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: