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 EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NEONATE NURSING CONSIDERATIONS
CLASSIFICATION RANGE INTERACTIONS
(PHARM) AND (include therapeutic
PREGNANCY dose calculation)
CATEGORY
Cathartic Saline M. Citrate adult Dietary aids Diarrhea, fatigue fluid Safe use in pregnancy. Use caution if pregnant or
Magnesium citrate/ -Hyperosmotic activity 200ml single dose, such warm volume, risk for Magnesium is essential breastfeeding and increased illness-
Magnesium produces H2O retention, Adult /children >12 beverages (non deficient, risk or for cellular metabolism related restrictions. Assess hx of
Hydroxide resulting in an H2O stool y/o 30-60 ml/day, caffeinated), impaired tissue and structural growth. hypersensitivity, health, nutritional
bowel evacuation, Children 100ml prune juice and integrity. Rectal (RDA for pregnancy is status Medication hx , bowel sounds,
Mineral and resulting in diarrhea and single dose moderate irritation. 320mg /day) GI function, duration of constipation,
electrolyte complete cleansing of Children 2-5 y/o exercise will Advantage/disadvantage medication contributing to
replacement/suppleme intestines before 15ml/day, 6-11 y/o, assist in natural to fetus non-specific. constipation. Caution –abdominal pain,
nts, laxatives diagnostic procedure. 5-30 ml/day action of the Caution use in immature acute pain, impaired physical mobility.
Used for treating body to produce systems. Administer on empty stomach at hs
Milk of Magnesia constipation and with defecation unless otherwise directed or
(saline) anthelmintics for removal Severe or pre- appropriate times for diagnostic study.
of drug and parasite. Also exiting Provide appropriate toileting facilities,
Preg. Cat. B used before diagnostic or constipation may establish defecation schedule.
intestinal surgical need a mild Encourage increase of fluids, bulk-
OLDs Page 428 procedures. laxative such as containing foods, prunes, and increase
Mosby’s Nsg Drug Milk of activity. Monitor for dehydration,
Card 353 Magnesia electrolyte imbalance. Avoid chronic
Davis Drug Guide for recommended by use, promote regular bowel habits,
Nsg Page 766 caregiver. followed by high-fiber diet. Notify
physician of acute undiagnosed
abdominal pain (Fecal impaction,
obstruction of intestinal tract).

PHARM