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
ropinirole Requip Antiparkinson 1mg PO qhs

Peak Onset Duration Normal Dosage range

UNK UNK 8 hr 1mg qday
up to 4mg/day
Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions

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

Management of signs and symptoms of idiopathic
Parkinson's disease. Restless legs syndrome
Stimulates dopamine receptors in the brain.
Decreased tremor and rigidity in Parkinson's disease.
Decreased leg restlessness
Contraindications/warnings/interactions Hypersensitivity; increased risk of
hallucinations in patients; hepatic impairment; severe cardivascular disease;
Pregnancy, lactation, or children
Common side effects Sleep attacks, dizziness; syncope; confusion;
drowsiness; fatigue; hallucinations; headache; increased dyskinesia; weakness;
abnormal vision; orthostatic hypotension; peripheral edema; constipation; dry
mouth; dyspepsia; nausea; vomiting; increased sweating.

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
estrogens; phenothiazines; butyrophenones; thioxanthenes;
metoclopramide; levodopa.
Lab value alterations caused by medicine
May increase BUN
Be sure to teach the patient the following about this medication
Change positions slowly to minimize orthostatic hypotension. May cause
drowsiness and unexpected episodes of falling asleep. Caution while driving.
Avoid alcohol and other CNS depressants. Increase fluids, sugarless gum or candy,
ice, or saliva substitutes may help minimize dry mouth.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment Why would you hold or not give Check after giving
this med?
Blood pressure Drowsiness; dizziness; syncope Decreased tremor and rigidity
Decrease in restless lengs and improved
sleep.