Medication Administration Record
Student Name:
Week:
Medication
Class
Indications
(Generic & Brand Names)
(Therapeutic &
Pharmacologic)
(Why is pt. taking
this drug?)
methotrexate
(Rheumatrex)
Folic acid analog
(Antimetabolic)
Rheumatoid
arthritis
Cancer
Dose
Route
Frequency
25-75 mg once a
week IM
Date:
Contraindications
Nursing Considerations
Page:
Side Effects
of
Pt. Teaching
Monitor for signs of
infection and dehydration
Black, tarry stool
Blood in the urine
Bloody vomit
Increase heart rate
itching, rash
Sore throats
Stomach pain
Drink plenty of fluid
during the treatment.
cytarabine (Cytosar-U, Pyrimidine analog Management and 50 mg q14 days IV Hypersensitivity
DepoCyt)
(Antimetabolic)
treatment of
leukemias and
lymphomas
Inspect patient’s mouth
before each administration.
Monitor for signs of rash,
sore eyes, sore throat,
weakness, chest pain.
Nausea
Vomiting
Diarrhea
Stomach pain
Loss of appetite
Hair loss
Sore throat
Avoid crow place
Avoid people with
infections.
No live vaccines
No flowers in
patient’s room
mercaptopurine
(Purinethol)
Purine analogs
(Antimetabolic)
Monitor for signs of
hepatotoxicity (anorexia,
abdominal pain, nausea,
yellow skin)
Black, tarry stool
Blood in the urine
Bloody vomit
Increase heart rate
itching, rash
Sore throats
Stomach pain
It can affect the
kidneys so teach
patient to drink
plenty of fluid.
flutamide (Eulexin)
Androgen receptor treat the symptoms 125 mg three time a Liver failure patient
blockers – flutamide associated with
day, every 8 hour
(Eulexin)
advanced prostate PO
cancer
. Obtain liver function test
before therapy
Hot flashes, libido,
erectile dysfunction
Decrease muscle and
bone mass
Increase fracture
Liver failure
Teach patient to
report signs of
weakness, numbness
or tingling in arms or
less or difficult
urination.
leuprolide (Lupron,
Lupron Depot)
GonadotropinStimulates and the 7.5 mg IM once a
releasing hormone inhibits release of month
agonists
FSH and lutenizing
hormone, which
suppresses
testosterone and
estrogen levels
Monitor patient response to Arrythmias, Bone loss,
drug therapy every 2 months MI, Pulmonary
Fibrosis,
Gynecomastia,
Androgen like effects,
Nausea, Vomiting,
Amenorrhea, Hot
flashes
Maintenance
therapy of acute
lymphatic
leukemia.
Infection
Anemia
Defective immune
system
Pt. Initials:
1.5-2.5 mg/kg/day Hypersensitivity
PO
Patient who have
previously shown
resistance to the drug
Pregnancy and
lactation
Advise patient about
proper injection
technique
Advise female
patients to use a
nonhormonal birth
control method
Medication Administration Record
Student Name:
Week:
Medication
Class
(Generic & Brand Names)
(Therapeutic &
Pharmacologic)
tamoxifen (Nolvadex) Estrogen receptor
blockers
Date:
Pt. Initials:
Indications
Dose
Contraindications
Nursing Considerations
Route
Frequency
Treat breast cancer 20 mg twice a day Pregnancy and
Assess for bone pain
PO
lactation
Anticoagulant therapy
– Warfarin
Page:
Side Effects
of
Pt. Teaching
(Why is pt. taking
this drug?)
anastrozole
(Arimidex)
Aromatase
inhibitors
Treat breast cancer 1 mg once a day PO Liver disease patient Monitor patient’s fluid status,
in postmenopausal
bleeding and CBC.
women
trastuzumab
(Herceptin)
Monoclonal
antibody
Treat breast
8mg/kg/week PO
cancer, metastatic
breast cancer
Pregnancy women.
Hot flashes
Edema
Vaginal discharge
Embolism
Stroke
Hypercalcemia
Skin lesion
Monitor weight
because weight gain
may indicate edema
Report bone pain
Hot flashes
Edema
Vaginal discharge
Embolism
Stroke
Increased risk for
osteoporosis
Encourage patient
take calcium, vitamin
D to prevent
osteoporosis
Screening for pregnancy before Anemia
starting therapy
Infection
Fever
Backache
Nausea
Vomiting
Fatigue
Avoid pregnancy
during therapy and a
year after.
Discontinue and
report HCP if signs
of cardiomyopathy