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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


Meloxicam Mobic NSAID, nonopioid 15 mg PO Q Day
analgesics
Peak Onset Duration Normal dosage range
5-6 hr Unknown 24 hr 7.5 mg once daily, some pt. require 15 mg/day

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

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


(Why med ordered) Contraindications/warnings/interactions
Relief of signs and symptoms of osteoarthritis and RA. Inhibits Hypersensitivity, concurrent use of aspirin. Use cautiously in pt
prostaglandin synthesis, probably by inhibiting the enzyme over 65, concurrent ACE inhibitor therapy. Increased risk of
cyclooxygenase. Decreased pain and inflammation associated with bleeding.
osteoarthritis, also decreases fever. Common side effects
GI Bleeding, exfoliative dermatitis, stevens-johnson syndrome.
Toxic epidermal necrolysis

Interactions with other patient drugs, OTC or herbal medicines (ask Lab value alterations caused by medicine
patient specifically) Eval BUN serum creatinine, CBC, and liver function periodically.
ACE inhibiters, such as Lisinopril
Be sure to teach the patient the following about this medication
Take with full glass of water and remain in an upright position for
15-30 min. No double doses. Avoid concurrent ose of alcohol,
aspirin, Tylenol or other OTC meds without consulting health care
professional. Call Dr. if rash, itching, visual disturbances, wt. Gain,
edema, black stools or hepatotoxicity(nausea, fatigue, lethargy,
jaundice, upper right quadrant tenderness, flu-like symptoms)
occur.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this med? Check after giving
Pain and ROM, Pt who have asthma, assess for rhinitis, If rash, itching, visual disturbances, wt. Gain, ROM and pain 1-2 hr following
asthma, and uritcaria. edema, black stools or hepatotoxicity(nausea, admin.
fatigue, lethargy, jaundice, upper right
quadrant tenderness, flu-like symptoms)
occur.