INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

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

Generic Trade Classification Dose Route Time/Frequency
Name Name antipyretics 1-1.3 g PO daily (2-4 divided doses) TIA
aspirin nonopioid 325mg daily (TIA)
acetylsalicylic acid analgesics 300-325mg daily (MI)
80mg daily (MI)
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
1-3 hr 5-30 min 3-6 hr
Why is your patient taking this medication?

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

Inflammatory disorders including: Rheumatoid
arthritis, osteoarthritis, mild to moderate pain, Fever.
Prophylaxis of transient ischemic attacks and MI
Decreased platelet aggregation.
Analgesia, reduction of inflammation, reduction of fever,
decreased incidence of transient ischemic attacks and MI
Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
warfarin, heparin, heparin-like agents, thrombolytic agents,
ticlopidine, clopidogrel, tirofiban, eptifibatide, Ibuprofen,
cefoperazone, cefotetan, valproic acid, penicillins,
phenytoin, methotrexate, oral hypoglycemic agents,
sulfonamides, probenecid, sulfinpyrazone, corticosteroids,
urinary acidification, alkalinization of the urine,
antacids, diuretics, antihypertensives, NSAID's, vancomycin
Contraindications/warnings/interactions Hypersensitivity, cross-sensitivity
with other NSAID's, bleeding disorders, thrombocytopenia, peri-operative pain
from coronary artery bypass graft surgery. May increase risk of cardiovascular
disease. Chronic alcohol use/abuse. Severe renal disease. Severe hepatic
disease. Pregnancy and lactation.
Common side effects Hearing loss, tinnitus, GI bleeding, dyspepsia, epigastric
distress, heartburn, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting
Exfoliative dermatitis, Stevens-Johnson syndrome, Toxic epidermal necrolysis.
anemia, hemolysis, increased bleeding time. Allergic reactions including
anaphylaxis and laryngeal edema. Noncardiogenic pulmonary edema.
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Take after meals, report tinnitus, unusual bleeding of gums, bruising, black
tarry stools, fever longer than 3 days. Avoid use with alcohol, withhold use of
aspirin for 1 wk before surgery. Take only as prescribed, increasing the dose
has not been found to provide additional benefits for TIA's and MI's.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment Why would you hold or not give Check after giving
Assess pain and limitation of movement. this med? Relief of mild to moderate discomfort
Assess fever and note associated signs of Onset of tinnitus, headache, hyperventilation Increased ease of joint movement.
diaphoresis, tachycardia, malaise, and chills agitation, mental confusion, lethargy, Reducation of fever
Vital Signs diarrhea, and sweating Prevention of TIA's
Prevention of MI