Medicotion worksheet lo//2011

Gener|c Name]8rand Name

MeLoprolol (meLoeproelole)/Lopressor
Gener|c Name]8rand Name
SallcylaLes (sallsllaLes)/Asplrln (Low uose)
Dose] koute] Irequency Crdered

Is th|s route appropr|ate for pat|ent? ?es /no
Dose] koute] Irequency Crdered

Is th|s route appropr|ate for pat|ent? ?es /no
n|gh A|ert? es ]No Why? lv rouLe and uC nC1
confuse meLoprolol wlLh mlsoprosLol or wlLh Lopamax or
LegreLol
n|gh A|ert? es ]No Why?
C|ass|f|cat|on (1herapeut|c]harmaco|og|c)
AnLlanglnals AnLlhyperLenslve/8eLa 8locker
C|ass|f|cat|on (1herapeut|c]harmaco|og|c)
AnLlpyreLlc nonoplold Analgeslc/SallcylaLe
Act|on (therapeut|c effect)
uecreases 8 P8 decreases frequency of aLLacks of
anglna pecLorls decreases cardlo morLallLy
hosplLallzaLlon ln pL wlLh hearL fallure
Act|on (therapeut|c effect)
uecreases laLleL AggregaLlon uecreases lncldence of
LransleL lschemlc aLLacks and Ml
Why |s th|s person gett|ng th|s med|cat|on (lndlcaLlon)
PyperLenslon Anglna pecLorls revenLlon of Ml and
decreased morLallLy ln pL wlLh recenL Ml ManagemenL of
sLable sympLomaLlc (class ll or lll) hearL fallure due Lo
lschemlc hyperLenslve or cardlomyopaLhc orgln
Why |s th|s person gett|ng th|s med|cat|on (lndlcaLlon)
rophylaxls of 1ransleL lschemlc ALLack or Ml
nome Med|cat|on es ]No If yes dose change? (rev|ous dose
t|me)

nome Med|cat|on es ]No If yes dose change? (rev|ous dose
t|me)

harmacok|net|cs (onset peak durat|on metabo||sm)
unknown
13 mln 612 mln Llver
harmacok|net|cs (onset peak durat|on metabo||sm)
330 mln 13 hr 36 hrs Llver
1extbook Dose kange (for ordered route and |nd|cat|on)
23100 mg/day slngle dose/2 dlvlded doses
1extbook Dose kange (for ordered route and |nd|cat|on)
81 mg/day
Contra|nd|cat|ons]Caut|ous use
uncompensaLed CPl ulmonary edema Cardlogenlc
shock 8radycardla PearL block 8enal or PepaLlc
lmpalrmenL
Contra|nd|cat|ons]Caut|ous use
PypersenslLlvlLy Lo asplrln cross senslLlvlLy Lo oLher
nSAluS bleedlng dlsorders/ hlsLory of Cl bleedlng or ulcer
dlsease chronlc alcohol abuse 8enal or PepaLlc dlsease
Adverse keact|on
Common
laLlgue Weakness and LrecLlle uysfuncLlon

Severe
8radycardla CPl and ulmonary Ldema

1ox|c|ty s|gns]Cverdose Ant|dote?

Adverse keact|on
Common
uyspepsla LplgasLrlc ulsLress and nausea

Severe
Cl 8leedlng LxfollaLlve uermaLlLls SLeven!ohnson
Syndrome 1oxlc Lpldermal necrolysls Anaphylaxls
Laryngeal Ldema

1ox|c|ty s|gns]Cverdose Ant|dote?
1lnnlLls P/A PypervenLllaLlon AglLaLlon MenLal
Confuslon LeLhargy ularrhea SweaLlng (WlLhhold
medlclne and call physlclan)
Adm|n|strat|on arameters ora|]entera| (empty stomach w|th food)
arentera| (compat|b|||ty d||ut|on requ|red and rate)
1ake A before lf 30 bpm or lf arrhyLhmlas occur
wlLhhold noLlfy physlclan 1ake wlLh meals or dlrecLly
Adm|n|strat|on arameters ora|]entera| (empty stomach w|th food)
arentera| (compat|b|||ty d||ut|on requ|red and rate)
C AfLer meals or wlLh food or anLacld Lo mlnlmlze gasLrlc
lrrlLaLlon
afLer eaLlng
Assessment needed (pre dur|ng and post)
8 LCC ulse frequenLly durlng ad[usLmenL and
perlodlcally Lhrough Lherapy
Assessment needed (pre dur|ng and post)
Check allergles paln before and aL peak fever and several
lab LesLs (serum sallcylaLe and hemaLocrlL)
keference(s)
uavls urug Culde 831
keference(s)
uavls urug Culde 1131


