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Practical Nursing

Level IV
Medication Workup Sheet Student Name: Kosijana Perencevic
Patient Initials 33A Clinical Dates : May!"#$ %&'
Medication Name (
Dose$ )oute
*re+uency
Alternate
Name
Classi,ication -
Major use o, Med
./y your client in
on t/is medication
Major Side e,,ects S0eci,ic Nursing
)es0onsi1ilities
Docusate sodium2
&& mg$ P)N2 &&&
Colace La3ative2 stool
so,tener2 ma4es
1o5el movements
so,ter and easier to
0ass
6o ma4e 1o5el
movements so,ter
and easier to 0ass
7itter taste2 1loating2 cram0ing2
diarr/ea2 gas2 irritation around t/e
rectum2 t/roat irritation2 8ras/2
/ives2 itc/ing2 di,,iculty 1reat/ing2
tig/tness in t/e c/est2 s5elling o,
t/e mout/$ ,ace$ li0s$ or tongue9
,ainting2 nausea2 vomiting:
Assess: cause o, consti0ation
; is ,luid$ ,i1re or e3ercise
missing ,rom li,estyle2 ,luid
1alance2 evaluate t/era0eutic
res0onse$ drug s/ould 1e
discontinued i, cram0ing$
rectal 1leeding$ nausea or
vomiting occur$ administer
alone ,or 1etter a1sor0tion$
do not administer 5it/in one
/our o, ot/er drugs$ antacids
or mil4$ ta1lets"solution to 1e
ta4en 5it/ ,ull glass o, 5ater$
do not use undue ,orce 5/en
giving enema$ onset o, action
generally ;% days a,ter oral
administration$ !;%& minutes
a,ter enema$ normal 1o5el
movements do not al5ays
occur daily$ do not use in t/e
0resence o, a1dominal 0ain$
nausea$ vomiting$ Noti,y
clinician i, consti0ation is
unrelieved or sym0toms o,
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Practical Nursing
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electrolyte im1alance occurs$
I, diarr/ea occurs$
discontinue
<no3a0arin '& mg2
'&mg$ S=2 &&&
Loveno3 lo5 molecular 5eig/t
/e0arin2 used to
0revent ,ormation o,
1lood clots
to 0revent
,ormation o, 1lood
clots
>ematologic: >emorr/age2
1ruising2 t/rom1ocyto0enia2
elevated AS6$ AL6 levels2
/y0er4alemia
>y0ersensitivity: C/ills$ ,ever$
urticaria$ ast/ma
?t/er: *ever2 0ain2 local irritation$
/ematoma$ eryt/ema at site o,
injection$ e0idural or s0inal
/ematoma 5it/ s0inal ta0$
s0inal"e0idural anest/esia
>ematologic: >emorr/age2
1ruising2 t/rom1ocyto0enia2
elevated AS6$ AL6 levels2
/y0er4alemia
>y0ersensitivity: C/ills$
,ever$ urticaria$ ast/ma
?t/er: *ever2 0ain2 local
irritation$ /ematoma$
eryt/ema at site o, injection$
e0idural or s0inal /ematoma
5it/ s0inal ta0$
s0inal"e0idural anest/esia
Montelu4ast &mg2
& mg$ P?2 &&&
Singulair 7ronc/odilator2
Controls ast/matic
attac4s 1y in/i1iting
leu4otriene release as
5ell as in,lammatory
action
)elie, and
0revention o,
1ronc/os0asm
Ast/enia$ ,ever$ trauma: CNS:
Di@@iness$ /eadac/e: AI:
A1dominal 0ain$ dys0e0sia$
gastroenteritis$ dental 0ain$
a1normal liver ,unction tests
8AL6$ AS69$ diarr/ea$ nausea:
)es0iratory: Nasal congestion$
coug/$ in,luen@a$ laryngitis$
0/aryngitis$ sinusitis: S4in: )as/:
Brogenital: Pyuria:
Monitor: Periodic liver
,unction tests2 Do not use ,or
reversal o, an acute ast/matic
attac4:In,orm 0/ysician i,
s/ort;acting in/aled
1ronc/odilators are needed
more o,ten Bse c/e5a1le
ta1lets 8contain
