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This document provides information about the generic and trade names, classification, dosing, administration route, and timing for the medication promethazine (Phenergan). It is an antiemetic given intravenously every 4 hours as needed for nausea and vomiting. Common side effects include sedation, confusion, and dry mouth. Nurses should monitor for interactions with other medications and potential alterations in lab values from the drug.
This document provides information about the generic and trade names, classification, dosing, administration route, and timing for the medication promethazine (Phenergan). It is an antiemetic given intravenously every 4 hours as needed for nausea and vomiting. Common side effects include sedation, confusion, and dry mouth. Nurses should monitor for interactions with other medications and potential alterations in lab values from the drug.
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This document provides information about the generic and trade names, classification, dosing, administration route, and timing for the medication promethazine (Phenergan). It is an antiemetic given intravenously every 4 hours as needed for nausea and vomiting. Common side effects include sedation, confusion, and dry mouth. Nurses should monitor for interactions with other medications and potential alterations in lab values from the drug.
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato DOC, PDF, TXT o leggi online su Scribd
Generic Name Trade Name Classification Dose Route Time/frequency promethazine Phenergan antiemetics 12.5-25mg IVP Q 4 hrs PRN Peak Onset Duration Normal dosage range unknown 3-5 min 4-12 hr 10-25mg q 4hr PRN Rate: Administer each 25 mg slowly, over at least 1 min Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Prevention of nausea/vomiting solutions No compatibility issues with medications/fluids for this patient Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Blocks the effects of histamine, has inhibitory Hypersensitivity, Geri: Appears on Beers list. Geriatric patients effect of the chemoreceptor trigger zone in the are sensitive to anticholinergic effects and have increased risk for side medulla, resulting in antiemetic properties. Alters effects the effects of dopamine in the CNS. Possesses Common side effects significant anticholinergic activity. Produces confusion, disorientation, sedation CNS depression by indirectly decreased stimulation of the CNS reticular system. Interactions with other patient drugs, OTC or Lab value alterations caused by medicine herbal medicines (ask patient specifically) Blood dyscrasias may occur (monitor CBC), may cause Additive CNS depression with other CNS depressants, increased serum glucose. including opioid analgesics (lortab, fentanyl) , and other Be sure to teach the patient the following about this sedative/hypnotics (lorazapam) medication Advise patient to change positions slowly to minimize orthostatic hypotension Advise patient that frequent mouth rinses, good oral hygiene, and sugarless gum or candy may decrease dry mouth. Health care professional should be notified if dry mouth persists >2 wk Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Monitor blood pressure, pulse, and RR med? Relief from nausea and vomiting frequently. Assess for level of Hypersensitivity, no nausea/vomiting, nausea/vomiting extrapyramidal side effects (restlessness; dystonia--muscle spasms and twisting motions; pseudoparkinsonism--mask-like face, rigidity, tremors, drooling, shuffling gait, dysphagia). Geri:Assess for adverse anticholinergic effects (delirium, acute confusion, dizziness, dry mouth, blurred vision, tachycardia)