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

) Generic Name Trade Name Aspirin St. Joseph Adult Chewable Aspirin Peak Onset 1-3 hr 5-30 min Classification Antipyretic, nonopioid analgesics Duration 3-6 hr Dose 81 mg Route PO Time/frequency Q Day

Normal dosage range 300-325 mg/day doses as low as 80 mg/day may be effective For IV meds, compatibility with IV drips and/or solutions N/A

Why is your patient getting this medication Prevention/prophylaxis for myocardial infarction Mechanism of action and indications (Why med ordered) Decreased incidence of transient ischemic attacks and MI by decreasing platlet aggregation

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity to aspirin, tartrazien, or other salicylates. Cross sensitivity with other NSAIDs may exist. Bleeding disorders or thrombocytopenia. Common side effects EENT: hearing loss, tinnitus. GI: GI bleeding, dyspepsia, epigastric distress, heartburn, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting. DERM: Salsalate— anemia, hemolysis, increased bleeding time. MISC: allergic reactions, noncardiogenic pulmonary edema. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) May cause increased serum AST, ALT, and alkaline Corticosteriods may decrease serum salicylate levels. phosphatase, especially when plasma concentrations exceed 25 mg/100mL. Be sure to teach the patient the following about this medication Take with a full glass of water and reamin upright for 1530 min after taking. Advise patient to report tinnitus, unusual bleeding of gums; bruising; black tarry stools; or fever lasting longer than 3 days. Take as prescribed. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Monitor patients vital signs. med? Prevention of transient Bleeding disorder. ischemic attacks, prevention of MI

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