Date ordered: Physician: Generic Name: Nalbuphine Brand Name: Nubain Classification: Analgesic Dose, Route and frequency:

10 mg SIVP now/given 3:30 pm then PRN for severe pain every 4 hours Mechanism of action: Binds with opiate receptors in the CNS, altering perception of and emotional response to pain. Desired Effect: It is given to decreased pain felt by the patient. BEFORE Nursing Responsibilities Verify doctors order Rationale To confirm order of drug administration and prevent incorrect administration as to dosage, route and time To administer correct amount of drug to the patient To verify patients identity and to administer the right drug to the right patient Nalbuphine produces respiratory depression but this does not markedly increase with increased doses. To enhance the analgesic effect. To facilitate drug action. To prevent discomfort to the patient To minimize orthostatic hypotension To prevent atelectasis To prevent double administration of drug and for legal purposes (anything not documented is considered undone)

DURING

Compute for the amount of drug to be administered Ask the patients name Assess blood pressure, pulse and respirations before and periodically during administration. Explain therapeutic value of medication before administration. Check patency of the IV line Administer slowly using the SASH guideline Caution patient to change position slowly Encourage patient to turn, cough, and breathe deeply every 2 hr Document

AFTER

Date ordered: Physician: Generic Name: Cefuroxime Brand Name: Zinacef Classification: Anti-infectives, antibiotic Dose, Route and frequency: 750 mg SIVP (-) ANST every 8 hours Mechanism of action: Bind to bacterial cell wall membrane causing cell death. Desired Effect: It is given to our patient to prevent from infection. BEFORE Nursing Responsibilities Verify doctors order Rationale To confirm order of drug administration and prevent incorrect administration as to dosage, route and time Compute for the amount of drug To administer correct amount of drug to the to be administered patient Ask the patients name To verify patients identity and to administer the right drug to the right patient Check patency of the IV line To facilitate drug action. Administer slowly using the To prevent discomfort to the patient SASH guideline Monitor input and output and renal function reports for nephrotoxicity. Inspect IM and IV injection sites frequently for signs of phlebitis. Document To prevent double administration of drug and for legal purposes (anything not documented is considered undone)

DURING

AFTER