Nursing considerations for hydroxyzine

Pharmacodynamics. General effects and respiratory effects. Cetirizine, the active metabolite of the piperazine H 1-receptor antagonist hydroxyzine, minimizes or eliminates the symptoms of chronic idiopathic urticaria, perennial allergic rhinitis, seasonal allergic rhinitis, allergic asthma, physical urticaria, and atopic dermatitis.The clinical …

Therapeutic actions. Heparin increases the inhibitory action of antithrombin III (AT III) on clotting factors XIIa, XIa, IXa, Xa and thrombin. This inhibits the conversion of prothrombin to thrombin and fibrinogen to fibrin. It also inhibits platelet function. It may reduce the activity of ATIII at very high doses.Tablets and oral suspension can be taken with or without food. Prepare Zmax by adding 60 milliliters (1/4 cup) water to bottle, shake well, drink all at once. You may experience these side effects: Stomach cramping, discomfort, diarrhea; fatigue, headache (medication may help); additional infections in the mouth or vagina (consult with health ...What is the one nursing consideration that is applicable to all four common antihistamines ( cetirizine, fexofenidine, loratadine, hydroxyzine)? Avoid alcohol and/or CNS depressants while taking medication. What is the one symptom that cetirizine, fexofenidine, and loratadine are all used to treat? What are some of the symptoms hydroxyzine is ...Iterax is a first-generation antihistamine that is used to treat allergies and anxiety. Due to its sedative effects, it is sometimes used to pre-medicate patients prior to surgery....Abraxane: Reconstitute vial by slowly injecting 20 mL NS over at least 1 min onto the inside wall of the vial to yield 5 mg/mL. DO NOT inject directly into the cake powder. Allow vial to sit for at least 5 min, then gently swirl for at least 2 min to completely dissolve. If foaming occurs, let stand for at least 15 min until foam subsides.Nursing Assessment. Heparin is a commonly used medication in various healthcare settings, primarily to prevent and treat blood clots. As a nurse, it is essential to perform a comprehensive nursing assessment before administering heparin to ensure safe and effective patient care. 1. Review patient's medical history.

Lisinopril is used to treat heart failure and increases survival rates following a heart attack. Lisinopril facilitates smooth blood flow by dilating blood vessels. Generic names: Lisinopril. Brand names: Apo-Lisinopril, Prinivil, Qbrelis, Zestril. Pharmacologic class: Angiotensin-converting enzyme (ACE) inhibitor.Dosage for Atarax. For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: in adults, 50-100 mg q.i.d.; children under 6 years, 50 mg daily in divided doses and over 6 years, 50-100 mg daily in divided doses. For use in the management of pruritus ...Generic Name Olanzapine DrugBank Accession Number DB00334 Background. Olanzapine is a thienobenzodiazepine classified as an atypical or second-generation antipsychotic agent. 2 The second-generation antipsychotics were introduced in the 90s and quickly gained traction due to their impressive efficacy, reduced risk for extrapyramidal …Easter 2021, our family portrait was via Skype. It’s the hardest part so far. I have trusted my mom voice to her nurses and gifted them her memory making days.... Edit Yo...The following information is also available as a downloadable PDF.. Heroin and prescription opioid addiction is a major public health problem in the U.S. Emergency department (ED) and urgent care healthcare providers often call The Poison Control Center to receive guidance related to the management of opioid withdrawal due to substance abuse. The management of drug withdrawal is complex and ...Adjust dose to control symptoms. Cyclic therapy (3 wk on/1 wk off) is recommended. 1.5-2 mg estradiol cypionate in oil IM at monthly intervals. 10-20 mg estradiol valerate in oil IM every 4 wk. .05-mg system applied to skin twice weekly as above. Vaginal. Vaginal cream: 2-4 g intravaginally daily for 1-2 wk, then reduce to one-half ...

