NURS 2516 Clinical Medications Worksheets

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

Generic Trade Classification Dose Route Time/frequency

Name Name mineral and electrolyte 30 mL PO QID PRN
magnesium Phillips Milk of replacements/supplements,
hydroxide Magnesia, laxatives
(41.7% Mg; MOM
34.3 mEq
Mg/g)
Peak Onset Duration For IV meds, compatibility with IV drips and /or
unknown 3-6 hr Unknown solutions

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Essential for the activity of many enzymes Hypermagnesemi
Play an important role in neurotransmission and muscular a
excitability
Are osmotically active in GI tract, drawing water into the lumen and Anuri
causing peristalsis a
Constipation Heart block

Hypocalcemi
a

Common side effects

diarrhea,

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Lab value alterations caused by medicine
Be sure to teach the patient the following about this
medication
Advise patient not to take this medication within 2 hr of taking
other medications, especially fluoroquinolones, nitrofurantoin,
and tetracyclines, Advise patient that laxatives should be
used only for short-term therapy. Long-term therapy may
cause electrolyte imbalance and dependence, Encourage
patient to use other forms of bowel regulation, such as
increasing bulk in the diet, fluid intake, and mobility. Normal
bowel habits are individualized; frequency of bowel
movement may vary from 3 times/day to 3 times/wk, Advise
patient to notify health care professional if unrelieved
constipation, rectal bleeding, or symptoms of electrolyte
imbalance (muscle cramps or pain, weakness, dizziness)
occur
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess patient for abdominal distention, presence of med? Relief of gastric pain and
bowel sounds, and usual pattern of bowel function Electrolyte imbalance, not constipated irritation