Med Name: clonidine Catapres, Catepres-TTS Classification: Thera: antihypertensive Pharma: adrenergics (centrally acting) Usual Adult Dose:

100 mcg bid, by 100-200 mcg/day q2-4 days, Maint Dose 200-600 mcg/day in 2-3 doses

Mechanism of Action: Stimulates alpha-adrenergic receptors in the CNS, which results in decreased sympathetic outflow inhibiting cardioacceleration and vasoconstriction. Prevents pain signal transmission to the CNS by stimulating alpha-adrenergic receptors in the spinal cord. Purpose/Expected Action for Your Patient: BP, severity of pain, and in signs & symptoms of opioid withdrawal. Mechanism of Action: ACE Inhibitor. Lower blood pressure. Improve symptoms in pts with CHF.

Dosage: 0.2 mg BID Route: PO

Priority Med Specific Patient Teaching: 1. Instruct pt & family on proper technique for BP monitoring. Advise them to ck BP at least weekly and report significant changes. 2. All routes of medication should be gradually discontinued over 2-4 days to prevent rebound hypertension. Lab work you will monitor: 1. May cause transient in blood glucose levels. 2. May cause urinary catecholamine & vanillylmandelic acid (VMA) concentrations; may on abrupt withdrawal. Priority Med Specific Nursing Assessment: 1. Monitor I&O ratios and daily weight, & assess for edema daily, esp. at beginning of therapy. 2. Monitor BP and pulse frequently during initial dose adjustment & periodically throughout therapy.

Times of Administration: 1000

Med Name: Lisinopril

Dosage: 80 mg daily

Priority Med Specific Patient Teaching 1. Change positions slowly to minimize hypotension 2. Avoid salt or high levels of potassium

Classification: Antihypertensive Purpose/Expected Action for Your Patient: Usual Adult Dose: 10-40 mg/day

Route: PO

Lab work you will monitor 1. BUN, creatinine, and electrolyte levels 2. CBC Priority Med Specific Nursing Assessment 1. Monitor blood pressure and pulse 2. Assess for signs of angioedema

Times of Administration: 1000

Med Name:

Mechanism of Action:

Dosage: 10 mg daily

Priority Med Specific Patient Teaching

Amlodipine/Norvasc Med Name: omeprazole/ Prilosec Classification: Classification: Therapeutic Therapeutic: antiulcer Antihypertensives agents Pharmacologic - Calcium Channel Blockers Pharmacological: proton pump inhibitors Usual Adult Dose: Usual Adult Dose: PO 20-360 mgdaily 5-10mg once daily

Inhibits calcium from going into myocardial and smooth vascular Mechanism of Action: smooth muscle cells, inhibiting enzyme on Binds to an excitationcontraction coupling; gastric parietal cells in the manage bp and angina presence of acidic gastric pH, preventing the final transport of H ions into Purpose/Expected the gastric lumen. Action for Your Patient: Purpose/Expected Action for Your Patient: Diminished accumulation of acid in the gastric lumen with lessened gastro-esophageal reflux. Healing of duodenal ulcers Mechanism of Action: Binds to beta2adrenergic receptors in airway smooth muscle, increases cAMP, decreases intracellular calcium and relaxes smooth muscle airways; bronchodilation Purpose/Expected Action for Your Patient:

1. Caution pt to change positions slowly to minimize orthostatic hypotension Dosage: 40 mg daily Route: PO Priority May cause drowsiness Teaching 2. Med Specific Patient or dizziness 1. May cause occasional drowsiness or dizziness Lab work you will monitor 2. Advise patient to report black, tarry stools, diarrhea, 1. None abdominal pain or headaches immediately Lab work youSpecific Nursing Assessment Priority Med will monitor 1. AST, ALT, bilirubin, alkaline phosphatase 1. Monitor bp and pulse before and during therapy 2. Monitor intake and output ratios and daily weight 2. serum gastrin concentrations Priority Med Specific Nursing Assessment 1. epigastric or abdominal pain 2. frank or occult blood in stool, emesis or gastric aspirate

Route: PO Times of Administration: 1000 Times of Administration: 1000

Med Name: Albuterol/Accuneb

Dosage: 2 metered dosed puffs

Priority Med Specific Patient Teaching: 1. Report if SOB is not relieved or if accompanied by diaphoresis, dizziness, palpitations, or chest pain 2. May cause bad taste. Rinse mouth with water after each dose to minimize dry mouth Lab work you will monitor: 1. potassium

