Nurse Essay

2080 words - 9 pages

Medication Sheet
Medication/Dose/RouteClassificationGeneric/Trade Name | Action | ContraindicationAdverse Effects | Nursing Considerations |
Acetaminophen/500mg/ By MouthAntipyretic& Analgesic (nonopioid)Acetaminophen/TylenolCarvedilol/6.25mg/By MouthAlpha- and beta-adrenergic blocker & AntihypertensiveCarvedilol/CoregDocusate Sodium/100mg/By MouthLaxative stool softenersDocusate Sodium/ColaceFurosemide/40mg/By MouthLoop diureticsFurosemide/Lasix | Reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation and sweating, which helps dissipate heat.Carvedilol causes vasodilation by blocking the activity of α-blockers, mainly at alpha-1 ...view middle of the document...

Contraindicated: Colace should not be given if there is a suspicion of intestinal obstruction. It may interfere with the efficacy of aspirin, potassium supplements, potassium-sparing diuretics and mineral oil (liquid paraffin). Adverse Effects: Side effects include stomach ache, abdominal cramps, nausea and loss of appetite. Allergy to ingredients can cause skin rash; the medication should be stopped immediately and a doctor consulted. Hypocalcaemia (low calcium) may occur, leading to muscle cramps, muscle weakness and dizziness. Contraindicated in: Hypersensitivity; Cross-sensitivity with thiazides and sulfonamides may occur; Hepatic coma or anuria; Some liquid products may contain alcohol, avoid in patients with alcohol intolerance. Adverse Reactions/Side Effects: CNS: blurred vision, dizziness, headache, vertigo. EENT: hearing loss, tinnitus. CV: hypotension. GI: anorexia, constipation, diarrhea, dry mouth, dyspepsia, ↑ liver enzymes, nausea, pancreatitis, vomiting. | Assessment History: Allergy to acetaminophen, impaired hepatic function, chronic alcoholism, pregnancy, lactationImplementation Do not exceed the recommended dosage. Avoid using multiple preparations containing acetaminophen. Carefully check all OTC products. Give drug with food if GI upset occurs. Discontinue drug if hypersensitivity reactions occur.http://nurseslabs.com/acetaminophen-tylenol-drug-study/#_Assessment History: CHF, bronchial asthma, heart block, cardiogenic shock, hypersensitivity to carvedilol, pregnancy, lactation, hepatic impairment, peripheral vascular disease, thyrotoxicosis, diabetes, anesthesia or major surgery. Implementation: Consult with physician about withdrawing drug if patient is to undergo surgery (withdrawal is controversial).Give with food to decrease orthostatic hypotension and adverse effects. Monitor for orthostatic hypotension and provide safety precautions.Monitor diabetic patient closely; drug may mask hypoglycemia or worsen hyperglycemia.http://www.rnpedia.com/home/notes/pharmacology-drug-study-notes/carvedilolAssessment: Prior to administering Colace, the nurse should make a full assessment of the patient to identify possible causes of constipation. WD.com recommends enquiry into: diet and lifestyle; duration of constipation and whether it is acute or chronic; all medications taken, whether prescribed over the counter or recreational; associated symptoms such as bleeding from the rectum, abdominal pain, vomiting. Implementation: Oral preparations of Colace should be administered on an empty stomach at least one hour apart from other medications, meals, milk and antacids. It may be given in juice to prevent possible throat irritation. Six to eight ounces or 180-240 ml of water should be taken with oral preparations. When administering rectal preparations, beware of forcing past impacted feces. Discontinue the medication at the first sign of nausea and vomiting, abdominal cramps or rectal...

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