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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


triamterene Dyrenium Potassium-sparing 25 mg PO Q day
diuretics
Peak Onset Duration Normal dosage range
1 to several days 2-4 hrs 7-9 hrs 100 mg twice daily (not to exceed 300 mg/day; lower doses ni
combination products.

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Edema

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Causes loss of sodium bicarbonate and calcium while saving Hypersensitivity and hyperkalemia, Use cautiously in patients with
potassium and hydrogen ions. Indicated to counteract potassium Diabetes mellitus (increased risk of hyperkalemia, presence of age related
loss caused by other diuretics. Used with other agents to treat renal dysfunction); kidney stones.
edema or hypertension. Common side effects
hyperkalemia

Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
(ask patient specifically) Serum potassium levels should be evaluated before and routinely during
Potassium supplements increase risk of hyperkalemia therapy. Withhold drug and notify physician or other health care
professional if pt becomes hyperkalemic
Be sure to teach the patient the following about this medication
Caution pt to avoid salt substitutes and foods that contain high levels of
potassium or sodim unless prescribed by health care professional. May
cause dizziness. Consult health care provider before using and OTC cold
or cough medicines or apetite suppressants because these could increase
blood pressure. Notify health care provider if muscle weakness or
cramps, fatigue, or severe n/v/d occurs. Teach the proper technique for
measuring bp. Reinforce need for restricted sodium intake, moderation of
ETOH intake and smoking cessation
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this med? Check after giving
Moniter I&O Hyperkalemia Increased diuresis while maintaining
acceptable serum potassium