0/enylalanine9 5it/ caution
5it/ PKB:
Panto0ra@ole '&mg2
Pantoloc 0roton 0um0
in/i1itors2 treat
6reat and 0revent
stomac/ ulcers$
Diarr/ea$ di@@iness$ ,lu;li4e
sym0toms$ /eadac/e$ itc/ing$
Caution 0atient to s5allo5
ta1lets 5/ole2 not to cut$
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Practical Nursing
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'& mg2 P?2
&&&$P)N
conditions suc/ as
stomac/ ulcers$
intestinal ulcers$ and
gastroeso0/ageal
re,lu3 disease
intestinal ulcers$
and
gastroeso0/ageal
re,lu3 disease
nausea$ c/anges in vision$ severe
s4in ras/$ including s4in 1listering
and 0eeling 80ossi1ly 5it/
/eadac/e$ ,ever$ coug/ing$ or
ac/ing 1e,ore t/e ras/ 1egins9$
sym0toms o, a serious allergic
reaction 8suc/ as s5elling o, t/e
,ace or t/roat$ /ives$ or di,,iculty
1reat/ing9$ sym0toms o, muscle
damage 8une30lained muscle 0ain$
tenderness or 5ea4ness$ or 1ro5n
or discoloured urine ; es0ecially i,
you also /ave a ,ever or a general
,eeling o, 1eing un5ell9
c/e5$ or crus/ t/em:
.A)NINA: Sym0tomatic
im0rovement does not rule
out gastric cancer2 Maintain
su00ortive treatment as
a00ro0riate ,or underlying
0ro1lem: S5itc/ 0atients on
IV t/era0y to oral dosage as
soon as 0ossi1le: Provide
additional com,ort measures
to alleviate discom,ort ,rom
AI:
Arrange to /ave regular
medical ,ollo5;u0: Maintain
all o, t/e usual activities and
restrictions t/at a00ly to your
condition: I, t/is 1ecomes
di,,icult$ consult 5it/ your
nurse or 0/ysician$ avoid
driving a car or 0er,orming
/a@ardous tas4s$ 0ro0er
nutrition is im0ortant2
sym0toms o, B)I$ coug/ 8it
may /el0 to 4no5 t/at t/is is
a drug e,,ect$ do not sel,;
medicate$ and consult 5it/
your nurse or 0/ysician9:
Sal1utamol & mcg2 %
0u,,s2 in/aled2 as
needed
al1uterol
sul,ate$
ventolin
7ronc/odilator$
)elie, and 0revention
o, 1ronc/os0asm in
)elie, and
0revention o,
1ronc/os0asm
CNS: )estlessness$ a00re/ension$
an3iety$ ,ear$ CNS stimulation$
/y0er4inesia$ insomnia$ tremor$
Bse minimal doses ,or
minimal 0eriods2 drug
tolerance can occur 5it/
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Practical Nursing
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0atients 5it/
reversi1le o1structive
air5ay disease
dro5siness$ irrita1ility$ 5ea4ness$
vertigo$ /eadac/e2 CV: Cardiac
arr/yt/mias$ tac/ycardia$
0al0itations$ PVCs 8rare9$ anginal
0ain2 Dermatologic: S5eating$
0allor$ ,lus/ing2 AI: Nausea$
vomiting$ /eart1urn$ unusual or
1ad taste2 AB: Increased
incidence o, leiomyomas o, uterus
5/en given in /ig/er t/an /uman
doses in 0reclinical studies2
)es0iratory: )es0iratory
di,,iculties$ 0ulmonary edema$
coug/ing$ 1ronc/os0asm$
0arado3ical air5ay resistance 5it/
re0eated$ e3cessive use o,
in/alation 0re0arations
0rolonged use2 Do not e3ceed
recommended dosage2
administer 0ressuri@ed
in/alation drug ,orms during
second /al, o, ins0iration$
salmeterol",luticasone
!&mcg2 0u,,2
in/aled$ &&&
Serevent
Dis4us
7eta%;selective
adrenergic agonist$
Antast/matic$
Prevention o, and
maintenance t/era0y
,or 1ronc/os0asm
)elie, and
0revention o,
1ronc/os0asm
