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8/8/2019 Alphabetical Medication Sheet for Me
1/26
Associate Degree Nursing ProgramAND 11BL-Health Deviations Laboratory
MEDICATION WORK SHEET FOR STUDENT NURSE TEAM MEMBER
Student Name _____________________________________________________________________ Date___________________
Directions: Use this form when looking up information on every drug you will be giving that you do not recognize from the Common Drugs in the skilled nursing facilities submodule.This form must be completed to the level of information needed to safely administer the medications. You do not have time for exhaustive review of the drugs. If the drug is listed inthe submodule, do not rewrite the information. Instead, write see submodule. Return this sheet with your Nursing Care Plans. Two patients medications may be written on onesheet. Merely draw a heavy dark line where one patients / residents meds end and the other patients / residents meds begin. You may use another sheet if necessary.
acetaminophen /Tylenol
(p.86)
Analgesic/Antipyretic
nursing responsibility: may
be given without food, toxic
dose 4gm/24 hoursLab considerations: evaluate
hepatic, hematologic and
renal function
temperature of >
100.4 degrees F /Pain
Inhibits the synthesis
of prostaglandins
that may serve asmediators of pain
and fever, primarily
in the CNS.
normal dose range:
325-650mg q 4 hrsPO/temp >
100.4/Pain
albuterol
(pg. 97) Respiratory bronchodilator
Assess RR ____
Breath Sounds ____
Heart Rate____
Mon. for
tachycardia/jitteriness
MDI or HHN
Have patient rinse mouth
Allow one minute between
aerosol inhalations.
manage SOB
COPD or asthma
Bronchodilation by
relaxing smooth
muscle airways
2 inhalations q 4-6 hr
allopurinol(p.104)
antigout
uric acid
productioninhibitor
Monitor I&O.
Dec. kidney func. = toxic
Intake: min. 2500-3000mL
dayhypersensitivity w/ ACEs
Gout: Mon. for pain and
swelling. Can admin. w/
food.
Prevent gout andneuropathy
Inhibits the
production of uric
acid
100mg daily
(CCr 20 mL/min)
amiodarone /
Cordarone
(p.122)
cardiovascular antiarrhythmic
Mon. BP, heart rate and
rhythm. blood levels may
lead to digi toxicity.
Contraindicated inbradycardia (has caused
syncope unless a pacemaker
ventricular
arrhythmias and
supraventricular
tachyarrhythmias
Suppress
arrhythmias.
peripheral vascular
resistance(vasodilation).
Prolongs action
400mg
8/8/2019 Alphabetical Medication Sheet for Me
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is in place). Avoid grapefruit
juice.
potential and
refractory period.
Inhibits adrenergic
stimulation.
amlodipine / Norvasc
(pg. 128)
antihypertensive/
antiarrhythmic/
antianginal
calcium channel
blocker
Mon. blood pressure_____
Mon. apical pulse _____
w/ MD if SBP
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aspirin / EC ASA
(pg. 1055)cardiovascular
anticoagulant /
NSAID
Give with food.
Monitor CBCs. Platelet ____
Take with full glass of H2O.
Prevent MI / CVA platelet aggregationlow dose (81-325 mg
daily)
atenolol / Tenormin
(p. 172)cardiovascular
antianginal /
antihypertensive /
Beta blocker
Mon. BP and AP. Hold if AP 110
K+____ Mon. forhypokalemia.
digi _____
Atrial fibrillation.
Slows and strengthens
heart. force of
myocardialcontraction.
conduction through
the SA & AV nodes.
0.125-0.5 mg / daily
Digoxin / Lanoxin
(p. 386)Cardiovascular
antiarrhythmic /
Cardiac Glycoside
Monitor AP before
administering.
Hold if AP 110.
Monitor K+ levels.
Tachyarrhythmias (a-
fib and a-flutter)
Tx of CHF
Slows and
strengthens heart.
Prolongs refractory
period of AV node.
Decreases
conduction through
the SA and AV nodes.
0.125-0.5 mg/day
tabs
0.350-0.5 mg/day
capsules
diltiazem / Cardizem
(pg. 392)cardiovascular
antihypertensive /
antiarrhythmic /
calcium channel
blocker
BP____, w/ MD if SBP
8/8/2019 Alphabetical Medication Sheet for Me
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divalproex sodium ER
/ Depakote ER
(pg. 1182)
CNS
anticonvulsant,
vascular headache
suppressant
Assess mood, ideation, and
behavior frequently.
Mon. for frequency of
migraine headaches.
Mon. hepatic function.
AST_____ ALT____
LDH_____BILI____
Mixed or manic
episodes associated
with bipolar disorder
, prevention of
migraines, and
seizures
manic behavior,
migraines,
suppression of
absence seizures.
levels of GABA, an
inhibitory NT in the
CNS.
