Student Name: _____________________

4853 MEDICATION WORKSHEET

Brand Name Neurontin Lopressor Ancef Vicodin

Generic Name Gabapentin Metoprolol Cefazolin sodium hydrocodone

Dose 100, 300, 400, 600, 50mg, 100mg, 200mg 250mg, 500mg, 1g inject 5mg 20mg
800mgs
Administration Route PO PO, IV IV, IM PO

Classification Anticonvulsant Antihypertensive Antibiotic Narcotic

Action Does not inhibit GABA Reduces heart rate and Binds to one or more of CNS depressant with
uptake or inhibition cardiac output at rest and the penicillin-binding moderate to severe pain
in exercise proteins located on cell relief
walls of susceptible
organisms. This inhibits
third and final stage of
bacterial cell wall
synthesis, thus killing the
bacterium.

Reason Pt. Receiving Nerve pain High blood pressure To prevent postop Postop pain
infection

Contraindications Pregnancy, lactation, cardiogenic shock, sinus pregnancy, lactation lactation

grinko, antacids (reduce bradycardia, heart block
absorption) greater than 1st degree,
pregnancy
MAJOR Adverse Side sedation, drowsiness, Cardiac arrest, complete anaphylaxis, diarrhea respiratory depression,
Effects partial seizures heart block, constipation
agranulocytosis,
complete heart block

Nursing Responsibilities Monitor for therapeutic Take apical pulse and BP Monitor I&O rates and Monitor for effectiveness
and Implications effectiveness; may not before administering pattern: Be alert to of drug for pain relief.
occur until several weeks drug. Report to physician changes in BUN, serum
following initiation of significant changes in creatinine. Monitor for nausea and
therapy rate, rhythm, or quality vomiting, especially in
of pulse or variations in Promptly report the onset ambulatory patients.
Assess safety: Vision, BP prior to of diarrhea, which may
concentration, and administration. or may not be dose Monitor respiratory
coordination may be related. It is seen status and bowel
impaired by gabapentin. Lab tests: Obtain especially in patients elimination.
baseline and periodic with history of drug-
evaluations of blood cell related GI disturbances.
counts, blood glucose, Pseudomembranous
liver and kidney colitis, a potentially life-
function. threatening condition,
 Student Name: _____________________

starts with diarrhea.


4853 MEDICATION WORKSHEET
Brand Name Senokot Reglan
Generic Name Senna Metoclopramide
Hydrochloride
Dose 8mg, 15mg, 25mg tabs 5mg, 10mg, 5mg/ml
inject
Administration Route PO PO, IV, IM
Classification stimulant laxative GI stimulant
Action Peristalsis stimulated by Increases resting tone of
conversion of drug to esophageal sphincter,
active chemical. and tone and amplitude
of upper GI contractions.
Reason Pt. Receiving Postop constipation Prevent nausea and
vomiting
Contraindications appendicitis, pregnancy, HX of seizures, history
lactation of breast cancer, GI
obstruction
MAJOR Adverse Side Effects Excessive fluid loss, HTN crisis, mild
electrolyte imbalances sedation, restlessness
Nursing Responsibilities and Reduce dose in patients Report immediately the
Implications who experience onset of restlessness,
considerable abdominal involuntary movements,
cramping facial grimacing, rigidity,
or tremors.
Extrapyramidal
symptoms are most
likely to occur in
children, young adults,
and the older adult and
with high-dose treatment
of vomiting associated
with cancer
chemotherapy.
Symptoms can take
months to regress.
Student Name: _____________________
Pepcid Dilaudid
Famotidine Hydromorphone
Hydrochloride
10mg, 20mg, 40mg 1mg, 4mg, 8mg,
10mg/ml inject
PO, IV PO, IV, IM
Proton Pump Inhibitor Analgesic
Reduces parietal cell controls mild to moderate
output of hydrochloric pain
acid; thus, detrimental
effects of acid on gastric
mucosa are diminished.
To decrease to decrease postop pain
gastroesophageal reflux
in GERD
Renal insufficiency asthma, COPD,
pregnancy
Constipation, Increase in respiratory depression,
BUN or creatnine hypotension
Monitor for Monitor bowel pattern;
improvement in GI drug-induced
distress. constipation may require
treatment.
Monitor for signs of GI
bleeding. Note baseline respiratory
rate, rhythm, and depth
and size of pupils before
administration.
Respirations of 12/min or
less and mitosis are signs
of toxicity. Withhold
drug and promptly notify
physician.

