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Published by Adrianne Bazo

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Published by: Adrianne Bazo on Dec 06, 2008
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NURS 2516 Clinical Medications Worksheets
(You will need to make additional copies of these forms)Generic NameketorolacTrade NametoradolClassificationnonsteroidal anti-inflammatoryagents, nonopioidanalgesicsDose15mgRouteIVTime/frequency1000, 1600, 2200, 0400; q 6hr Peak 1-2 hr Onset10 minDuration6 hr or longer For IV meds, compatibility with IV drips and /or solutionsAdminister undilutedMechanism of action and indications(Why med ordered)
Inhibits prostaglandin synthesis, producing peripherallymediated analgesia, Also has antipyretic and anti-inflammatory properties.Anti-inflammatory, pain relief 
Nursing Implications (what to focus on)
Contraindications/warnings/interactionsConcurrent use with aspirin may ↓ effectiveness, ↑ adverseGI effects with aspirin , other NSAIDs , potassiumsupplements , corticosteroids , or alcohol, Chronic use withacetaminophen may ↑ risk of adverse renal reactions, ↑ bleeding risk with arnica, chamomile, clove, dong quai,feverfew, garlic, ginger, ginkgo, Panax ginsengCommon side effects
Drowsiness, GI BLEEDING, EXFOLIATIVEDERMATITIS, STEVENS-JOHNSON SYNDROME,TOXIC EPIDERMAL NECROLYSIS, anaphylaxisInteractions with other patient drugs, OTC or herbalmedicines (ask patient specifically)Chronic use with acetaminophen may ↑ risk of adverserenal reactionsLab value alterations caused by medicineEvaluate liver function tests, especially AST and ALT, periodically in patients receiving prolonged therapy. Maycause ↑ levels○ May cause prolonged bleeding time that may persist for 24-48 hr following discontinuation of therapy○ May cause ↑ BUN, serum creatinine, or potassiumconcentrationsBe sure to teach the patient the following about thismedicationInstruct patient on how and when to ask for pain medication,Instruct patient to take medication exactly as directed. Takemissed doses as soon as remembered if not almost time for next dose. Do not double doses, May cause drowsiness or dizziness. Advise patient to avoid driving or other activitiesrequiring alertness until response to the medication is known,Caution patient to avoid the concurrent use of alcohol,aspirin, NSAIDs, acetaminophen, or other OTC medicationswithout consulting health care professional, Advise patient toinform health care professional of medication regimen prior to treatment or surgery,Advise patient to consult health care professional if rash,

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