medications - may2012studygroup

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MEDICATIONS
Student:
Drug
Generic:
acetaminophen
Brand:
Tylenol
Client Information:
Dosage, Route,
& Frequency
Ordered for
this Client:
650 mg q6h prn
Classification
Classification/
Therapeutic
Action:
Nonopioid
analgesics &
antipyretics
Allergies:
Purpose of the Drug
Specific to this Client:
Fever
Non-specific to this client
(if applicable – max. 2)
Mild Pain
Date:
Nursing Implications
Side Effects/Adverse
Reactions/Interactions/Effects
on Labs: (3 most important)
Hematologic: hemolytic
anemia, leucopenia, leucopenia,
pancytopenia.
Hepatic: jaundice
Metabolic: hypoglycemia
Nursing Considerations/
Client Teaching (3 most
important)
Many OTC & prescription
products contain
acetaminophen; be aware of this
when calculation total daily
dose.
Generic:
ondansetron
Brand:
Zofran
Ordered for
this Client:
4 mg injection
q4h prn
Classification/
Therapeutic
Action:
antiemetics
Specific to this Client:
To Prevent nausea and vomiting
Non-specific to this client
(if applicable – max. 2)
To Prevent nausea and vomiting
from highly emetogenic
chemotherapy
To Prevent nausea and vomiting
from radiation therapy in
patients receiving total body
irradiation, single high-dose
fraction to abdomen, or daily
fractions to abdomen.
Side Effects/Adverse
Reactions/Interactions/Effects
on Labs: (3 most important)
CNS: dizziness, fatique,
headache, malaise, sedation,
extra pyramidal syndrome,
fever, pain
CV: arrhythmias, chest pain
Respiratory: hypoxia
Nursing Considerations/
Client Teaching (3 most
important)
Monitor liver function test
results. Don’t exceed 8 mg in
patients with hepatic
impairment.
Don’t confuse with Zosyn,
Zantac, or Zoloft
Generic:
esomeprazole
magnesium
Brand:
Nexium
Ordered for
this Client:
40 mg capsule
daily
Classification/
Therapeutic
Action:
Antiulceratives
and reflux drug
Specific to this Client:
GERD
Non-specific to this client
(if applicable – max. 2)
To heal erosive esophagitis
To reduce the risk of gastric
ulcers in patients receiving
continuous NSAID therapy.
Side Effects/Adverse
Reactions/Interactions/Effects
on Labs: (3 most important)
CNS: headache, dizziness
GI: abdominal pain,
constipation, diarrhea, dry
mouth, flatulence, nausea,
vomiting
Respiratory: sinusitis,
respiratory infection.
Nursing Considerations/
Client Teaching (3 most
important)
Antacids can be used while
taking drug, unless otherwise
directed by prescriber.
Don’t confuse with Nexavar.
References:
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