Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action

Bisac 10mg Rectally PRN (Fleet Bisacodyl Suppository) Stool Softener Constipation increases peristalsis

Patient Medication Report Mapap 500mg tab Q 6hrs PRN (Acetaminophen) Anaglesic Chronic Back Pain UNK; antipyretic effect via direct action on the hypothalamic heat-regulating center Nausea, Rash, Headache

Hydrocodone/APAP 7.5-325mg PO Q 4hrs PRN (Vicodin) Opioid/Analgesic Combo Chronic Back Pain UNK produces analgesia and anti-pyretic effects; hydrocodone binds to various opioid receptors, producing analgesia and sedation Lightheadedness, dizziness, sedation, nausea/vomiting, constipation, drowsiness, dependence/tolerance respiratory depression, hepatotoxicity, dependency, abuse, agranulocytosis, thrombocytopenia, hypersensitivity rxn, anaphylaxis Cr at baseline, then if severe renal dz or >65 yo cont. periodically; LFTs if severe hepatic dz Taper off drug do not abruptly stop. Can be administered with apple sauce or pudding do not crush. Sedating drugs and ETOH

Hydroxyzine HCl 25mg PO TID PRN (Atarax) Antihistamine Unrelieved Itching non-selectively antagonizes central and peripheral histamine H1 receptors

Expected Side Effects

Nausea, Vomit, Cramping, Diarrhea

dry mouth, drowsiness, dizziness, ataxia, weakness, slurred speech, headache, agitation, bitter taste, nausea Wheezing, dyspnea, seizures, heat stroke

Adverse Effects

Electrolyte Imbalance, Cathartic Colon

anaphylactic rxns, hepatotoxicity, renal tubular necrosis, acute, analgesic nephropathy, chronic anemia, thrombocytopenia

Assessments (Labs/Monitoring) Implementation Considerations (e.g. taking with food, crushing tablets etc.) Potential Interactions (with currently ordered meds/food) Patient Teaching

Drug Interaction, Bowel Movements, Adverse Reactions Lubricate when administering

Cr at baseline; LFTs if highdose or long-term tx, especially if pre-existing hepatic dz Given with food when possible can be crushed if not enteric coated. Sedating drugs and ETOH

Cr at baseline monitor for drowsiness Do not administer with acidifiers suck as Na and K drugs take with a glass of water Sedating drugs

Antacids when taken orally, N+, K+, Ma+ Sulfates Avoid prolonged use and report any bowel movement N/A

Do not exceed 3250 mg for 24 hours N/A

Do not take OTC APAP without consulting doctor N/A

Report any excessive drowsiness and avoid ETOH N/A

Cost of Med per month (as directed by CI)

URI sx. on appropriate inhalation with inhaler Phenothiazine Proper administration at the site of the eye for maximum effect Injection needs to be mixed prior to administration N/A Warafin Dose schedule not vital be sure to report any abnormal stools while or before taking N/A Refill prescription before completely running out N/A Administration must be done correctly for effect. multiforme. tremor. erythema. paradoxical. arrhythmias. bad taste. metabolic acidosis (nebulized use) N/A or are recommended Isopto tears Eyedrops.g.Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action Loperamide 2mg Cap. Instruct pt. Stevens-Johnson syndrome. hyperglycemia Adverse Effects Assessments (Labs/Monitoring) Implementation Considerations (e. palpitations. MI.) Potential Interactions (with currently ordered meds/food) Patient Teaching toxic megacolon. anaphylactic rxns. toxic epidermal necrolysis. None Reported hyperglycemia. angina. relaxing airway smooth muscle throat irritation. tachycardia hypersensitivity rxns. heat stroke s/sx CNS toxicity if hepatic impairment Dosage based on need reduce after loose stools end. bronchospasm. inhibiting peristalsis. dizziness Albuterol Inhaler Q 6hrs PRN (AccuNeb) Bronchodilator Shortness of Breath selectively stimulates beta-2 adrenergic receptors. increases anal sphinctor tone Constipation. Q 3hrs PRN (Imodium) Anti-diarrheal Diarrhea/Loose Stools binds gut wall opioid receptor. nausea. nervousness. urticarial. vomiting.2 drops in each eye TID PRN (hypromellose) Lubricant Dry eye Lubricates eye surface Glucagen Kit 1mg if BGL is <70 (Glucagon) Anaphylaxis Hypoglycemia converts hepatic glycogen to glucose Expected Side Effects None reported Nausea. dizziness. HTN. crushing tablets etc. rash. taking with food. in one private spot for extended period. N/A Alert the nurse of any sign or symptoms of a low blood sugar N/A Cost of Med per month (as directed by CI) . cough. severe allergic rxns Monitor for efficacy Blood glucose to check efficacy K+ Salts If used as nebulizer plan on having pt. paralytic ileus. hypokalemia. urinary retention. abdominal cramps. nausea. headache. angioedema.

