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 laxatives
magnesium mineral and elct. 30 ml PO Q8hr
hydroxide Milk of Magnesia replacement/
supplement
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
unknown 3-6 hr unknown
Why is your patient taking this medication?

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

Treatment/prevention of hypomagnesemia; as laxative Contraindications/warnings/interactions hypermagnesemia;
bowel evacuant in preparation for surgical/radiographic hypocalcemia; anuria; heart block; any degree of renal insufficiency.
procedures. Can be used as an antacid

Replacement in deficiency states.

Evacuation of the colon Common side effects
diarrhea; flushing; sweating

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
fluoroquinolones; nitrofuratoin; tetracyclines;
penicillamine
Be sure to teach the patient the following about this medication
report gastric bleeding (black tarry stools; coffee-ground emesis)
Laxatives are short-term therapy
increase bulk in the diet

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment)
Vital Signs
abdominal distention; presence of bowel sounds
acolor, consistency, and amount of stool produced
heartburn and indigestion
administer after meals and at bedtime
Why would you hold or not give Check after giving
this med?
Relief of gastric pain and irritation
Passage of soft, formed bowel movement
usually within 3-6 hour