CNS: >eadac/e$ tremor
CV: 6ac/ycardia$ 0al0itations$
/y0ertension )es0iratory:
.orsening o, ast/ma$ di,,iculty
1reat/ing$ 1ronc/os0asm
<nsure t/at drug is not used
to treat acute ast/ma or 5it/
5orsening or deteriorating
ast/ma 8ris4 o, deat/9: use o,
more t/an ' 0u,,s"day may
5orsen ast/ma$ >ave 0atients
5/o e30erience e3ercise;
induced ast/ma use it 3&(#&
min 1e,ore activity$
Periodic evaluation o,
res0iratory condition:
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Practical Nursing
Level IV
Sennosides C:#mg2
C:#2 P?$ &&&$ P)N$
Seno4ot gastrointestinal agent2
stimulant la3ative2
Acute consti0ation
and 1o5el evacuation
Acute consti0ation
and 1o5el
evacuation
drug may alter urine and ,eces
color2 yello5is/ 1ro5n 8acid9$
reddis/ 1ro5n 8al4aline9$ may lead
to de0endence
)educe dose in 0atients 5/o
e30erience considera1le
a1dominal cram0ing
6iotro0ium C mcg2
Cmcg2 in/aled$ &&&
SPI)IVA Antic/olinergic2
indicated ,or t/e
long;term$ once;
daily$ maintenance
treatment o,
1ronc/os0asm
)elie, and
0revention o,
1ronc/os0asm
narro5;angle glaucoma may
occur2 urinary retention may occur2
u00er res0iratory tract in,ection$
dry mout/$ sinusitis$ 0/aryngitis$
non;s0eci,ic c/est 0ain$ urinary
tract in,ection$ dys0e0sia$ and
r/initis
D? N?6 s5allo5 SPI)IVA
ca0sules2 65o in/alations o,
t/e 0o5der contents o, a
single SPI)IVA ca0sule 8C
mcg9 once daily2 Bse 5it/
caution in 0atients 5it/
severe /y0ersensitivity to
mil4 0roteins
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Practical Nursing
Level IV
Medication Workup Sheet Student Name: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Patient Initials DDDDDDDDDD Clinical Dates :DDDDDDDDDDDDDDD
Medication
Name (Dose$
)oute *re+uency
Alternate
Name
Classi,ication -
Major use o, Med
./y your client in
on t/is medication
Major Side e,,ects S0eci,ic Nursing
)es0onsi1ilities
)o,lumilast
!&&mcg2 !&&
mcg$ P?$ &&&
Dalires0 Selective
0/os0/odiesterase2
reduce t/e ris4 o,
C?PD
reduce t/e ris4 o,
C?PD
Diarr/ea$ nausea$ 1ac4 0ain$
di@@iness$ /eadac/e$
insomnia$ decreased 5eig/t$
in,luen@a$ CNS:
>eadac/e$ insomnia$ di@@iness$
an3iety$ de0ression$ tremor$suicidal
1e/avior$ N-V$ decreased a00etite$
Acute 0ancreatitis$ a1dominal 0ain$
dys0e0sia$ gastritis:CV: Atrial
,i1rillation$ muscle s0asms:
)es0iratory: )/initis$ sinusitis$
acute renal ,ailure$
<lderly may 1e more sensitive
to t/e drug$ assess clinical
0resentation$ 0ulmonary
,unction and determine any
evidence o, 0syc/iatric
0ro1lems$ including
de0ression or /istory o, drug
e30osure and suicide ideations
as drug may aggravate:
Monitor P*6s"s0irometry$ VS$
5eig/t$ renal
and L*6s2 avoid 5it/ severe
liver dys,unction: )e0ort any
mood c/anges$ lac4 o, im0ulse
control$ insomnia$ or ne5
de0ression and any t/oug/ts o,
suicide immediately: .eig/t
regularly and re0ort any
signi,icant c/anges:
*usidic acid %E2
A00ly to nostrils2
to0ically$ &&&
*ucidin
Sus0ension
0otent anti1acterial
agent$ treat 1acterial
in,ections
treat 1acterial
in,ections
Bnusual tiredness or 5ea4ness$
yello5 eyes or s4in$ Loss o, a00etite$
nausea$ a1dominal or stomac/ 0ain$
