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NURS 2516 Clinical Medications Worksheets Generic Name Trade Classification Dose Route Time/frequency Hydrocodone/acetaminophen Name Lortab Opioid 1-2 tabs PO Q 4 hrs PRN 5/500 Peak Onset Duration For IV meds, compatibility with IV drips and 30-60 min 10-30 min 4-6 hrs /or solutions N/A Normal Dosage Range: 2.5-10 mg q 3-6 hr acetaminophen dosage should not exceed 4g/day from all sources. Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindicati
  NURS 2516 Clinical Medications Worksheets Generic NameHydrocodone/acetaminophenTrade NameLortab5/500ClassificationOpioidDose1-2 tabsRoutePOTime/frequencyQ 4 hrs PRNPeak 30-60 minOnset10-30 minDuration4-6 hrsFor IV meds, compatibility with IV drips and/or solutions N/A Normal Dosage Range:2.5-10 mg q 3-6 hr acetaminophen dosageshould not exceed 4g/day from all sources.Mechanism of action and indications(Why med ordered)Bind to opiate receptors in the CNS. Alter the perception of andresponse to painful stimuli while producing generalized CNSdepression. Nursing Implications (what to focus on) Contraindications/warnings/interactionsHypersensitivity to hydrocodone andacetaminophen, Severe hepatic or renaldisease.Common side effectsCNS: confusion, sedation, dysphoria,euphoria, floating, hallucinations, headache,unusual dreams, EENT: blurred vision,diplopia, miosis. RESP: respiratorydepression. CV: hypotension, bradycardia. GI:constipation, nausea, vomiting. GU: urinaryretention. MISC: physical dependence,    psychological dependence, tolerance.Interactions with other patient drugs, OTC or herbal medicines(ask patient specifically)Additive CNS depression with alcohol, antihistamines, andsedative/hypnotics.Lab value alterations caused by medicineMay cause increased plasma amylase andlipase concentrationsBe sure to teach the patient the followingabout this medicationInstruct patient on how and when to ask for  pain medication. Advise patient to call for assistance when ambulating. Change positionsslowly to avoid orthostatic hypotension. Avoidalcohol, may cause drowsiness or dizziness,good oral hygiene, turn cough and breathevery 2 hrs. Nursing Process- Assessment (Pre-administration assessment)Assess Blood pressure, pulse and respirations before and periodically during administration. Assess type, locationand intensity of pain prior to and 1 hour followingadministration. Assess bowel function. Assessment Why would you hold or notgive this med?Respiration less than 12/minPulse less than 60beats/min Evaluation Check  after givingAsses level of pain 1hr after administrationof medication. AssessBlood pressure, pulse,respirations, bowelfunction.
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