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Med Analysis


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Nothing MEDICATION ANALYSIS Patient Medication Medication from List Date and Specific Order:10/26/15 Hydromorphone 1mg IVP q 3hours PRN | Generic/Trade Name :hydromorphone/Dilaudid | Classification(s): narcotic, analgesic | Usual Dosage/Administration Protocol:(based on rationale for use) 0.2-1 mg q 2-3 hours | Action: Potent opiate receptor agonist that does not alter pain threshold but changes the perception of pain in the CNS. | Specific Rationale for Use in this Patient: bone and tissue pain due to trauma and surgery | |
At bottom of page: Add additional information in different color ink. Include pt. info, date, and dosage, specific implications related to why med ordered for. pt.

Major Side Effects | Based on pharmacokinetics, side effects, and patient-specific data, explain the nursing implications related to care of this patient (assessments, interventions, lab data to monitor, effect on maternal/fetal status/labor pattern, patient teaching, overdose management etc.) | GI: Nausea, vomiting, constipationCNS: Euphoria, dizziness, sedation,DrowsinessCV: Hypotension, bradycardia or tachycardiaResp: Respiratory depressionSpecial: blurred vision | Obtain baseline respiratory rate, rhythm, and depth.R 16 eupnea, evenNote the size of pupils 3 bilateralMonitor VS regularlyBP 116/60 T36.8 P 85Assess effectiveness of pain relief 30 min after administrationPain decreased from 4/10 to 2/10Monitor bowel patternBS active x4, last BM 10/25Onset of drug 15 minsTeaching:Teach patient to ask for medication at the onset of pain, do not wait till the pain is severe.Teach pt. to sit on the side of the bed for a moment before standing, due to possible hypotension and dizziness.Teach patient that this medication causes drowsiness and do not drink alcohol or operate equipment while taking this drug.

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