NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms

) Generic Name ibuprofen Peak
1-2 hr

Trade Name Advil, Motrin IB Onset
30 min

Classification Dose Route nonopioid 800 mg PO analgesics, NSAID Duration Normal dosage range
4-6 hr

Time/frequency t.i.d (taken with food)

Why is your patient getting this medication Mild to moderate pain, postpartum/post-op pain Mechanism of action and indications (Why med ordered) Inhibits prostaglandin synthesis

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

For IV meds, compatibility with IV drips and/or solutions N/A Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity. Cross-sensitivity may exist with other NSAIDs, including aspirin, dehydration, or patients on nephrotoxic drugs (may ↑ risk of renal toxicity). Not recommended for pregnant patients; has been associated with persistent pulmonary hypertension in infants, has been used safely during lactation. Common side effects Headache, constipation, dyspepsia, nausea, vomiting, GI BLEEDING, HEPATITIS, EXFOLIATIVE DERMATITIS, STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS, ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS Lab value alterations caused by medicine Serum potassium, BUN, serum creatinine, alkaline phosphatase, LDH, AST, and ALT may show ↑ levels. Blood glucose, hemoglobin, and hematocrit concentrations, leukocyte and platelet counts, and CCr may be ↓ Be sure to teach the patient the following about this medication For rapid initial effect, administer 30 min before or 2 hr after meals. May be administered with food, milk, or antacids to decrease GI irritation. Tablets may be crushed and mixed with fluids or food. May cause drowsiness or dizziness. Advise patient to avoid driving or other activities requiring alertness until response to medication is known. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, black stools, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain) occurs.

Nursing Process- Assessment (Pre-administration assessment) Assess for rhinitis, asthma, and urticaria Assess pain (note type, location, and intensity) prior to and 1-2 hr following administration.

Assessment Why would you hold or not give this med? If pain has subsided, dangerous or undesirable side effects occur.

Evaluation Check after giving Decrease in severity of pain.