250mg-750mg /
pt: 500 mg
docusate / Colace
(pg. 416)gastrointestinal stool softener
Last BM__________
Monitor stools, hold if
diarrhea develops
prevent
constipation
Brings water into the
stool, softening fecal
mass.
50-400 mg in 1-4
divided doses
(Pt: 100 mg GT BID
constipation daily)
Doxycycline Antibiotic Tetracycline
Assess for infection
Monitor renal & hepatic
function & CBCs
Tx of bacterialinfection
Inhibits bacterial
protein synthesis atthe level of the 30S
bacterial ribosome.
20-150 mg
EC ASA
(p. 1055)cardiovascular
anticoagulant /
NSAID
Give with food. Monitor
CBCs (platelet). Take with full
glass of H2O.
Prevent MI / CVA platelet
aggregation
low dose (81-325 mg
daily)
enoxaparin / Lovenox
(p. 589)
Anticoagulant- low
molecular wt.
heparin
antithrombotic
Do NOT expel air bubble;
prefilled syringe
LAB: Monitor CBC for
hematocrit q (PT, INR,
platelet)
Prevention of DVT
and pulmonary
embolism.
Prevents thrombus
formation
Potentiates the
inhibitory effect of
antithrombin of on
factor Xa and
thrombin.
(renal impairment)
30 mg once daily SQ
pt: 40 mg SQ daily
estrogens,
conjugated /
Premarin
(p.484)
hormones estrogens
Mon. BP. Mon. I & Os. Assess
frequency and severity of
vasomotor symptoms.
Part of HRT in
moderate to severe
vasomotor symptoms
of menopause.
Management or
prevention of
postmenopausal
osteoporosis.
Restoration ofhormonal balance in
deficiency states.
Promote growth and
devel. of female sex
organs and maintain
2 sex charac. In
women.
Metabolically:
blood cholesterol,protein synthesis,
and Na & H2O
8/8/2019 Alphabetical Medication Sheet for Me
8/26
retention.
famotidine / Pepsid
(p.593)GI
histamine 2
blocker
Assess for epigastric orabdominal pain and frank of
occult blood in stool, emesis,
or gastric aspirate.
Ulcer prevention and
Tx
Reduces acid
production. Inhibits
the action of ofhistamine @ the H2
receptor site,
resulting in inhibition
of gastric acid
secretion.
20mg every 12 hours
felodipine / Plendil
(p.506) cardiovascular
calcium channel
blocker,
antianginal,
antihypertensives
Mon. BP and pulse. Mon.
I&Os. For angina: assess
location, duration, intensity,
and precipitating factors of
pt. pain. w/ MD if SBP < 90
and DBP < 60 or AP < 60
Management of HTN
and angina
systemic vasodilation
resulting in BP.
Coronary vasodilation
w/ frequency and
severity of angina
attacks.
2.5 mg / day
fenofibrate / Tricorlipid-lowering
agents
fibric acid
derivatives
obtain a diet hx. assess pt for
choelithiasis.
LAB: Lab considerations:
monitor serum lipids before
therapy to determine
consistent elevations. Maycause increase AST and ALT
levels
concurrent with diet
therapy to lover LDL
cholesterol, total
cholesterol,
triglycerides, andapolipoprotein B.
renal impairment 48
mg/daily
(my pt: 145 mg PO
daily)
fentanyl patch
Duragesic
(p. 515)
analgesictransdermal patch
/ opioid agonist
Monitor pain level, RR,
nausea, constipation, and
temp. Hold patch firm when
applying. Change q 72 hours.
Mangaement of
chronic pain / CA
pts.
severity of chronic
pain. Binds to opiate
receptors in the CNS,
altering response to
the perception of
pain.
25 mcg / hr
ferrous sulfate /
FeSO4(p. 670)
dietary
supplementantianemics
Last BM_____Hgb______Hct______
ferritin_______
Assess for iron deficiency /
anemia / need for
replacement. Mon. for
constipation. May cause gut
pain and dark stools.
Prevention / Tx of
iron-deficiency
anemia.
An essential mineral
found in hemoglobin,
myoglobin, and many
enzymes.
120-240 mg /day
8/8/2019 Alphabetical Medication Sheet for Me
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finasteride / Propecia
(pg. 521)
hair regrowth
stimulantsandrogen inhibitor
assess for s/s of prostatic
hypertrophy (urinary issues)
prostate CA
(prostatic
hypertrophy)
Reduce prostate size,
hair loss and
promotes hair
regrowth.
5mg
flu shot vaccine influenzaprevention
Watch for allergy to chicken
eggs, do not give withmoderate to severe illness
with fever.
