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NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

gabapentin

Trade Name
Neurontin

Classification
analgesic adjuncts

Dose
300 mg

Route
po

Time/frequency
0900 qd

Peak
2-4 hr

Onset
rapid

Duration
8 hr

For IV meds, compatibility with IV drips and /or solutions

Mechanism of action and indications (Why med ordered)

Mechanism of action is not known. May affect transport of amino acids across and stabilize neuronal membranes. Chronic neck pain.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Common side effects
confusion, , depression, drowsiness, ataxia

Hypersensitivity, Geriatric patients (because of age-related ↓ in renal function)

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)
Antacids may ↓ absorption of gabapentin

Lab value alterations caused by medicine

May cause false-positive readings when testing for urinary protein with Ames N-Multistix SG dipstick test; use sulfosalicylicacid precipitation procedure. May cause leucopenia.

Be sure to teach the patient the following about this medication
Instruct patient to take medication exactly as directed. Take missed doses as soon as possible; if less than 2 hr until next dose, take dose immediately and take next dose 1-2 hr later, then resume regular dosing schedule. Do not double doses. Advise patient not to take gabapentinwithin 2 hr of an antacid. Gabapentinmay cause dizziness and drowsiness. Caution patient to avoid driving or activities requiring alertness until response to medication is known. Instruct patient to notify health care professional of medication regimen before treatment or surgery. Advise patient to carry identification describing disease process and medication regimen at all times

Nursing Process- Assessment (Pre-administration assessment)

Assess location, characteristics, and intensity of pain periodically during therapy

Assessment Why would you hold or not give this med?
before treatment or surgery

Evaluation Check after giving

Decrease in intensity of chronic pain