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

Sucralfate Carafate Antiulcer agent 1g PO QID
Peak Onset Duration Normal dosage range
Unknown 30 min 5 hr 1 g QID, 1 hr before meals and at bedtime or 2 g twice
daily, on waking and at bedtime
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of Ulcers N/A

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

(Why med ordered)
Reacts with gastric acid to form a thick paste, which
selectively adheres to the ulcer surface.
Contraindications/warnings/interactions
Hypersensitivity
Common side effects
Dizziness, drowsiness, constipation diarrhea, dry mouth,
gastric discomfort, indigestion, nausea, pruritus, rashes.

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Assess for frank or occult blood in the stool.
May decrease the absorption of fat-soluble vitamins.
Be sure to teach the patient the following about this
medication
Continue with course of therapy for 4-8 wk even if feeling
better to ensure ulcer healing. If a dose is missed take as
soon as remembered unless almost time for next dose, do
not double dose. Increase fluid intake, dietary bulk, and
exercise to help prevent drug induced constipation.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for abdominal pain and frank or occult med? Reduction in abdominal pain,
blood in the stool Frank or occult blood in stool, healing of duodenal ulcers.
excessive abdominal pain, or
hypersensitivity