Medication Preparation Sheet

You need to complete each column for every medication your patient is scheduled to take during your clinical time. This sheet should be turned in with your other assigned clinical paperwork

Name _Rebekah Carlisle____________________________________			Date__2-23-11________________________________

Medication
(Generic and Trade)	Classification
&
Action	Why is your patient    taking this drug?	Nursing Implications
(Considerations)	Side Effects	
Albuterol (Accuneb)	Bronchodilators, relaxation of airway smooth muscle with subsequent bronchodilation 	Pt. has Asthma	May cause transient decrease in serum potassium concentrations with nebulization or higher-than-recommended doses	Nervousness, restlessness, tremor, headache, insomnia, paradoxical bronchospasm, chest pain, palpitations, angina, arrhythmias, vomiting, hyperglycemia, hypokalemia, tremor	
Baclofen (Kemstro, Lioresal) 	Antispasticity agents, skeletal muscle relaxants, decreased muscle spasticity; bowel and bladder function may also be improved 	Pt.  has pain	May cause increase in serum glucose, alkaline phosphatase, AST, and ALT levels	Seizures, dizziness, drowsiness, fatigue, weakness, confusion, depression, headache, insomnia, nasal congestion, tinnitus, edema, hypotension, nausea, constipation, pruritus, rash, hypersensitivity reactions, sweating	
Bisacodyl (Dulcolax, Theralax)	Laxatives, evacuation of the colon	Pt. had constipation, and is also at risk for constipation	Asses pt. for abdominal distention, presence of bowel sounds and usual pattern of bowel function	Abdominal cramps, nausea, diarrhea, rectal burning, muscle weakness, protein lose	
Docusate Sodium (Soflax, Stool Softener) 	Laxatives, softening and passage of stool	Pt. has constipation	This medication does not stimulate intestinal peristalsis, Asses pt. for abdominal distention, presence of bowel sounds and usual pattern of bowel function	Throat irritation, mild cramps, rashes	
Duloxetine HCL (Cymbalta)	Antidepressants, decreases depressive symptomatology, neuropathic pain, symptoms of anxiety, and pain	Pt has Diabetic peripheral neuropathic pain and possible anxiety	Monitor closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts.
May cause increase ALT, AST, billirubin, CPK, and alkaline phosphate	Neuroleptic malignant syndrome, seizures, suicidal thoughts, fatigue, drowsiness, insomnia, activation of mania, dizziness, nightmares, blurred vision, increase in blood pressure, vomiting, rashes	
Enoxaparin (Lovenox)	Anticoagulants, prevention of thrombus formation	Pt. has cellulitis 	Asses for signs of bleeding and hemorrage, observe injection sites for hematomas, ecchymosis, or inflammation	Dizziness, headache, insomnia, edema, constipation, nausea, vomiting, urinary retention, rash, bleeding, anemia, pain, fever