INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

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

Generic Trade Classification Dose Route Time/Frequency
Name Name antiasthmatics 40-250mg IV q 4-6 hours
methylprednisolone Solu-Medrol corticosteroids

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
unknown rapid unknown
Why is your patient taking this medication?

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

used systemically and locally in a wide variety of chronic Contraindications/warnings/interactions Active untreated infections;
disease including: Inflammatory; allergic; hematologic; lactation; alcohol, bisulfite, or tartrazine hypersensitivity or intolerance;
neoplastic; Autoimmune disorders; with other administration of live virus vaccines; use cautiously in: chronic treatment;
immunosuppressants in the prevention of organ rejection stress (surgery, infections); potential infections may mask signs; pregnancy;
in transplantation surgery; croup. neonates.
Asthma; management of chronic illness; replacement therapy Common side effects depression; euphoria; HA; personality changes; psychoses;
in adrenal insufficiency. Short-term to high-risk mothers restlessness; cataracts; incr.intraocular pressure; hypertension; peptic ulcer
before delivery to prevent respiratory distress syndrome anorexia; nausea; vomiting; acne; decreased wound healing; ecchymoses;
in newborn; adjunctive therapy of hypercalcemia; acute hirsutism; petechiae; hyperglycemia; fluid retention; hypokalemia;
spinal cord injury; mgn of nausea and vomiting from chemo. thromboembolism; weight gain; muscle wasting; cushingoid appearance.
Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
thiazide; loop diuretics; amphotericin B; peperacillin;
ticarcillin; digoxin; insulin; oral hypoglycemic agents;
Phenytoin; phenobarbital; rifampin; Hormonal contraceptives; Be sure to teach the patient the following about this medication
NSAIDs; live-virus vaccines; cyclosporine; tacrolimus; If anorexia, nausea, weakness, fatigue, dyspnea; hypotension; hypoglycemia
flouroquinolones; somatrem; somatropin; Antacids; occur call doctor; avoid people with contagious illnesses; avoid vaccinations;
Ketoconazole; itraconazole; ritonavir; indinavir; saquinavir inform doctor if severe abdominal pain or tarry stools occur; report swelling;
erthromycin; salicylate; isoniazid; anticholinesterases; weight gain; tiredness; bone pain; bruising; nonhealing sores; visual disturb.;
grapefruit juice. behavior changes; possible effects on body image; periodic lab and eye tests.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
Vital signs; adrenal insufficiency (hypotension; this med? Decrease in presenting symptoms with minimal
weight loss; weakness; nausea; vomiting; Monitor I/O ratios and daily weights systemic SEs; suppression of the inflammatory
anorexia; lethargy; confusion; restlessness; peripheral edema; steady weight gain, rales/ and immune responses in autoimmune
monitor I/O and daily weights. Observe for crackles; dyspnea; cerebral edema. disorders; allergic reactions; and neoplasmas;
peripheral edema; steady weight gain, rales/ Mng of symptoms in adrenal insufficiency;
crackles; dyspnea; cerebral edema. inprovement of Chrohns disease.
ses;