Medicotion worksheet lo//2011
Gener|c Name]8rand Name
lnsulln (8apld AcLlng)
lnsulln AsparL runA orgln/novolog
Gener|c Name]8rand Name

Dose] koute] Irequency Crdered
L Speclflc (lv or SubC)
Is th|s route appropr|ate for pat|ent? ?es /no
Dose] koute] Irequency Crdered

Is th|s route appropr|ate for pat|ent? ?es /no
n|gh A|ert? es ]No Why? Lrrors can resulL ln pL
harm and deaLh Clarlfy orders uo noL accepL orders uslng
u for unlLs lnsullns are avallable ln dlfferenL Lypes and
sLrengLhs Check Lype dose and exp daLe wlLh anoLher
nurse uo noL lnLerchange lnsullns wlLhouL consulLlng
physlclan or oLher healLh care professlonals
n|gh A|ert? es ]No Why?
C|ass|f|cat|on (1herapeut|c]harmaco|og|c)
AnLldlabeLlcs Pormones/ancreaLlcs
C|ass|f|cat|on (1herapeut|c]harmaco|og|c)

Act|on (therapeut|c effect)
ConLrol of hyperglycemla ln dlabeLlc paLlenLs
Act|on (therapeut|c effect)

Why |s th|s person gett|ng th|s med|cat|on (lndlcaLlon)
ConLrol of hyperglycemla ln paLlenLs wlLh Lype 1 or Lype 2
dlabeLes melllLus
Why |s th|s person gett|ng th|s med|cat|on (lndlcaLlon)

nome Med|cat|on es ]No If yes dose change? (rev|ous dose
t|me)

nome Med|cat|on es ]No If yes dose change? (rev|ous dose
t|me)

harmacok|net|cs (onset peak durat|on metabo||sm)
1020 mln 13 hrs 33 hrs Llver spleen kldney and
muscle
harmacok|net|cs (onset peak durat|on metabo||sm)
1extbook Dose kange (for ordered route and |nd|cat|on)
L Speclflc
1extbook Dose kange (for ordered route and |nd|cat|on)

Contra|nd|cat|ons]Caut|ous use
Pypoglycemla allergy or hypersenslLlvlLy Lo a parLlcular
Lype of lnsulln preservaLlves or oLher addlLlves/SLress
and lnfecLlon 8enal/PepaLlc dysfuncLlon
Contra|nd|cat|ons]Caut|ous use

Adverse keact|on
Common


Severe
Pypoglycemla and Anaphylaxls

1ox|c|ty s|gns]Cverdose Ant|dote?
Pypoglycemla Mlld hypoglycemla may be LreaLed by
lngesLlon of oral glucose Severe hypoglycemla ls a llfe
LhreaLenlng emergency LreaLmenL conslsLs of lv glucose
glucagon or eplnepherlne Larly slgns of hypoglycemla
may be less pronounced by long duraLlon dlabeLes
dlabeLlc nerve dlsease and use of beLa blockers may
resulL ln loss of consclousness prlor Lo pL awareness of
hypoglycemla
Adverse keact|on
Common


Severe


1ox|c|ty s|gns]Cverdose Ant|dote?

Adm|n|strat|on arameters ora|]entera| (empty stomach w|th food)
arentera| (compat|b|||ty d||ut|on requ|red and rate)
lv or SubC May be mlxed wlLh nP lnsulln Mlxed
lnsullns should never be used as lv or pump AdmlnlsLer 3
10 mln before a meal lv admlnlsLraLlo ulluLenL ulluLe
wlLh 09 naCl or u3W ln lnfuslon sysLems uslng
polypropylene lnfuslon bags ConcenLraLlon 0031
unlL/mL
Adm|n|strat|on arameters ora|]entera| (empty stomach w|th food)
arentera| (compat|b|||ty d||ut|on requ|red and rate)

Assessment needed (pre dur|ng and post)
Assess sympLoms of hypglycemla (anxleLy resLlessness
Llngllng ln hands feeL llps or Longue chllls cold sweaLs
confuslon cool pale skln dlfflculLy ln concenLraLlon
drowslness nlghLmares or Lrouble sleeplng excesslve
hunger P/A lrrlLablllLy nausea nervousness Lachycardla
Lremor weakness unsLeady galL) and Pyperglycemla
(confuslon drowslness flushed dry skln frulLllke breaLh
odor rapld deep breaLhlng polyurla loss of appreLlLe
nausea vomlLlng unusual LhlrsL) MonlLor body welghL
Asses for slgns of allerglc reacLlons MonlLor blood glucose
q6h durlng Lherapy
Assessment needed (pre dur|ng and post)

keference(s)
uavls urug Culde 721
keference(s)