Jun 27, 2022 · Each capsule, for oral administration, contains hydroxyzine pamoate equivalent to hydroxyzine hydrochloride 25 mg or 50 mg. In addition, each capsule contains the following inactive ingredients: colloidal silicon dioxide, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, sodium starch glycolate (potato), and sodium lauryl sulfate. Hydroxyzine can interact with several medications, potentially causing adverse effects or reducing the effectiveness of either drug. Common interactions include central nervous system depressants like alcohol, benzodiazepines, and opioids, which can enhance the sedative effects of hydroxyzine.Additionally, hydroxyzine may interact with medications that affect heart rhythm, such as certain ...General considerations: Avoid drug therapy when possible. Use topical therapy when possible. Medications that are safe for use directly in an infant of the nursing infant's age are generally safe ...Avoid lying down for 30 min after taking drug. Males with osteoporosis: 10 mg/day PO. Prevention of osteoporosis: 5 mg/day PO or 35 mg PO once a week. Paget's disease: 40 mg/day PO in AM with full glass of water, at least 30 min before the first beverage, food, or medication of the day for 6 mo; may retreat after 6-mo treatment-free period.

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counsel their patients concerning the nature and implications of the ECG changes, underlying diseases and disorders that are considered to represent risk factors, demonstrated and ... hydroxyzine should not be given to nursing mothers. Use in Elderly, Hepatic- or Renal-Impaired Populations: See DOSAGE AND ADMINISTRATION.Alpha adrenergic agonists help dilate the pupils, decrease the secretion of aqueous humor, and increase the uveoscleral outflow. This mechanisms relieve the eyes of too much pressure. Shock is a complication most commonly caused by acute blood loss that can significantly alter the functions of the organs and tissues.Interventions + + Guard against falls and trauma (hip fractures, head injury, and so forth). Implement fall prevention strategies, especially in older adults or if balance is impaired (See Appendix E). In patients with chronic vestibular problems, implement therapeutic exercises and vestibular training activities to help reduce symptoms.Anesthetics are drugs used to cause complete or partial loss of sensation. These drugs are subdivided based on site of action and can either be general or local. General anesthetics can cause central nervous system (CNS) depression to produce loss of pain sensation and consciousness. On the other hand, local anesthetics cause the same sensation ...

These are vital nursing interventions done in patients who are taking antipsychotics: Do not allow patient to crush or chew sustained-release capsules as this will speed up absorption and may cause toxicity. Keep patient in recumbent position for 30 minutes if administering parenteral forms to reduce risk of orthostatic hypotension.Study with Quizlet and memorize flashcards containing terms like Cetirizine HCL (Zyrtec), Fexofenadine (Allegra), Hydroxyzine (Atarax, Vistaril) and more.Atorvastatin is a commonly prescribed medication for hypercholesterolemia, a condition characterized by elevated levels of cholesterol in the blood.Nursing interventions play an important role in the management of patients taking atorvastatin. In this drug guide for atorvastatin, learn about its side effects, adverse reactions, nursing considerations, and nursing implementation.Nevertheless, certain effects of hydroxyzine can last significantly longer than 4 to 8 hours. Suppression of our body's inflammatory response and anti-itch effects are known to last up to 3-4 days after a dose of hydroxyzine. In cases of overdose, how long symptoms last will depend on a variety of factors, including: Dose taken; Age; Liver functionStudy this H2 Blockers NCLEX mnemonic and other mnemonics with Pixorize.Histamine receptor type 2 antagonists, also called H2 blockers, are a class of drugs ...Indications of Hydralazine. Treatment for moderate to severe high blood pressure. Hydralazine is given alone or as an adjunct therapy to other antihypertensive drugs. It works directly to the blood vessels by relaxing the arteriole, reducing arterial pressure, thus, making the blood easier to flow, resulting in lowering blood pressure.INDICATIONS AND USAGE Tetracaine hydrochloride is indicated for the production of spinal anesthesia for procedures requiring two to three hours. View Our Nursing Pharmacology Course. References: https://open.fda.gov/. Other Pharm Resources. OCTREOTIDE (Mycapssa) Nursing Considerations.Nursing Considerations: CNS Depressant, May result in toxic build up in elderly, can delver tolerance and cross tolerance. Cigarette smoking increases drug clearance, and alcohol increases CNS depression. ... Hydroxyzine. Antianxiety Medications: Non-Benzodiazepine Derivatives Indications: treatment of anxiety, preop sedation, antiemetic ...So with lidocaine, we can see some side effects, things like drowsiness, dizziness, vomiting, and sometimes ringing in the ears or tinnitus. The tinnitus typically has to do with too much Lido. So let's take a look at a few nursing considerations for lidocaine. The use of lidocaine should be cautioned in patients with hepatic disease.You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment. Hydroxyzine is used to treat itching caused by allergies. It is an antihistamine and works by blocking a certain natural substance (histamine) that yo.Descriptions. Hydroxyzine is used to help control anxiety and tension caused by nervous and emotional conditions. It can also be used to help control anxiety and produce sleep before surgery. This medicine is also used to relieve symptoms of allergic conditions (eg, chronic urticaria and atopic and contact dermatoses).

Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults ( 1 ). View Our Nursing Pharmacology Course. References: https://open.fda.gov/. Other Pharm Resources. SULFACETAMIDE SODIUM, SULFUR (Sodium Sulfacetamide 9% - Sulfur 4%) Nursing Considerations.

Find information on Hydroxyzine (Vistaril) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, …Mechanism of Action: Barbiturates produce sedation and drowsiness by altering cerebellar function and depressing the actions of the brain and sensory cortex. Indications: Barbiturates are primarily used for sedation and seizures. Nursing Considerations: Do not use for children less than 1 month of age. Barbiturates may harm the fetus during ...Generic and proprietary names - Simvastatin/Zocor. Action - Inhibits HMG-CoA reductase enzyme, which reduces cholesterol synthesis. Classification -Nursing Implications. Assessment & Drug Effects. Supervision of ambulation, particularly with the older adult, since drug may cause drowsiness. Assess effectiveness of drug and inform physician when prescribed for vertigo; dosage adjustment may be required. Patient & Family EducationContraindicated. hydroxyzine + pimozide. contraindicated: combo may incr. risk of QT prolongation, cardiac arrhythmias, CNS depression, psychomotor impairment, anticholinergic adverse effects (additive effects) potassium chloride.The study was designed to show that a BZD withdrawal program, with nursing professionals as the key element, can be applicable within the Spanish Primary Care setting. The following points were considered in developing our program: a) In agreement with many authors, patients should not be forced to cease their treatment [ 12 ]; b) The use of ...Nursing Implications. Assessment & Drug Effects. Evaluate alertness. Drowsiness may occur and usually disappears with continued therapy or following reduction of dosage. Monitor condition of oral membranes daily when patient is on high dosage of hydroxyzine. Reevaluate usefulness of drug periodically.HYDROXYZINE HYDROCHLORIDE 25mg. Hydroxyzine hydrochloride, USP has the chemical name of (±)-2- [2- [4- (p-Chloro-α-phenylbenzyl)-1-piperazinyl]ethoxy]ethanol dihydrochloride. Hydroxyzine hydrochloride, USP occurs as a white, odorless powder which is very soluble in water. Each tablet for oral administration contains 10 mg, 25 mg, or 50 mg ...A glossary to help you sound like you know what you're talking about. The senior housing market can be bewildering to newcomers, partly because not everyone within it speaks exactl...DESCRIPTION. Hydroxyzine pamoate is a light yellow, practically odorless powder practically insoluble in water and methanol and freely soluble in dimethylformamide. It is chemically designated as (±)-2-[2-[4-(p-Chloro-α-phenylbenzyl)-1-piperazinyl]ethoxy]ethanol 4,4’-methylenebis[3-hydroxy-2-naphthoate] (1:1) [10246-75-0] and can be ...

