NURS 361 Drug Card Guidelines dilaudid

doc

School

St. John's University *

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Course

4533

Subject

Nursing

Date

Nov 24, 2024

Type

doc

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Uploaded by ChiefBoar3213

NURS 361 Adults in Transition Practicum Medication/Drug Card Guidelines Medication information in the form of a drug card will be completed on a weekly basis for clinical and simulation. Use the drug book in Coursepoint+ for valuable resources on medication information. During pre-clinical prep time, you must complete drug cards for each of your patient’s medications scheduled to be given at 0800 and 0900. Depending on your patient assignment and other medications scheduled, your clinical instructor may ask you to complete drug cards for medications after 0900 as well. Include nursing actions or implications of giving the medication such as vital signs to monitor, lab values to check, dosage calculation to be completed. Be prepared to answer why YOUR patient is taking this drug and how it will impact YOUR patient! You may limit your drug information to adult/older adult specifications. Pediatric information is not necessary. The following information is to be included for your medications: Classification of Drug: NARCOTIC (OPIATE AGONIST); ANALGESIC Trade Name of Drug: Dilaudid Generic Name of Drug: Hydromorphone Dose: (N/A for simulation) Purpose: An effective narcotic analgesic that controls mild to moderate pain. Also has antitussive properties Action: Potent opiate receptor agonist that does not alter pain threshold but changes the perception of pain in the CNS. Side Effects/Adverse Effects: nausea, vomiting, constipation, euphoria, dizziness, sedation, drowsiness, hypotension, bradycardia or tachycardia. Respiratory depression and/or blurred vision Contraindications: (include drug-drug interactions) Intolerance to opiate agonists; opiatenaïve patients; acute or severe asthma; hypercapnia; bronchial asthma, status asthmaticus; obstetrical analgesia; upper airway obstruction, GI obstruction; ilieus; severe respiratory depression; pregnancy. Alcohol and other CNS DEPRESSANTS compound sedation and CNS depression. St. John’s wort, kava may increase sedation

Nursing Considerations: (include vital signs or labs to monitor, dosage calculation needed, patient teaching, dietary implications, etc.) Note baseline respiratory rate, rhythm, and depth and size of pupils before administration. Monitor vital signs at regular intervals. Drug-induced respiratory depression may occur even with small doses.

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