NURS 1566 Clinical Form 3: Clinical Medications Worksheets Generic Name gabapentin Peak 2-4 hr Trade Classification Dose Route Time/frequen Name analgesic 300 mg PO cy Neurontin adjuncts Q8 hr Onse Duration Normal dosage range t 8 hr Up to 2400-3600 mg/day (adults and children rapid >12) Why is your patient getting this For IV meds, compatibility with IV drips medication and/or solutions Chronic Head pains, resulting from N/A previous Brain tumor. Mechanism of action and Nursing Implications (what to focus on) indications Contraindications/warnings/interactions (Why med ordered) Hypersensitivity. Geriatric patients (because of Mechanism of action is not known. May age-related ↓ in renal function). affect transport of amino acids across Common side effects and stabilize neuronal membranes. Confusion, depression, drowsiness, ataxia. Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Lab value alterations caused by medicine May cause false-positive readings when testing for urinary protein with Ames N-Multistix SG dipstick test; use sulfosalicylic acid precipitation Nothing specific for this patient. procedure. May cause leucopenia. Be sure to teach the patient the following about this medication Be sure to teach the patient the following about this medication. Instruct patient to take medication exactly as directed. Take missed doses as soon as possible; if less than 2 hr until next dose, take dose immediately and take next dose 1-2 hr later, then resume regular dosing schedule. Do not double doses. Advise patient not to take gabapentin within 2 hr of an antacid. Gabapentin may cause dizziness and drowsiness. Caution patient to avoid driving or activities requiring alertness until response to medication is known. Instruct patient to notify health care professional of medication regimen before treatment or surgery. Advise patient to carry identification describing disease process and medication regimen at all times. Nursing ProcessAssessment Evaluation Assessment Why would you hold or not give Check after (Pre-administration this med? giving assessment) Before treatment or surgery. Decrease in Assess location, intensity of chronic characteristics, and intensity pain. of pain periodically during therapy.
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