Clinical Judgment Medication List List specific findings (assessments/cues, VS, labs, etc.) that support the need for this medication . How will the nurse know there is a problem, or the client is not tolerating the medication? Medication name Purpose of the medication for THIS client GENERIC: Sertraline Used to treat anxiety by allowing more serotonin to stay in the junction of the neuron which will can help decrease intensity and duration of patients panic attacks; help her with her anxiety Symptoms of nausea, diaphoresis, tremors, fatigue, drowsiness, insomnia headaches; sudden weight loss, GI bleeding, serotonin syndrome, bruxism Patient verbalizes feeling less anxious and more relaxed and improved mood Improved ability to cope with stressors Greater ability to participate in social occupational interaction report adverse effects to provider take medication as prescribed educate that it can take up to 4 weeks to feel effects Promote cellular uptake of glucose rapidly for glycemic control of diabetes mellitus If patient becomes hypoglycemic, hypokalemic, shows confusion, cold sweats, dizziness, or tachycardia 15-30 minutes after drug administration, blood glucose levels should decline due to fast-acting Suggest patient wear medic alert bracelet Always have snack with glucose ready Do Not use NovoLog with low BP Educate on diet/activity Do NOT share Dose-dependent on sliding scale, can be up to 24 hour duration with higher doses. Promotes glycemic control of diabetes mellitus over an extended period Signs of intolerance will include hypoglycemia, CNS effects such as palpitations, shakiness, disorientation. Tachycardia, swelling, rash or itching. Should stabilize glucose levels over a period of up to 24 hours. Onset of lowered blood glucose should occur within 1 to 4 hours. Do Not share meds. Always have a snack with glucose ready. Educate pt that it is long-term acting, will work evenly for up to 24 hours. TRADE: Zoloft CLASSIFICATION: SSRI How will the nurse know the medication is effective? Patient/ Family Education Is the dose safe? Yes GENERIC: Insulin Aspart TRADE: NovoLog CLASSIFICATION: Insulin Is the dose safe? Yes GENERIC: Insulin Detemir TRADE: Levemir CLASSIFICATION: Man Made LongActing Insulin Is the dose safe? Yes