increase in 1o5el movements$ loose
stools
.as/ your /ands 1e,ore
a00lying t/e medicine$ s/ould
1e a00lied gently to t/e
in,ected area$ , it gets in t/e
eyes t/ey s/ould 1e
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Practical Nursing
Level IV
t/oroug/ly rinsed 5it/ 0lenty
o, 5ater:
Magnesium
o3ide '%&mg2
'%& mg2 P?2
&&&$ '&&
Mag;?3 Antacid2 S/ort;term
treatment o,
occasional
consti0ation$ ,or relie,
o, AI sym0toms
*or occasional
consti0ation
A1dominal 0ain$ nausea$ vomiting$
diarr/ea$ severe 4idney dys,unction$
,ecal im0action$ intestinal
o1struction or 0er,oration$ ileus2
rectal 1leeding$ colostomy$
ileostomy2 AV 1loc42
/y0ermagnesia
Monitor ,or de/ydration$
/y0o4alemia$ and
/y0onatremia2 C/ec4 0atients
on 0rolonged t/era0y
0eriodically ,or electrolyte
im1alance 8i:e:$
/y0ermagnesemia$ Li+uid
0re0aration is re0ortedly more
e,,ective t/an t/e ta1let
Potassium
c/loride CM<=$
CM<=2 P?$
&C&&$ %&&
A0o;K <lectrolytic and 5ater
1alance agent2 6o
0revent and treat
0otassium de,icit
secondary to diuretic
or corticosteroid
t/era0y: Also
indicated 5/en
0otassium is de0leted
1y severe vomiting$
diarr/ea2 intestinal
drainage$ ,istulas$ or
mala1sor0tion2
<lectrolyte
im1alance
nausea$ vomiting$ diarr/ea$
a1dominal distention: Pain$
con,usion$ 0arest/esias o,
e3tremities$ muscle 5ea4ness$
di,,iculty in s5allo5ing$ ,laccid
0aralysis: ?liguria$ anuria:
>y0er4alemia:)es0iratory distress:
>y0otension$ 1radycardia2 cardiac
de0ression$ arr/yt/mias$ or arrest2
altered sensitivity to digitalis
glycosides: <CA c/anges in
/y0er4alemia
I-? ratio and 0attern$
*re+uent serum electrolytes$
AI ulceration Monitor 0atients
receiving 0arenteral 0otassium
closely 5it/ cardiac monitor:
Irregular /eart1eat is usually
t/e earliest clinical indication
o, /y0er4alemia:
7e alert ,or 0otassium
into3ication dosage$
Do not 1e alarmed 5/en t/e
ta1let carcass a00ears in your
stool:Avoid licorice2 Do not
use any salt:Do not sel,;
0rescri1e la3atives: Noti,y
0/ysician o, 0ersistent
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Practical Nursing
Level IV
vomiting: )e0ort .ea4ness$
,atigue$ 0olyuria$ and
0olydi0sia:
Do not o0en ,oil;5ra00ed
0o5ders and ta1lets 1e,ore use
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Practical Nursing
Level IV
Medication Workup Sheet Student Name: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Patient Initials DDDDDDDDDD Clinical Dates :DDDDDDDDDDDDDDD
Medication
Name (Dose$
)oute *re+uency
Alternate
Name
Classi,ication -
Major use o, Med
./y your client in
on t/is medication
Major Side e,,ects S0eci,ic Nursing
)es0onsi1ilities
Calcium c/e5s
#!&"'&&2
#!&"'&&2 P?$
&C&&
A0o;Cal ,luid and electrolytic
1alance agent2
re0lacement solution$
relieves sym0toms o,
acid indigestion and
use,ul as a calcium
su00lement:
calcium
su00lement:
Consti0ation or la3ative e,,ect$ acid
re1ound$ nausea$ eructation$
,latulence$ vomiting$ ,ecal
concretions: Meta1olic:
>y0ercalcemia 5it/ al4alosis$
metastatic calcinosis$ /y0ercalciuria$
/y0omagnesemia$
/y0o0/os0/atemia 85/en 0/os0/ate
