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NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


Cimetidine Tagamet Histamine H2 400mg PO q.i.d.
Antagonist
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
45-90 min 30 min 4-5 hr

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Short term treatment of active duodenal ulcers and
benign gastric ulcers. Prophylaxis of duodenal ulcers.
Management of GERD. Treatment and prevention of Common side effects
heartburn, acid indigestion, and sour stomach (OTC use) Confusion, dizziness, drowsiness, hallucinations, headache.
Management of gastric hypersecretory states. Prevention Arrhythmias. Altered taste, black tongue, constipation, dark
and treatment of stress-induced upper GI bleeding in stools, diarrhea, drug-induced hepatitis, nausea. Decreased
critically ill patients. sperm count, impotence. Gynecomastia, agranulocytosis,
aplastic anemia, anemia, heutropenia, thrombocytopenia.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor CBC with differential periodically during therapy,
Inhibits drug-metabolizing enzymes in the liver, may may cause false negatives in skin tests, may cause an
lead to increased levels and toxicity with: some increase in serum levels.
benzodiazepines, some beta blockers, caffeine, calcium Be sure to teach the patient the following about this
channel blockers, carbamazepine, chloroquine, lidocaine, medication
metronidazole, moricizine, pentoxifylline, phenytoin, Take medications as directed and for the full course of
propafenone, quinidine, quinine, metformin, therapy even if felling better. Take missed doses as soon as
sulfonylureas, tacrine, theophylline, triamterene, tricyclic remembered except if it is time for the next dose. Do not
antidepressants, valproic acid and warfarin double dose. Smoking interferes with the action of the drug.
May cause dizziness or drowsiness. Avoid alcohol, product
containing aspirin or NSAIDs. Increase fluids and fiber.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
med?