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A sulfonamide derivative and a broad spectrum anticonvulsant that does not potentiate the activity of gamma-aminobutyric acid (GABA) in the synapses of the neurons. It does, however, facilitate dopaminergic and serotonergic neurotransmission. Therapeutic Effects. Suppresses focal spike discharges and electroshock seizures.Nursing Implications. Assessment & Drug Effects. Monitor for hypersensitivity reactions, especially during first and second administrations of the paclitaxel. S&S requiring treatment, but not necessarily discontinuation of the drug, include dyspnea, hypotension, and chest pain.Descriptions. Hydroxyzine is used to help control anxiety and tension caused by nervous and emotional conditions. It can also be used to help control anxiety and produce sleep before surgery. This medicine is also used to relieve symptoms of allergic conditions (eg, chronic urticaria and atopic and contact dermatoses).hydralazine. Trade Name. Apresoline. Indication. hypertension. Action. arterial vasodilation by unclarified mechanism. Therapeutic Class. anti-hypertensive. Pharmacologic Class. vasodilator. Nursing Considerations • may cause tachycardia, sodium retention, arrhythmias, angina • use caution with MAOIs • monitor blood pressure • instruct ...hydralazine. Trade Name. Apresoline. Indication. hypertension. Action. arterial vasodilation by unclarified mechanism. Therapeutic Class. anti-hypertensive. Pharmacologic Class. vasodilator. Nursing Considerations • may cause tachycardia, sodium retention, arrhythmias, angina • use caution with MAOIs • monitor blood pressure • instruct ...Find information on Hydroxyzine (Vistaril) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, …The following sections go over the specifics of these risks, including common and serious side effects, considerations for older patients, potential drug interactions, habit-forming qualities, and safety during pregnancy. ... It’s also advised against using Hydroxyzine during breastfeeding, as it can pass into breast milk and affect the ...Browse sample topics. Find information on Hydroxyzine (Vistaril) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.Find information on Hydroxyzine (Vistaril) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF. ….

hydroxyzine (Atarax® or Vistaril®)? • Feeling sleepy or dizzy • Dry mouth, nose, throat • Headache, upset stomach What does hydroxyzine (Atarax® or Vistaril®) do? • It is an antihistamine. Used to treat itching caused by allergies and control the nausea and vomiting caused by a number of conditions, including motion sicknessFor controlling anxiety and produce sleep before surgery: Adults—50 to 100 milligrams (mg) per day. Children—Dose is based on body weight and must be determined by your doctor. The dose is usually 0.6 milligram (mg) per kilogram (kg) of body weight per day. For oral dosage forms (Vistaril® capsules or suspension):INDICATIONS AND USAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses and in histamine-mediated pruritus.Migraines are a specific type of pounding or pulsating headache that's typically localized to one side of the head, and is often associated with additional symptoms like photophobia, phonophobia, nausea, or even vomiting.As preventative therapy, some clients may take beta blockers like metoprolol, antiepileptics like topiramate, or tricyclic antidepressants like amitriptyline.In adults: Following concerns of heart rhythm abnormalities, the safety and efficacy of hydroxyzine has been reviewed by the European Medicines Agency. The review concludes that hydroxyzine is associated with a small risk of QT-interval prolongation and torsade de pointes; these events are most likely to occur in patients who have risk factors ...Usual Pediatric Dose for Motion Sickness: Age 12 years and older: -Initial Dose: 25 to 50 mg orally 1 hour before travel. -Maintenance Dose: Repeat dose every 24 hours if needed. Use: Management of nausea, vomiting, and dizziness associated with motion sickness. Detailed Meclizine dosage information.