inta4e is lo59: CNS: Mood and
mental c/anges: Brogenital:
Polyuria$ renal calculi
I, consti0ation is a 0ro1lem$
0/ysician may 0rescri1e
alternate or com1ination
t/era0y 5it/ a magnesium$
Determine serum and urine
calcium 5ee4ly$ o1serve ,or
S-S o, /y0ercalcemia$ do not
use calcium car1onate
re0eatedly 5it/ ,oods /ig/ in
vitamin D 8suc/ as mil49
Metoclo0ramide
&mg2 &mg2
P?$ &F3&$ 3&
A0o;
Metoclo0
AI stimulant$
Antiemetic$
Do0aminergic
1loc4er$ en/ances t/e
motility o, t/e u00er
AI tract and increases
gastric em0tying
5it/out a,,ecting
gastric$ 1iliary or
0ancreatic secretions
en/ances t/e
motility o, t/e
u00er AI tract
<3tra0yramidal sym0toms$
restlessness$ dro5siness$ an3iety$
diarr/oea$ /y0otension$
/y0ertension$ /eadac/e$ de0ression$
1lood disorders 8e:g: aganulocytosis$
met/aemoglo1inaemia9$
/y0ersensitivity reactions 8e:g:
1ronc/os0asm$ ras/9$ galactorr/oea
or related disorders$ transient
increase in 0lasma aldosterone
levels: Potentially *atal: Neurole0tic
malignant syndrome2 cardiac
conduction disorders may occur 5it/
IV dosage ,orm:
Monitor 7P$ ,or
e3tra0yramidal reactions$ and
consult 0/ysician i, t/ey
occur$ dia1etic 0atients$
.A)NINA: Kee0
di0/en/ydramine injection
readily availa1le in case
e3tra0yramidal reactions occur
8!& mg IM9:.A)NINA: >ave
0/entolamine readily availa1le
in case o, /y0ertensive crisis
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Practical Nursing
Level IV
7et/amet/asone
val &:E2 to t/e
le,t /eal$
to0ically$ &&&
7etnelan Anti;in,lammatory2
)elieves anti;
in,lammatory
mani,estations
)elieves anti;
in,lammatory
mani,estations
>y0ersensitivity$ malaise$ Vertigo$
/eadac/e$ insomnia$ >y0ertension$
>y0ocalcemia$ ?steo0orosis$
com0ression ,ractures$ muscle
5asting and 5ea4ness$ S4in
t/inning$ urinary ,re+uency$ May
increase serum c/olesterol$ 1lood
glucose$ serum sodium$ uric acid 8in
acute leu4emia9 and calcium 8in
1one metastasis9:
Assess t/era0eutic
e,,ectiveness: intraarticular$
intralesional$ or intrasynovial
administration occurs 5it/in a
,e5 /ours and 0ersists ,or ('
54: *ollo5ing IM
administration res0onse occurs
in %(3 / and 0ersists ,or 3(F d:
Monitor 5eig/t at least
5ee4ly: A1ru0t 5it/dra5al$
es0ecially ,ollo5ing /ig/
doses or 0rolonged use$ can
cause di@@iness$ nausea$
vomiting$ ,ever$ muscle and
joint 0ain$ 5ea4ness:
>ydrocortisone
E2 A00ly to
1uttoc4s$
0erennial ras/2
to0ically$
&&&$P)N
)ectocort S/ort;acting synt/etic
steroid 5it/ 1ot/
glucocorticoid and
mineralocorticoid
0ro0erties$
antiin,lammatory$
ras/
1uttoc4s$ 0erennial
ras/
>y0ersensitivity$ malaise$ 5eig/t
gain$ o1esity2 urogenital urinary
,re+uency$ Vertigo$ /eadac/e$
mental distur1ances$ aggravation$
insomnia$ an3iety$ ,luid retention$
?steo0orosis$ com0ression ,ractures$
muscle 5asting and 5ea4ness$
tendon ru0ture$
Periodic serum electrolytes
1lood glucose$ >ct and >g1$
0latelet count$ and .7C 5it/
di,,erential$ Monitor ,or
0ersistent 1ac4ac/e or c/est
0ain2 com0ression and
s0ontaneous ,ractures o, long
1ones and verte1rae 0resent
/a@ards$ c/anges in mood$ 7e
alert to 0ossi1ility o, mas4ed
