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, flatulence, abdominal discomfort. Adverse Reaction: Arrhythmias, heartblock, cardiac arrest, hyperkalemia, respiratory paralysis. ( 2008 Nurses Drug Handbook,Georg e Spratto and Adrienne Woods copyright by Thomson Delmar Learning Inc. page.1283) NURSING CONSIDERATIO N/ PATIENT TEACHING Nursing Consideration: Monitor renal function. After surgery, don’t give drug until urine flow is established. Many adverse reactions may reflect potassium excess. Make sure powders are completely dissolved before giving. Patient Teaching: Take drug after meals or with food and a full glass of water to decrease gastrointestinal upset. Do not chew or crush tablets, swallow tablets whole. Mix or dissolve oral liquids, soluble powders, and effervescent tablets completely in 3–8 ounces of cold water, juice, or other
Date Ordered: September 12,2013 Generic Name: Kalium Durule
( 2008 Nurses Drug Handbook,Georg Brand Name: ( 2008 Nurses Potassium Drug e Spratto and Chloride Handbook,Georg Adrienne Woods e Spratto and copyright by Classification Adrienne Woods Thomson Delmar copyright by Learning Inc. : Electrolytic Thomson Delmar page.1282) and Learning Inc. water balance page.1282) agent Dosage: 750mg /tablet
To prevent and treat potassium deficit with or without metabolic acidosis and following surgical condition.
Potassium is readily and rapidly absorbed from the gastrointestinal tract.
. abdominal pain.suitable beverage. feeling of heaviness in the legs. vomiting. and drink it slowly. Report tingling of the hands or feet. black or tarry stools. Do not use salt substitutes. severe nausea. do not take more than prescribed. unusual tiredness or weakness. You may find wax matrix capsules in the stool. Take the drug as prescribed. The wax matrix is not absorbed in the gastrointestinal tract.
dizziness.2013 and September 13. especially following surgery. Adverse Reaction: Somnolence. vomiting. ( Nursing 2008 Drug Handbook copyright Serious .term treatment (5-7 days) of acute pain after surgery. edema. May inhibit prostaglandin synthesis. dizziness. (www. constipation. Date Ordered: September 12. drowsiness. lightPatient Teaching: headedness bleeding or bruising more easily than normal.2013 Generic Name: Ketorolac Brand Name: Analac Short.idruginfo.2013 and September 13. Adverse Reaction: KETOROLAC (ANALAC) DRUG INDICATION ACTION SIDE EFFECT/ ADVERSE REACTION Side Effect: Headache.PARACETAMOL DRUG INDICATION ACTION SIDE EFFECT/ ADVERSE REACTION Side Effect: NURSING CONSIDERATION/ PATIENT TEACHING Nursing Consideration: Date Ordered: September 12.inflammatory actions. nausea. 2013 Generic Name: Paracetamol Brand Name: Classification: Analgesic Dosage: 600mg Intravenous Short-term treatment of moderate pain. to produce antiinflammatory (www.actavis. diarrhea. epigastric pain. NURSING CONSIDERATIO N/ PATIENT TEACHING Nursing Consideration: Nonsteroidal antiinflammatory drugs may mask signs and symptoms of infection because of their antipyretic and anti.com . nausea. dyspepsia.ie/en/ PARACETAMOL) Feeling unwell. analgesic ) and antipyretic effects.
859) gastrointestinal toxicity. coffee. can occur in patient taking nonsteroidal antiinflammatory drugs. tarry stool. paresthesias. dry mouth. LACTULOSE DRUG INDICATION ACTION SIDE EFFECT/ ADVERSE REACTION NURSING CONSIDERATION/ PATIENT TEACHING . despite lack of symptoms. urine. page.385) headache.Georg e Spratto and Adrienne Woods copyright by Thomson Delmar Learning Inc. dizziness.Classification : Nonsteroidal antiinflammatory drug Dosage: 30mg Intradermal Lippincott Williams and Wilkins page. ( 2008 Nurses Drug Handbook. including peptic ulcers and bleeding. and black. nausea. Tell him to notify prescriber immediately if any of these occurs. Tell patient not to take drug for more than 5 days in a row. and dyspepsia. vomiting. or stool. including blood in vomit. abdominal pain. Patient Teaching: Teach patient signs and symptoms of gastrointestinal bleeding.ground vomit.
