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

Potassium K-Phos Electrolyte 750 mg PO TID
phosphates replacements
Peak Onset Duration Normal dosage range
Unknown Unknown Unknown 1 g in water four times per day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Electrolyte replacement therapy N/A

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

(Why med ordered) Contraindications/warnings/interactions
Treatment and prevention of phosphate depletion in Hypersensitivity
patients who are unable to ingest adequate dietary
potassium. Common side effects
Confusion, listlessness, weakness, arrhythmias, hypotension,
hyperkalemia.

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) None
None
Be sure to teach the patient the following about this
medication
Take as directed even if feeling well.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor for signs of hyperkalemia med? Patient will maintain
Signs or symptoms of hyperkalemis electrolyte levels within
normal limits.