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You’ve learned about gabapentin (Neurontin) nursing implications (aka nursing considerations) and patient teachings in this article. In addition, you’ve learned about gabapentin’s mechanism of action, pharmacokinetics, dosage, indications, contraindications, side effects, nursing assessment, and nursing interventions. Limited information indicates that maternal doses of gabapentin up to 2.1 grams daily produce relatively low levels in infant serum. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsant or psychotropic drugs. A single oral dose of either 300 mg or 600 mg given to Gabapentin and Nursing: Key Considerations for Safe and Effective Patient Care Gabapentin is an anticonvulsant and analgesic medication commonly encountered in various clinical settings. Nurses play a vital role in ensuring its safe and effective use. It's crucial for nurses to have a comprehensive understanding of gabapentin's pharmacology, administration guidelines, potential adverse effects Advice for mothers using Gabapentin while breastfeeding. Includes possible effects on breastfed infants and lactation. Nursing Considerations for Gabapentin Related Nursing Diagnoses Acute pain Risk for injury Risk for infection (related to decreased white blood count) Risk for suicide, impaired oral mucous membrane, constipation as potential side effects of gabapentin Nursing Assessment Assess for allergies to gabapentin Monitor for changes in neurological status, changes in mood, or thoughts of suicide Learn about the side effects and nursing implications of Gabapentin to ensure safe and effective use in patient care. Gabapentin, a commonly prescribed anticonvulsant medication, is used to treat a variety of conditions, including epilepsy, neuropathic pain, and restless legs syndrome. While generally well-tolerated, nurses must be aware of potential adverse effects and implement appropriate nursing considerations to ensure patient safety and optimal therapeutic outcomes. Gabapentin is an anticonvulsant medication commonly prescribed for epilepsy, neuropathic pain, and various off-label uses. Understanding proper nursing considerations is crucial for safe and effective patient care. Gabapentin Medication GridNCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors. Nursing Pharmacology [Internet]. 2nd edition. Eau Claire (WI): Chippewa Valley Technical College; 2023. 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. By understanding gabapentin’s pharmacology, indications, and nursing considerations, healthcare professionals can optimize treatment outcomes and enhance patient quality of life. Continuous vigilance, patient-centered education, and interdisciplinary collaboration are key to successful gabapentin therapy. This sheet is about exposure to gabapentin in pregnancy and while breastfeeding. This information is based on available published literature. It should not take the place of medical care and advice from your healthcare provider. For example, the two brands of gabapentin, Neurontin and Gralise, have different dosage schedules and indications, despite the same generic name. Neurontin is indicated for treatment of partial onset seizures, but Gralise is not. This newsletter will focus on Neurontin as an example of the GABA analogues, and its role in pain management Nursing considerations Assessment History: Hypersensitivity to gabapentin; lactation, pregnancy Physical: Weight; T; skin color, lesions; orientation, affect, reflexes; P; R, adventitious sounds; bowel sounds, normal output Interventions Give drug with food to prevent GI upset. Arrange for consultation with support groups for people with epilepsy. Gabapentin is a medication that has been used to prevent and control partial seizures, treat some forms of nerve pain, and treat moderate-to-severe restless legs syndrome. Some brand names are Horizant®, Gralise® and Neurontin®. Point of Care - Clinical decision support for Gabapentin. Treatment and management. Indications, Mechanism of Action, Administration, Adverse Effects, Contraindications, Monitoring, Toxicity, Enhancing Healthcare Team Outcomes What is Gabapentin? Gabapentin is a medication primarily used to treat neuropathic pain and epilepsy. It is also known under the brand names Neurontin and Gralise. As a nurse, understanding the uses, dosages, side effects, and patient education related to gabapentin is crucial for providing optimal care. Gabapentin is a GABA neurotransmitter analog; however, it does not inhibit GABA uptake or degradation. It appears to interact with GABA cotical neurons, but its relationship to functional activity as an anti convulsant is unknown. Used in conjunction with other anticonvulsants to control certain types of seizures in patients with epilepsy. Effective in treating painful neuropaths. Generic Name Gabapentin Trade Name Neurontin Indication Seizures, peripheral neuropathy, neuropathic pain, prevention of migraines Action Exact method of action unknown, may play a role in stabilizing neural membranes Therapeutic Class Analgesic adjuncts, anticonvulsants, mood stabilizers Pharmacologic Class None Nursing Considerations • May cause suicidal thoughts, confusion, depression Gabapentin is a medication commonly prescribed to treat various conditions, including epilepsy, neuropathic pain, and restless legs syndrome. This guide aims to educate patients about important considerations, including dosage instructions, potential side effects, and precautions, to ensure safe and effective use of gabapentin.
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