Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES DOSGE EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION RANGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NURSING CONSIDERATIONS
CLASSIFICATION (include therapeutic dose INTERACTIONS NEONATE
(PHARM) AND calculation)
PREGNANCY
CATEGORY
Reversal of postoperative IV, IM, subQ Use with caution, GI- N/V (rare) with NEONATE require Monitor respirations in all patients.
Naloxone opioid effects, opioid- Neonate 0.01mg/kg. Repeat at esp with newborns high doses postop. relatively low doses D/C if respirations <12/m. Notify
(Narcan) induced neonatal 2-3m intervals to desired degree of known or Withdrawal because the blood- physician Monitor VS, esp
respiratory depression, of reversal. Overdose- Pediatric suspected opioid symptoms in narcotic brain barrier is respirations, decrease after
Preg. Cat. B over dose with pure 0.01mg/kg IV subsequent dose dependent mothers. dependent patients. poorly developed. treatment, action of narcotic may
opioid agonist. IV, IM, 0.1mg/kg may be given IV prn Not intended for Respiratory All opioids are be longer than naloxone. Signs of
Pharmacology for subQ Titrate dosage carefully. In non-opioid depression. contraindicated for narcotic withdrawal (restlessness
Nsg Care Page 280 For initial treatment, opioid addicts, excessive doses respiratory premature infants muscle spasms, Increase VS,
administer IV, one opioid- can precipitate withdrawal. In depression. (both during and lacrimation). Signs of increase
Mosby’s Drug Nsg induced CNS depression postoperative patients, excessive after delivery). PTT. ABGs. Maintain patent
Card 194 and respiratory depression doses can unmask pain by airway, safety precautions,
have been reversed, IM or reversing opioid-medicated comfort measures. Assess hx of
subQ administration may analgesia. IM/SC ONSET 2-5m, hypersensitivity. Respiratory
be employed. iv 1-2m-half-life 60-90m in function (rate/depth, pulse
Narcotic antagonism adults, longer in infants-excreted oximetry, ABGs) Medication
primarily due to via urine primarily as recently take/given. Administer
competition with narcotics metabolites. mix with sterile H2O for injection
for CNS receptor sites. Postop- adult 0.1-0.2mg/kg IV. prn. Do not leave patient
Repeat 2-3m intervals to desired unattended. Have emergency
degree of reversal support equipment available. Store
Overdose-adult 0.4-2mg IV inoriginal container. Avoid
Repeat at 2-3m intervals to exposure to light.
desired degree of reversal.
Postop–Pediatric 0.005-
0.01mg/kg IV.
Repeat at 2-3m intervals to
desired degree of reversal.

PHARM