Question

Nursing card for ramelteon

Classification Indication(s) for use Adverse Reactions/Side Effects (significant not all) Nursing Implications O Assessment O Intervention/ Teaching

Answer 1

Classification : melatonin receptor agonist (sleep agent)

Indications : insomnia or difficulty in sleep

Adverse effects : anaphylactic reactions, nausea, vomiting, headache, dizziness, behavioural changes and abnormal thinking.

Nursing implications :

# assessment :

• Monitor for worsening insomnia
• monitor for cognitive or behavioral changes.
• Monitor for liver functions

# interventions :

• Teach directions for drug administration
• Avoid taking medicine after a high fat meal.
• Do not drive after taking medication
• Avoid alcohol while taking this drug.
• Report immediately for worsening insomnia, cognitive or behavioral changes, problem with reproductive function.
• Avoid breast feed while taking this drug.