NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

ketorolac toradol nonsteroidal anti- 15mg IV 1000, 1600, 2200, 0400; q 6hr
inflammatory
agents, nonopioid
analgesics
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-2 hr 10 min 6 hr or Administer undiluted
longer
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Inhibits prostaglandin synthesis, producing peripherally Concurrent use with aspirin may ↓ effectiveness, ↑ adverse
mediated analgesia, Also has antipyretic and anti- GI effects with aspirin , other NSAIDs , potassium
inflammatory properties. supplements , corticosteroids , or alcohol, Chronic use with
Anti-inflammatory, pain relief acetaminophen may ↑ risk of adverse renal reactions, ↑
bleeding risk with arnica, chamomile, clove, dong quai,
feverfew, garlic, ginger, ginkgo, Panax ginseng
Common side effects
Drowsiness, GI BLEEDING, EXFOLIATIVE
DERMATITIS, STEVENS-JOHNSON SYNDROME,
TOXIC EPIDERMAL NECROLYSIS, anaphylaxis

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Chronic use with acetaminophen may ↑ risk of adverse
renal reactions
Lab value alterations caused by medicine
Evaluate liver function tests, especially AST and ALT,
periodically in patients receiving prolonged therapy. May
cause ↑ levels
○ May cause prolonged bleeding time that may persist for
24-48 hr following discontinuation of therapy
○ May cause ↑ BUN, serum creatinine, or potassium
concentrations

Be sure to teach the patient the following about this

medication
Instruct patient on how and when to ask for pain medication,
Instruct patient to take medication exactly as directed. Take
missed doses as soon as remembered if not almost time for
next dose. Do not double doses, May cause drowsiness or
dizziness. Advise patient to avoid driving or other activities
requiring alertness until response to the medication is known,
Caution patient to avoid the concurrent use of alcohol,
aspirin, NSAIDs, acetaminophen, or other OTC medications
without consulting health care professional, Advise patient to
inform health care professional of medication regimen prior
to treatment or surgery,
Advise patient to consult health care professional if rash,
 itching, visual disturbances, tinnitus, weight gain, edema,
black stools, persistent headache, or influenza-like syndrome
(chills, fever, muscle aches, pain) occurs

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this Check after giving
Patients who have asthma, aspirin-induced med? Decrease in severity of pain.
allergy, and nasal polyps are at increased risk Occurrence of unwanted or dangerous Patients who do not respond to
for developing hypersensitivity reactions. side effects one NSAID may respond to
Assess for rhinitis, asthma, and urticaria, another
Assess pain (note type, location, and
intensity) prior to and 1-2 hr following
administration