Drug Aspirin

NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Aspirin

Trade Name Bayer Aspirin

Classification Antipyretics, nonopioid analgesics

Dose

Route

Time/frequency

81 mg

PO

Every day

Peak

Onset

Duration

For IV meds, compatibility with IV drips and /or solutions

1 to 3 hours

5 to 30 minutes

3 to 6 hours

N/A

Mechanism of action and indications (Why med ordered)

Nursing Implications (what to focus on) Contraindications/warnings/interactions

Inflammatory disorders including: Rheumatoid Arthritis, Osteoarthritis. Mild to moderate pain. Fever, Prophylaxis of transient ischemic attacks and MI

Hypersensitivity to aspirin, tartrazine, or other slicylates, cross-sensitivity with other NSAIDs may exist.

Aspirin only decreases platelet aggregation.

Common side effects Tinnitus, GI bleeding, dyspepsia, epigastric distress, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting, anemia, hemolysis, increased bleeding time.

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) May increase risk of bleeding with clopidogrel (plavix), increased risk of GI irritation with NSAIDs- ibuprofen OTC=arnica,chamomile, clove, feverfew, garlic, ginger, ginkgo, Panax ginseng and some others. Lasix, metoprolol

Nursing Process- Assessment (Pre-administration assessment) Patients with asthma, allergies and nasal polyps or who are allergic to tartrazine are increased risk for hypersensitivity. Assess pain and limitation of movement, assess fever. Vital signs

Lab value alterations caused by medicine Monitor hepatic function, may cause increased serum AST, SLT and alkaline phosphatase

Be sure to teach the patient the following about this medication Take with a full glass of water and remain upright for 15 to 30 minutes afterward. Report tinnitus, bleeding gums, black, tarry stool, bruising, or fever lasting longer than 3 days. Avoid alcohol, tablets with a vinegar scent should be discarded, notify physician of regime before surgery.

Assessment Why would you hold or not give this med? Surgical procedures or allergies.

Evaluation Check after giving Assess pain, monitor serum salicylate levels periodically, may cause prolonged bleeding time for 4 to 7 days.