Psychotropic Drug Use

Care Plan for Psychotropic Drug Use

Category / Primary Body System:

Psychiatric / Mental Health

Problem:

Patient is at risk for complications due to psychotropic drug use.

Goal:

Patient will have the least possible effective dose of psychotropic medication without side effects for 90 days.

Plan/Approach:

1. Medication Administration:

   • Step-by-Step Approach: Administer psychotropic medications as ordered.
   • Rationale: Ensures the patient receives the prescribed treatment to manage their condition.

2. Effectiveness Monitoring:

   • Step-by-Step Approach: Monitor the patient for the effectiveness of psychotropic medications.
   • Rationale: Evaluates if the medication is achieving the desired therapeutic effect.

3. Side Effects Monitoring:

   • Step-by-Step Approach: Monitor the patient for side effects of psychotropic medications.
   • Rationale: Early detection of side effects allows for timely intervention and dosage adjustments.

4. Lab Monitoring:

   • Step-by-Step Approach: Check lab values as ordered.
   • Rationale: Regular monitoring of lab values can help identify any adverse effects of the medication on the patient's health.

5. Psychiatric Consultation:

   • Step-by-Step Approach: Arrange for psych consult as ordered.
   • Rationale: Provides specialized evaluation and recommendations for managing the patient's mental health condition.

6. Pharmacy Evaluation:

   • Step-by-Step Approach: Request pharmacy evaluation of medication as needed.
   • Rationale: Ensures appropriate medication management and identification of potential drug interactions.

7. AIMS Assessment:

   • Step-by-Step Approach: Conduct AIMS (Abnormal Involuntary Movement Scale) assessment per protocol if medication being used is antipsychotic.
   • Rationale: Monitors for extrapyramidal symptoms and tardive dyskinesia, which are common side effects of antipsychotic medications.

8. Behavioral Monitoring:

   • Step-by-Step Approach: Monitor for behavior changes that are not baseline for the patient and notify MD/RNP if any.
   • Rationale: Identifies any new or worsening symptoms that may indicate a need for treatment adjustment.

Actions:

1. Medication Administration:

   • Staff will administer psychotropic medications as ordered.

2. Effectiveness Monitoring:

   • Staff will monitor the patient for the effectiveness of psychotropic medications.

3. Side Effects Monitoring:

   • Staff will monitor the patient for side effects of psychotropic medications.

4. Lab Monitoring:

   • Staff will check lab values as ordered.

5. Psychiatric Consultation:

   • Staff will arrange for a psych consult as ordered.

6. Pharmacy Evaluation:

   • Staff will request a pharmacy evaluation of medication as needed.

7. AIMS Assessment:

   • Staff will conduct AIMS assessment per protocol if medication being used is antipsychotic.

8. Behavioral Monitoring:

   • Staff will monitor for behavior changes that are not baseline for the patient and notify MD/RNP if any.