4853 MEDICATION WORKSHEET
Brand Name
Generic Name
Dose
Administration Route
Classification
Action
Reason Pt. Receiving
Contraindications
MAJOR Adverse Side Effects
Nursing Responsibilities and
Implications
4853 MEDICATION WORKSHEET
Student Name: _____________________
Colace Synthroid Zestril Toradol
Docusate Calcium Levothyroxine sodium Lisinopril Ketorolac Tromethamine
50mg, 240mg 15mcg- 500mcg 2.5mg- 40mg tabs 10mg tabs, 15mg/ml
30mg/ml
PO PO PO PO IV
Stool softener thyroid agent Antihypertensive NSAID
Detergent action lowers Principal effects includes Lowers BP by specific It inhibits synthesis of
surface tension, diuresis, loss of weight inhibition of the prostaglandins and is a
permitting water and fats and puffiness, increased angiotensin-converting peripherally acting
to penetrate and soften sense of well-being and enzyme analgesic
stools for easier passage. activity tolerance, and
rise of T3 and T4 serum
levels toward normal.
Constipation related to replacement therapy for Hypertension Management of pain and
pain medications diminished thyroid inflammation
fecal impaction, severe heart conditions, HX of angioedema, CHF angioedema, peptic
vomiting, pregnancy adrenal insufficiency ulcers
Diarrhea, abdominal weight loss, heat increased BUN and Hemorrhage, edema,
cramps intolerance creatinine, hypotension nausea
Withhold drug if diarrhea Monitor for adverse Measure BP just prior to Monitor for S&S of GI
develops and notify effects during early dosing to determine distress or bleeding
physician. adjustment. If whether satisfactory including nausea, GI
metabolism increases too control is being pain, diarrhea, melena, or
rapidly, especially in maintained for 24 h. If hematemesis. GI
older adults and heart the antihypertensive ulceration with
disease patients, effect is diminished in perforation can occur
symptoms of angina or less than 24 h, an anytime during
cardiac failure may increase in dosage may treatment. Drug
appear. be necessary decreases platelet
aggregation and thus may
prolong bleeding time.
 Student Name: _____________________

Brand Name Tylenol Lovenox zofran Oxycontin

Generic Name Acetaminophen enoxaparin Odansetron oxycodone hydrochloride

hydrochloride
Dose 80mg-650mg 30mg/0.3ml, 40mg/0.4ml 4mg- 24mg 5mg, 15mg, 30mg

Administration Route PO SQ PO, IV PO

Classification Analgesic anticoagulant antiemetic analgesic

Action It provides temporary Antithrombotic Selective serotonin Binds with stereo-

analgesia for mild to properties are due to its receptor antagonist. specific receptors in
moderate pain. In antifactor Xa and Serotonin receptors are various sites of CNS to
addition, acetaminophen antithrombin in the located centrally in the alter both perception of
lowers body temperature coagulation activities. chemoreceptor trigger pain and emotional
in individuals with a zone and peripherally on response to pain, but
fever. the vagal nerve precise mechanism of
terminals. Serotonin is action not clear.
released from the wall of
the small intestine and
stimulates the vagal
efferents through the
serotonin receptors and
initiates the vomiting
reflex.

Reason Pt. Receiving postop pain prevention of DVT Prevent nausea and To relieve severe pain
vomitting

Contraindications alcohol use Pts with major bleeding, hypersensitivty pregnancy, prolonged
stroke, renal disease use, children

MAJOR Adverse Side Effects Hepatotoxicty, renal Hemorrhage, headache, sedation Check hepatic function
failure, hepatic coma angioedema and hematologic status
periodically in patients
on high dosage.

Monitor patient's
response closely,
especially to sustained-
release preparations.

Nursing Responsibilities and
Implications
Student Name: _____________________
Monitor for signs and Monitor platelet count
symptoms of closely.
hepatotoxicity especially
in individuals who have Monitor closely patients
ingested alcohol or have with renal insufficiency
poor nutrition. and older adults who are
at higher risk for
thrombocytopenia.
Monitor for and report
immediately any sign or
symptom of unexplained
bleeding.
 Student Name: _____________________

4853 MEDICATION WORKSHEET

Brand Name phenergan decadron flomax cymbalta

Generic Name promethazine dexamethasone tamsulosin hydrochloride duloxetine hydrochloride

hydrochloride
Dose 25mg- 50mg tabs 0.25mg- 6mg tabs 0.4mg 20mg, 30mg, 60mg

Administration Route PO, IM, IV PO, IV, IM PO PO

Classification antiemetic Steroid alpha adrenergic agonist SNRI

Action In common with other Prevents accumulation of Blockage of alpha- Antidepressant effect is
antihistamines, exerts inflammatory cells at adrenergic receptors can presumed to be due to its
antiserotonin, sites of infection cause smooth muscles in dual inhibition of CNS
anticholinergic, and local the bladder outlet and the presynaptic neuronal
anesthetic action. prostate gland to relax, uptake of serotonin and
Antiemetic action resulting in improvement norepinephrine,
thought to be due to in urinary blood flow and increasing the serum
depression of CTZ in a reduction in symptoms levels of both substances.
medulla. of BPH. Indicated by
improved voiding.

Reason Pt. Receiving to prevent nausea and To prevent postop For benign prostatic For depression
vomitting inflammation hypertrophy

Contraindications glaucoma, peptic ulcer, fungal infection, lactation, children MAOI therapy,
epilepsy, hepatic diseases varicella, glaucoma glaucoma, pregnancy

MAJOR Adverse Side Effects respiratory depression, bowel perforation, orthostatic hypotension, constipation, insomnia,
apnea, agranulocytosis vertebral compression rhinitis dry mouth
fracture

Nursing Responsibilities and
Implications
Student Name: _____________________
Be aware that antiemetic Monitor and report S&S Monitor for signs of Monitor closely for and
action may mask of Cushing's syndrome or orthostatic hypotension; report suicide ideation,
symptoms of other systemic adverse take BP lying down, then especially when drug is
unrecognized disease and effects. upon standing. Report a initiated or dosage
signs of drug over dose systolic pressure drop of changed.
as well as dizziness, 15 mm Hg or a HR 15
vertigo, or tinnitus beats upon standing. Report emergence of any
associated with toxic of the following: anxiety,
doses of aspirin or other agitation, panic attacks,
ototoxic drugs. insomnia, irritability,
hostility, psychomotor
restlessness, hypomania,
and mania.