NURS 1556 Clinical Medication Worksheet Karen Nielsen

Generic Trade Name Classification Dose Route Time/frequency

Name Anticonvulsant,
Gabapentin Neurontin mood stabilizer 100 mg PO BID

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
2-4 hr rapid 8 hr N/A

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

(Why med ordered)
Mechanism of action is unknown. May affect transport
of amino acids across and stabilize neuronal
membranes. Therapeutic effects: decreased incidence
of seizures. (Tics)
For Tic disorder
Contraindications/warnings/interactions- Hypersensitivity,
Use cautiously in geriatric pt. because of age-related
decrease in renal function.
Common side effects: CNS: confusion, depression,
drowsiness, sedation, anxiety, dizziness, hostility, malaise,
vertigo, weakness. EENT: abnormal vision, nystagmus.
CV: hypertension. GI: wt. gain, anorexia, flatulence,
gingivitis. MS: arthralgia. Neuro: ataxia, altered reflexes,
hyperkinesia, paresthesia. Misc: facial edema.

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
Dilantin (phenytoin)—Neurontin may increase drug
levels of dilantin.
Lab value alterations caused by medicine: May cause
Leukopenia. May cause false-positive readings when
testing for urinary protein with Ames N-Multistix SG
dipstick test; use sulfosalicylic acid precipitation
procedure.

Zoloft- may cause additive CNS depression effects. Be sure to teach the patient the following about this
medication:
May cause dizziness and drowsiness. Do not take within 2
hrs of antacid.

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this Check after giving
med?
Vital signs, especially BP. Hypersensitivity. Decreased frequency or
Assess location, duration, and Severe agitation or hostility. cessation of Tics.
characteristics of Tics. Severe exacerbation of side effects. Monitor for side effects.
Signs of renal failure. Would contact
PCP.