NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

ibuprofen Advil, Motrin IB antipyretics 175 mg PO q 6 hrs. PRN
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
2-4 hr 0.5-2.5 hr 6-8 hr

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

(Why med ordered)
Fever >100.5
Inhibits prostaglandin synthesis
Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Additive adverse GI side effects with other NSAIDs and
corticosteroids
Nursing Process- Assessment
(Pre-administration assessment)
Assess for rhinitis, asthma, and urticaria
Fever: Monitor temperature; note signs
associated with fever (diaphoresis, tachycardia,
malaise)
Contraindications/warnings/interactions
Hypersensitivity, Cross-sensitivity may exist with other NSAIDs,
including aspirin, Use Cautiously in: dehydration, or patients on
nephrotoxic drugs (may ↑ risk of renal toxicity)
Common side effects
CNS: headache, dizziness, drowsiness, psychic disturbances
EENT: amblyopia, blurred vision, tinnitus,
CV: arrhythmias, edema,
GI: GI BLEEDING, HEPATITIS, constipation, dyspepsia, nausea,
vomiting, abdominal discomfort,
GU: cystitis, hematuria, renal failure
Lab value alterations caused by medicine
Serum potassium, BUN, serum creatinine, alkaline phosphatase,
LDH, AST, and ALT may show ↑ levels. Blood glucose,
hemoglobin, and hematocrit concentrations, leukocyte and platelet
counts, and CCr may be ↓
Be sure to teach the patient the following about this
medication
PO: For rapid initial effect, administer 30 min before or 2 hr after
meals. May be administered with food, milk, or antacids to
decrease GI irritation. Tablets may be crushed and mixed with
fluids or food
Pedi: Teach parents or caregivers to calculate and measure doses
accurately and to use measuring device supplied with product
Instruct patients not to take OTC ibuprofen preparations for more
than 3 days for fever, and to consult health care professional if
symptoms persist or worsen. Many OTC products contain
ibuprofen; avoid duplication. Pedi: Teach parents or caregivers to
check labels of all OTC products to prevent administration of more
than one ibuprofen product Pedi: Advise parents or caregivers not
to administer ibuprofen to children who may be dehydrated (can
occur with vomiting, diarrhea, or poor fluid intake); dehydration
increases risk of renal dysfuntion
Assessment Evaluation
Why would you hold or not give this Check after giving
med? If fever has reduced Reduction in fever