NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

gabapentin Neurontin analgesic adjuncts 300 mg po 0900 qd
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
2-4 hr rapid 8 hr

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

(Why med ordered) Contraindications/warnings/interactions
Mechanism of action is not known. May affect transport of Hypersensitivity, Geriatric patients (because of age-related ↓ in
amino acids across and stabilize neuronal membranes. renal function)
Chronic neck pain. Common side effects
confusion, , depression, drowsiness, ataxia

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Antacids may ↓ absorption of gabapentin
Nursing Process- Assessment
(Pre-administration assessment)
Assess location, characteristics, and intensity of
pain periodically during therapy
Lab value alterations caused by medicine
May cause false-positive readings when testing for urinary protein
with Ames N-Multistix SG dipstick test; use sulfosalicylicacid
precipitation procedure. May cause leucopenia.
Be sure to teach the patient the following about this
medication
Instruct patient to take medication exactly as directed. Take
missed doses as soon as possible; if less than 2 hr until next dose,
take dose immediately and take next dose 1-2 hr later, then
resume regular dosing schedule. Do not double doses. Advise
patient not to take gabapentinwithin 2 hr of an antacid.
Gabapentinmay cause dizziness and drowsiness. Caution patient
to avoid driving or activities requiring alertness until response to
medication is known. Instruct patient to notify health care
professional of medication regimen before treatment or surgery.
Advise patient to carry identification describing disease process
and medication regimen at all times
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Decrease in intensity of chronic
before treatment or surgery pain