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Antiseizure agents (also known as antiepileptic drugs or anticonvulsants) are drugs used to manage epilepsy, the most prevalent neurological disorder. Antiseizure agents of choice depend on the type of epilepsy, age of the patient, patient tolerance, and specific patient characteristics. 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. 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 take this medication exactly as it's directed and to 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)? 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. It is thought that Gabapentin may play a role in neural membranes. We use Gabapentin for the prevention of seizures for peripheral neuropathy, for neuropathic pain and for the prevention of migraines. Interventions. Give drug with food to prevent GI upset. Arrange for consultation with support groups for people with epilepsy. WARNING: If overdose occurs, hemodialysis may be an option. Teaching points. Take this drug exactly as prescribed; do not discontinue abruptly or change dosage, except on the advice of your health care provider. Gabapentin (Neurontin) Nursing Considerations Created Date: 3/23/2022 10:18:38 PM Gabapentin Nursing Interventions. 1. 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. 2. 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. Assess location, characteristics, and intensity of pain periodically during therapy. Monitor frequency and intensity of pain on pain scale. The goals of therapy with use of Neurontin for postherpetic neuralgia are to reduce the patient’s perception of pain, increase comfort and function, and improve quality of life. Intervention Medication administration: Neurontin is administered orally as capsules, tablets, or oral solution. It is usually taken in three 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. Chronic Pain (Pain Management) Nursing Diagnosis & Care Plan. Learn about the nursing care plan and management for chronic pain, including assessment, nursing diagnosis, and intervention strategies. Discover how nursing care can improve the quality of life for patients with chronic pain and promote better pain management outcomes. 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 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 Mechanism of action is not known. May affect transport of amino acids across and stabilize neuronal membranes. Therapeutic Effects: Decreased incidence of seizures. Decreased postherpetic pain. Nursing Interventions. Administer with or without food. May give with food to reduce gastrointestinal upset. Do not exceed the maximum interval of 12 hours in between doses when administered 3 times per day. To discontinue gabapentin or start an anticonvulsant, titrate gradually for at least one week to reduce the risk of seizure. Gabapentin is used for partial seizures and neuropathic pain. Nursing Considerations Across the Lifespan. This drug can cause harm to the fetus of pregnant women. Gabapentin use in pediatric patients with epilepsy 3 to 12 years of age is associated with the occurrence of central nervous system related adverse events. Grab our free cheatsheet covering the 50 most commonly prescribed medications right here: to all the episodes at:
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