in,ection and delayed /ealing$
Do N?6 use as0irin or ot/er
?6C drugs$ Noti,y 0/ysician
o, slo5 /ealing
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Practical Nursing
Level IV
Medication Workup Sheet Student Name: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Patient Initials DDDDDDDDDD Clinical Dates :DDDDDDDDDDDDDDD
Medication
Name (Dose$
)oute *re+uency
Alternate
Name
Classi,ication -
Major use o, Med
./y your client in
on t/is medication
Major Side e,,ects S0eci,ic Nursing
)es0onsi1ilities
Hin4 o3ide %!E2
A00ly a,ter
/ydrocortisone$
to0ically$ &&&
Desitin Mineral$ used to treat
dia0er ras/$ minor
1urns$ severely
c/a00ed s4in$ or ot/er
minor s4in irritations:
1uttoc4s$ 0erennial
ras/
Severe allergic reactions 8ras/2
/ives2 itc/ing2 di,,iculty 1reat/ing2
tig/tness in t/e c/est2 s5elling o, t/e
mout/$ ,ace$ li0s$ or tongue9
Iou s/ould not use t/is
medication i, you are allergic
to @inc$ dimet/icone$ lanolin$
cod liver oil$ 0etroleum jelly$
0ara1ens$ mineral oil$ or 5a3:
Avoid getting t/is medication
in your mout/ or eyes
,entanyl 0atc/
mcg2 0atc/2
to0ically2 +F%/
Duragesic o0ioid analgesic2
increases 0ain
t/res/old$ alters 0ain
rece0tion and in/i1its
ascending 0ain
0at/5ays
increases 0ain
t/res/old
Nausea$ vomiting2 1radycardia$
oedema$ CNS de0ression$ con,usion$
di@@iness$dro5siness$ /eadac/e$
sedation$ transient /y0otension$
0eri0/eral vasodilation2 increased
intracranial 0ressure: 6ransdermal:
)as/$ eryt/ema and itc/ing:
)es0iratory de0ression$ trun4
rigidity$ laryngos0asm$
1ronc/oconstriction:
Assess: 0/ysical de0endence
on an o0ioid analgesic$
0regnancy$ la1or$ lactation$
C?PD$ res0iratory de0ression$
ano3ia$ increased intracranial
0ressure$ acute MI$ ventricular
,ailure$ coronary insu,,iciency$
/y0ertension$ 1iliary tract
surgery$ renal or /e0atic
im0airment2 ?rientation$
re,le3es$ 1ilateral gri0
strengt/$ a,,ect2 0u0il si@e$
vision2 P$ auscultation$ 7P2 )$
adventitious sounds2 1o5el
sounds$ normal out0ut2 L*6s$
renal ,unction tests2 Kee0
o0ioid antagonist and ,acilities
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Practical Nursing
Level IV
,or assisted or controlled
res0iration readily availa1le
during 0arenteral
administration2 Pre0are site ,or
transdermal ,orm 1y cli00ing
8not s/aving9 /air at site2 do
not use soa0$ oils$ lotions$
alco/ol2 may ta4e u0 to % /r
to get t/e ,ull t/era0eutic
e,,ect2 Do not drin4 gra0e,ruit
juice 5/ile using t/is drug
Citalo0ram
%&mg2 !mg$
P?$ &&&
Cele3a 0syc/ot/era0eutic
agent$ De0ression
De0ression Ast/enia$ ,atigue$ ,ever$ art/ralgia$
myalgia: CV: 6ac/ycardia$ 0ostural
/y0otension$ /y0otension: AI:
Nausea$ vomiting$ diarr/ea$
dys0e0sia$ a1dominal 0ain$ dry
mout/$ anore3ia$ ,latulence: CNS:
Di@@iness$ insomnia$ somnolence$
agitation$ tremor$ an3iety$
0arest/esia$ migraine: )es0iratory:
B)I$ r/initis$ sinusitis: S4in:
Increased s5eating: Brogenital:
Dysmenorr/ea$ decreased li1ido$
ejaculation disorder$ im0otence
.atc/ ,or 5orsening o,
de0ression or suicidal
ideations: Indicated 1y
elevation o, mood2 (' 54
may 1e needed 1e,ore
im0rovement is noted: La1
