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

Nicotine Nicoderm CQ Smoking 21 mg Topical Q day
deterrent
Peak Onset Duration Normal dosage range
2-4 hours Rapid Unknown 21 mg/day for 6 weeks, 14 mg/day for 2 weeks, then 7
mg/day for 2 weeks.
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
She is in the hospital and can’t smoke n/a
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Provides a source of nicotine during controlled .contraindicated in continued smoking. Use cautiously in
withdrawl from cigarette smoking. Indicated as cardiovascular disease including hypertension.
adjunct therapy for smoking cessation Hyperthyroidism. Effects of acetaminophen, furosemide, and
caffeine may be increased during smoking cessation because
of decreased metabolism.
Common side effects
Burning at patch site, erythema, pruritis
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) None known
Acetaminophen and furosemide may need to be
Be sure to teach the patient the following about this
increased during smoking cessation because of
medication
decreased metabolism.
Encourage the patient to participate in a smoking cessation
program. Apply patch at same time each day to clean, dry
skin. Wash hands with plain water after administration as
soap increases absorption. Do not trim or cut patch. Dispose
of used patch by folding adhesive sides together and replace
in foil pouch.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
assess for smoking history and for signs of med? decreased withdrawal
nicotine withdrawal including irritability If there are signs of nicotine toxicity symptoms.
drowsiness, fatigue, and craving. such as nausea vomiting diarrhea,
increased salivation, abdominal pain,
headache, dizziness, auditory and
visual disturbances, weakness,
dyspnea, hypotention, and irregular
pulse. Also if the patient is currently
smoking