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Instructions: This document is meant to serve as an evolving list of medications that each student has interacted with in the

clinical
setting. Each time a student is assigned a new medication they must complete the “medication general information”
section for that medication along with the “patient impact and considerations” section. Subsequent interactions with
the same medication will only require the student to complete a new row for the “patient impact and considerations”
section for each medication (see example below).

MEDICATION Trade: Tylenol Extra Strength Generic: acetaminophen


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
(beta-blocker, ACE Inhibitor, etc.) (how does this medication work) (include only common and life-
threatening)
Nonopiod analgesic, antipyretic Exact mechanism is unknown, thought Nausea, stomach pain, rash, headache,
to reduce production of prostaglandins dark urine, clay-colored stools
in the brain
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? (Date of & (What is going on with your (Interactions and/or (What have you observed that tells
days that patient that requires them to compatibilities with you the medication is or is not
Y/N you had this Safe Dosage take this medication?) complementary substances and working properly? Is there evidence
medication) Range (SDR) other medications. Is there any that the medication is controlling
*SDR if applicable* special monitoring required?) their symptoms? e.g. cholesterol,
blood pressure)
Yes 10/12/1 650mg q6 hrs Pt is POD 3 total knee Assess pain before and Patient rated pain 2/10
9 PRN for pain and is having mild pain after administration, after 45 min of
at surgical site ensure other prescribed administration (was 5/10
SDR: No more medications don’t before administration)
than 4,000 mg in contain acetaminophen
24hrs
MEDICATION Trade: Ancef Generic: ceFAZolin
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther Class: anti-infectives Used for its bactericidal action in which Seizures, Clostridium Difficile- Associated
Pharm Class: first generation cephalosporins the properties bind to the bacterial cell Diarrhea, Stevens-Johnson Syndrome
wall membrane, causing the cell to die
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/6/19 2g IV q8h Treatment of potential Medication should not be Patient did not experience any
infections related to used for those with adverse side effects
SDR:1g every 6-8 abdominal surgery hypersensitivities to
hours for 24 hr penicillin
post-surgery. 2g
for weight 80 kg + Caution should be taken
for patients with kidney or
liver impairments

(Vallerand, Sanoski, Deglin, & Mansell, 2017)


