Bellin College Page 1 of 1

Medication Flow Sheet

Student: Room #: Date:

Classification Action & Reason Dose (usual Side & Toxic Effects Client Response Nursing Considerations and Teaching
Generic / Trade Name this Client Taking /prescribed) &
Route, Onset,
Peak, Duration
diphenhydrAMINE Action: Competitively Dose: usual- Side effects: FREQUENT: Nursing Considerations: if pt is having
(BENADRYL) blocks effects of 50mg at bedtime Drowsiness, dizziness, muscle acute allergic reaction, obtain history of
histamine at for sleepaide weakness, hypotension, urinary recently ingested foods, drugs, environmental
peripheral H1 Prescribed: retention, thickening of bronchial exposure, emotional stress. Monitor B/P, rate,
receptor sites. 25mg tablet secretions, dry mouth, nose, depth, rhythm, type of respiration; quality, rate
Reason taking: nightly throat, lips; in elderly: sedation, of pulse. Assess lung sounds for rhonchi,
Treatment of allergic dizziness, hypotension. wheezing, rales.
Route: oral OCCASIONAL: Epigastric
reactions,
parkinsonism; Onset: 15-30 distress, flushing, visual/hearing
disturbances, paresthesia, % Patient teaching: Tolerance to
prevention/treatment minutes antihistaminic effect generally does
of nausea, vomiting, diaphoresis, chills.
Peak: 1-4hr not occur; tolerance to sedative
vertigo due to motion Toxic effects: Hypersensitivity effect may occur.
sickness; antitussive; Duration: 4-6 hr reactions (eczema, pruritus, rash, % Avoid tasks that require alertness, motor
short-term cardiac disturbances, skills until response to drug is
management of photosensitivity) may occur. established.
insomnia. Topical Overdose symptoms may vary % Dry mouth, drowsiness, dizziness may be
form used for relief of from CNS depression (sedation, an expected response of drug.
pruritus, insect bites, apnea, hypotension,
skin irritations. cardiovascular collapse, death) to Avoid alcohol.
severe paradoxical reactions
(hallucinations, tremor, seizures).
Children, infants, neonates may
experience paradoxical reactions
(restlessness, insomnia, euphoria,
nervousness, tremors).
Overdosage in children may result
in hallucinations, seizures, death.