NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

mirtazapine Remeron antidepressants 7.5 mg po q hs

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-2 wk unknown
6 wk or more

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Potentiates the effects of norepinephrine and serotonin Geriatric patients or patients with hepatic or renal impairment (may
Depression need lower doses)
Common side effects
constipation, dry mouth, increased appetite, drowsiness, weight
gain, agitation, anxiety

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Assess CBC and hepatic function before and periodically during
therapy
Be sure to teach the patient the following about this
medication
Caution patient to change positions slowly to minimize orthostatic
hypotension
Advise patient to notify health care professional if dry mouth,
urinary retention, or constipation occurs. Frequent rinses, good
oral hygiene, and sugarless candy or gum may diminish dry
mouth. An increase in fluid intake, fiber, and exercise may prevent
constipation
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess mental status frequently. Assess for med? Increased sense of well-being
suicidal tendencies, especially during early Monitor blood pressure and pulse rate Renewed interest in
therapy. Restrict amount of drug available to periodically during initial therapy. Report
patient
surroundings, increased
significant changes
appetite, improves energy
level, improved sleep,