MEDICATION Trade: Naprosyn Generic: naproxen
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther Class: nonopioid analgesics; Inhibits the synthesis of prostaglandins Heart failure, myocardial infarction,
nonsteroidal anti-inflammatory agents; stroke, drug-induced hepatitis, GI
antipyretics bleeding, dizziness
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/7/19 500mg PO bid The patient is taking this Although the patient’s Patient displayed no adverse
medication for pain dosage is monitored, the reactions and stated that
SDR: 1375mg/day management related to a adverse reaction of GI pain relief was felt
initial dose; >1100 recent prostatectomy bleeding should be
mg/day after first considered
day
(Vallerand, Sanoski, Deglin, & Mansell, 2017)
MEDICATION Trade: Colace Generic: Docusate sodium
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Therapeutic class: laxative Promotes water into the stool so as to Mild cramps, diarrhea
Pharmacologic class: stool softner soften fecal matter; May also encourage
electrolyte and water secretion into colon
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/7/19 100mg PO bid The patient has recently Assess patients’ abdomen The patient is not showing a
had an abdominal surgery and listen for bowel therapeutic effect of the
SDR: 50-400 mg in which anesthesia was sounds medication at this time but
PO divided into 1- use. The patient is has had an increase in bowl
4 equal doses currently on pain Should only be used for activity
medications. This short-term therapy
medication is to prevent
constipation related to Take medication with a
the above. full glass of water
(Vallerand, Sanoski, Deglin, & Mansell, 2017)
MEDICATION Trade: Pepcid Generic: famotidine
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther. Class: antiulcer agent By inhibiting the action of histamine at Arrythmias, Confusion, drowsiness.
Pharm Class: histamine h2 antagonist the point of the H-2 receptor site, the dizziness
secretion of gastric acid is inhibited.
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
Y 11/7/19 20 mg PO q12h This medication was given Should the patient have The patient had no issues
to prevent any ulcers any renal dysfunctions, taking this medication. The
SDR: 20mg IV from coming as a result of the medication should be patient did not appear to
q12h the abdominal surgery used with caution; caution experience any confusion
and trauma should also be taken for and vital signs showed a
geriatric patience regular heart rate.
(Vallerand, Sanoski, Deglin, & Mansell, 2017)
MEDICATION Trade: Flagyl Generic: metroNIDAZOLE
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther Class: anti-infectives; antiprotozoal; Bactericidal action but disrupting the Seizures, Stevens Johnson syndrome,
antiulcer agent DNA and protein synthesis of vulnerable headache, dizziness, aseptic meningitis
organisms (IV)
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/7/19 500mg PO q8h The patient is taking this This medication should be Did not see medication
medication for surgical used with caution in administered during shift.
SDR: 500mg PO 3- prophylaxis patient with a history of
4 times a day seizures, severe liver
dysfunction, and blood
disorders
(Vallerand, Sanoski, Deglin, & Mansell, 2017)
MEDICATION Trade: coreg Generic: Carvedilol
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther Class. antihypertensives Blocks stimulation of beta 1 and 2, Bradycardia, HF, Pulmonary Edema,
Pharm Class. beta blockers adrenergic receptor sites, additionally Stevens-Johnson syndrome, Toxic
alpha 1 locking activity epidermal necrolysis, Anaphylaxis,
Angioedema
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/8/201 tab 2x day at prevention of high blood Medication can cause Did not see PT take, no
9 break & din, initial pressure and heart failure dizziness, fatigue, and known issues taking
6.25 mg oral dose weakness medication nurse described
purpose of medication to PT

(Vallerand, Sanoski, Deglin, & Mansell, 2017)


MEDICATION Trade: lasix Generic: Furosemide
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther class. diuretics Inhibits the reabsorption of sodium and Erythema multiforme, stevens-johnson
Pharm class. loop diuretics chloride from the loop of henle and distal syndrome, toxic epidermal necrolysis,
renal tubule aplastic anemia, agranulocytosis
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/10/20 1 tab every 8 prevention of high blood medication can cause no known issues taking
19 hours pressure and heart failure blurred vision, dizziness, medication nurse described
headache, vertigo purpose of medication to PT

(Vallerand, Sanoski, Deglin, & Mansell, 2017)

MEDICATION Trade: metamucil Generic: psyllium


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
laxative combines with water in the intestinal hypersensitivity, abdominal pain, nausea,
contents to form an emollient gel/viscous vomiting, dysphagia
solution that promotes
peristalsis/reduces transit time
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/8/201 6g powder management of may cause declined to take
9 dissolved in 8oz constipation cramps/nausea/vomiting
water 2x daily
(Vallerand, Sanoski, Deglin, & Mansell, 2017)
MEDICATION Trade: Apresoline Generic: hydralazine
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
ther class. antihypertesnives Direct-acting peripheral arteriolar dizziness, drowsiness, headache
pharm class. vasodilators vasodilator
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
N 11/8/201 10mg tab 3x daily lowering of BP medication can cause no known issues taking
9 dizziness, drowsiness, medication nurse described
headache purpose of medication to PT

(Vallerand, Sanoski, Deglin, & Mansell, 2017)

MEDICATION Trade: Valium Generic: Diazepam

MEDICATION GENERAL INFORMATION

Classification Mechanism of Action Side Effects

Ther class. Antianxiety Depresses the CNS by potentiating GABA, inhibitory Respiratory depression
neurotransmitter
pharmclass. benzodiazpines 

  PATIENT IMPACT AND CONSIDERATIONS

Home Date Order Reason for Nursing Considerations Observations/Assessments


Med? Medication
&
Y/N Safe Dosage
Range
(SDR)

