Bellin College Medication Flow Sheet

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Student: Amanda Coad

Classification Generic / Trade Name Aspirin Tablet Action & Reason this Client Taking Action: inhibits prostaglandin synthesis, acts on the hypothalamus heat-regulating center, interferes with production of thromboxane A, a substance that stimulates platelet aggregation. Reason taking: Reduces inflammatory response, intensity of pain; decreases fever; inhibits platelet aggregation. Dose (usual /prescribed) & Route, Onset, Peak, Duration Dose: Usual-325-1000mg 4-6h Prescribed-325mg daily at 0800 Peak: 1hr Onset: 2-4 hrs Duration: 4-6 hrs

Room #:
Side & Toxic Effects Client Response

Date: 3/4/2012
Nursing Considerations and Teaching

Side effects: GI distress, allergy to medication Toxic effects: High doses of aspirin may produce GI bleeding and/or gastric mucosal lesions. Dehydrated, febrile children may experience aspirin toxicity quickly. Reye's syndrome may occur in children with chickenpox or flu. Low-grade toxicity characterized by tinnitus, generalized pruritus (may be severe), headache, dizziness, flushing, tachycardia, hyperventilation, diaphoresis, thirst. Marked toxicity characterized by hyperthermia, restlessness, seizures, abnormal breathing patterns, respiratory failure, coma.

Nursing considerations: Monitor urinary pH (sudden acidification, pH from 6.5 to 5.5, may result in toxicity). Assess skin for evidence of ecchymosis. If given as antipyretic, assess temperature directly before and 1 hr after giving medication. Evaluate for therapeutic response: relief of pain, stiffness, swelling; increased joint mobility; reduced joint tenderness; improved grip strength. Patient teaching: Do not crush or chew enteric-coated tablets. Report tinnitus or persistent abdominal GI pain. Therapeutic anti-inflammatory effect noted in 13 wks. Behavioral changes, vomiting may be early signs of Reye's syndrome. Contact physician.