NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Classification Dose Route Time/frequency

Hydrocodone/acetaminophen Name opioid 5/550 po Q 4˚ PRN
Lortab agonists/nonopioid
analgesic
combinations
Peak Onset Duration For IV meds, compatibility with IV drips and /or
30-60 min 10-30 min 4-6 hr solutions
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Bind to opiate receptors in the CNS. Alter the perception of and Hypersensitivity to hydrocodone, Hypersensitivity to
response to painful stimuli while producing generalized CNS acetaminophen/aspirin/ibuprofen (for combination
depression products),
pain
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Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
(ask patient specifically) May cause increased plasma amylase and lipase
concentrations
Be sure to teach the patient the following about this
medication
Advise patient to take medication exactly as directed and
not to take more than the recommended amount. Severe
and permanent liver damage may result from prolonged
use or high doses of acetaminophen. Renal damage may
occur with prolonged use of acetaminophen or aspirin.
Doses of nonopioid agents should not exceed the
maximum recommended daily dose
Instruct patient on how and when to ask for pain
medication
May cause drowsiness or dizziness. Advise patient to call
for assistance when ambulating
Advise patient to change positions slowly to minimize
orthostatic hypotension
Encourage patient to turn, cough, and breathe deeply
every 2 hr to prevent atelectasis
Advise patient that good oral hygiene, frequent mouth
rinses, and sugarless gum or candy may decrease dry
mouth
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess blood pressure, pulse, and respirations before and this med? Decrease in severity of pain
periodically during administration. Assess type, location, and Before administering, clarify all without a significant
intensity of pain prior to and 1 hr (peak) following ambiguous orders; have second alteration in level of
administration. practitioner independently check consciousness or respiratory
original order and dose calculations, status
reports no pain