MEDICATIONS Student: Erin Nowlin Drug Generic: Ondansetron hydrochloride Brand: Zofran References: Client Information: Dosage, Route, & Frequency Ordered for this Client: 4 mg IV push every 6 hours for nausea and vomiting Classification Classification/ Therapeutic Action: Anitemetics/May block 5-HT, in the CNS in the chemoreceptor trigger zone and in the peripheral nervous system on nerve terminals of the vagus nerve. RR 5A 33 Allergies: NKDA Purpose of the Drug Specific to this Client: antiemetic Non-specific to this client (if applicable – max. 2) Date: March 5, 2011 Nursing Implications Side Effects/Adverse Reactions/Interactions/Effects on Labs: (3 most important) 1. CNS: dizziness, fatigue 2. CV: chest pain, arrhythmias 3. Respiratory: hypoxia Nursing Considerations/ Client Teaching (3 most important) 1. Instruct patient to report any problems with breathing. 2. Monitor liver function tests Don’t exceed 8 mg in patients with hepatic impairment. 3. Tell patient to report discomfort at injection site. st Kluwer, W. (2011) Nursing 2011 drug handbook (31 ed.). Ambler,Pennsylvania:Lippincott Williams&Wilkins