NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

oxycodone/acetaminophen Percocet opioid analgesics 5 mg PO Q 6 hrs. PRN
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
60-90 min 10-15 min 3-6 hr
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Management of moderate to severe pain. Binds to opiate receptors in Hypersensitivity, cautiously in geri patients
the CNS. Alters the perception of and response to painful stimuli,
while producing generalized CNS depression
Common side effects
Confusion, sedation, constipation, respiratory depression

Interactions with other patient drugs, OTC or herbal medicines (ask
patient specifically)
Other opioids, sedative/hypnotics, kava kava, valerian, chamomile can
increase CNS depression.
Nursing Process- Assessment
(Pre-administration assessment)
Assess type, location, and intensity of pain prior
to and 1 hr (peak) after administration. When
titrating opioid doses, increases of 25-50%
should be administered until there is either a
50% reduction in the patient"s pain rating on a
numerical or visual analog scale or the patient
reports satisfactory pain relief. A repeat dose can
be safely administered at the time of the peak if
previous dose is ineffective and side effects are
minimal
Lab value alterations caused by medicine
May increase plasma amylase and lipase levels
Be sure to teach the patient the following about this medication
May be administered with food or milk to minimize GI
irritation, Instruct patient on how and when to ask for pain
medication, Medication may cause drowsiness or dizziness.
Advise patient to call for assistance when ambulating or
smoking. Caution patient to avoid driving and other activities
requiring alertness until response to medication is known,
Advise patient to make position changes slowly to minimize
orthostatic hypotension, Encourage patient to turn, cough, and
breathe deeply every 2 hr to prevent atelectasis
Assessment Evaluation
Why would you hold or not give this Check after giving
med? If respiratory rate is <10/min, Decrease in severity of pain without a
assess level of sedation. Physical significant alteration in level of
stimulation may be sufficient to consciousness or respiratory status
prevent significant hypoventilation. Assess bowel function routinely. Prevention
Dose may need to be decreased by 25- of constipation should be instituted with
50%. Initial drowsiness will diminish increased intake of fluids and bulk, and
with continued use laxatives to minimize constipating effects.
Stimulant laxatives should be administered
routinely if opioid use exceeds 2-3 days,
unless contraindicated

Why for this patient? Pain related to right hip fracture.