NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Classification Dose Route Time/frequency

oxycodone/acetaminophen Name opioid 5/325 po q 6 hrs prn
Percocet analgesics 1-2 tabs
Peak Onset Duration Normal dose range
60-90 min 10-15 min 3-6 hr 5-10 mg oxycodone content q 3-4 hr initially, as needed
acetaminophen or aspirin dosage should not exceed 4 g/day
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to opiate receptors in the CNS Hypersensitivity
Alters the perception of and response to painful stimuli,
while producing generalized CNS depression Common side effects
Management of moderate to severe pain confusion, sedation, constipation

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May increase plasma amylase and lipase levels
Additive CNS depression with alcohol, antihistamines, and
sedative/hypnotics Be sure to teach the patient the following about this
medication
May be administered with food or milk to minimize GI
irritation, Instruct patient on how and when to ask for pain
medication, Medication may cause drowsiness or
dizziness. Advise patient to call for assistance when
ambulating or smoking. Caution patient to avoid driving
and other activities requiring alertness until response to
medication is known, Advise patient to make position
changes slowly to minimize orthostatic hypotension,
Encourage patient to turn, cough, and breathe deeply
every 2 hr to prevent atelectasis
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess type, location, and intensity med? Decrease in severity of pain without a
of pain prior to and 1 hr (peak) If respiratory rate is <10/min, assess level significant alteration in level of
after administration. of sedation. Physical stimulation may be consciousness or respiratory status
sufficient to prevent significant Assess bowel function routinely.
hypoventilation. Dose may need to be Prevention of constipation should be
decreased by 25-50%. Initial drowsiness instituted with increased intake of
will diminish with continued use fluids and bulk, and laxatives to
minimize constipating effects.
Stimulant laxatives should be
administered routinely if opioid use
exceeds 2-3 days, unless
contraindicated