Prevent flu
contains inactive
vaccine (killed virus) 0.5 mL
fluconazole / Diflucanantifungal
(systemic)
Mon. BUN, creatinine, LFTs,
AST, ALT, alkaline phosphate,
billirubin concentrations
Shake Well
prevention of
recurrent yeast
infections, /tx of
candidiasis, UTIs,
cryptococcal
meningitis
inhibits synthesis of
fungal cell
membranes
fluorouracil cream
(pg. 537)topical
antineoplastics /
antimetabolites
Inspect involved skin. Clean
skin before applying.
Tx of multipleactinic (solar)
keratoses and
superficial basal cell
carcinomas.
Death of rapidly
replicating cell.
Inhibits DNA and RNA
synthesis.
1% cream 1-2 times
daily on head, neck,
or chest; 2-5% cream
for hands
folic acid
(pg. 548)vitamin anti-anemic
Hgb_____ Hct_______
Assess for megaloblastic
anemia (fatigue, weakness,dyspnea).
Prevention and Tx
for megaloblastic
anemia
Required for protein
synthesis and RBC cell
function. Stimulates
production of rbcs,
wbcs, and platelets
0.2 mg / daily
formoterol / Foradil
(pg. 550)respiratory
bronchodilator /
adrenergics
Mon. lung
sounds__________________
________________________
Pulse_______
BP________
Management of
bronchoconstriction
associated w/
COPD.
Tx of asthma.
Bronchodilation.
Relaxation of airway
smooth muscle.
12 mcg / twice daily
furosemide / Lasix
(p. 558)diuretic
Loop diuretic /
antihypertensive.
K wasting. Mon. edema
/dehydration. Check weight
frequently. Mon. BP an K
levels for hypokalemia.
Consider holding if SBP 90.
ototox.
edema due to CHF,
hepatic or renal
disease, and HTN
inhibits reabsoptionof NA and Cl from
loop of henle and
distal renal tub.
renal excret. Of
H2O, Na, Cl, Mg, H,
Ca. in BP,
mobilization of excess
fluid.
20-80 mg 1 or 2 x
daily (2-4 days a
week)
8/8/2019 Alphabetical Medication Sheet for Me
10/26
gabapentin/
Neurontin(p. 561)
anticonvulsant anticonvulsant
mon. for confusion,
depression, drowsiness. Mon.
seizure (location, duration,
characteristics, pain)
do no take w/ in 2 hrs of an
antacid ( aborption)
May be given w/o regard to
meals
partial seizures
Not known. May
affect transport of
amino acids across
and stabilizeneuronal membranes
300mg tid
galantamine /Razadyne
(pg. 562)
anti-Alzheimersagent /
cholinergics
Assess cognitive function
(memory, attn., reasoning,language)
Mon. HR____
Tx of mild tomoderate dementia
r/t Alzheimers
dementia
temporarily. Does not
alter course disease.Enhances cholinergic
function by reversible
inhibition of
cholinesterase.
8 mg / daily
halpreidol / Haldolantipsychotics
nursing responsibility:
monitor for development of
neuroleptic malignant
syndrome (see page 614 in
Davis Drug Guide), BP and P
Lab considerations: monitor
CBC with differential and liver
function tests periodically
during therapy
agitation
normal dose range:
IV0.5-5 mg may be
repeated q 30minutes
dose for my patient:
1 mg IV q 3 hrs PRN
for
HCTZ 12.5
(pg. 409)
/ lisinopril 20mg
(pg. 147)
thiazide diuretic
/
cardiovascular
antihypertensive
/
antihypertensive
& ACE inhibitor
HCTZ
Expect of give w/ K supp.
Mon. for edema____dehydration_____
Check weight frequently.
Mon. BP______
Hold if SBP
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8/8/2019 Alphabetical Medication Sheet for Me
12/26
Platelet______ enzyme needed for
biosynthesis.
insulin (rapid acting)
/ Novolog
(p. 654)
hypoglycemic
Assess pt. for S/S of
hypoglycemia (anxiety,restlessness, mood changes,
drowsiness, headache,
irritability, nausea, rapid
pulse, weakness, excessive
hunger, chills, pallor) and
hyperglycemia (confusion,
drowsiness, tiredness, rapid,
deep breathing, unusual
thirst. Mon. blood glucoseand ketones.
Tx of DM. Have a
more rapid onset and
shorter duration than
regular insulin.
stimulates glucose
uptake in skeletal
muscle and fat,
inhibiting hepatic
glucose production.
0.5-1 unit
isosorbide dinitrate /
Isordil
(p. 676)
cardiovascularnitrate /
antianginal
Monitor BP. w/ MD if SBP