N 5mg Q8H prescribed for monitor patient due to allergy of Did not see patient take this
11/2/19 antianxiety  cyclobenzopine, and PT stating allergy to drug
multiple muscle relaxers 

(Vallerand, Sanoski, Deglin, & Mansell, 2017)

MEDICATION Trade: Acetaminophen Generic: Tylenol

MEDICATION GENERAL INFORMATION

Classification Mechanism of Action Side Effects

antipyretics exact MOA is unknown, thought to  inhibit necrosis of liver or fulminant hepatic
the production of prostaglandins which may failure, nausea, stomach pain, rash,
nonopioid analgesics
mediate pain in the brain headache, dark urine, clay-colored
stools 

  PATIENT IMPACT AND CONSIDERATIONS

Home Date Order Reason for Nursing Considerations Observations/Assessments


Med? Medication
&
Y/N Safe Dosage
Range (SDR)

N 1 tab 1000mg, treat ment of Health status and alcohol Medication did not seem to control
11/2/19 Q6H (max mild to consumption should be assessed pain
4000mg/24hr) moderate pain before given. Pain should be
reassessed after 30-60 min after
patient takes medication. Pain
should also be assessed before
giving med
contraindicated for patients with
liver and renal impairments

           

(Vallerand, Sanoski, Deglin, & Mansell, 2017)


 
 
 

MEDICATION Trade: Prilosec Generic: omeprazole

MEDICATION GENERAL INFORMATION

Classification Mechanism of Action Side Effects

ther class. antiulcer agents  binds to enzyme on on gastric parietal cells in presence CDAD,  abdominal pain, dizziness,
of acidic gastric pH  drowsiness, fatigue 
pharmclass. proton pump inhibitor

  PATIENT IMPACT AND CONSIDERATIONS

Home Date Order Reason for Nursing Considerations Observations/Assessments


Med? Medication
&
Y/N Safe
Dosage
Range
(SDR)

N 40 mg oral duodenal ulcers, contraindicated for those with a Did not witness pt. taking this
11/2/19 2x day reduces risk of GI hypersensitivty to omeprazole or other medication
bleeding, and heart drugs such as benzimidazoles. Nurse
max
dosage: burn should check chart and verify with patient
120mg up before administering .
to 3x daily

           

 (Vallerand, Sanoski, Deglin, & Mansell, 2017)

 
 

MEDICATION Trade: Mirapex Generic: Pramipexole

MEDICATION GENERAL INFORMATION

Classification Mechanism of Action Side Effects

Therclass. antiparkinson agents Stimulates receptors in striatum of the brain  Sleep attacks, orthostatic hypotension,
hallucinations, dyskinesia
pharmclass. dopamine agents 

  PATIENT IMPACT AND CONSIDERATIONS

Home Date Order Reason for Nursing Considerations Observations/Assessments


Med? Medication
&
Y/N Safe
Dosage
Range
(SDR)

N tab 0.5mg, muscle Signs of orthostatic hypotension Did not see patient take this
11/2/19 1x evening spasms/stiffness  should be monitored as the patient is medication
already at risk with his impaired
mobility
    0.5- 6mg      

MEDICATION Trade: Wellbutrin XL Generic: buPROpion


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antidepressants Decreases the neuronal uptake of Homicidal thoughts/ behavior, seizures,
Pharm: aminoketones dopamine suicidal thoughts, agitation, headaches,
dry mouth, nausea
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
Y 12/12 100 mg tab PO Treatment of Contraindicated for Did notobserve patient take
bid depression pations with severe head medication.
SDR: upto 300 injury, CNS tumor, CNS
mg. day infection (This should be
discussed with her
provider)