tests: /e0atic ,unctions$ C7C$
serum sodium$ and lit/ium
levels 5/en t/e t5o drugs are
given concurrently$ >) and
7P$ and monitor com0lete
cardiac status$ Do not engage
in /a@ardous activities until
reaction to t/is drug is 4no5n:
In,orm 0/ysician o, used ?6C
drugs: )e0ort c/anges in
se3ual ,unctioning or
res0onse:
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Practical Nursing
Level IV
Arti,icial tears$
1ot/ eyes$ dro0s$
&&&
A45a 6ears$
6eardro0s
?0/t/almic lu1ricant2
,or relie, o, dry eyes
and eye irritation
,or relie, o, dry
eyes and eye
irritation
May cause mild stinging or
tem0orary 1lurred vision
.as/ /ands t/oroug/ly2 i,
irritation or condition 5orsens
or 0ersists ,or longer t/an 3
days$ discontinue use2 do not
touc/ ti0 o, container to any
sur,ace2 close immediately
a,ter use$ Not ,or use 5it/ so,t
contact lenses
Saliva arti,icial
s0ray$ S0ray ,or
mout/ care$
P?$P)N
A+uoral lu1ricating t/e mout/
and t/roat:
lu1ricating t/e
mout/ and t/roat:
Severe allergic reactions 8ras/2
/ives2 itc/ing2 di,,iculty 1reat/ing2
tig/tness in t/e c/est2 s5elling o, t/e
mout/$ ,ace$ li0s$ or tongue9:
S0ray or % times into t/e
mout/ 5/enever it ,eels
uncom,orta1ly dry:
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Practical Nursing
Level IV
Medication Workup Sheet Student Name: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Patient Initials DDDDDDDDDD Clinical Dates :DDDDDDDDDDDDDDD
Medication
Name (Dose$
)oute *re+uency
Alternate Name Classi,ication -
Major use o, Med
./y your client in
on t/is medication
Major Side e,,ects S0eci,ic Nursing
)es0onsi1ilities
Lactulose ##F
mg"mL ; 3& ml$
P?$ P)N
Du0/alac:
Lactugal:
)egulose
?smotic la3ative2
so,tening stools
so,tening stools a1dominal cram0s2 A1dominal
discom,ort$ A1dominal distension:
*latulence2 7elc/ing2 diarr/ea:
Nausea and vomiting
Mi3 5it/ /al, a glass o,
5ater$ mil4 or ,ruit juice to
im0rove taste$ May ta4e u0 to
'C /ours to act$ diarr/ea may
indicate t/e dose is too /ig/2
drin4 0lenty o, ,luid2 may
ta4e %;3 days to ta4e e,,ect2
Acetamino0/en
3%! mg2 #!& mg2
P?2 P)N
6ylenol Anti0yretic2 )educes
,ever
)educes ,ever CNS: >eadac/e2 CV: C/est 0ain$
dys0nea$ myocardial damage 5/en
doses o, !(C g"day are ingested
daily ,or several 5ee4s or 5/en
doses o, ' g"day are ingested ,or
yr2 AI: >e0atic to3icity and ,ailure$
jaundice2 AB: Acute 4idney ,ailure$
renal tu1ular necrosis2
>ematologic: Met/emoglo1inemia
Jcyanosis2 /emolytic anemiaJ
/ematuria$ anuria2 neutro0enia$
leu4o0enia$ 0ancyto0enia$
t/rom1ocyto0enia$ /y0oglycemia2
>y0ersensitivity: )as/$ ,ever
not e3ceed t/e recommended
dosage: Avoid using multi0le
0re0arations containing
acetamino0/en$ c/ec4 all
?6C 0roducts$ Aive drug
5it/ ,ood Discontinue drug i,
/y0ersensitivity reactions
occur: Monitor serum levels
regularly$ N;acetylcysteine
s/ould 1e availa1le as a
s0eci,ic antidote2 1asic li,e
su00ort measures may 1e
necessary$ )e0ort ras/$
unusual 1leeding or 1ruising$
yello5ing o, s4in or eyes$
c/anges in voiding 0atterns:
7isacodyl &mg
su02 su002
Dulcola3
La3ative
La3ative2 stimulates
