NURS 1556 Clinical Medications Worksheets Generic Trade Name Name Aspirin
Classification Antipyretics, nonopioid analgesics
Bayer Aspirin
Dose
Route
Time/frequency
81 mg ec* NO SUCH DOSE OF EC ASA EXSISTS >?Available in 80mg, 165mg, 300mg, 325mg, 500mg, 600mg, 650mg, amd 975mg delayed release tablets.
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
(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, cross-sensitivity with other NSAIDs may exist. Do not crush or chew enteric-coated tablets.
Mechanism of action and indications
Common side effects Tinnitus, GI bleeding, dyspepsia, epigastric distress, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting, anemia, hemolysis, increased bleeding time.
Aspirin only decreases platelet aggregation.
Interactions with other patient Lab value alterations caused by medicine drugs, OTC or herbal medicines Monitor hepatic function, may cause increased serum AST, SLT and alkaline phosphatase (ask patient specifically) Pt on plavix which may increase risk of bleeding when taken with this drug.
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, tarrystool, bruising, or fever lasting longer than 3 days. Avoid alcohol, tablets with a vinegar scent should be discarded, notify physician of regime before surgery.
Nursing Process- Assessment (Pre-administration assessment) Patients with asthma, allergies and nasal polyps are increased risk for hypersensitivity. Assess pain and limitation of movement, assess fever and vital signs
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.