Make sure you have ready access to bathroom. belching and abdominal discomfort. ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page. ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page. resulting distention promotes peristalsis. gaseous distention.2013 Generic Name: Lactulose Brand Name: Treatment of constipation. bowel movements will be increased to two or three per day.vomiting. 696) Classification: Laxatives Dosage: 30ml Produces an osmotic effect in colon. Adverse Reaction: Nursing Consideration: Patient Teaching: Inform patient about adverse reactions and tell him to notify prescriber if reactions become bothersome or if diarrhea occurs. nausea. abdominal fullness. probably as a result of bacterial degradation.696) Side Effect: Gastrointestinal: Flatulence. severe belching. Also decreases ammonia. Report diarrhea. NALBUPHINE HYDROCHLORIDE ( NUBAIN) . diarrhea. which lowers the Ph of colon contents. Instruct patient not to take other laxatives during lactulose therapy.Date Ordered: September 12.
DRUG INDICATION ACTION SIDE EFFECT/ ADVERSE REACTION Side Effect: Adverse Reaction: Date Ordered: Generic Name: Nalbuphine Hydrochloride Brand Name: Nubain Classification: Opioid analgesic Dosage: 15mg Intramuscular Treating and preventing moderate to severe pain. Constipation. tachycardia. Constipation is often severe with Gastrointestinal: maintenance therapy. vertigo. If headache. shallow or rate is below 12 breaths per Cardiovascular: minute. patient about getting out of bed or ( Nursing 2008 walking. INSULIN GLULISINE (APIDRA) DRUG INDICATION ACTION SIDE EFFECT/ ADVERSE REACTION NURSING CONSIDERATION/ PATIENT TEACHING .409) Unknown. softener or other dyspepsia. altering perception of and emotional response to pain. hypotension. withhold Bradycardia. ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page.410) NURSING CONSIDERATION/ PATIENT TEACHING Nursing Consideration: Monitor circulatory and respiratory status Central Nervous and bladder and System:Dizziness. Make sure stool cramps. Binds with opiate receptors in the CNS. bowel function. Drug Handbook copyright Teach patient how to Lippincott manage troublesome Williams and adverse effects such Wilkins page. It can also be used for pain relief before and after surgery. nausea. laxative is ordered. respirations are sedation.410) as constipation. prescriber. ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page. vomiting Patient Teaching: Respiratory: Respiratory Caution ambulatory depression. dose and notify hypertension.
796) Lowers glucose level by increasing peripheral glucose uptake and decreasing hepatic glucose production. pruritus. lipodystrophy.Date Ordered: September 12. Side Effect: Hypoglycemia. Give within 15 minutes before or immediately after a meal. pruritus. ( 2008 Nurses Drug Handbook. Usually used in regimens that include a longer-acting insulin or basal insulin analog. anaphylaxis Patient Teaching: ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page. injection site reaction.2013 Generic Name: Insulin Glulisine Brand Name: Apidra Classification: Insulin Dosage: 2 units Subcutaneous Diabetes mellitus in adults. ( Nursing 2008 Drug Handbook copyright Lippincott Williams and Wilkins page. don’t mix drug with any other insulin or diluent.George Spratto and Adrienne Woods copyright by Thomson Delmar Learning Inc.815) Adverse Reaction: Metabolic: hypoglycemia Skin: injectionsite reactions.816) . rash. lipodystrophy. Nursing Consideration: Drug has a more rapid onset and shorter duration of action than regular human insulin. page. When used in an external subcutaneous infusion pump. hypokalemia. rash Other: allergic reactions.
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