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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

Trazodone Desyrel Antidepressants 50 mg PO At bedtime as needed
Peak Onset Duration Normal dosage range
2-4 weeks 1-2 weeks Weeks 25-100 mg at bedtime

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of insomnia N/A

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

(Why med ordered) Contraindications/warnings/interactions
Alters the effects of serotonin in the CNS. Hypersensitivity. Recovery period after MI. Concurrent
electroconvulsive therapy.
Common side effects
CNS: drowsiness, confusion, dizziness, fatigue,
hallucinations, headache, insomnia, nightmares, slurred
speech, syncope, weakness. EENT: blurred vision,
tinnitus. CV: hypotension, arrhythmias, chest pain,
hypertension, palpitations, tachycardia. GI: Dry mouth,
altered taste, constipation, diarrhea, excess salivation,
flatulence, nausea, vomiting. DERM: rash. MS: myalgia.
NEURO: tremor.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Slight clinical insignificant decrease in leukosyte and
Increased CNS depression with other CNS neutrophil counts may occur.
depressants. Concomitant use of Kava, valerian, or Be sure to teach the patient the following about this
chamomile can increase CNS depression. Increased medication
risk of serotinergic side effects including serotonin Take as directed. May cause drowsiness and blurred
syndrome with St. John’s Wort and SAMe vision. Use caution when driving. Change positions
slowly. Do not use concurrently with other CNS
depressants. Use good oral hygiene, and sugarless candy
or gum to help with dry mouth.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor BP and pulse rate before and med? Improvement of sleep
during initial therapy. Monitor ECGs in Abnormal vital signs, or evidence of
patients with pre existing cardiac disease. hypersensitive reaction.