Darvocet N

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Classification Dose Route Time/frequency Propoxyphene/napsylate Name Opioid 1-2 tablets PO Q 4 hr PRN Acetaminophen Darvocet-N analgesics Peak Onset Duration Normal dosage range 2-3hr 15-60min 4-6 hr 100 mg Q 4 hr as needed not to exceed 600 mg/day. Maximum dose for acetaminophen not to exceed 4 g /24 hr from all sources. Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Pain control solutions N/A Mechanism of action and indications (Why med ordered) Binds to opiate receptors in the CNS. Alters the perception of and the response to painful stimuli while producing generalized cns depression

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity. Common side effects Dizziness, weakness,nausea, constipation, vomiting, physical dependence, psychological dependence, tolerance

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increased CNS depression with alcohol, antidepressants and sedative /hypnotics.

Nursing Process- Assessment (Pre-administration assessment) Assess type location and intensity of the pain Assess vitals

Lab value alterations caused by medicine May cause increase serum amylase and lipase levels. May cause increase AST, ALT, serum alkaline phosphatase, LDH and bilirubin concentrations Be sure to teach the patient the following about this medication Take meds as directed, instruct patient on how and when to ask for pain medication. May cause drowsiness and dizziness. Assessment Evaluation Why would you hold or not give this med? Respirations <10/min Hypersensitivity

Check after giving Decrease in severity of pain without a significant alteration in level of consciousness.