MEDICATION Trade: AmBisome Generic: amphotericin B liposome


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antifungals Enforces the cellular contents to leak Hypersensitivity reactions, chest pain,
out of cell by binding to the fungal cell nausea, vomiting, anxiety, confusion,
membrane headache, hypotension, hyperglycemia
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Observations/Assessments
Med? & Considerations
Y/N Safe Dosage
Range (SDR)
N 12/12 Ordered: 5mg/kg Treatment of Should be used Patient took medication well.
X 73.3kg progressive fungal cautiously in patients Patient did request an ice
Adminsistered: infection with renal impairment pack after admission due to a
366mg in or abnormal electrolytes headache which she rated
dextrose 5% 4/10
250ml IV solution

MEDICATION Trade: Cymbalta Generic: duloxetine


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antidepressants Serotonin and NE reuptake inhibitor NMS, seizures, suicidal thoughts,
Pharm: SSNRIs hepatotoxicity, pancreatitis, decreased
appetite, constipation, fatigue,
drowsiness
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Observations/Assessments
Med? & Considerations
Y/N Safe Dosage
Range (SDR)
Y 12/12 60 mg/day PO Fibromyalgia; Contraindicated for Did not observe patient take
(2 30mg Generalized anxiety individuals with severe this
capsules) disorder; depression renal impairments &
liver impairments. May
SDR: 60mg/ day increase risk of
(no evidence of orthostatic hypotension
efficacy beyond and falls in geriatric
120 mg/day) patients
-Monitor patient for
signs if dizziness upon
standing up for
ambulation

2ND SEMESTER- SPRING 2020

MEDICATION Trade: Norvasc Generic: amlodipine


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antihypertensives Inhibits contractions by preventing Peripheral edema, angina, dizziness,
Pharm: calcium channel blockers Ca+ from transporting into smooth hypotension, palpitations
muscle cells (myocardial and vascular)
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Observations/Assessments
Med? & Considerations
Y/N Safe Dosage
Range (SDR)
2/11/20 5mg PO bid Management of Not recommended for Monitor patients blood
hypertension individuals with systolic pressure and observe for
SDR: 5-10mg BP <90 mm HG increased peripheral edema.
once daily Take precaution for pt. Assess for nausea and
with liver problems and dizziness to determine fall
hx of HF risk

MEDICATION Trade: Metoprolol Succinate ER Generic: metoprolol


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antihypertensives Inhibits beta-adrenergic receptor Bradycardia, HF, Pulmonary edema,
stimulation fatigue, weakness, erectile dysfunction
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Observations/Assessments
Med? & Considerations
Y/N Safe Dosage
Range (SDR)
2/11/20 100mg XL PO Prevention of MI CA for uncompensated BP: Observe for signs of
daily Management of HF HF, Pulm. Edema, increased hypotension when
Caution: renal/hepatic used with other
MEDICATION Trade: Apresoline
Upto 200mg/day Generic: hydralazine
impairment + Geriatrics hypertensive drugs
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
ther class. antihypertesnives Direct-acting peripheral arteriolar dizziness, drowsiness, headache
pharm class. vasodilators vasodilator which in turn (Vallerand, Sanoski,
decreases afterload of HF Deglin, & Mansell,
PATIENT IMPACT AND CONSIDERATIONS 2017)
Home Date Order Reason for Nursing Observations/Assessm
Med? & Medication Considerations ents
Y/N Safe Dosage
Range (SDR)
2/11/2 25mg PO tid lowering of BP medication can cause BP: increase of
0 Upto dizziness, drowsiness, hypotension can occur
300mg/day headache with other
(divided 3-4 antihypertensives;
doses) metropolol

