NURS 2516 Clinical Medications Worksheets

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

Generic Trade Classification Dose Route Time/frequency

Name Name Antipyretics/ 300 mg/ 30mg PO Every 6 hrs. PRN for pain
Acetaminophen Tylenol 3 nonopiod analgesics
Codeine /opioid analgesics
Peak Onset Duration For IV meds, compatibility with IV drips and /or
A:1-3 hours 0.5-1 hour 3-8 hours solutions
C:60-120 minutes 30-45 minutes 4 hours N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
A: Inhibits the synthesis of prostaglandins that may serve as A: Hypersensitivity. Use cautiously in pt’s w/ malnutrition.
mediators of pain and fever, primarily in the CNS. Indicated for Interacts w/ hepatotoxic substances and NSAID’s. Do not give
treatment of mild pain. more than 4 g of aceteminophin in 24 hours.
C: Binds to opipate receptors in the CNS. Alters the perceprion C:Contraindicated in hypersensitivity. Use cautiously in head
of and response to painful stimuli while producing generalized trauma, increased intracranial pressure, Severe renal, hepatic, or
CNS depression. pulmonary disease, hypothyroidism, Adrenal insufficiency.
Common side effects
A: Hepatotoxicity, renal failure, neutropenia, pancytopenia,
leucopenia, rash, and urticaria
C:confusion, sedation, hypotension, constipation, nausea,
vomiting
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May alter results of blood glucose monitoring, Increased serum
NSAIDS, increased sedative effect with other CNS depressants. bilirubin, LDH, AST, ALT, and prothrombin time may indicate
hepatotoxicity. May cause and increase in serum amylase and
lipase concentrations.
Be sure to teach the patient the following about this
medication
Advise patient to consult health care professional if discomfort
or fever is not relieved by routine doses of this drug or if fever is
greater than 39.5°C (103°F) or lasts longer than 3 days. Oral
doses may be administered with food or milk to prevent GI
irritation.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess for Pain: intensity, location , duration etc. this med? Decrease in Level of pain
Assess respirations , number, depth, quality, and if If the patient reports no pain or if reported by the patient with
<10 assess for level of sedation. Assess bowel respirations are less than 12 minimal side effects.
function regularly. Institute bowel protocol
including increased intake of fluids and fiber to
prevent constipation.