Prairie View A&M University
College of Nursing
Student
Arnelia Pierson
Date
10/13/09
Unit
620-B
MEDICATION WORK SHEET
Client A.G.
Drug
Age 24 Wt: lbs. 230 kg _104.326
Medical Diagnosis Acute Asthmatic Bronchitis
Promethazine HCl (Phenergan)
Classification /Action of Drug
Start Date
Antihistamine, H1- receptor antagonist
Drug Preparation/Form tablet
Allergies
10/11/09
Latex, Statins
Stop Date 11/10/09
________
Drug Concentration 25 mg
Route PO
Medication Order: 25 mg; PO; q4h PRN
Drug action:
Acts on blood vessels, GI, and respiratory
system by blocking histamine, which
decreases allergic response.
Calculation of dose:
Side effects:
dizziness, drowsiness, narcoleptic malignant
syndrome, constipation, urinary retention,
thrombocytopenia, agranulocytosis,
hemolytic anemia, apnea in neonates, infants,
young children.
Administration times:
PRN
Incompatibilities:
none listed
Safe Dose (24hrs) Recommended:
12.5 mg qid or 25 mg hs.
Ordered:
25 mg; PO; q4h PRN
Nursing Implications:
Assess I&O ratio, CBC, respiratory status,
and cardiac status. Administer with meals.
Provide hard candy for mouth dryness.
Patient’s response to drug:
Contraindications:
acute asthma attack, lower respiratory tract
disease, sulfite allergy.
Teaching:
drug may cause photosensitivity. Notify
prescriber if confusion, sedation, or
hypotension occurs. Avoid driving and
alcohol. Medication may increase the
likelihood of falls