(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency:
Guaifenesin, Robitussin AC Expectorant, 10mL PO Q 4 hrs PRN USP: 100 cough Dose Range: Rate of Administration (IV): mg/Codeine suppressant N/A Phosphate, USP: 10 mg
Peak Onset Duration For IV meds
60-120 min 30-45 min 4-6 hr Compatibility with IV drips and /or solutions: N/A Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Guaifenesin enhances the output of lower respiratory May be habit forming, If cough persists for more than 1 tract fluid. The enhanced flow of less viscid secretions week, tends to recur, or is accompanied by fever, rash, or promotes and facilitates the removal of mucus. Codeine persistent headache, consult a doctor. Do not take this is a centrally acting agent which elevates the threshold product for persistent or chronic cough such as occurs with for cough. As a result, dry, unproductive coughs become smoking, asthma, chronic bronchitis, emphysema, or if more productive and less frequent. Indicated for cough. cough is accompanied by excessive phlegm (mucus) unless directed by a doctor. Adults who have a chronic pulmonary disease or shortness of breath should not take this product unless directed by a doctor. May cause or aggravate constipation. May cause drowsiness/reduced alertness. Common side effects Drowsiness, constipation, stomach upset, nausea, vomiting, dizziness or headache may occur the first several days as your body adjusts to the medication, skin rash, itching, tachycardia Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Guaifenesin has been shown to produce a color interference None known with certain clinical laboratory determinations of 5- hydroxyindoleacetic acid (5-HIAA) and vanillylmandelic acid (VMA). May cause ↑ plasma amylase and lipase concentrations Be sure to teach the patient the following about this medication May be habit forming, may cause or aggravate constipation, consult doctor if adverse reactions occur (fever, rash, persistent headache, persistent cough), take with food if stomach upset occurs, Do not increase the dose or take it more often or longer than prescribed. This is a strong cough medication and must only be used for the condition and by the person for which it is prescribed. It should not be used for just any cough. It is helpful to drink plenty of fluids (6-8 glasses a day) to help relieve congestion, tell your doctor your medical history, especially of lung disease, use caution performing tasks requiring alertness and avoid consuming alcohol Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give Check after giving Assess lung sounds, frequency and type of this med? Cough suppression, easier cough, and character of bronchial secretions Suspected overdose (slowed mobilization and expectoration of periodically during therapy. Maintain fluid breathing, drowsiness, deep sleep mucus from cough intake of 1500-2000 ml/day to decrease or loss of consciousness, cold and viscosity of secretions. Assess blood pressure, clammy skin, dry mouth, and pulse, and respirations before and periodically slow pulse), no cough, high fever, during administration. persistent headache, skin rash,
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