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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency


Clonazepam Rivotril, Anticonvulsants, 1 mg PO HS prn
Klonipin benzodiazepines
Peak Onset Duration Normal dosage range
1-2 hr 20-60 min 6-12 hr 0.5 mg bid, may increase by 0.5 – 1 mg q 3rd day, not to exceed 20
mg.

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Insomnia

Mechanism of action and indications (Why med ordered) – Nursing Implications (what to focus on)
Prophylaxis of: petit mal, Akinetic, myoclonic seizures, panic Contraindications/warnings/interactions
disorder with or without agoraphobia. Uncontrolled leg movements Hypersensitivity, severe liver disease
during sleep, Neuralgias, sedation, adjunct management of acute
mania, acute psychosis or insomnia. Anticonvulsive effects may be
Common side effects
due to presynaptic inhibition. Produces sedative effects in the CAN,
Behavioral changes, drowsiness, ataxia
probably by stimulating inhibitory GABA receptors,

Interactions with other patient drugs, OTC or herbal medicines (ask Lab value alterations caused by medicine
patient specifically) May increase serum bilirubin, AST and ALT. Dec thyroidal uptake
Opioid analgesics such as Fentanyl results in increased CNS of sodium iodide.
depression, Metoprolol. Kava kava, valerian, or chamomile. Be sure to teach the patient the following about this medication
Take with food, administer largest dose at bedtime, abrupt
withdrawl may cause status epilepticus, tremors, n/v and abdominal
and muscle cramps, may cause drowsiness, notify Dr. if unusual
tiredness, bleeding, sore throut, fever, clay-colored stools,
yellowing of skin, or behavioral changes.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this med? Check after giving
assess degree of mental status (orientation, mood, Unusual tiredness, bleeding, sore throut, fever, Relief of leg movements during
behavior). Drowsiness, unsteadiness and clumsiness. clay-colored stools, yellowing of skin, or sleep, decrease in pain from
These symptoms are dose related and most severe behavioral changes. neuralgia.
during initial therapy, may decrease in severity or
disappear with continued or long-term therapy.