NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

Allopurinol Zyloprim Antigout agents, 100 mg PO Q AM
xanthine ixidase
inhibitors
Peak Onset Duration Normal dosage range
1-2 weeks 1-2 days 1-3 weeks 100 mg/day, for renal impairment reduce to 50 mg/day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of secondary hyperuricemia, which may occur during N/A
treatment of tumors or leukemias(breast cancer).

Mechanism of action and indications (Why med ordered) Treatment
of secondary hyperuricemia, which may occur during treatment of
tumors or leukemias(breast cancer). Inhibits the production of uric
acid by inhibiting the action of xanthine oxidase, lowers serum uric
acid levels.
Nursing Implications (what to focus on)
Contraindications/warnings/interactions – Hypersensitivity, use
cautiously in acute attacks of gout, renal insufficiency, dose
reduction
Common side effects – rash (d/c drug at first sign of rash)

Interactions with other patient drugs, OTC or herbal medicines (ask Lab value alterations caused by medicine – Lower uric acid levels.
patient specifically) May cause hypoglycemia, monitor blood glucose, may cause
None for this pt. increase serum alkaline phosphatase, bilirubin, AST and ALT
levels, BUN, serum creatine, and CCr. Decrease CBC and platelets
may indicate bone marrow depression.
Be sure to teach the patient the following about this medication
Increase fluid intake, report skin rash, blood in urine or flu like
symptoms, follow up exams.

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this med? Check after giving
I & O, Decreased kidney function can cause drug Rash, which pt does have. Decreased serum and urinary
accumulation and toxic effects. Adequate fluid intake uric acid levels.
2500 – 3000 ml/day. Assess for rash.