Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES EFFECTS
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS PREGANCY FETUS NURSING CONSIDERATIONS
CLASSIFICATION RANGE INTERACTIONS AND/OR NEONATE
(PHARM) AND (include therapeutic dose
PREGNANCY calculation)
CATEGORY
Relief of moderate/severe pain. IV/IM Adult Preop- Use in narcotic- CNS- sedation, Widely disturbuted Hx opioid hypersensitivity.
Butorphanol tartrate Peak analgesic activity in 30-60m 2mg IM 60-90m before dependent patients euphoria, and crossing Respirations-do not administer if
(Stadol) (IM/IV) & 1-2hr (spray). Preop surgery. can produce hallucinations, placenta, enters <12/m. Administer IM and check
medication and as a supplement to Adult Pain- 2MG IM q withdrawal dizziness, vertigo, breast milk. compatibility chart for mixing
balanced anesthesia. Analgesic 3-4h or 1mg IV q 3-4h. symptoms. Use with headache. CV- Neonates 52% preop IM preparations. IM inject
Preg. Cat. C mechanism not determined, For severe pain 4mg IM CNS depressant palpitations, BP protein binding deep into muscle, rotate sites. IV
possible site of activity of 2mg or 2mg IV may be produces additive changes, blurred occurs, Infants 3-18 dilute and administer slowly. Do
Pharmacology for approximately equivalent to 10- required. effects. This drug has vision. GI-vomiting, months 85% protein not administer SC. Have narcotic
Nsg Care Page 270 15mg morphine, narcotic Adult Balanced low potential for dry mouth, rash, binding occurs antagonist/support measures
antagonist activity equivalent to anesthesia- Usual abuse and toxicity hives,. Respiratory (Caution with available. Administer before
Mosby’s Drug Nsg 1/40 that of naloxone. incremental dose 0.5- can be reversed by depression. Breastfeeding patient is in intense pain. Avoid
Card 39 Analgesic mechanism not 1mg IV naloxone. Autonomic responses mothers due to small administration in patients with
determined, possible site of activity Adult nasal spray- (clammy sweating, amount of drug in suspected head injury. Avoid
may be subcortical areas of brain. 1mg (1 spray) in one flushing/warmth, the mild.) abrupt withdrawal. Avoid
Action similar to those of nostril. Repeat in 60- sensitivity to cold). light/freezing in storage. Monitor
pentazocine. Antagonist at kappa 90m respirations, circulatory status,
receptors and an antagonist at mu bowel movement, abdominal
receptors. Analgesic effects are less distention, renal status, urinary
than those of morphine. retention. Maintain positive power
Butophanol increases cardiac work of suggestion, safety precautions
and should not be given to patients (orthostasis, sedation, dizziness).
with myocardial infarction. Keep bedside rails up when non
ambulatory. Turn, cough, deep
breathe after surgery. Constipation
may occur, increase fluid, bulk-
containing foods.

PHARM