NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

ibuprofen Advil, Motrin IB nonopioid 800 mg PO TID w/food
analgesics, NSAID
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-2 hr 30 min 4-6 hr

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
postpartum/post-op pain Hypersensitivity, Cross-sensitivity may exist with other NSAIDs,
Mild to moderate pain including aspirin, Use Cautiously in: dehydration, or patients on
Inhibits prostaglandin synthesis nephrotoxic drugs (may ↑ risk of renal toxicity), OB: Not
recommended for pregnant patients; has been associated with
persistent pulmonary hypertension in infants, Lactation: Has been
used safely
Common side effects
CNS: headache, dizziness, drowsiness, psychic disturbances
EENT: amblyopia, blurred vision, tinnitus, CV: arrhythmias, edema,
GI: GI BLEEDING, HEPATITIS, constipation, dyspepsia, nausea,
vomiting, abdominal discomfort, GU: cystitis, hematuria, renal
failure Derm: EXFOLIATIVE DERMATITIS, STEVENS-JOHNSON
SYNDROME, TOXIC EPIDERMAL NECROLYSIS, rashes, Hemat:
blood dyscrasias, prolonged bleeding time, Misc: ALLERGIC
REACTIONS INCLUDING ANAPHYLAXIS,
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Serum potassium, BUN, serum creatinine, alkaline phosphatase,
Additive adverse GI side effects with other NSAIDs and LDH, AST, and ALT may show ↑ levels. Blood glucose,
corticosteroids hemoglobin, and hematocrit concentrations, leukocyte and platelet
counts, and CCr may be ↓
Be sure to teach the patient the following about this
medication
PO: For rapid initial effect, administer 30 min before or 2 hr after
meals. May be administered with food, milk, or antacids to
decrease GI irritation. Tablets may be crushed and mixed with
fluids or food.May cause drowsiness or dizziness. Advise patient to
avoid driving or other activities requiring alertness until response to
medication is known. Advise patient to consult health care
professional if rash, itching, visual disturbances, tinnitus, weight
gain, edema, black stools, persistent headache, or influenza-like
syndrome (chills, fever, muscle aches, pain) occurs

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for rhinitis, asthma, and urticaria med? If pain has subsided Decrease in severity of pain
Pain: Assess pain (note type, location, and
intensity) prior to and 1-2 hr following
administration