1o5el movements:
Stimulates 1o5el
movements:
Mild cram0ing$ nausea$ diarr/ea$
,luid and electrolyte distur1ances
<valuate 0eriodically
0atientKs need ,or continued
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Practical Nursing
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rectally2 P)N use o, drug2 1isacodyl usually
0roduces or % so,t ,ormed
stools daily$ Monitor 0atients
receiving concomitant
anticoagulants: Indiscriminate
use o, la3atives results in
decreased a1sor0tion o,
vitamin K$ Add /ig/;,i1er
,oods slo5ly to regular diet to
avoid gas and diarr/ea:
Ade+uate ,luid inta4e
includes at least #(C
glasses"d:Do not 1reast ,eed
5/ile ta4ing t/is drug 5it/out
consulting 0/ysician:
>ydromor0/one
%mg2 & mg"ml2
%;'mg2 P?$S=2
P)N
Dilaudid$
>ydromor0/
Contin 8CAN9$
PMS;
>ydromor0/one
8CAN
Narcotic agonist
analgesic2 )elie, o,
moderate to severe
0ain
)elie, o, 0ain CNS: di@@iness$ sedation$ eu0/oria$
dys0/oria$ delirium$ an3iety$ ,ear$
/allucinations$ disorientation$
dro5siness$ let/argy$ coma$
5ea4ness$ /eadac/e$ visual
distur1ances2 AI: Nausea$ vomiting$
dry mout/$ consti0ation2 CV: *acial
,lus/ing$ 0eri0/eral circulatory
colla0se$ tac/ycardia$ 1radycardia$
arr/yt/mia$ 0al0itations$ c/est 5all
rigidity$ /y0ertension$ /y0otension$
ort/ostatic /y0otension$ synco0e2
AB: Breteral s0asm$ s0asm o,
vesical s0/incters$ urinary retention
or /esitancy$ oliguria$ antidiuretic
Assess ,or >y0ersensitivity to
narcotics$ tartra@ine2 0/ysical
de0endence on a narcotic
analgesic2 0regnancy2
lactation2 C?PD$ res0iratory
de0ression$ ano3ia$ increased
intracranial 0ressure$ acute
MI$ ventricular ,ailure$
coronary insu,,iciency$
/y0ertension$ 1iliary tract
surgery$ renal or /e0atic
dys,unction2 ?rientation$
re,le3es$ 1ilateral gri0
strengt/$ a,,ect2 0u0il si@e$
vision2 P$ auscultation$ 7P2 )$
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Practical Nursing
Level IV
e,,ect2 Dermatologic: Pruritus$
urticaria$ )es0iratory de0ression$
a0nea$ circulatory de0ression$
res0iratory arrest$ s/oc4$ cardiac
arrest ?t/er: S5eating$ 0/ysical
tolerance$ de0endence
adventitious sounds2 1o5el
sounds$ normal out0ut2
t/yroid$ liver$ 4idney ,unction
tests2 Avoid alco/ol$
anti/istamines$ sedatives$
tran+uili@ers$ ?6C drugs2
)e0ort severe nausea$
vomiting$ consti0ation$
s/ortness o, 1reat/ or
di,,iculty 1reat/ing
Lora@e0am
mg2 mg2 P?2
P)N
Ativan 7en@odia@e0ine$
An3iolytic$ Sedative;
/y0notic2
Management o,
an3iety disorders and
de0ression
Management o,
an3iety disorders
and de0ression
Dro5siness$ /eadac/e$ di@@iness$
con,usion2 1lurred vision2 nausea2
5ea4ness2 unsteadiness2
)es0iratory de0ression
Assess: 0syc/oses2 acute
narro5;angle glaucoma2
s/oc42 coma2 acute alco/olic
into3ication 5it/ de0ression
o, vital signs2 0regnancy2
lactation2 im0aired liver or
renal ,unction$ de1ilitation
S4in2 62 orientation$ re,le3es$
a,,ect$ o0/t/almologic
e3amination2 P$ 7P2 )$
adventitious sounds2 liver
evaluation$ a1dominal
e3amination$ 1o5el sounds$
normal out0ut2 C7C$ L*6s$
renal ,unction tests
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