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 opioid analgesics 10mg initial PCA initially
merperidine Demerol 1-5mg incremental dose
recommended lockout interval 6-10 minutes

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
5-7 minutes immediate 2-3 hours
Why is your patient taking this medication?

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

Moderate to severe pain (alone or with nonopioid agents) Contraindications/warnings/interactions Hypersensitivity, pregnancy
Anesthesia adjunct. lactation. Use Cautiously in: head trauma, increased intracranial pressure,
Analgesic during labor renal, hepatic, or pulmonary disease, hypothyroidism, adrenal insufficiency,
Preoperative sedation alcoholism

Common side effects seizures, confusion, sedation, dysphoria, euphoria,

floating feeling, hallucinations, headache, unusual dreams, blurred vision
diplopia, miosis, respiratory depression, hypotension, bradycardia,
constipation, nausea, vomiting, urinary retention, flushing, sweating

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
MAO inhibitors or procarbazine
alcohol, antihistamines and sedative/hypnotics, agonist/
antagonist opioid analygesics. St. Johns Wart.
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Instruct patient how and when to ask for pain medication. Advise patient
to call for assistance when ambulating. Advise patient to change positions
slowly to minimize orthostatic hypotension. Advise ambulatory patients that
nausea and vomiting may be decreased by lying down.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
Vital signs this med? Decrease in severity of pain without a
Assess type, location and intensity of pain respirations <10/min significant alteration in level of
Pain scale 1-10 seizures consciousness or respiratory status.

Narcan