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NURS 1556 Clinical Medications Worksheets

Generic Name Trade Classification Dose Route Time/frequency


Carbidopa/Levodopa Name Antiparkinson agent 25/100mg PO Bid
Sinemet
Peak Onset Duration For IV meds, compatibility with IV drips and /or
2 hours Unknown 12 hours solutions
N/A
(Why med ordered) Nursing Implications (what to focus on)
Tremors Contraindications/warnings/interactions
Hypersensitivy
Mechanism of action and indications
Levodopa is converted to dopamine in the Common side effects
CNS, where it serves as a neurotransmitter. Involuntary movements, anxiety, memory loss, nausea,
Carbidopa, a decarboxylase inhibitor, vomiting, dry mouth, lukeopenia, darking of urine, sweat
prevents peripheral destruction of levodopa. Drowsiness, and dizziness
Interactions with other patient drugs, Lab value alterations caused by medicine
OTC or herbal medicines (ask patient May cause false positive in coombs test. And serum and uric
specifically) acid. Serum gonadatropin, urine or norepinephron, and
urine protein concentrations.
Pt on Avapro an Antihypertensive drug that Be sure to teach the patient the following about this
may concurrently cause hypotension risk. medication
Caution pt to avoid sudden changes in position to decrease
orthostatic hypotension. Instruct patient that frequent rinsing
of mouth and that chewing sugarless gum can help prevent
dry mouth. Inform pt that harmless darkening of urine or
sweat may occur.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess for tremors, shuffling gait, or drooling this med? Asses for signs of
during therapy. Asses blood pressure and pulse If pt was having difficulty toxicity involuntary
frequently during period of dose adjustment. swallowing hold the med muscle twitching or
facial grimacing,