Medications Chart Master List

Topics: Blood sugar, Hypertension, Pain Pages: 26 (7486 words) Published: April 20, 2015
Clinical Research of Medications
Reference: Mosby’s 2013 Nursing Drug reference
Drug Name
Generic and Trade
Classification and Indication for Use
Route, Dose Frequency
Both ordered and recommended
Drug Action
Side Effects
Nursing Implications
Assessment to be done

Morphine
Page 822-824

Opioid analgesic
Recommended Subcut/IM- 5-10mg q4hr
PO- 10-30mg q4hr prn

Depresses pain impulse transmission at the spinal cord level by interacting with opioid receptors Drowsiness
Dizziness
Confusion
Head aches
Seizures
Bradycardia
Nausea
Vomiting
Respiratory depression
Respiratory arrest
Apnea
Pain- location, type, character, give dose before pain becomes severe

Bowel status- constipation commonly use laxative if needed

Safety: side rails up, night- light, call bell in reach

Gradual withdrawal after long-term use

Teach patient and family to report change in CNS and allergic reactions Tylenol #3
Looked at as the three separate components
Codeine- Page 324-326
Acetaminophen- Page 62-64
Caffeine
Acetaminophen: Nonopiod analgesic

Use: mild to moderate pain or fever

Codeine: opiate analgesic

Use: Moderate to severe pain

Caffeine: used to counteract the sedative of the codeine.

Recommended
Codeine- 30mg
Acetaminophen- 325mg
Caffeine – 8 mg
PO/IM/SUBCUT
Acetaminophen: may block pain impulses peripherally. Does not possess anti-inflammatory properties

Codeine: depresses pain impulses at the spinal cord. Decreases cough reflex and GI motility Acetaminophen:
Drowsiness
Nausea
Vomiting
GI bleeding
Renal Failure
Leukopenia
Neutropenia
Hemolytic Anemia
Thrombocytopenia
Rash
Hypersensitivity
Cyanosis
Anemia
Jaundice
CNS Stimulation
Delirium
Vascular collapse
Seizures
Coma
Death

Codeine:
Sedation
Lethargy
Restlessness
Hallucinations
Bradycardia
Hypotension
Tachycardia
Circulatory collapse
Dry mouth
Urine retention
Respiratory depression
Respiratory paralysis
Dyspnea

Acetaminophen:
Assess: Renal studies (BUN, urine creatinine, occult blood, albumin, presence of blood)

Blood studies (CBC)

Teach patient not to exceed recommended dosages

Teach Patient not to use with alcohol

Codeine:
Assess: Pain (intensity and location)

Cough: type, duration, and ability to raise secretion

Teach Patient to report any changes in CNS

Teach patient and family that physical dependency may result after extended periods of use

Assist with ambulation

Safety: top bed rails, night light, call bell
Heparin
Page 606-609

Anticoagulant, Antithrombtic
Recommended 18 international units/kg/hour- IV infusion
Enhances the effects of antithombin III by preventing the formation of fibrin from fibrinogen and thombin from prothombin Fever, chills, head ache, Hematuria, Hemorrhage, Thromboyctopenia, anemia, Rash, Anaphylaxis Platelet count q2-3 days

Teach Pt to use soft bristle tooth brush to avoid bleeding of the gums

Evaluate therapeutic response

Teach Pt to report any side effects.
Colace
Page 427

Laxative, emollient, stool softener
Use: Prevent hard dry stools
Recommended
50-300mg/day PO (sodium)
240mg prn (calcium)
4ml Enema

Increases water and fat movement through the intestines, allows for an easier passage of stool. Bitter taste
Throat irritation
Nausea
Anorexia
Cramps
Diarrhea
Rash

Assess cause of constipation: identify whether fluids, bulk or exercise are missing from life style.

Evaluate for decrease in constipation

Teach patient about normal bowel movements

Teach patient and family not to use in the event of abdominal pain, nausea and/ or vomiting ASA
Page 145-148
Nonopidiod analgesic
Use: Mild to moderate pain and fevers
Recommended
81 mg PO- anticologulation
325-650mg q4hr prn Pain and fever
Blocks pain impulses in the CNS reduces inflammation by exhibition of prostaglandin synthesis, antipyretic action result...
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