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

ibuprofen Advil, Motrin IB nonopioid 800 mg PO t.i.d (taken with food)
analgesics, NSAID
Peak Onset Duration Normal dosage range
1-2 hr 30 min 4-6 hr
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Mild to moderate pain, postpartum/post-op pain solutions
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Inhibits prostaglandin synthesis Hypersensitivity. Cross-sensitivity may exist with other
NSAIDs, including aspirin, dehydration, or patients on
nephrotoxic drugs (may ↑ risk of renal toxicity). Not
recommended for pregnant patients; has been associated
with persistent pulmonary hypertension in infants, has been
used safely during lactation.
Common side effects
Headache, constipation, dyspepsia, nausea, vomiting, GI
BLEEDING, HEPATITIS, EXFOLIATIVE DERMATITIS,
STEVENS-JOHNSON SYNDROME, TOXIC
EPIDERMAL NECROLYSIS, ALLERGIC REACTIONS
INCLUDING ANAPHYLAXIS
Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) 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
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. May cause drowsiness or
dizziness. Advise patient to avoid driving or other activities
requiring alertness until response to medication is known.
Advise patient to consult health care professional if rash,
itching, visual disturbances, tinnitus, weight gain, edema,
black stools, persistent headache, or influenza-like
syndrome (chills, fever, muscle aches, pain) occurs.
Nursing Process- Assessment
(Pre-administration assessment)
Assess for rhinitis, asthma, and urticaria
Assess pain (note type, location, and
intensity) prior to and 1-2 hr following
administration.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Decrease in severity of pain.
If pain has subsided, dangerous or
undesirable side effects occur.