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NURS 2516 Clinical Medications Worksheets

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

Generic Trade Classification Dose Route Time/frequency

Name Name opioid 25 mcg/hr patch Change q 72 hrs
Fentanyl Duragesic analgesics
citrate
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
12-22hr 6 hrs 72hr N/A
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Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Binds to opiate receptors in the CNS, Contraindicated in:
altering the response to and perception of
pain H
Pain yper
sensi
tivity
to
fenta
nyl
or
adhe
sives

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Interactions with other patient drugs, OTC Lab value alterations caused by medicine
or herbal medicines (ask patient specifically) May ↑ plasma amylase and lipase levels
None for this patient
Be sure to teach the patient the following about this medication

I
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Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess type, location, and intensity med? Decrease in severity of pain
of pain before and 24 hr after Patient not in pain. Respiratory rate < without a significant
application and periodically during 10/min. alteration in level of
therapy. Monitor pain frequently consciousness, respiratory
during initiation of therapy and status, or blood pressure
dose changes to assess need for
supplementary analgesics for
breakthrough pain. Assess blood
pressure, pulse, and respirations
before and periodically during
administration. If respiratory rate is
<10/min, assess level of sedation.
Physical stimulation may be
sufficient to prevent significant
hypoventilation. Dose may need to
be decreased by 25-50%. Initial
drowsiness will diminish with
continued use. Assess bowel
function routinely. Prevent
constipation with increased intake
of fluids and bulk, and laxatives to
minimize constipating effects.
Administer stimulant laxatives
routinely if opioid use exceeds 2-3
days, unless contraindicated