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We use Gabapentin for the prevention of seizures for peripheral neuropathy, for neuropathic pain and for the prevention of migraines. So some of the side effects that we see with Gabapentin are things like drowsiness, facial edema, hypertension, and confusion. May affect transport of amino acids across and stabilize neuronal membranes. Decreased incidence of seizures. Contraindicated in: Hypersensitivity. Use Cautiously in: All patients (may ↑ risk of suicidal thoughts/behaviors); Renal insufficiency (↓ dose and/or ↑ dosing interval if CCr ≤60 mL/min); OB: Lactation: Safety not established; 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 Gabapentin is an anticonvulsant used in the prevention of partial seizures. It is frequently used for neuropathic pain including diabetic neuropathy, radiculopathy, shingles, and trigeminal neuralgia. 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. 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. Nursing Implications Monitor of 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, Monitor dizziness and CNS depression, monitor for changes in behavior that 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. 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 Read this chapter of Davis's Drug Guide for Rehabilitation Professionals online now, exclusively on F.A. Davis PT Collection. F.A. Davis PT Collection is a subscription-based resource from McGraw Hill that features trusted content from the best minds in PT. What is the generic name? GABAPENTIN. What is the Trade Name for GABAPENTIN? Neurontin. What are the Indications for GABAPENTIN? 1 INDICATIONS AND USAGE NEURONTIN ¬Æ is indicated for: Management of postherpetic neuralgia in adults Adjunctive therapy in the treatment of partial onset seizures, with and without secondary generalization, in adults and pediatric patients 3 years and older with Understanding proper nursing considerations is crucial for safe and effective patient care. Generic name: Gabapentin. Brand names: Neurontin, Gralise, Horizant, Gabarone. Pharmacologic class: Anticonvulsant, Antiepileptic. Therapeutic class: Anticonvulsant, Analgesic for neuropathic pain. 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 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. 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 Pain Management: Gabapentin Page 2 _____6. Which of the following patients is at highest risk for serious adverse effects of Neurontin: A. 32-year old nursing mother B. 60-year old woman with hypertension C. 75-year old man with emphysema D. 49-year old man who is immunocompromised _____7. Abrupt discontinuation of Neurontin is likely to cause: Gabapentin (Neurontin) Nursing Considerations Created Date: 3/23/2022 10:18:38 PM If you are 65 or older, use this drug with care. You could have more side effects. If the patient is 3 to 12 years of age, use this drug with care. 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 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.
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