MEDICATION
MEDICATION Trade: Isordil or Dilatrate-SR
Trade: lasix Generic: isosorbide mononitrate
Generic: Furosemide
MEDICATION
MEDICATIONGENERAL
GENERAL INFORMATION
INFORMATION
Classification
Classification Mechanism
Mechanism of ofAction
Action Side
Side Effects
Effects
Ther: antianginals
Ther class. diureticsPharm: Vasodilatpr, increase
Inhibits the reabsorption of Hypotension, tachycardia,
Erythema multiforme, stevens-dizziness,
nitrates
Pharm class. loop diuretics coronary
sodium andblood flowfrom
chloride by the headache,
johnson vomitingtoxic epidermal
syndrome,
dilation of coronary arteries
loop of henle and distal renal necrolysis, aplastic anemia,
PATIENT
tubule IMPACT AND CONSIDERATIONS
agranulocytosis
Home Date Order Reason
PATIENTforIMPACT ANDNursing
CONSIDERATIONS Observations/Assessments
Med?
Hom Date &
Order Medication
Reason for Considerations
Nursing Observations/Assessments
Y/Ne Safe Dosage
& Medication Considerations
Med Range (SDR)
Safe Dosage
? 30mg
RangeXL PO
(SDR) Prevention of CA for concurrent Observe pt. blood pressure
Y/N daily heartburn use with PDE-5
inhibitor.
2/11/2 40mg IV q12h prevention of high medication can no known issues taking
Max dose= Begin with lower
0 20-40mg blood pressure and cause blurred medication nurse described
240mg/day dose with geriatric
to avoid increased
risk of hypotension
(double q2hr edema due to heart vision, dizziness, purpose of medication to PT
to max of failure headache, vertigo
0.4mg/kg/hr)
(Vallerand, Sanoski, Deglin, & Mansell, 2017)

MEDICATION Trade: Tylenol Extra Strength Generic: acetaminophen


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
(beta-blocker, ACE Inhibitor, etc.) (how does this medication work) (include only common and life-
threatening)
Nonopiod analgesic, antipyretic Exact mechanism is unknown, thought Nausea, stomach pain, rash, headache,
to reduce production of prostaglandins dark urine, clay-colored stools
in the brain
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med?MEDICATION
(Date of Trade:
& Cozaar (What is going on with your Generic: losartan
(Interactions and/or (What have you observed that tells
days that patient that requires
MEDICATION GENERAL INFORMATION them to compatibilities with you the medication is or is not working
Y/N you had this Safe Dosage take this medication?) complementary substances and properly? Is there evidence that the
Classification
medication) Range (SDR) Mechanism of Action Side IsEffects
other medications. there any medication is controlling their
Ther: antihypertensives*SDR if applicable*
Blocks aldosterone-secreting Angioedema, Diarrhea,
special monitoring edema,symptoms? e.g. cholesterol, blood
required?)
Pharm: angiotensin II receptor & vasoconstriction action of chest pain, impaired renal pressure)

antagonist 2/25/20 1000mg PO q6h Pt is POD


angiotensin 1 of
II at theelective Assess pain
receptor function, before and
dizziness, weight gain,
for pain sites surgery for a L3-L4 L. after administration,
hypoglycemia, hyperkalemia
PATIENT Discectomy
IMPACT AND CONSIDERATIONS ensure other prescribed
SDR: No more medications don’t
Home Date Order Reason for Nursing Observations/Assessments
than 4,000 mg in contain acetaminophen
Med? & Medication Considerations
24hrs
Y/N Safe Dosage
Range
(SDR)
2/11/20 50mg PO bid Hypertension Caution: monitor BP, assess signs of
25- management volume/salt angioedema (facial swell,
100mg/day depleted pt. , dyspnea), renal function and
renal failure due jyperkalemia
to HF
MEDICATION Trade: ZyrTEC Generic: cetirizine
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: allergy, cold and cough Antagonizes effects of histamines at H1 Dizziness, drowsiness, dry mouth,
Pharm: piperazines (peripherally receptor site/= decrease symptoms of pharyngitis
selective) histamine excess
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
10 mg PO daily Seasonal allergies Assess allergy
Chronic uticaria symptoms, assess lung
sounds, may cause false-
neg in allergy testing
5-10 mg given
once or divided
twice daily

