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RLE Requirements
RLE Requirements
REQUIREMENT
Submitted by:
Mary Shane A. Moralde
Student
Submitted to:
Brian Fernandez, RN
Clinical Instructor
Drug Name Mechanism of Action Indication Side Effects Nursing Responsibilities
Generic Name: Methadone is a Relieve severe pain, Drowsiness, light- Before:
Methadone diphenyl-heptane detoxification and headedness,
derivative opioid agonist temporary dizziness, 1. Verify patient’s identity and physician’s order.
Brand Name: that primarily acts on the maintenance for hallucination, nausea, 2. Obtain history of hypersensitivity to the drug and history of d
Dolophine u-receptor. It inhibits the ambulatory patients vomiting, dry mouth, dependence.
ascending pain with narcotic constipation, 3. Assess patient’s level of pain.
Drug Classification: pathways, alters the abstinence transient 4. Obtain vital signs especially respiratory rate for baseline data.
Opioid Analgesic perception and response syndrome. hypotension, muscle 5. Perform hand hygiene.
to pain and causes pain, respiratory
Dosage: generalized CNS depression, During:
2.5 mg – 10 mg tablet, depression. orthostatic
10 mg/ml injection hypotension 1. Assist patient in comfortable position.
2. Monitor and observe patient during administration of
Route: Contraindication: medication.
PO, IM, IV Severe respiratory
depression, After:
Timing: bronchial asthma,
Q3-4h; q6-8h known or suspected 1. Monitor patient’s vital signs especially respiratory rate
GI obstruction, therapeutic effectiveness of the drug.
Pregnancy Category Risk: paralytic ileus, 2. Evaluate and educate patient for possible side and adverse effect
B (D for use of higher doses) increased the medication.
intracranial 3. Instruct patient to change position slowly.
pressure, head 4. Encourage patient to notify HCP for troublesome side or adve
injury, severe effects.
hepatic impairment 5. Perform hand hygiene.
6. Document the procedure,
Reference:
Lugo, R. A., Satterfield, K. L., & Kern, S. E. (2005).
Pharmacokinetics of methadone. Journal of Pain & Palliative
intractable pain using the Prometra® Programmable Pump. Neuromodulation: Technology at the Neural Interface, 13(2),
102-108.