alphabetical medication sheet for me

8/8/2019 Alphabetical Medication Sheet for Me

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Associate Degree Nursing ProgramAND 11BL-Health Deviations Laboratory

MEDICATION WORK SHEET FOR STUDENT NURSE TEAM MEMBER

Student Name _____________________________________________________________________ Date___________________

Directions: Use this form when looking up information on every drug you will be giving that you do not recognize from the Common Drugs in the skilled nursing facilities submodule.This form must be completed to the level of information needed to safely administer the medications. You do not have time for exhaustive review of the drugs. If the drug is listed inthe submodule, do not rewrite the information. Instead, write see submodule. Return this sheet with your Nursing Care Plans. Two patients medications may be written on onesheet. Merely draw a heavy dark line where one patients / residents meds end and the other patients / residents meds begin. You may use another sheet if necessary.

acetaminophen /Tylenol

(p.86)

Analgesic/Antipyretic

nursing responsibility: may

be given without food, toxic

dose 4gm/24 hoursLab considerations: evaluate

hepatic, hematologic and

renal function

temperature of >

100.4 degrees F /Pain

Inhibits the synthesis

of prostaglandins

that may serve asmediators of pain

and fever, primarily

in the CNS.

normal dose range:

325-650mg q 4 hrsPO/temp >

100.4/Pain

albuterol

(pg. 97) Respiratory bronchodilator

Assess RR ____

Breath Sounds ____

Heart Rate____

Mon. for

tachycardia/jitteriness

MDI or HHN

Have patient rinse mouth

Allow one minute between

aerosol inhalations.

manage SOB

COPD or asthma

Bronchodilation by

relaxing smooth

muscle airways

2 inhalations q 4-6 hr

allopurinol(p.104)

antigout

uric acid

productioninhibitor

Monitor I&O.

Dec. kidney func. = toxic

Intake: min. 2500-3000mL

dayhypersensitivity w/ ACEs

Gout: Mon. for pain and

swelling. Can admin. w/

food.

Prevent gout andneuropathy

Inhibits the

production of uric

acid

100mg daily

(CCr 20 mL/min)

amiodarone /

Cordarone

(p.122)

cardiovascular antiarrhythmic

Mon. BP, heart rate and

rhythm. blood levels may

lead to digi toxicity.

Contraindicated inbradycardia (has caused

syncope unless a pacemaker

ventricular

arrhythmias and

supraventricular

tachyarrhythmias

Suppress

arrhythmias.

peripheral vascular

resistance(vasodilation).

Prolongs action

400mg


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is in place). Avoid grapefruit

juice.

potential and

refractory period.

Inhibits adrenergic

stimulation.

amlodipine / Norvasc

(pg. 128)

antihypertensive/

antiarrhythmic/

antianginal

calcium channel

blocker

Mon. blood pressure_____

Mon. apical pulse _____

w/ MD if SBP


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aspirin / EC ASA

(pg. 1055)cardiovascular

anticoagulant /

NSAID

Give with food.

Monitor CBCs. Platelet ____

Take with full glass of H2O.

Prevent MI / CVA platelet aggregationlow dose (81-325 mg

daily)

atenolol / Tenormin

(p. 172)cardiovascular

antianginal /

antihypertensive /

Beta blocker

Mon. BP and AP. Hold if AP 110

K+____ Mon. forhypokalemia.

digi _____

Atrial fibrillation.

Slows and strengthens

heart. force of

myocardialcontraction.

conduction through

the SA & AV nodes.

0.125-0.5 mg / daily

Digoxin / Lanoxin

(p. 386)Cardiovascular

antiarrhythmic /

Cardiac Glycoside

Monitor AP before

administering.

Hold if AP 110.

Monitor K+ levels.

Tachyarrhythmias (a-

fib and a-flutter)

Tx of CHF

Slows and

strengthens heart.

Prolongs refractory

period of AV node.

Decreases

conduction through

the SA and AV nodes.

0.125-0.5 mg/day

tabs

0.350-0.5 mg/day

capsules

diltiazem / Cardizem

(pg. 392)cardiovascular

antihypertensive /

antiarrhythmic /

calcium channel

blocker

BP____, w/ MD if SBP


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divalproex sodium ER

/ Depakote ER

(pg. 1182)

CNS

anticonvulsant,

vascular headache

suppressant

Assess mood, ideation, and

behavior frequently.

Mon. for frequency of

migraine headaches.

Mon. hepatic function.

AST_____ ALT____

LDH_____BILI____

Mixed or manic

episodes associated

with bipolar disorder

, prevention of

migraines, and

seizures

manic behavior,

migraines,

suppression of

absence seizures.

levels of GABA, an

inhibitory NT in the

CNS.

