. Apply nursing process considerations for gabapentin to specific patient situations. Correctly calculate dosage for gabapentin. Nursing Assessment. Assess for allergies to gabapentin; Monitor for changes in neurological status, changes in mood, or thoughts of suicide; Review the patient’s history of seizures; Assess pain scale and characteristics; Monitor for signs of infection; Review WBC count; Monitor for renal impairment; Nursing Interventions. Administer with or gabapentin (ga-ba- pen -tin) Neurontin. Therapeutic: analgesic adjuncts, therapeutic, anticonvulsants, mood stabilizers. Partial seizures (adjunct treatment). Postherpetic neuralgia. Unlabeled Use: Chronic pain. Prevention of migraine headache. Bipolar disorder. Anxiety. Mechanism of action is not known. Nursing actions: A. Assessment: 1 closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts or behavior or depression. 2: Assess location, duration, and characteristics of seizure activity. Nursing Considerations for Gabapentin. When administering or caring for patients taking gabapentin, nurses should consider several important factors. Nursing Assessment. 1. Assess the patient’s medical history, including any known allergies, previous adverse reactions to gabapentin or similar medications, and relevant medical conditions. Gabapentin This information from Lexicomp explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. Brand Names: US Gabarone; Gralise; Neurontin Brand Names: Canada AG-Gabapentin; APO-Gabapentin; Auro-Gabapentin; BIO-Gabapentin [DSC]; Nursing Assessment These are the important things the nurse should include in conducting assessment , history taking, and examination: Assess for mentioned contraindications and cautions (e.g. drug allergy, diabetes , hepatorenal dysfunction, arrhythmias, hypotension , etc.) to prevent untoward complications. Perform comprehensive neurological assessment. Assess renal function (creatinine clearance). Evaluate pain levels and characteristics. Screen for the history of substance abuse. Assess fall risk. Monitor for suicidal ideation, especially in young patients. Evaluate respiratory status, particularly with concurrent opioid use. Nursing Interventions Assessment Why would you hold or not give this med? -Gabapentin was designed to mimic the neurotransmitter GABA. It. On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. ANTIEPILEPTICS, PART 2: DRUG NAME: vigabatrin (Sabril) gabapentin (Neurontin, Gralise) CLASS: GABA inhibitors: GABA analogues: MECHANISM OF ACTION: Prevent GABA reuptake into presynaptic neurons; ↑ GABA concentration in synapse; ↓ seizure activity Advise patient not to take gabapentin within 2 hr of an antacid. Gabapentin may cause dizziness and drowsiness. Caution patient to avoid driving or activities requiring alertness until response to medication is known. Seizure patients should not resume driving until physician gives clearance based on control of seizure disorder. Nursing considerations Assessment. History: Hypersensitivity to gabapentin; lactation, pregnancy; Physical: Weight; T; skin color, lesions; orientation, affect, reflexes; P; R, adventitious sounds; bowel sounds, normal output; Interventions. Give drug with food to prevent GI upset. Arrange for consultation with support groups for people with Gabapentin (Neurontin) nursing assessment Obtain detailed medical and drug related history including hypersensitivity, possible drug-drug and drug-food interactions. Assess the history of epilepsy; frequency, type, characteristics, onset, and duration of seizures. SN to educate patient concerning the use of gabapentin is to increased pain relief affects by using the CNS to decrease symptoms of pain and assist Tramadol or other prescribed pain medications, even Tylenol ER in ultimate pain relief. Antiseizure agents (also known as antiepileptic drugs or as anticonvulsants) are drugs used to manage epilepsy, the most prevalent neurological disorder. Antiseizure agents of choice depends on the type of epilepsy, age of the patient, patient tolerance, and specific patient characteristics. Table of Common Drugs and Generic Names Here is a table of commonly encountered antiseizure agents So let's take a look at a few nursing considerations. Gabapentin may cause suicidal thoughts, ataxia, or lack of muscle control and depression with these things in mind, monitor your patient for changes and behavior and depression while on Gabapentin, make sure you assess seizure activity and pain level in your patient, teach your patient to Find information on Gabapentin (Gralise, Horizant) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.
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