Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

promethazine Phenergan antiemetics 12.5mg IV Q 2 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 effect Hypersensitivity
of the chemoreceptor trigger zone in the medulla, Common side effects
resulting in antiemetic properties. Alters the effects Neuroleptic malignant syndrome, confusion, disorientation,
of dopamine in the CNS. Possesses significant sedation
anticholinergic activity. Produces 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
None known for this patient increased serum glucose.
Be sure to teach the patient the following about this
medication

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment)
Monitor blood pressure, pulse, and RR
frequently. Assess for level of
nausea/vomiting
Why would you hold or not give this Check after giving
med? Assess for level of sedation
Hypersensitivity, no nausea/vomiting and respiratory depression.
Assess for level of
nausea/vomiting.