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NURS 1556 Clinical Medications Worksheets

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

Generic Trade Name Classification Dose Route Time/frequency


Name Ambien Sedative/hypnotic 5 mg PO q. h.s./PRN
zolpidem

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
30 min- 2 hr rapid 6-8 hr n/a

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


(Why med ordered) Contraindications/warnings/interactions
r/t restlessness – sedation and induction of sleep Geriatric (initial dose reduction recommended)

Common side effects


Abnormal thinking, amnesia, behavior changes, daytime
drowsiness, dizziness, “drugged” feeling, hallucinations,
sleep-deprivation, diarrhea, nausea, vomiting, anaphylactic
reaction, hypersensitivity reactions, physical dependence,
psychological dependence, tolerance.

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) n/a
Other sedative/hypnotics, alcohol, phenothizaines,
Tricyclic antidepressants, opiod analgesics, or Be sure to teach the patient the following about this
antihistamines. Kava-kava, valerian or chamomile. medication
Food decreases and delays absorption. Take as directed, do not take more than the amount
prescribed, not recommended for use longer than 7-10 days,
if used longer than 2 weeks abrupt withdrawal may result in
fatigue, nausea, flushing, lightheadedness, uncontrolled
crying, vomiting, GI upset, panic attacks, or nervousness.
Go to bed immediately after taking. May cause daytime
drowsiness or dizziness. Avoid activities that require
alertness until response of the drug is known. Avoid
concurrent use of alcohol or other CNS depressants.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess mental status, sleep patterns, and med? Relief of insomnia
potential for abuse prior to administration. Respirations < 10/min

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