NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

ondansetron Zofran antiemetics 3 mg IVP Q 6 hr. PRN
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
15-30 min rapid 4 hr-8 hr Dilute doses for prevention of nausea and vomiting associated
with chemotherapy in 50 ml of D5W, 0.9% NaCl, D5/0.9% NaCl,
D5/0.45% NaCl. Solution is clear and colorless. Stable for 7 days
at room temperature following dilution. Y-Site Incompatibility:
♦acyclovir ♦allopurinol ♦aminophylline ♦amphotericin B ♦
amphotericin B cholesteryl sulfate ♦ampicillin
♦ampicillin/sulbactam ♦cefepime ♦cefoperazone ♦furosemide
♦ganciclovir ♦lorazepam ♦methylprednisolone sodium succinate
♦piperacillin ♦sargramostim ♦sodium bicarbonate
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Prevention of nausea and vomiting Hypersensitivity
Blocks the effects of serotonin at 5-HT3-receptor sites
(selective antagonist) located in vagal nerve terminals and the Common side effects
chemoreceptor trigger zone in the CNS CNS: headache, dizziness, drowsiness, fatigue, weakness,
GI: constipation, diarrhea, abdominal pain, dry mouth, increased
liver enzymes,
Neuro: extrapyramidal reactions
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause transient ↑ in serum bilirubin, AST, and ALT levels
May be affected by drugs altering the activity of liver
enzymes Be sure to teach the patient the following about this
medication
Advise patient to notify health care professional immediately if
involuntary movement of eyes, face, or limbs occurs
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess patient for nausea, vomiting, abdominal med? Assess patient for extrapyramidal Prevention of nausea and
distention, and bowel sounds prior to and effects (involuntary movements, facial vomiting
following administration grimacing, rigidity, shuffling walk,
trembling of hands)