250mg-750mg /

pt: 500 mg

docusate / Colace

(pg. 416)gastrointestinal stool softener

Last BM__________

Monitor stools, hold if

diarrhea develops

prevent

constipation

Brings water into the

stool, softening fecal

mass.

50-400 mg in 1-4

divided doses

(Pt: 100 mg GT BID

constipation daily)

Doxycycline Antibiotic Tetracycline

Assess for infection

Monitor renal & hepatic

function & CBCs

Tx of bacterialinfection

Inhibits bacterial

protein synthesis atthe level of the 30S

bacterial ribosome.

20-150 mg

EC ASA

(p. 1055)cardiovascular

anticoagulant /

NSAID

Give with food. Monitor

CBCs (platelet). Take with full

glass of H2O.

Prevent MI / CVA platelet

aggregation

low dose (81-325 mg

daily)

enoxaparin / Lovenox

(p. 589)

Anticoagulant- low

molecular wt.

heparin

antithrombotic

Do NOT expel air bubble;

prefilled syringe

LAB: Monitor CBC for

hematocrit q (PT, INR,

platelet)

Prevention of DVT

and pulmonary

embolism.

Prevents thrombus

formation

Potentiates the

inhibitory effect of

antithrombin of on

factor Xa and

thrombin.

(renal impairment)

30 mg once daily SQ

pt: 40 mg SQ daily

estrogens,

conjugated /

Premarin

(p.484)

hormones estrogens

Mon. BP. Mon. I & Os. Assess

frequency and severity of

vasomotor symptoms.

Part of HRT in

moderate to severe

vasomotor symptoms

of menopause.

Management or

prevention of

postmenopausal

osteoporosis.

Restoration ofhormonal balance in

deficiency states.

Promote growth and

devel. of female sex

organs and maintain

2 sex charac. In

women.

Metabolically:

blood cholesterol,protein synthesis,

and Na & H2O


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retention.

famotidine / Pepsid

(p.593)GI

histamine 2

blocker

Assess for epigastric orabdominal pain and frank of

occult blood in stool, emesis,

or gastric aspirate.

Ulcer prevention and

Tx

Reduces acid

production. Inhibits

the action of ofhistamine @ the H2

receptor site,

resulting in inhibition

of gastric acid

secretion.

20mg every 12 hours

felodipine / Plendil

(p.506) cardiovascular

calcium channel

blocker,

antianginal,

antihypertensives

Mon. BP and pulse. Mon.

I&Os. For angina: assess

location, duration, intensity,

and precipitating factors of

pt. pain. w/ MD if SBP < 90

and DBP < 60 or AP < 60

Management of HTN

and angina

systemic vasodilation

resulting in BP.

Coronary vasodilation

w/ frequency and

severity of angina

attacks.

2.5 mg / day

fenofibrate / Tricorlipid-lowering

agents

fibric acid

derivatives

obtain a diet hx. assess pt for

choelithiasis.

LAB: Lab considerations:

monitor serum lipids before

therapy to determine

consistent elevations. Maycause increase AST and ALT

levels

concurrent with diet

therapy to lover LDL

cholesterol, total

cholesterol,

triglycerides, andapolipoprotein B.

renal impairment 48

mg/daily

(my pt: 145 mg PO

daily)

fentanyl patch

Duragesic

(p. 515)

analgesictransdermal patch

/ opioid agonist

Monitor pain level, RR,

nausea, constipation, and

temp. Hold patch firm when

applying. Change q 72 hours.

Mangaement of

chronic pain / CA

pts.

severity of chronic

pain. Binds to opiate

receptors in the CNS,

altering response to

the perception of

pain.

25 mcg / hr

ferrous sulfate /

FeSO4(p. 670)

dietary

supplementantianemics

Last BM_____Hgb______Hct______

ferritin_______

Assess for iron deficiency /

anemia / need for

replacement. Mon. for

constipation. May cause gut

pain and dark stools.

Prevention / Tx of

iron-deficiency

anemia.

An essential mineral

found in hemoglobin,

myoglobin, and many

enzymes.

120-240 mg /day


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finasteride / Propecia

(pg. 521)

hair regrowth

stimulantsandrogen inhibitor

assess for s/s of prostatic

hypertrophy (urinary issues)

prostate CA

(prostatic

hypertrophy)

Reduce prostate size,

hair loss and

promotes hair

regrowth.

5mg

flu shot vaccine influenzaprevention

Watch for allergy to chicken

eggs, do not give withmoderate to severe illness

with fever.