Classification: Therapeutic: bronchodilators Pharmacologic: adrenergics

Route: ORAL INHL

Times of Administration: Q6H PRN

Priority Med Specific Nursing Assessment: 1. Assess lung sounds, pulse, and bp before admin and during peak 2. Note amount, color, and character of sputum produced

Usual Adult Dose: 2-4mg 3-4 times daily (not to exceed 32 mg/day)

SOB

Med Name: Morphine Sulfate injection

Classification: Therapeutic: opioid analgesic Pharmacologic: opioid agonist Usual Adult Dose: 4-10 mg every 3-4 hours.

Mechanism of Action: Morphine is an opioid. It acts upon specific receptors in the brain and spinal cord to decrease the feeling of pain and to reduce the emotional response to pain. Purpose/Expected Action for Your Patient:

Dosage: 4mg/1ml IV push (Slow) 1min w/ NS dilute

Route: IV Push

Priority Med Specific Patient Teaching 3. Instruct pt. how and when to ask for pain medication 4. Over medication, sedation, and respiratory depression can result 5. Caution pt. to call for assistance when ambulating due to drowsiness 6. Advise pt. to change position slowly to minimize orthostatic hypotension Lab work you will monitor 2. Plasma amylase or lipase levels Priority Med Specific Nursing Assessment
3. 4. 5. Assess type, location, and intensity of pain prior to and one hour following administration. Assess level of consciousness, BP, pulse, and respirations before and during administration. Assess bowel function routinely, institute prevention of constipation w/ increased intake of fluids and laxatives.

Times of Administration: Q 3 hours PRN

Med Name:

Cefazolin
Classification: Anti-infective Third-generation cephalosporins Usual Adult Dose: 200 mg q12h

Mechanism of Action: Binds to bacterial cell wall causing cell death

Dosage: 1GM/D5W 50 ml duplex INJ

Priority Med Specific Patient Teaching: 1. Notify health care provider if fever and diarrhea develop 2. Signs of infection

Route: IVPB Purpose/Expected Action for Your Patient: Times of Administration: 1400 Lab work you will monitor: 1. CBC 2. BUN and creatinine Priority Med Specific Nursing Assessment: 1. Assess for signs of anaphylaxis(rash, pruritus, laryngeal edema, wheezing) 2. Monitor bowel function

Med Name: Ondansetron

Mechanism of Action: Antagonist used for the prevention of chemotherapyinduced nausea and vomiting

Dosage: 4mg/ 2mg solution

Priority Med Specific Patient Teaching 1. Teach that drug is used to prevent N&V 2. Report any rash, Diarrhea, constipation, altered respirations

Classification: Antiemetic Purpose/Expected Action for Your Patient: To reduce nausea and vomiting Usual Adult Dose: .15mg/kg in 3 doses

Route: IV Push

Lab work you will monitor 1.AST Times of Administration: PRN 2.ALT Priority Med Specific Nursing Assessment 1. Assess for dehydration 2. Monitor electrolyte imbalance w/ diarrhea/N&V

Med Name: Acetominophen/ Hydrocodone [Lortab] Classification: Therapeutic: opioid analgesic Pharmacological: opioid agonist Usual Adult Dose: 5-10mg q 3-4 hr prn/325500mg combination dose

Mechanism of Action: Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli, while producing generalized CNS depression. Purpose/Expected Action for Your Patient: Patient will have decreased pain and a pain level < 3.

Dosage: 5mg

Priority Med Specific Patient Teaching 1. may cause drowsiness or dizziness 2. change positions slowly since it can cause orthostatic hypotension

Route: PO Lab work you will monitor 1. plasma lipase 2. plasma amylase Times of Administration: 1 tab q 6 hrs Priority Med Specific Nursing Assessment 1. BP, P and RR before and during therapy 2. type, location and intensity of pain prior to administration and one hour afterwards to determine effectiveness

Med Name:

Mechanism of Action:

Dosage:

Priority Med Specific Patient Teaching

Route: Classification: Lab work you will monitor

Usual Adult Dose:

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Times of Administration: Priority Med Specific Nursing Assessment