Medication Table 1
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Transcript of Medication Table 1
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Carroll Community College
NURS 140Medication Table
Medication Name generic name trade name
Classification
RouteUsual Dose
Most common side effects
Nursing Assessments *Patient dose*Frequency
*Why med is ordered for this patient:
Generic: AcetaminophenTrade: Tylenol
Classification: Antipyretics, Nonopioid Analgesics
PO 325-650 MG Q4-6HR
IV 1000 MG Q6H OR 650 MG Q4H
RECT 325-650 MG Q4-6HR
ANIEXTYDYSPNEAHYPO/HYPERTENSIVERENAL FAILUREMUSCLE SPAMSHEPATOTOXICITY
*Overall health status and alcohol usage before administration.*For pain: assess type, location, and intensity prior to and 30-60 min following administration*For fever: assess fever, note presence signs*Monitor labs: LDH, AST, ALT and PTINR*Assess for toxicity or overdose
650 MG PO Q6H PRN (Temp > 38.5)
On admission, patient presented with a fever.
Generic: Atorvastatin CalciumTrade: Lipitor
Classification: Lipid-lowering agents, HMG-CoA reductase inhibitor
(lowers total and LDL clolesterol and trigylcerides)
PO 10-20 MG ONCE DAILY INITITALLY, MAY INCREASE Q2-4 WEEKS UP TO 80 MG/DAY
ABD CRAMPINGCONSTIPATIONFLATUSHEARTBURNRASHESRHABDOMYOLYSIS
*Obtain a dietary history (fat consumption)*Monitor labs: LFT*Assess for toxicity or overdose-muscle tenderness, check CK levels
40 MG PO QPM
Generic: BisacodylTrade: Dulcolax
Classification: Laxative
PO 5-15 MG/DAY AS A SINGLE DOSE
ABD CRAMPINGNAUSEA
*Assess abdomen-presence and pattern of bowel sounds or function*Assess stool-color,
10 MG RC QDAY PRN(UNABLE TO TAKE PO)
Abdominal ultrasound showed the presence of gallstone which
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(stimulates peristalsis-evacuation of the colon)
RECT 10 MG/DAY SINGLE DOSE
consistency, and amount could cause constipation
Generic: CarvedilolTrade: Coreg
Classification: Antihypertensive, beta blocker
(Helps decrease heart rate and blood pressure, improves cardiac output, slows progression of HF)
PO:For hypertension-6.25 MG BID DAILY
For HF- 3.125 MG BID DAILY
For MI- 6.25 MG BID DAILY
(dose may be increase)
DIZZINESSFATIGUEWEAKNESSDIARRHEAERECTILE DYSFUNCTIONHYERGLYCEMIA
*Monitor BP and pulse*Monitor I/O*Monitor labs: BUN, Lipids, K, Triglyceride, uric acid*Assess for toxicity or overdose-bradycardia, SOB, dizziness, seizures
9.375 MG PO BID Patient has a history of HTN and MI
Generic: Dronedarone HydrochlorideTrade: Multaq
Classification: Antiarrythmic, bensofurans
(Suppression of AF/AFL)
PO 400 MG BID DAILY
WEAKNESSABD PAINDIARRHEAVOMITINGHFHEPATOTOXICITY
*Assess S/S of AF*Monitor EKG*Monitor Labs: hepatic enzyme, K, Mag, Creatinine*Assess for toxicity or overdose-S/S of hepatic injury
400 MG PO BID Patient has a history of dysrhythmia
Generic: Diphenhydramine HCLTrade: Benadryl
POFor allergy:25-50 MG Q4-
DROWINESSANOREXIADRY MOUTH
*Determine purpose of medication*Assess for patency of
25 MG PO Q6H PRN Patient has a history of allergies:-seafood
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Classification: Allergy, cold, and cough remedies, antihistamines, antitussive
(decreases the symptoms of histamine excess and suppress cough)
6HR
For cough:25 MG Q4H PRN
IV (IM)25-50 MG Q4H PRN
TOPICALAPPY TO AFFECT ARE UP TO 3-4 TIMES DAILY
airway*Assess for degree allergy S/S, cough, and pruritus*Assess movement disorder*Assess sleep patterns*Assess motion sickness*Monitor lab: may decrease skin reaction to allergy testing
