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

Ondansetron Zofran Antiemetics, 5-HT3 4 mg IV INJ Q6H PRN for Nausea
antagonist
Peak Onset Duration Normal dosage range
15-30 min Rapid 4-8 hr 0.15 mg/kg
or 32 mg single dose

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Prevention and treatment of postoperative n/v. Administer undiluted postop if n/v occur shortly after surgery.
Administer over at least 30 sec and preferably over 2-5 min

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Blocks the effects of serotonin at 5-ht receptor sites located in Hypersensitivity. Use cautiously in liver impairment; abdominal
vagal nerve terminals and the chemoreceptor trigger zone in the surgery.
CNS. Decreases incidence and severity of nausea and vomiting
Common side effects
Headache, constipation, diarrhea

Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
(ask patient specifically) May cause transient increase in serum bilirubin, AST, and ALT
May be affected by drugs altering the activity of liver enzymes. levels.
Be sure to teach the patient the following about this medication
Take as directed. Advise patient to notify health care professional
immediately if involuntary movement of eyes, face, or limbs
occur
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this med? Check after giving
Assess for nausea, vomiting, abdominal distention, Patient reports that nausea has resolved and Improvement of postoperative
and bowel sounds prior to and following they are no longer vomiting. n/v due to radiation therapy.
administration. Assess patient for extrapyramidal
effects periodically