Free Clozapine Nursing Care Plan Template

Clozapine Nursing Care Plan

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Date: January 1, 2050


Patient Details

Field

Details

Patient Name

John Casper

Age

35

Gender

Male

Diagnosis

Treatment-Resistant Schizophrenia

Medication

Clozapine 300 mg/day

Plan Start Date

January 1, 2050

Plan Review Date

April 1, 2050


Nursing Diagnosis and Goals

Nursing Diagnosis

Goals

Risk of infection related to agranulocytosis secondary to clozapine

Ensure patient maintains an absolute neutrophil count (ANC) above 1,500/mm³.

Non-adherence to medication regimen

Patient will demonstrate consistent adherence to medication by March 1, 2050.

Risk of weight gain and metabolic syndrome due to medication

Limit weight gain to no more than 5% of baseline weight within three months.


Interventions and Rationales

Intervention

Rationale

Expected Outcome

Educate the patient on the importance of routine blood tests (weekly for the first six months, then biweekly).

Early detection of agranulocytosis is critical to prevent complications.

Patient completes 100% of scheduled blood tests by the next review date.

Encourage a low-calorie, nutrient-dense diet and regular physical activity.

Mitigates weight gain and reduces the risk of metabolic syndrome.

Patient engages in at least 30 minutes of exercise, 3 times a week.

Monitor for side effects such as sedation, hypotension, or signs of infection (e.g., fever, sore throat).

Early identification of adverse effects ensures timely intervention.

Patient remains free from infections and severe side effects by review date.


Monitoring and Documentation

Parameter

Frequency

Notes

ANC (Absolute Neutrophil Count)

Weekly for 6 months, biweekly thereafter

Ensure results are communicated promptly to the healthcare provider.

Weight and BMI

Monthly

Monitor trends and adjust dietary/exercise interventions as needed.

Blood Pressure

Every visit (biweekly)

Watch for orthostatic hypotension and adjust medication if required.


Patient and Caregiver Education Plan

Topic

Details

Purpose of clozapine

Explain how clozapine helps manage treatment-resistant schizophrenia.

Signs of potential side effects to report

Educate on symptoms like fever, extreme fatigue, or sore throat.

Importance of adherence and follow-ups

Stress the importance of taking medication and attending scheduled check-ups.


Evaluation

Criteria

Date

Evaluation Outcome

ANC within normal limits

February 1, 2050

Achieved. No signs of agranulocytosis.

Patient adhering to medication regimen

March 1, 2050

On track. Patient reports no missed doses.

Weight gain controlled

April 1, 2050

Partially achieved. Weight gain <5% from baseline.

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