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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 With a comprehensive understanding of pharmacology and patient-specific factors, nurses tailor care plans to optimize pain relief while minimizing risks associated with morphine therapy. Nursing Assessment. There are several important aspects of a nursing assessment for a patient taking morphine, including: 1. 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. Here are other nursing pharmacology study guides: Nursing Pharmacology – Study Guide for Nurses Our collection of topics related to nursing pharmacology; Pharmacology Nursing Mnemonics & Tips These nursing mnemonics aim to simplify the concepts of pharmacology through the use of a simple, concise guide. Generic Drug Name Stems Cheat Sheet In this article, you’ll learn about Gabapentin (Neurontin) nursing implications and patient teachings. Also, its dosage, indication, contraindications, interactions, side effects, nursing assessment, and nursing interventions. Generic Name: Gabapentin. Brand Names: Neurontin, Gralise, Horizant. What are the indications of gabapentin (Neurontin)? Nursing responsibilities in instructing patients on proper administration and monitoring for side effects. antacid. Generic name: anticonvulsant. It generalization in gabapentin or its amnesia, anxiety, alone or in adult depersonalization, together. doses are missed. syndrome. system. tooth discoloration. Formoterol Gonzaga. 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. 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 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. Gabapentin (brand name Neurontin) is classified therapeutically in a few different ways. As an anticonvulsant, an analgesic adjunct, and a mood stabilizer. Since the exact mechanism is unknown, Gabapentin is one of those drugs that aren’t in a pharmacologic class. Nursing Considerations Therapeutic Effects Side/Adverse Effects; Anticonvulsant: gabapentin: Administer first dose at bedtime to decrease dizziness and drowsiness Monitor for worsening depression, suicidal thoughts or behavior, and/or any unusual changes in mood or behavior Taper dose; do not stop abruptly: Decreased neuropathic pain or seizures Gabapentin (Neurontin) Nursing Considerations Created Date: 3/23/2022 10:18:38 PM 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. 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. Report to Physician or nurse if any of those side effect / adverse reaction occurs. Tylenol Teaching 2619 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. Grab our free cheatsheet covering the 50 most commonly prescribed medications right here: to all the episodes at: Patients should not take gabapentin within 2 hours of antacid medications. Additionally, gabapentin may cause increased drowsiness and dizziness. Patients, family, and caregivers should also monitor for suicidality. Now let’s take a closer look at the medication grid for gabapentin in Table 8.10c. [11] Table 8.10c Gabapentin Medication Grid 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 (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 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.
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