NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Classification Dose Route Time/frequency

oxycodone/acetaminophen Name opioid analgesics
Percocet
Peak Onset
60-90 min 10-15 min
Mechanism of action and indications
(Why med ordered)
Management of moderate to severe pain
Binds to opiate receptors in the CNS
Alters the perception of and response to painful stimuli, while
producing generalized CNS depression
Interactions with other patient drugs, OTC or herbal medicines
(ask patient specifically)
Additive CNS depression with alcohol, antihistamines , and
sedative/hypnotics
Nursing Process- Assessment
(Pre-administration assessment)
Assess type, location, and intensity of pain prior to and 1 hr
(peak) after administration. When titrating opioid doses,
increases of 25-50% should be administered until there is
either a 50% reduction in the patient"s pain rating on a
numerical or visual analog scale or the patient reports
satisfactory pain relief. A repeat dose can be safely
administered at the time of the peak if previous dose is
ineffective and side effects are minimal
5/325 PO Q 4 hrs. PRN
1-2 tabs
Duration For IV meds, compatibility with IV drips and /or
3-6 hr solutions
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Hypersensitivity, Pregnancy or lactation (avoid chronic
use)
Common side effects
CNS: confusion, sedation, dizziness, dysphoria, euphoria,
floating feeling, hallucinations, headache, unusual
dreams, EENT: blurred vision, diplopia, miosis, Resp:
RESPIRATORY DEPRESSION, CV: orthostatic
hypotension, GI: constipation, dry mouth, nausea,
vomiting, GU: urinary retention, Derm: flushing, sweating,
Misc: physical dependence, psychological dependence,
tolerance,
Lab value alterations caused by medicine
May increase plasma amylase and lipase levels
Be sure to teach the patient the following about this
medication
May be administered with food or milk to minimize GI
irritation, Instruct patient on how and when to ask for pain
medication, Medication may cause drowsiness or
dizziness. Advise patient to call for assistance when
ambulating or smoking. Caution patient to avoid driving
and other activities requiring alertness until response to
medication is known, Advise patient to make position
changes slowly to minimize orthostatic hypotension,
Encourage patient to turn, cough, and breathe deeply
every 2 hr to prevent atelectasis
Assessment Evaluation
Why would you hold or not give Check after giving
this med? If respiratory rate is Decrease in severity of pain
<10/min, assess level of sedation. without a significant alteration
Physical stimulation may be in level of consciousness or
sufficient to prevent significant respiratory status
hypoventilation. Dose may need to Assess bowel function
be decreased by 25-50%. Initial routinely. Prevention of
drowsiness will diminish with constipation should be
continued use instituted with increased
intake of fluids and bulk, and
laxatives to minimize
constipating effects. Stimulant
laxatives should be
administered routinely if
opioid use exceeds 2-3 days,
unless contraindicated