Name/Dose
|
Why does resident receive?
|
Major Side Effects
|
Nursing Implications
|
Lorazepam 0.25 mg, every 8 hours, PRN.
|
Anxiety
|
Anterograde amnesia, drowsiness, sedation, dizziness, weakness, unsteadiness, disorientation,
depression, sleep disturbances, restlessness, confusion, and hallucinations
|
Supervise ambulation of older patients for at least 8 hours after administration
to prevent falling and injury.
|
Premarin-0.625 mg/1 gm cream
|
Vaginal dryness, itching and burning
|
Vaginal discomfort or pain, itching, breast pain, vaginitis
|
Monitor for and report any vaginal bleeding, assess for relief of symptoms
|
Metoprolol XL 25 mg once daily
|
Hypertension
|
Erythematous rash, fever, headache, muscle aches, sore throat, laryngospasm, respiratory
distress, dizziness, bradycardia, fatigue, insomnia, mental depression, Raynaud’s
phenomena, nausea, heartburn, dry mouth and mucous membranes, hypoglycemia, SOA
|
Take apical pulse and BP prior to administration, report significant changes, monitor
I&O, daily weight, auscultate daily for pulmonary rales, withdraw drug if patient
exhibit mental depression, can progress into catatonia.
|
Acetaminophen
-500 mg PRN q 4
|
Pain
|
|
Monitor for s/s of hepatotoxicity.
|
Maalox 30 mL q6 PRN
|
GERD
|
Chalky taste, constipation, diarrhea, increases thirst, stomach cramps
|
Monitor for s/s of allergy, monitor bowel elimination
|
Hydrocodone 5/500 PRN q6, not to exceed 4 gm per 24 hours
|
Pain
|
Dry mouth, constipation, nausea, vomiting, light-headedness, sedation, dizziness,
drowsiness, euphoria, dysphoria
|
Monitor for effectiveness of pan relief, monitor for n/v, especially in ambulatory
patients, monitor respiratory status and bowel elimination
|
Senna 8.6 mg
|
Constipation
|
Strong cramping and griping pains in the abdomen, electrolyte imbalance (loss of
potassium) and loss of body fluids, nausea, rash, swelling of the fingertips, weight
loss, and dark pigmentation in the colon
|
Monitor for effectiveness of bowel relief, monitor for electrolyte imbalances, monitor
for n/v, monitor for rash
|
Furosemide 10 mg
|
Hypertension/Renal Failure
|
Hypotension, dizziness with excessive diuresis, hypovolemia, dehydration, hyponatremia,
hyperglycemia, anemia
|
Monitor BP during periods of diuresis, monitor I&O ratio and pattern, monitor
for dehydration and hypovolemia, monitor glucose, monitor for electrolyte imbalances
|
Ferrous Sulfate 325 mg
|
Anemia
|
Nausea, heartburn, anorexia, constipation, diarrhea, epigastric pain, abdominal
distress, black stools.
|
Monitor HgB and reticulocytevalues during therapy.
Monitor bowel movements.
|
Ibuprofen 400 mg
|
Pain
|
Headache, dizziness, light- headedness, anxiety, emotional lability, fatigue, drowsiness,
confusion, depression, aseptic meningitis, dry mouth, GERD, v/n/d, acute renal failure,
GI bleeding
|
Monitor for effectiveness, periodic Hgb, renal and hepatic function and auditory
and ophthalmic examinations. Monitor
for GI distress and S/s of GI bleeding.
|
Calcium Carbonate
|
Indigestion/hyperphosphatemia
|
Constipation or laxative effect, acid rebound, n/v, flatulence
|
Monitor for bowel functio, determine serum and urine calcium, observe for s/s of
hypercalcemia
|