Clients Initials: Allergies: NKA

DRUG BRAND NAME GENERIC NAME DRUG CATEGORY CLIENTS DOSE USUAL DOSE? WNL?

Medication Sheet
DIAGNOSIS FOR THIS RX WHY DID YOUR CLIENT GET THIS? HOW DOES IT WORK? MAIN SIDE EFFECTS WHAT SHOULD

Student: Shirley Germain Date: June 6, 2012

TESTS & LABS (WHY) (NORMALS) & PTS.

TIME/ ROUTE

YOU DO/KNOW JUST

BEFORE GIVING THIS

RX?

MEDICATION INCOMPATIBILITIES FOR THIS CLIENT

SQ AC & HS & 3am

Novolog Flex pen Insulin Aspart Antidiabetic

IGMO med dose IGMO med dose WNL

Diabetes Type 2 Hyperglycemia due to stress Regulates glucose metabolism

Hypokalemia, Hypoglycemia and allergic reactions

Rotate sites to limit lipodystrophies.

Burdock, dandelion, eucalyptus, marshmallow, may increase hypoglycemic effect of insulin.

Test potassium and glucose levels regularly

PO Daily

Amaryl GLIMEPIRIDE Antidiabetic

4mg 4mg-8mg WNL

Diabetes Type 2 It works by stimulating the release of your body's natural insulin.

Before taking glimepiride, asses for liver disease, kidney disease, thyroid disease, certain hormonal conditions (adrenal/pituitary insufficiency, SIADHsyndrome of inappropriate secretion of antidiuretic hormone), mineral imbalance (hyponatremia).

Many drugs can affect your blood sugar levels, making it more difficult to control your blood sugar. Examples include corticosteroids (such as prednisone), psychiatric medicines (such as olanzapine), fluoroquinolone antibiotics (such as ciprofloxacin), among others. Limit alcohol while taking this medication because it can increase the risk of developing hypoglycemia.

Test glucose levels regularly to prevent hypoglycemia.

Q4H/PO

Oxycontin (Oxycodone)

5MG 5mg Yes, WNL

Moderate to severe pain. Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli, while producing generalized CNS depression.

Constipation, confusion, sedation, weakness.

Assess type, location, and intensity of pain prior to an hour (peak) after administration. Asses blood pressure, pulse, and respirations before and periodically during administration. Assess bowel function routinely.

Use cautiously in acute alcoholism or delirium tremens or other toxic psychoses. Contraindicated in hypersensitivity, and respiratory depression.

May increase plasma amylase and lipase levels

Daily PO

WARFARIN COUMADIN Anticoagulant

5mg 2.5-10MG Yes, WNL

Prophylaxis and treatment of venous thrombosis Interferes with hepatic synthesis of vitamin K dependant clotting factors (II, VII, IX, and X

Bleeding, cramps, fever, nausea, and dermal necrosis

Assess patient for signs of bleeding and hemorrhage (bleeding gums, nosebleed, unusual bleeding and black tarry stool). Assess patient for evidence of additional or increased thrombosis

Alcohol, barbiturates, and oral contraceptive containing estrogen may decrease the anticoagulant response to warfarin. Aspirin may increase the response to warfarin and increase the risk of bleeding.

Prothrombin time
and other clotting factors should be monitored frequently during therapy. May also be reported as INR.

Daily PO

Norvasc Amlodipine Calcium Channel Blocker (antihypertensiv e)

10mg 2.5-10 mg WNL

Management of Hypertension. Inhibits the transfer of calcium into myocardial and vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction.

Headache, dizziness, fatigue, peripheral edema.

Use cautiously in severe hepatic impairment, geriatric patients (dosage reduction recommended; increased risk of hypotension) Monitor blood pressure and pulse before therapy, during dose titration, and periodically during prolonged therapy. Grapefruit may increase drug effect.

Additive hypotension may occur when used concurrently with fentanyl, other hypertensive agents.

Total serum calcium concentrations are not affected by calcium channel blockers.

Q AM AC PO

ESOMEPRAZOLE NEXIUM IV proton pump inhibitors (PPIs) (Acid reducer)

40 mg 30-60mg Yes, WNL

Manages GERD. Esomeprazole blocks the enzyme in the wall of the stomach that synthesizes gastric acid. Once this enzyme is inhibited, the production of acid is decreased, and this allows the stomach and esophagus to heal.

constipation, diarrhea; drowsiness; dry mouth; gas; headache

Client should be assessed for allergies to esomeprazle, also assess client to see if she uses dasatinib, voriconazole and anticoagulants. Take 1 hour before food.

Food may reduce drug level. This medication should not be used if client has liver problems or stomach or bowel cancer.Esomepra zole should be used with caution in the elderly because they may be more sensitive to its effects.

None reported.

1 q shift IV

SODIUM CHLORIDE 0.9% SALINE LOCK FLOW Antiurolitthics, Minerals/ electrolytes

3 ml 10-30 ml Yes, WNL

Maintenance of fluid and electrolyte status in situations in which losses may be excessive(excess dieresis or severe salt restriction). Reduces corneal edema by an osmotic effect

Hypernatremia and edema

Assess fluid balance (intake and output, daily weight, edema, lug sounds) throughout therapy.

Hypertonic (3%, 5%) solution should not be used in patients with elevated, slightly decreased, or normal serum sodium.

Monitor serum osmolarity in patients receiving hypertonic saline solutions.

Daily PO

LISINOPRIL Prinivil(Zestril eq) Antihypertensiv e agents ACE inhibitors

10mg 20-40mg WNL

This agent reduces the risk of death or development of congestive heart failure following myocardial infarction ACE inhibitors block the conversion of angiotension I to the vasoconstrictor angiotension II.

Dizziness, fatigue, fever, headache, insomnia, weakness, proteinuria, impotence, cough, rashes, hyperkalemia, tachycardia, diarrhea, and anorexia.

Monitor Blood pressure and pulse frequently during initial dosage adjustment and periodically throughout therapy. Monitor weight assess patient routinely for resolution of fluid overload

Excessive hypotension may occur with concurrent use of diuretics. Hyperkalemia may result from concurrent use of potassium supplements

Monitor BUN, creatinine, and electrolyte levels periodically. Serum potassium may be increased and BUN and creatinine transiently. increased.