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

) Generic Name Nicotine Peak 2-4 hours Trade Name Nicoderm CQ Onset Rapid Classification Dose Route Time/frequency Smoking 21 mg Topical Q day deterrent Duration Normal dosage range Unknown 21 mg/day for 6 weeks, 14 mg/day for 2 weeks, then 7 mg/day for 2 weeks. For IV meds, compatibility with IV drips and/or solutions n/a Nursing Implications (what to focus on) Contraindications/warnings/interactions .contraindicated in continued smoking. Use cautiously in cardiovascular disease including hypertension. Hyperthyroidism. Effects of acetaminophen, furosemide, and caffeine may be increased during smoking cessation because of decreased metabolism. Common side effects Burning at patch site, erythema, pruritis Lab value alterations caused by medicine None known

Why is your patient getting this medication She is in the hospital and can’t smoke Mechanism of action and indications (Why med ordered) Provides a source of nicotine during controlled withdrawl from cigarette smoking. Indicated as adjunct therapy for smoking cessation

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Acetaminophen and furosemide may need to be increased during smoking cessation because of decreased metabolism.

Be sure to teach the patient the following about this medication Encourage the patient to participate in a smoking cessation program. Apply patch at same time each day to clean, dry skin. Wash hands with plain water after administration as soap increases absorption. Do not trim or cut patch. Dispose of used patch by folding adhesive sides together and replace in foil pouch. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving assess for smoking history and for signs of med? decreased withdrawal nicotine withdrawal including irritability If there are signs of nicotine toxicity symptoms. drowsiness, fatigue, and craving. such as nausea vomiting diarrhea, increased salivation, abdominal pain, headache, dizziness, auditory and visual disturbances, weakness, dyspnea, hypotention, and irregular pulse. Also if the patient is currently smoking