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. ...Hydroxyzine is the most studied antihistamine for anxiety and the only antihistamine which is FDA-approved for use in anxiety. Antihistamines like hydroxyzine are histamine-1 receptor (H 1) blockers that are commonly used as alternatives to benzodiazepines for anxiety, panic attacks, and insomnia, in both inpatient and outpatient settings ...PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).In this video, we’re going to cover two of the main classes of antidepressants: selective serotonin reuptake inhibitors and serotonin- norepinephrine reuptake inhibitors. First, let’s focus on selective serotonin reuptake inhibitors, or SSRIs for short, such as fluoxetine, fluvoxamine, sertraline, paroxetine, citalopram, and escitalopram. Nursing considerations for hydroxyzine, Nasal steroids such as fluticasone (Flonase) or budesonide are the safest and most effective treatments for allergic rhinitis while breastfeeding, because topical administration minimizes systemic ..., As a general rule, doxycycline is not administered with meals. You should administer it at least one hour before your patient eats or two hours after. Only if it causes stomach problems can it be ..., Nursing Considerations for Hydralazine. Gather the patient's health information. These include past and present medical history specifically the history of heart attack, coronary artery disease, rheumatic heart disease, liver or kidney increase. For a patient with a history or current heart problem, taking Hydralazine may worsen the condition., Pantoprazole may cause side effects such as headache, diarrhea, abdominal pain, and nausea. Monitor the patient for any of these symptoms, and report any adverse reactions to the prescribing physician. 3. Evaluate the patient's symptoms. Assess the patient's symptoms, including heartburn, acid reflux, and stomach pain., Several types of tocolytics are used in treating pre-term labor; however, the only drug approved by the Food and Drug Administration (FDA) as a tocolytic is ritodrine hydrochloride (Yutopar). Ritodrine can be used if labor begins between 20 and 36 weeks gestation and if the fetus weighs between 500 and 2,499 grams., Dosing Considerations Dose conversion . Once weekly and immediate-release formulations. Delayed release (once-weekly formulation): Immediate-release fluoxetine 20 mg/day = delayed-release fluoxetine 90 mg/week ... hydroxyzine. hydroxyzine increases toxicity of fluoxetine by QTc interval. Avoid or Use Alternate Drug. Increases risk of torsades ..., Dosing Considerations Dose conversion . Once weekly and immediate-release formulations. Delayed release (once-weekly formulation): Immediate-release fluoxetine 20 mg/day = delayed-release fluoxetine 90 mg/week ... hydroxyzine. hydroxyzine increases toxicity of fluoxetine by QTc interval. Avoid or Use Alternate Drug. Increases risk of torsades ..., INDICATIONS AND USAGE Corlanor (ivabradine) is a hyperpolarization-activated cyclic nucleotide-gated channel blocker indicated: To reduce the risk of hospitalization for worsening heart failure in adult patients with stable, symptomatic chronic heart failure with reduced left ventricular ejection fraction. ( 1.1 ) For the treatment of stable ..., Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine It is our pleasure to announce that Eleni Flanagan, DNP, MBA, RN-BC, has been appo..., Notify physician or nursing staff immediately if these reactions occur. Monitor signs of leukopenia (fever, sore throat, signs of infection), thrombocytopenia (bruising, nose bleeds, and bleeding gums), or unusual weakness and fatigue that might be due to anemia or other blood dyscrasias. Report these signs to physician or nursing staff., Pharm. Class. There's more to see -- the rest of this topic is available only to subscribers. Find information on Haloperidol (Haldol) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF., Compassion is important in nursing because it helps make patients feel calmer and gives them the assurance that everything is being done to make them well as soon as possible. Pati..., Dosage for Atarax. For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: in adults, 50-100 mg q.i.d.; children under 6 years, 50 mg daily in divided doses and over 6 years, 50-100 mg daily in divided doses. For use in the management of pruritus ..., INDICATIONS AND USAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses and in histamine-mediated pruritus., The effectiveness of hydroxyzine as an antianxiety agent for long term use, that is more than 4 months, has not been assessed by systematic clinical studies. The physician should reassess periodically the usefulness of the drug for the individual patient. View Our Nursing Pharmacology Course. References: https://open.fda.gov/., ADBA. Current nil per os (npo) standards promote pre-operative fasting as an approach to reduce the volume and acidity of a patient's stomach contents to reduce the risks of regurgitation and subsequent pulmonary aspiration. Pre-anesthesia fasting standards apply to any procedure where sedative medications reduce the protective airway reflex ..., drooping eyelids, trouble swallowing, vision changes, upper stomach pain, dark urine, and. yellowing of the skin or eyes ( jaundice) Get medical help right away, if you have any of the symptoms listed above. Common side effects of …, Find information on Hydroxyzine (Vistaril) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF., Adjust dose to control symptoms. Cyclic therapy (3 wk on/1 wk off) is recommended. 