NURS 1556 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

Hydrocodone/ Lortab allergy, cold, 7.5 mg 1-2 PO Q 4 hr PRN
acetaminophe cough, opioid tabs
n analgesic/nonopio
id combination
Peak Onset Duration For IV meds, compatibility with IV drips and /or
30-60 min 10-30 min 4-6 hrs solutions

Mechanism of action and indications (Why med ordered)
Bind to opiate receptors in the CNS. Alter the perception
of and response to painful stimuli while producing
generalized CNS depression. For pain.
Nursing Implications (what to focus on)
Contraindications/warnings/interactions -
Hypersensitivity to hydrocodone and acetaminophen,
Severe hepatic or renal disease.
Common side effects – confusion, dizziness, sedation,
hypotension, constipation, dyspepsia, nausea

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine - May cause
medicines (ask patient specifically) - Additive CNS increased plasma amylase and lipase concentrations
depression with alcohol, antihistamines, and
Be sure to teach the patient the following about this
sedative/hypnotics.
medication - Instruct patient on how and when to ask for
pain medication. Change positions slowly to avoid
orthostatic hypotension. Avoid alcohol, may cause
drowsiness or dizziness, good oral hygiene, turn cough
and breath every 2 hrs.
Nursing Process- Assessment (Pre- Assessment Evaluation Check after
administration assessment) - Assess Blood Why would you hold or not give this giving - Asses level of pain
pressure, pulse and respirations before and med? - Respiration less than 12/min 1 hr after administration of
periodically during administration. Assess Pulse less than 60beats/min medication. Assess Blood
type, location and intensity of pain prior to pressure, pulse,
and 1 hour following administration. Assess respirations, bowel
bowel function. function.