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Gabapentin is structurally related to the neurotransmitter GABA but is neither a GABA agonist nor antagonist. Gabapentin-binding sites have been identified throughout the brain tissues e.g. neocortex and hippocampus. However, the exact mechanism of action is still unknown. Indications Nursing implications (what to focus on) Contraindications/warnings/interactions -This drug may be given with or without food. -Tablets should be swallowed whole and should not be cut, crushed, or chewed. -The dosage of gabapentin needs to be reduced in kidney disease. Gabapentin Nursing Interventions. Administer gabapentin according to the prescribed dosage and schedule. This ensures that the patient receives the appropriate dose of medication at the right time, promoting therapeutic effects. Study with Quizlet and memorize flashcards containing terms like gabapentin, therapeutic classification, pharmacologic classification and more. nursing implication 1. Nursing considerations May cause suicidal thoughts, ataxia, depression, dizziness. Monitor for mood and behavior change Monitor seizure activities when used as anticonvulsant Assess pain levels if being used as analgesic Administer prescribed dose as different doses used for different therapeutic purpose Nursing Implications Assess for suicidal thoughts, mood and affect Assess of pain relief Assess for seizure activity Instruct client not to take medication within 2 hours of an antacid Client teaching Nursing interventions Monitor closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts or behavior or depression. Assess location, duration, and characteristics of seizure activity. Study with Quizlet and memorize flashcards containing terms like why are they getting gabapentin, what labs or v/s to monitor with gabapentin?, nursing implications for gabapentin? and more. nursing considerations As needed, open gabapentin capsules and mx contents with water, fruit juice, apple sauce or pudding before administration. Give drug at least 2 hours after an antacid. Study with Quizlet and memorize flashcards containing terms like Gabapentin (Neurontin) Key points:, Gabapentin (Neurontin) Drug classification:, Gabapentin (Neurontin) Indication: and more. Study with Quizlet and memorize flashcards containing terms like Therapeutic class, MOA, Use and more. Pharmacology and the Nursing Process Nursing implications. 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. Nursing Implications Monitor for therapeutic effectiveness; may not occur until several weeks following initiation of therapy. In those treated for seizure disorders, assess frequency of seizures: In rare cases, the drug has increased the frequency of partial seizures. The Eleventh Edition of Lehne’s Pharmacology for Nursing Care provides a thorough understanding of key drugs and their implications for nursing care. This text, written by renowned nursing educators, helps you comprehend and apply pharmacology principles. Mechanism of action: Gabapentin helps to stabilize cell membranes by changing cation (sodium, calcium, and potassium) transport, reducing excitability, and suppressing seizure focus or discharge. Indications for use: Adjunctive treatment for seizure control, postherpetic neuralgia, moderate to severe primary restless legs syndrome. Study with Quizlet and memorize flashcards containing terms like Trade name gabapentin, Trade Name Gabapentin, Classification Gabapentin and more. Study with Quizlet and memorise flashcards containing terms like GABAPENTIN: class, GABAPENTIN: mechanism of action, GABAPENTIN: indication and others. Gabapentin is an anticonvulsant medication commonly prescribed for epilepsy, neuropathic pain, and various off-label uses. Understanding proper nursing considerations is crucial for safe and effective patient care. Gabapentin is a GABA neurotransmitter analog; however, it does not inhibit GABA uptake or degradation. It appears to interact with GABA cotical neurons, but its relationship to functional activity as an anti convulsant is unknown. Gabapentin, although structurally similar to GABA and classified as an anticonvulsant, is commonly used to control chronic neuropathic pain. Neuropathic pain is defined by the International Association for the Study of Pain as “pain caused by a lesion or disease of the somatosensory nervous system.”
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