-chocolate-pineapple-verapamil (HTN med)
Generic: GabapentinTrade: Neurontin
Classification: analgesic adjuncts, anticonvulsants, mood stabilizer
(decreases incidence of seizures, post herpetic pain, leg restlessness)
POFor neuropathic pain:100 MG TID DAILY INITIALLY. TITRATE WEEKLY BY 300 MG/DAY-MAX DOSE 3600 MG/DAY
CONFUSIONDEPRESSIONDROWINESSATAXIASUCIDAL THOUGHTS
MUTIL-ORGAN HYPERSENSITIVELY REACTIONS
*Monitor behavior changes*For neuropathic pain: assess location, characteristics, and intensity of pain*Monitor lab: could cause false reading of urinary protein
100 MG PO TID Use to treat patient’s neuropathic pain. Patient is schedule for bone scan today for further studies
Generic: Hydromorphine HCLTrade: Diaudid
Classification: Opioid agonist
(Decrease in moderate to serve pain)
PO4-8 MG Q3-4H INITIALLY
IV,IM,SUBCUT0.015 MG/KG Q3-4 HR PRN INTIALLY
RESP. DEPRESSIONCONFUSIONSEDATIONHYPOTENSIONCONSTIPATION
*Assess BP, pulse, and resp. (before, periodically, and after administration)*Asses bowel function*Assess pain*Monitor lab: may increase plasma amylase and lipase*Assess for toxicity or overdose-resp. depression to coma
0.5 MG IV Q3H PRN(MODERATE PAIN 4-6 IF PT IS NPO OR PAIN IS NOT CONTROLLED BY ORAL MEDICATION)
Patient complains of lower side back pain
Generic: PO DIZZINESS *Assess for sulfa 12.5 MG PO QDAY Patient has a history
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HydroclorothiazideTrade:Urozide
Classification: Antihypertensive, diuretic
(Lowers BP and diuresis with mobilization of edema)
12.5-100 MG/DAILY IN 1-2 DIVIDED DOSES
MUSCLE CRAPMSHYPOKALEMIASJS
SULFA ALLERGIES!!!
allergies*Monitor BP (before/periodically), I/O, daily weights*Assess neuro and musculoskeletal*Monitor K, BS, BUN, CREAT, and URIC ACID
of HTN and bladder problems
Generic: LorazepamTrade: Ativan
Classification: antianxiety, sedative/hypnotic
(sedation and decreases anxiety/seizures)
PO1-3 MG 2-3X DAILY
SL2-3 MG/DAY IN DIVIDED DOSES, NOT EXCEED 6 MG/DAY
IM50MCG 2HR BEFORE SURGERY
IV44MCG 15-20MINS BEFORE SURGERY
DIZZINESSDROWINESSLETHARGY
IV RAPID USE:APNEACARDAIC ARRESS
*Geri-assess for CNS reactions (risk for falls)*For anxiety- assess degree and manifestation of anxiety and mental status*Monitor labs: renal, hepatic, hem function*Assess for toxicity or overdose-FLUMAZENIL=ANTIDOTE(do not use with seizure)
0.5 MG PO Q8H PRN
Patient is claustrophobic and got a little anxious prior to MRI scan. Patient was treated with anxiety medication and test was change to a bone scan instead.
Generic: Lidocaine HCL 5%Trade: KCL, K-Dur
Classification: Supplement
APPLY TO AFFECTED AREA TP UD PRN
Generic: Magnesium Hydrox (Lax)Trade: KCL, K-Dur
30 ML PO Q12H PRN
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Classification: Supplement
Generic: Ondansetron HCLTrade: KCL, K-Dur
Classification: Supplement
4 MG IV Q6H PRN
Generic: Potassium ChlorideTrade: KCL, K-Dur
Classification: Supplement
20 MEG PO BID
Generic: Promethazine HCLTrade: KCL, K-Dur
Classification: Supplement
25 MG PO TID PRN
Generic: Vancomycin HCL/D5WTrade: KCL, K-Dur
Classification: Supplement
1250 MG IV(150ML/HR INFUSE OVER 120 MINS-1600/0400)
Generic: WarfarinTrade: KCL, K-Dur
Classification: Supplement
DOSINF AS PER PHARMACYTODAY INR 1.95MG PO AT 1800 (2/24)
Generic: Ondansetron HCLTrade: KCL, K-Dur
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Classification: Supplement
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