Prevent flu

contains inactive

vaccine (killed virus) 0.5 mL

fluconazole / Diflucanantifungal

(systemic)

Mon. BUN, creatinine, LFTs,

AST, ALT, alkaline phosphate,

billirubin concentrations

Shake Well

prevention of

recurrent yeast

infections, /tx of

candidiasis, UTIs,

cryptococcal

meningitis

inhibits synthesis of

fungal cell

membranes

fluorouracil cream

(pg. 537)topical

antineoplastics /

antimetabolites

Inspect involved skin. Clean

skin before applying.

Tx of multipleactinic (solar)

keratoses and

superficial basal cell

carcinomas.

Death of rapidly

replicating cell.

Inhibits DNA and RNA

synthesis.

1% cream 1-2 times

daily on head, neck,

or chest; 2-5% cream

for hands

folic acid

(pg. 548)vitamin anti-anemic

Hgb_____ Hct_______

Assess for megaloblastic

anemia (fatigue, weakness,dyspnea).

Prevention and Tx

for megaloblastic

anemia

Required for protein

synthesis and RBC cell

function. Stimulates

production of rbcs,

wbcs, and platelets

0.2 mg / daily

formoterol / Foradil

(pg. 550)respiratory

bronchodilator /

adrenergics

Mon. lung

sounds__________________

________________________

Pulse_______

BP________

Management of

bronchoconstriction

associated w/

COPD.

Tx of asthma.

Bronchodilation.

Relaxation of airway

smooth muscle.

12 mcg / twice daily

furosemide / Lasix

(p. 558)diuretic

Loop diuretic /

antihypertensive.

K wasting. Mon. edema

/dehydration. Check weight

frequently. Mon. BP an K

levels for hypokalemia.

Consider holding if SBP 90.

ototox.

edema due to CHF,

hepatic or renal

disease, and HTN

inhibits reabsoptionof NA and Cl from

loop of henle and

distal renal tub.

renal excret. Of

H2O, Na, Cl, Mg, H,

Ca. in BP,

mobilization of excess

fluid.

20-80 mg 1 or 2 x

daily (2-4 days a

week)


10/26

gabapentin/

Neurontin(p. 561)

anticonvulsant anticonvulsant

mon. for confusion,

depression, drowsiness. Mon.

seizure (location, duration,

characteristics, pain)

do no take w/ in 2 hrs of an

antacid ( aborption)

May be given w/o regard to

meals

partial seizures

Not known. May

affect transport of

amino acids across

and stabilizeneuronal membranes

300mg tid

galantamine /Razadyne

(pg. 562)

anti-Alzheimersagent /

cholinergics

Assess cognitive function

(memory, attn., reasoning,language)

Mon. HR____

Tx of mild tomoderate dementia

r/t Alzheimers

dementia

temporarily. Does not

alter course disease.Enhances cholinergic

function by reversible

inhibition of

cholinesterase.

8 mg / daily

halpreidol / Haldolantipsychotics

nursing responsibility:

monitor for development of

neuroleptic malignant

syndrome (see page 614 in

Davis Drug Guide), BP and P

Lab considerations: monitor

CBC with differential and liver

function tests periodically

during therapy

agitation

normal dose range:

IV0.5-5 mg may be

repeated q 30minutes

dose for my patient:

1 mg IV q 3 hrs PRN

for

HCTZ 12.5

(pg. 409)

/ lisinopril 20mg

(pg. 147)

thiazide diuretic

/

cardiovascular

antihypertensive

/

antihypertensive

& ACE inhibitor

HCTZ

Expect of give w/ K supp.

Mon. for edema____dehydration_____

Check weight frequently.

Mon. BP______

Hold if SBP


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12/26

Platelet______ enzyme needed for

biosynthesis.

insulin (rapid acting)

/ Novolog

(p. 654)

hypoglycemic

Assess pt. for S/S of

hypoglycemia (anxiety,restlessness, mood changes,

drowsiness, headache,

irritability, nausea, rapid

pulse, weakness, excessive

hunger, chills, pallor) and

hyperglycemia (confusion,

drowsiness, tiredness, rapid,

deep breathing, unusual

thirst. Mon. blood glucoseand ketones.

Tx of DM. Have a

more rapid onset and

shorter duration than

regular insulin.

stimulates glucose

uptake in skeletal

muscle and fat,

inhibiting hepatic

glucose production.

0.5-1 unit

isosorbide dinitrate /

Isordil

(p. 676)

cardiovascularnitrate /

antianginal

Monitor BP. w/ MD if SBP

alphabetical medication sheet for me

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