Medication Work Sheet

Drug Name(Generic & Trade Name) & RouteCategory/ ClassificationDose/FrequencySide Effects: Common/life-threateningitalics = common; red = life-threateningPurpose for Medication (Reasons a patient would take the medication)Nursing Assessments: (patient assessments that should be made prior to administering drug; any administration information to remember when giving the drug)

amoxicillin/clavulanateAugmentin suspension PO(Other trade name: Amoclan)Broad-spectrum anitinfective (penicillin)PO 250-500 mg q8hr or 500-875 mg q12hr, depending on severity of infectionNausea, diarrhea, vomiting, vaginitis, moniliasis, Rash, pseudomembranous colitis, seizures, glomerulonephritisHema: Anemia, bone marrow depression, granulocytopenia, leukopenia, eosinophilia, toxic epidermal necrolysis, Anaphylaxis, respiratory distress, serum sickness, superinfection, Stevens-Johnson syndromeLower respiratory tract infections, sinus infections, pneumonia, otitis media, skin infection, UTI; effective for strains of Escherichia coli, Proteus mirabilis, Haemophilus influenzae, Streptococcus faecalis, Streptococcus pneumoniae, and some -lactamaseproducing organismsASSESS:Penicillin allergy

C & S result for infection

HOLD IF:Allergy

cefepime IVPB(Trade name: Maxipime [4th generation])TEACHING Check blood glucose if diabetic Report sore throat, bruising, bleeding, joint pain

Report consistent diarrhea, especially with mucous and/or blood

Can be taken with oral birth controlBroad-spectrum antibiotics/

cephalosporinFebrile neutropenia Adult/adolescent >16 yrs/child 40 kg: 2 g Q8H 7 days or until neutropenia resolvesUrinary tract infections (mild to moderate): 0.5-1 g q12hr 7-10 daysUrinary tract infections (severe) Adult/adolescent >16 yr/child 40 kg: 2 g q12hr 10 daysPneumonia (moderate to severe): 1-2 g q12hr 10 days Dosage reduction indicated with renal impairment (CCr 50 yr without heart disease or 50 yr with heart disease: PO 12.5-25 mcg/day, titrate by 12.5-25 mcg q6-8wk

Subclinical hypothyroidism: PO 1 mcg/kg/day may be sufficient CNS: Anxiety, insomnia, tremors, headache, thyroid storm, excitabilityCV: Tachycardia, palpitations, angina, dysrhythmias, hypertension, cardiac arrestGI: Nausea, diarrhea, increased or decreased appetite, crampsMisc: Menstrual irregularities, weight loss, sweating, heat intolerance, fever, alopecia, decreased bone mineral densityHypothyroidism, myxedema coma, thyroid hormone replacement, thyrotoxicosis, congenital hypothyroidism,

some types of thyroid cancer, pituitary TSH suppression B/P, pulse periodically during treatment

Weight daily in same clothing, using same scale, at same time of day

Height, growth rate of child

T3, T4, FTIs, which are decreased; radioimmunoassay of TSH, which is increased; radio uptake, which is increased if patient receiving too low a dose of medication

PT may require decreased anticoagulant; check for

bleeding, bruising

Increased nervousness, excitability, irritability, which may indicate too high a dose of medication, usually after 1-3 wk

of treatment

Cardiac status: angina, palpitation, chest pain, change in

VS

Tylenol Suspension PO(Trade/generic names: Acephen, Aminofen, Apacet, APAP,Apra, Children's Feverall, Equaline Children's Pain Relief, Equaline Infant's Pain Relief, Genapap, GoodSense Acetaminophen, GoodSense Children's Pain Relief, Infantaire, Leader Children's Pain Reliever, Mapap, Maranox, Meda, Neopap, Ofirmev, Oraphen-PD, Q-Pap, Q-Pap Children's, Redutemp, Ridenol, Silapap, Tapanol, Tempra, T-Painol, Tylenol, UniAce, Walgreen's Non-Aspirin, XS pain reliever, Walgreen's Acetaminophen)Nonopioid

analgesic,

antipyretic

Unlabeled:

Migraines325-1000mg q4h, 1000mg q24 maxCNS: Stimulation, drowsinessGI: Nausea, vomiting, abdominal pain; hepatotoxicity, hepatic seizure (overdose), GI bleedingGU: Renal failure (high, prolonged doses) Hema: Leukopenia, neutropenia, hemolytic anemia (long-term use), thrombocytopenia, pancytopenia Integ: Rash, urticariaSyst: HypersensitivityToxicity: Cyanosis, anemia, neutropenia, jaundice, pancytopenia, CNS stimulation, delirium followed by vascular collapse, seizures, coma, death Mild to moderate pain or fever, arthralgia, dental pain, dysmenorrhea, headache, myalgia, osteoarthritis Hepatic studies: AST, ALT, bilirubin, creatinine before therapy if long-term therapy is anticipated; may cause hepatic toxicity at doses >4 g/day with chronic use

Renal studies: BUN, urine creatinine, occult blood, albumin, if patient is on long-term therapy; presence of blood or albumin indicates nephritis Blood studies: CBC, PT if patient is on long-term therapy

I&O ratio; decreasing output may indicate renal failure

(long-term therapy)

For fever and pain: type of pain, location, intensity, duration Chronic poisoning: rapid, weak pulse; dyspnea; cold, clammy extremities; report immediately to prescriber

Hepatotoxicity: dark urine; clay-colored stools; yellowing of skin, sclera; itching; abdominal pain; fever; diarrhea if patient is on long-term therapy

Allergic reactions: rash, urticaria; if these occur, product may have to be discontinued

Before breakfast 0700

Daily0900 (or by facility protocol)

BID09001800

TID090012001800

QID0900120018002200

Dinner1800

Bedtime2200

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