MEDICATION Trade: Generic: metoprolol succinate


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: antiHTN inhibits beta adrenergic receptor Braadycardia, HF, Pul edema, fatigue
stimulation, weakness,
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
100 mg XL PO HTN CA for uncompensated
daily HF, Pulm Edema,
Caution with renal and
hepatic impair &
Gastritis
Upto 200mg/ day
MEDICATION Trade: Pantoloc Generic: pantoprazole
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther:Antiulcer agent Binds to enzyme in presence of gastric CDIFF associated diarrhea, abdominal
Pharm: PPI acid, preventing the transport of H ions pain, hyperglycemia, bone fracture,
into lumen (decreased acid in stomach,
heal duodenal ulcers and esophagitis)
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
40 mg PO daily Assess pt for epigastric
or abdominal pain, blood
in stool/emesis
May cause abnormal
liver function test
Upto 120 mg bid

MEDICATION Trade: Generic: sennocide docusate


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: laxatives Metabolite of drug acts as an irritant
Pharm: stimulant laxatives; stool on the colon, thus stimulating
softners peristalsis.
Softening and passage of stool

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Nursing Observations/Assessments
Med? & Medication Considerations
Y/N Safe Dosage
Range (SDR)
2/25/202 8.6 n50 mg 1-4 The patient recently Assess patients
0 tab PO bid had a spinal surgery in abdomen and listen for
which anesthesia was bowel sounds
used which can cause Should only be used for
constipation. This is short term therapy
used as a prevention Take medication with a
glass of water
Max: 4 tablets
bid

MEDICATION Trade: Plendil Generic: Felodipine


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: Antianginal; Antihypertensives Management of hypertension and Arrhythmias, heart failure, peripheral
Pharm: Calcium Channel Blocker angina by inhibiting calcium ions into edema
smooth muscle
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
2.5 mg XR PO Chronic HTN
daily
MEDICATION Trade: Maxipime Generic: Cefepime
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: anti-infective Binds to bacterial cell wall membrane Rashes, pain at IM site, phlebitis at IV
Pharm: 4th gen cephalosporin leading to death of cell (bactericidal) site
Encephalopathy, seizures (higher risk
w/ renal impairment), CDIFF associated
diarrhea
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
2 g in D5W 500 sepsis CA: cephalosporin Assess pt. for infection
mL IV q12h /penicillin throughout therapy
hypersensitivity Observe for signs of
Use cautiously w/ renal anaphylaxis
impairment Monitor bowel function
May increase serum AST,
ALT, BUN, creatinine
2g every 8 hr

MEDICATION Trade: Doxycin, Acticlate, Periostat Generic: Doxycycline


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
Ther: anti-infective Inhibits bacterial protein synthesis Diarrhea, nasua, vomiting,
Pharm: tetracycline (bacteriostatic) photosensitivity
Hepatotoxicity, pancreatitis, toxic
epidermal nercolysis
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
100 mg in 100 Assess vital signs, bowel
mL D5W IV q12h function, and for rest

MEDICATION Trade: Generic: Vancomycin


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
1.5 g in 500 mL
D5W IV q12h

MEDICATION Trade: Generic: abiraterone


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
500 mg PO bid
MEDICATION Trade: Generic: Enoxaparin
MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
100 mg Subq
q12h

MEDICATION Trade: Generic: metoprolol tartrate


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
12.5 mg PO bid

MEDICATION Trade: Generic: prednisone


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects
PATIENT IMPACT AND CONSIDERATIONS
Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)
10 mg PO daily

MEDICATION Trade: Generic:


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)

MEDICATION Trade: Generic:


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)

MEDICATION Trade: Generic:


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)

MEDICATION Trade: Generic:


MEDICATION GENERAL INFORMATION
Classification Mechanism of Action Side Effects

PATIENT IMPACT AND CONSIDERATIONS


Home Date Order Reason for Medication Nursing Considerations Observations/Assessments
Med? &
Y/N Safe Dosage
Range (SDR)

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