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Nicoderm

Nicoderm

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Published by E

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Published by: E on Oct 01, 2008
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09/06/2012

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Clinical Medications WorksheetsGeneric Name
nicotine
Trade Name
 Nicoderm
Classification
Smoking deterrent
Dose
21mg,14mg, 7mg
Route
TD
Time/frequency
21mg qd 7 days, 14mgqd 7 days, 7mg qd 7days
Peak 
2-4 hrs
Onset
rapid
Duration
unknown
Normal dosage range
21 mg/day for 6 wk, 14 mg/day for 2 wk, then 7 mg/dayfor 2 wk (10 wk total); system is worn 24 hr 
Why is your patient getting this medication
Cigarette smoking cessation
For IV meds, compatibility with IV drips and/orsolutions
 N/A
Mechanism of action and indications
(Why med ordered)
Provides a source of nicotine during controlledwithdrawal from cigarette smoking
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Continued smoking
Common side effects
headache, insomnia, tachycardia, burning at patch site,erythema, pruritus
Interactions with other patient drugs, OTC orherbal medicines
(ask patient specifically)
 None known for this patient
Lab value alterations caused by medicine
 None known
Be sure to teach the patient the following about thismedication
Explain to patient the necessity of immediate cessation of smoking upon initiation and throughout therapy. Instruct patient in application and use of patch. Apply patch at thesame time each day. Keep patch in sealed pouch until readyto apply. Apply to clean, dry skin of upper arm or torso freeof oil, hair, scars, cuts, burns, or irritation. Press patchfirmly in place with palm for 10 sec, making sure there isgood contact, especially around the edges. Keep patch in place during showering, bathing, or swimming; replace patches that have fallen off. Wash hands with plain water after handling patches; soap will increase absorption of nicotine. Do not trim or cut patch. Alternate applicationsites. Dispose of used patches by folding adhesive sidestogether and replacing in protective pouch or aluminumfoil; keep out of reach of children. Advise patient thatredness, itching, and burning at application site usuallysubside within 1 hr. Instruct patient to notify health care professional and not apply new patch if signs of allergicreaction (urticaria, generalized rash, hives) or persistentlocal skin reactions (severe erythema, pruritus, edema)occur.

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