Stinging. mammography. Easy Bruising. frequency variable. PT/INR Buspirone HCl 5 mg Tab 1. taking with food. Breast Pain Thromboembolism. Redness Assessments (Labs/Monitoring) None recommended monitor for efficacy/sides Monitor skin for any redness or reaction Implementation Considerations (e. Dizziness. Headache Serotonin Syndrome Estrace Cream .) Potential Interactions (with currently ordered meds/food) Patient Teaching Administered in the evening given both tablets can be crushed as desired for patient PRN APAP Tab must be split to meet dosage requirement can be crushed as desired for patient timing of dosage can aid in preventing symptoms affecting daily activity None. free T3 if hypothyroidism tx. Skin Necrosis. crushing tablets etc. MI Free T4. breast exam q12mo. Retinal Thrombosis. BP regularly Apply three times a week on scheduled days monitoring if schedule needs to be changed/modified None.Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action Warfarin 4mg 2 Tab Daily Evenings PO (Coumadin) Anticoagulant Deep Vein Thrombosis Prevents the creation of Vitamin K clotting factors Bleeding. MAOIs avoided Administer as needed to clean dry surfaces None Alert patient of risk of bleeding and to avoid OTC drugs which may promote thinning of blood N/A This drug affects the brain and can cause dizziness use caution when handling hot beverages or self-propelling N/A Be sure skin is kept clean and dry to prevent buildup of dead skin and increase Eucerin effectiveness N/A Cost of Med per month (as directed by CI) .5 Tab Daily PO (Buspar) Non-benzodiazepine Anxiolytics Anxiety UNK: Binds and blocks Serotonin and Dopamine receptors in brain.g. Gangrene Labs: Hct. Drowsiness. Wed. bone maturation. Aromatase Inhibitors Avoided This drug has the potential to cause serious side effects related to estrogen treatments including cardiovascular accidents N/A Hydrocerin Cream Daily PRN (Eucerin) Topical Emollients Dry Skin Hydrophilic Substance Expected Side Effects None Adverse Effects Burning. Fri days (Estradiol) HRT 2 Estrogens Vaginal Atrophy Binds to estrogen receptors. Vaginal Spotting. developing and maintaining female sex characteristics and reproductive systems Site rxn. Abdominal Cramps Hemorrhage.01% Apply Daily Mon.

Electrolyte Imbalance Monitor Bowel Movements Leukopenia. Ataxia.Drug Name (trade & generic) Dose/Route/Schedule Copaxone 20 mg Injection SQ Daily (Glatiramer) Senna Tabs 8. crushing tablets etc. Behavior Changes. underarm or stomach SQ rotate site to avoid site rxn None Given with Lunch can be crushed as desired Lubricate sufficiently to prevent discomfort None. s/sx Depression. Cramps Dizziness.6 mg Tab 4 Tabs PO with Lunch (Senokot) Bisac-Evac Suppository 10 mg Tab Rectal Every Other Day (Bisacodyl Suppository) PRN Option Available Consitpation Constipation Increases Peristalsis Gabapentin 100 mg Cap BID PO (Gralise) Pharmacologic Classification Specific Patient Indications Mechanism of Action Multiple Sclerosis Relapsing MS UNK Consitpation Constipation Increases Peristalsis Other Neurologic Pain UNK Expected Side Effects Injection Site rxn.) Potential Interactions (with currently ordered meds/food) Patient Teaching No Recommended Monitoring Monitor Bowel Movements Given thigh. taking with food. Cramps Nausea. Pancreatitis Nausea. Bloating. Chest Pains Syncope. Thrombocytopenia.g. Avoid Antacids Cost of Med per month (as directed by CI) This drug should not be abruptly stopped or administered w/o trained supervision N/A Abuse can result in dependence and future difficulty voiding N/A Long term use can cause electrolyte imbalance and dependence resulting in future difficulty voiding N/A Drug should never be abruptly stopped but rather tapered off N/A . Somnolence Adverse Effects Cathartic Colon Cathartic Colon. HTN. Withdrawal Seizures Cr at Baseline. hip. Avoid Sulfates None. Flushing. Suicidality Given twice a day in divided doses capsule can be opened and mixed PRN APAP Assessments (Labs/Monitoring) Implementation Considerations (e. Vomit.

