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Medication List

Aspirin 325mg every day 0900


Indications/Action:Inflammatory disorders including: Rheumatoid arthritis, Osteoarthritis. Mild to moderate pain. Fever. Aspirin: Prophylaxis of transient
ischemic attacks and MI. Produce analgesia and reduce inflammation and fever by inhibiting the production of prostaglandins. Aspirin Only: Decreases platelet
aggregation. Therapeutic Effects: Analgesia. Reduction of inflammation. Reduction of fever. Aspirin: Decreased incidence of transient ischemic attacks and MI.
Adverse Reactions/Side Effects: EENT: tinnitus. GI: GI BLEEDING, dyspepsia, epigastric distress, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting.
Derm: salsalate: EXFOLIATIVE DERMATITIS, STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS. Hemat: aspirin: anemia, hemolysis,
increased bleeding time. Misc: ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS AND LARYNGEAL EDEMA.
Dosage/Route: PO, Rect (Adults): 325-1000 mg q 4-6 hr (not to exceed 4 g/day). PO (Adults): 50-325 mg once daily. Prevention of Myocardial Infarction
Nursing Implications: Use lowest effective dose for shortest period of time. PO: Administer after meals or with food or an antacid to minimize gastric irritation.
Food slows but does not alter the total amount absorbed
Safe Dose? Yes this is a safe dose for my patient: She only rec's 325mg qday and the max dose is not to exceed 4g day.

Lasix 40 mg p.o. every day 0900


Indications/Action:Edema due to heart failure, hepatic impairment or renal disease. Hypertension. Inhibits the reabsorption of sodium and chloride from the
loop of Henle and distal renal tubule. Increases renal excretion of water, sodium, chloride, magnesium, potassium, and calcium. Effectiveness persists in
impaired renal function. Therapeutic Effects: Diuresis and subsequent mobilization of excess fluid (edema, pleural effusions). Decreased blood pressure.
Adverse Reactions/Side Effects: CNS: blurred vision, dizziness, headache, vertigo. EENT: hearing loss, tinnitus. CV: hypotension.
GI: anorexia, constipation, diarrhea, dry mouth, dyspepsia, nausea, pancreatitis, vomiting. GU: excessive urination. Derm: photosensitivity, pruritis, rash. Endo:
hyperglycemia, hyperuricemia. F and E: dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic
alkalosis. Hemat: APLASTIC ANEMIA, AGRANULOCYTOSIS, hemolytic anemia, leukopenia, thrombocytopenia
Route/Dosage: PO (Adults): 20-80 mg/day as a single dose initially, may repeat in 6-8 hr; may increase dose by 20-40 mg q 6-8 hr until desired response.
Maintenance doses may be given once or twice daily (doses up to 2.5 g/day have been used in patients with congestive heart failure or renal disease).
Hypertension--40 twice daily initially (when added to regimen, decrease dose of other antihypertensives by 50%); adjust further dosing based on response
Nursing Implications: Assess fluid status. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous
membranes. Notify physician or other health care professional if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occurs.Monitor blood pressure
and pulse before and during administration. Monitor frequency of prescription refills to determine compliance in patients treated for hypertension
Safe Dose? Yes this is a safe dose the max dose is up to 80 mg as a single dose and my patient only rec's 40mg once a day.

IMDUR 30mg p.o. once daily at 0900


Action/Indications: Acute treatment of anginal attacks (SL only). Prophylactic management of angina pectoris. Treatment of chronic CHF (unlabeled). Produce
vasodilation (venous greater than arterial).
Decrease left ventricular end-diastolic pressure and left ventricular end-diastolic volume (preload). Net effect is reduced myocardial oxygen consumption.
Increase coronary blood flow by dilating coronary arteries and improving collateral flow to ischemic regions.
Therapeutic Effects: Relief and prevention of anginal attacks.
Adverse Reactions/Side Effects: CNS: dizziness, headache. CV: hypotension, tachycardia, paradoxic bradycardia, syncope.
GI: nausea, vomiting. Misc: flushing, tolerance.
Route/Dosage: PO (Adults): Prophylaxis of angina pectoris--5-20 mg 2-3 times daily; usual maintenance dose is 10-40 mg q 6 hr (immediate-release) or 40-80
mg q 8-12 hr (sustained-release).
Nursing Implications: Assess location, duration, intensity, and precipitating factors of anginal pain. Monitor blood pressure and pulse routinely during period
of dosage adjustment.
Safe Dose? Yes this is a safe dose for my patient she rec's 30mg once a day and is on a minimum dose compared to the sustained release.

Tylenol 650mg every 4 hours as needed for PAIN


Action/Indications: Mild pain. Fever. Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS. Has no
significant anti-inflammatory properties or GI toxicity. Therapeutic Effects: Analgesia. Antipyresis.
Adverse Reactions/Side Effects: GI: HEPATIC FAILURE, HEPATOTOXICITY(OVERDOSE). GU: renal failure (high doses/chronic use). Hemat: neutropenia,
pancytopenia, leukopenia. Derm: rash, urticaria
Route/Dosage: PO (Adults and Children > 12 yr): 325-650 mg q 4-6 hr or 1 g 3-4 times daily or 1300 mg q 8 hr (not to exceed 4 g or 2.5 g/24 hr in patients
with hepatic/renal impairment).
Nursing Implications: Assess type, location, and intensity prior to and 30-60 min following administration.
Safe Dose? Yes the patient is only able to receive up to 3900 mg daily if dose was given every 4 hours for pain and the max dose is not to exceed 4g in 24hr.

Senokot 1/2 tablet twice a day 0900 & 1700


Action/Indications: Treatment of constipation, particularly when associated with: Slow transit time, Constipating drugs, Irritable or spastic bowel syndrome,
Neurologic constipation. Active components of senna (sennosides) alter water and electrolyte transport in the large intestine, resulting in accumulation of water
and increased peristalsis. Therapeutic Effects: Laxative action.
Adverse Reactions/Side Effects: GI: cramping, diarrhea, nausea. GU: pink-red or brown-black discoloration of urine. F and E: electrolyte abnormalities
(chronic use or dependence). Misc: laxative dependence.
Route/Dosage: PO (Adults and Children >12 yr): 12-50 mg 1-2 times daily
Nursing Implications: Assess patient for abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Assess color, consistency, and
amount of stool produced. \
Safe Dose? Yes she only receives a total of one tablet in a day and the maximum dose is up to 2 tablet a day with no stop to the amount of time/days the
patient can take it.