Mesoridazine is an antipsychotic medication that was used to treat schizophrenia and other psychiatric conditions. It has been largely withdrawn from the market in many countries due to the risk of cardiac arrhythmias. If you are providing care to a patient who is taking mesoridazine, it is important to be familiar with the associated nursing responsibilities. Here are ten nursing responsibilities related to mesoridazine:
Mesoridazine Nursing Responsibilities
- Medication Administration and Monitoring:
- Ensure correct dosage and monitor for any missed doses.
- Observe for potential side effects and report any abnormalities.
- Cardiac Monitoring:
- Monitor the patient’s heart rate and rhythm regularly, as mesoridazine is known to prolong the QT interval and can lead to serious cardiac arrhythmias.
- Educate the patient on signs of cardiac arrhythmias such as palpitations, dizziness, and fainting.
- Neurological Assessment:
- Assess for signs of extrapyramidal side effects (EPS) like tardive dyskinesia, akathisia, dystonia, and parkinsonism.
- Monitor for symptoms of neuroleptic malignant syndrome (NMS) like fever, muscle rigidity, and altered mental status.
- Mental Status Monitoring:
- Continuously assess the patient’s mental status, including their mood, thought processes, and suicidal ideation.
- Monitor therapeutic response to the medication.
- Patient Education:
- Educate the patient about the potential side effects of the medication.
- Advise them to avoid alcohol, over-the-counter medications, and other drugs that might interact with mesoridazine without consulting a healthcare provider.
- Vital Sign Monitoring:
- Regularly check blood pressure, as mesoridazine can cause orthostatic hypotension.
- Monitor respiratory rate for any abnormalities.
- Safety Precautions:
- Assist the patient when ambulating, especially if they experience dizziness or lightheadedness.
- Implement fall precautions.
- Regular Blood Tests:
- Periodically assess blood cell counts as antipsychotic medications can sometimes lead to agranulocytosis (a severe drop in white blood cells).
- Monitor liver function tests.
- Ophthalmologic Examination:
- Some antipsychotics can cause visual disturbances or eye issues. Ensure the patient undergoes regular eye exams.
- Communication with Healthcare Team:
- Collaborate with the healthcare team, especially the prescribing physician, to discuss any observed side effects, changes in mental status, or concerns related to medication therapy.
- Report any severe or unexpected adverse effects immediately.
It’s crucial to note that the use of mesoridazine has declined significantly because of its cardiac risks. If a patient is on this medication, they should be closely monitored, and alternative treatments should be considered. Always consult with a healthcare provider or pharmacist about specific concerns related to drug therapy.