Seizures No Recommended Monitoring Expected Side Effects Somnolence.) Potential Interactions (with currently ordered meds/food) Patient Teaching Monitor Bowel Movements Capsule can be opened and mixed Given three times a day can be crushed as desired for patient None None None PRN APAP Do not stop taking medication for any reason without consulting a physician N/A Drug may cause some GI upset Impairs coordination use caution with hot beverages and self-propelling N/A Take on empty stomach 1-2 hours before meals to avoid GI distress N/A Cost of Med per month (as directed by CI) N/A . Dizziness. Tachycardia. Suicidality Given in two divided doses can be crushed as desired for patient Adverse Effects Assessments (Labs/Monitoring) Implementation Considerations (e. crushing tablets etc. Belching Bronchospasm. taking with food. then in elderly pts consider periodically Tab must split can be crushed as desired for patient Bethanechol 25 mg Tab TID PO (Urecholine) Cholinergic Agonist Spasm Stimulates cholinergic receptors.g.Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action Levetiracetam 1000 mg Tab BID PO (Keppra) Anticonvulsant Seizure UNK DOK 100 mg Cap BID PO (Colace & Docusate Sodium) Constipation Constipation Promotes Mixture of Stool Fat and Water Diarrhea. Nausea. Hostility. Toxic Epidermal Necrolysis Cr at baseline. Abdominal Cramps. Constipation Anaphylaxis. Behavior Changes. Angioedema. Hypotension. Asthenia. s/sx Depression. increasing detrusor muscle tone and GI motility Abdominal Cramps/Discomfort/Pain. Vomiting Depression. Throat Irritation None Reported Famotidine 20 mg Tab ½ Tab BID PO (Pepcid) Anti-Ulcer GERD Selectively antagonizes histamine H2 receptors Headache. Aggressive Behavior Cr at Baseline.

Hepatotoxicity. LFTs if highdose or long-term tx. crushing tablets etc. Rash. producing laxative effect (osmotic laxative) Diarrhea. Dizziness. Headache MOM 30 mL Once Daily PRN (magnesium hydroxide) Constipation Constipation Neutralizes gastric acidity. taking with food.Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action Baclofen 20 mg Tab QID PO (Gablofen) Muscle Relaxant Spasm UNK: inhibits monosynaptic and polysynaptic spinal reflexes (centrally-acting muscle relaxant) Drowsiness. Weakness CNS depression. especially if pre-existing hepatic dz Lubricate sufficiently to prevent discomfort Assessments (Labs/Monitoring) Implementation Considerations (e. causes water retention in stool.) Potential Interactions (with currently ordered meds/food) Patient Teaching Cr at baseline. EEG if epilepsy No Recommended Monitoring Monitor Bowel Movements Given four times a day can be crushed as desired for patient Keep area clean and dry as well as applying treatment Given once daily as needed patient request and bowel monitoring PRN APAP None None Sedating drugs and ETOH Drug causes drowsiness use caution when handling hot beverages or self-propelling N/A Watch for any increase in redness/irritation N/A Do not exceed 3250 mg for 24 hours N/A This should be taken only as needed when routines do not have affect in allotted time N/A Cost of Med per month (as directed by CI) . increasing permeability Skin irritation APAP 650mg Suppository 1 PRN Q 4-6 Hours Rectally (Acetaminophen) Anaglesic Chronic Back Pain UNK. Respiratory Depression. antipyretic effect via direct action on the hypothalamic heat-regulating center Nausea.000 Units Apply to Red Area TID (Nistatin) Topical Antifungal Redness/Irritation Binds to cell membrane sterols. Ataxia Nystop 100.g. Transient. Renal Tubular Necrosis Cr at baseline. Abdominal Pain. Dehydration Hypermnagesemia Expected Side Effects Adverse Effects Hypersensitivity rxn Anaphylactic rxns.

Renal Tubular Necrosis Cr at baseline. Vomiting Electrolyte Imbalance. Abdominal Cramps. LFTs if highdose or long-term tx. taking with food. Rash.Drug Name (trade & generic) Dose/Route/Schedule Pharmacologic Classification Specific Patient Indications Mechanism of Action Enema Once Daily PRN Rectally (Fleets Bisacodyl Rectal) Constipation Constipation Increases peristalsis APAP 325mg Tab 2 Tabs Q 6 Hours PRN (Acetaminophen) Anaglesic Chronic Back Pain UNK. especially if pre-existing hepatic dz Given with food when possible can be crushed if not enteric coated Sedating drugs and ETOH Assessments (Labs/Monitoring) Implementation Considerations (e.g. Hepatotoxicity. crushing tablets etc.) Potential Interactions (with currently ordered meds/food) Patient Teaching Monitor Bowel Movements Lubricate sufficiently to prevent discomfort None Given once daily PRN when routines do not work in given time N/A Do not exceed 3250 mg for 24 hours N/A N/A N/A Cost of Med per month (as directed by CI) . Headache Expected Side Effects Nausea. Cathartic Colon Adverse Effects Anaphylactic rxns. antipyretic effect via direct action on the hypothalamic heat-regulating center Nausea.