1.5-2 mg estradiol cypionate in oil IM at monthly intervals. 10-20 mg estradiol valerate in oil IM every 4 wk. .05-mg system applied to skin twice weekly as above. Vaginal. Vaginal cream: 2-4 g intravaginally daily for 1-2 wk, then reduce to one-half ..., 1. Introduction. Global spread of the novel coronavirus SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19), has created an unprecedented infectious disease crisis worldwide [1,2,3,4].The search for an effective treatment for patients with COVID-19 among all available medications is still urgently needed [5,6,7,8].Antihistamines are widely used in the treatment of urticaria ..., Document actions and observations. "Enteral" means related to the intestines. The term enteral medication describes medications that are administered into the gastrointestinal tract including orally (PO), rectally (PR), or through a tube such as a nasogastric (NG) tube, nasointestinal (NI) tube, or percutaneous endoscopic gastrostomy (PEG ..., Nursing Implications. Assessment & Drug Effects. Monitor for hypersensitivity reactions, especially during first and second administrations of the paclitaxel. S&S requiring treatment, but not necessarily discontinuation of the drug, include dyspnea, hypotension, and chest pain., Adults and teenagers—At first, 50 milligrams (mg) once a day, taken either in the morning or evening. Your doctor may adjust your dose as needed. However, the dose is usually not more than 200 mg per day. Children 6 to 12 years of age—At first, 25 mg once a day, taken either in the morning or evening., A popular and one of the oldest groups of anti-inflammatory agents is the salicylates. Salicylates are salicylic acid compounds with anti-inflammatory, antipyretic (fever-blocking), and analgesic (pain-blocking) properties. These drugs are widely available as nonprescription drugs and are relatively nontoxic when used as directed., Teaching points. Swallow the capsules whole; do not chew or break capsules because numbness of the throat and mouth could occur, and swallowing could become difficult. You may experience these side effects: Rash, itching (skin care may help); constipation, nausea, GI upset; sedation, dizziness (avoid driving or tasks that require alertness)., The virus, which is highly transmittable, tends to be the most severe in older adults. Let’s start with the good news: About 80% of cases of Covid-19 are mild, according to a new r..., Let's take a look at a few of the nursing considerations for magnesium sulfate. Be sure to monitor your patient's EKG, the rest respiratory rate, as well as of course, their magnesium levels use caution in patients who have renal insufficiency when administering magnesium sulfate, be sure that you are checking the dose with a secondary ..., Hydroxyzine is a drug prescribed to treat itching caused by a variety of allergic conditions, nausea, vomiting, and alcohol withdrawal. Common side effects of hydroxyzine are sedation, tiredness, sleepiness, dizziness, disturbed coordination, drying and thickening of oral and other respiratory secretions, and stomach distress. Do not take hydroxyzine if pregnant or breastfeeding., 1. Hypotension (low blood pressure). This is a common side effect of lisinopril and may cause dizziness, lightheadedness, and fainting. 2. Hyperkalemia (high levels of potassium in the blood). This can be a serious side effect of lisinopril and may cause weakness, fatigue, and abnormal heart rhythms. 3., Symptoms typically occur within 4–14 days after initiation of drug therapy, but can occur at any time during drug use. Report these signs to the physician or nursing staff immediately. Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report arrhythmias (prolonged QT interval, others), or symptoms of ..., Nursing Implications. Assessment & Drug Effects. Evaluate alertness. Drowsiness may occur and usually disappears with continued therapy or following reduction of dosage. Monitor condition of oral membranes daily when patient is on high dosage of hydroxyzine. Reevaluate usefulness of drug periodically., Nursing Interventions. Client Education. Cierra Tucker Hydroxyxine (Atarax) Anxiolytic. Hydroxyzine's unique effect on serotonin is likely why it's the only antihistamine used for anxiety. To help control anxiety and tension: Adults 50 to 100 milligrams (mg) 4 times a day., Hydroxyzine is an antihistamine. It works by preventing the effects of a substance called histamine, which is produced by the body. This medicine is also used to control anxiety withdrawal symptoms in alcoholic patients. It is also used to control nausea and vomiting symptoms, and relieve anxiety in patients with certain heart disease.