RN 62 Medication Sheet

Spring 2015
Mrs. Yu & Mrs. Holson
Student Name: ALANO, Alen E.
Discuss all drugs the patient is on. Include all PRN drugs.
Name of Med
Classification
Dose
(trade and brand
name)

Action

Side effects

- Abdominal
cramps
- Nausea
- Diarrhea
- Muscle
weakness
- Hypokalemia
-Involuntary
movements
- Nausea
- Vomiting
-Hallucinations
- Dry Mouth

Bisacodyl 10 mg
Suppos (Dulcolax
GEq)

Laxative

1 Suppository
Rectal, OD,
PRN for
constipation

Stimulates
peristalsis

Carbidopa/Levodop
a 10 mg/100 mg Tab
(Sinemet GEq)

Anti-parkinson
Agent/
Dopamine
agonists

1 Tab, PO,
TID

Levodopa is
converted to
dopamine in the
CNS, where it
serves as a
neurotransmitter.
Carbidopa, a
decarboxylase
inhibitor, prevents
peripheral
destruction of
levodopa.

Date: February 14,2015_

Correlation.
Why is
patient on
drug?
Treatment of
constipation

Relief of
tremor and
rigidity in
Parkinsons
syndrome

Teaching

- Advise client to
notify HCP if
abdominal pain,
fever, nausea,
vomiting or any
unusual symptom
occurs.
- Caution patient to
change positions
slowly to minimize
orthostatic
hypotension
- High protein
meals may impair
levodopa effects

Famotidine 10
mg/ml Vial 2 mL
(Pepcid GEq)

Anti-ulcer
agent/Histamine
h2 antagonists

2 mL, IV
push, BID

FentaNYL 50
mcg/mL Inj 2 mL
(Sublimaze GEq)

Opioid
analgesics/
Opioid agonist

mL, IV
push, q1,
PRN for pain
-moderate

Anticonvulsants

500 mg, IV
Piggyback,
q12
(Administer
over 15 mins)

LevETIRAcetam
500 mg/NS (Keppra
Inj)

Inhibits the action

of histamine at the
H2-receptor site
located primarily
in gastric parietal
cells, resulting in
inhibition of
gastric acid
secretion.
Binds to opiate
receptors in the
CNS, altering the
response to and
perception of pain.

- Confusion
- Dizziness
- Constipation
- Nausea
- Headache

Management
of GI
symptoms

- To report onset of
black tarry stools
- May cause
drowsiness and
dizziness. Avoid
activities requiring
alertness.

- Confusion
- Blurred
Vision
- Hypotension
- Drowsiness
- Nausea

Management
of pain

Inhibit burst firing

without affecting
normal neuronal
excitability and
may prevent hyper
synchronization of
epileptiform burst
firing and
propagation of
seizure activity.

- Aggression
- Anxiety
- Dizziness
- Irritability
- Drowsiness

Decrease
incidence and
severity of
seizures

- Explain pain
assessment scale
- Caution patient to
change positions
slowly to minimize
orthostatic
hypotension
- May cause
drowsiness and
dizziness. Avoid
activities requiring
alertness.
- May cause
drowsiness and
dizziness. Avoid
activities requiring
alertness.
- Notify HCP for
thoughts of suicide,
depression, anxiety,
aggressiveness

Levofloxacin (RTU)

Anti-infective

500 mg, IV
Piggyback,
q24
(Administer
over 60 mins)

Inhibits bacterial
DNA synthesis by
inhibiting DNA
gyrase enzyme.

- Anxiety
- Dizziness
- Drowsiness
- Nausea
- Vomiting

Prophylaxis for - May cause

infection
drowsiness and
dizziness. Avoid
activities requiring
alertness.
- Advise client to
report signs of
super infection
- Notify HCP for
rash, pain, swelling
or inflammation.

Levothyroxine 0.112
mg Tab (Synthroid
GEq)

Hormone/
Thyroid
preparation

1 Tab, PO,
OD

Replacement of or
supplementation to
endogenous
thyroid hormones

- Headache
- Irritability
- Diarrhea
- Abdominal
Cramps
- Sweating

Replacement
in
hypothyroidis
m to restore
normal
hormonal
balance

- Explain to client
that medication
does not cure
hypothyroidism. It
provides a thyroid
hormone
supplement.
Therapy is lifelong.
- Notify HCP if
headache,
nervousness, chest
pain, increased
pulse rate or any
unusual symptom
occurs.

Mupirocin 2%
Ointment 22 Gm
(Bactroban GEq)

Anti-infective

1 Appl, Both
Nostrils, BID

Inhibits bacterial
protein synthesis

- Headache
- Cough
- Itching
- Rhinitis
- Altered taste

Prophylaxis for - Report signs of

infection
infection and
unusual symptoms.
- Inform ways to
prevent infection

NiMODipine 30 mg
Cap (Nimotop GEq)

Subarachnoid
hemprrhage
therapy agent

2 capsules,
NGT, q4
(hold for heart
rate less than
55)

Inhibits the
transport of
calcium into
vascular smooth
muscle cells,
resulting in
inhibition of
excitationcontraction
coupling and
subsequent
contraction. Potent
peripheral
vasodilator.

- Anxiety
- Headache
- Cough
- Chest Pain
- Hypotension

Management
of
subarachnoid
hemorrhage

- Advise patient to
avoid grapefruit/
grapefruit juice
during therapy.
- May cause
drowsiness and
dizziness. Avoid
activities requiring
alertness.
- Caution patient to
change positions
slowly to minimize
orthostatic
hypotension

Nystatin Powder 15
GM (Mycostatin
GEq)

Anti-fungal

1 Applicator,
Topical, TID,
PRN for Rash

Binds to fungal
cell membrane,
allowing leakage
of cellular
contents.

- Diarrhea
- Nausea
- Vomiting
- Contact
dermatitis

Management
of rash

- Advise client to
report increased
presence of rash

Odansetron 2
mg/mL Inj 2 mL
(Zofran GEq)

Anti-emetic

2 mL, IV
push, q6,
PRN for
Nausea/
Vomiting

Blocks the effects

of serotonin at 5HT3-receptor sites
(selective
antagonist) located
in vagal nerve
terminals and the
chemoreceptor
trigger zone in the
CNS.

- Headache
- Dizziness
- Drowsiness
- Constipation
- Diarrhea

Management
of Nausea/
Vomiting

- Advise client to
notify HCP if
symptoms of
irregular heart beat
or involuntary
movement of eyes,
face, or limbs
occur.