Drug Darvocet N

NURS 1556 Clinical Medications Worksheets Generic Name Trade Name Classification Dose Route Time/frequency Propoxyphene/Napsylate/apap Darvacet N Opiod analgesic 100 mg PO PRN Peak Onset Duration For IV meds, compatibility with IV drips and /or 2-3 hours 15-60 Min 4-6 hours solutions N/A (Why med ordered) Mild to moderate pain Mechanism of action and indications It binds to opiate receptors in the CNS. Narcan is the antidote for toxicity Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increased CNS depression when used with another depression medication.

Nursing Process- Assessment (Pre-administration assessment) Assess degree of pain “0/10” Assess location, Type of pain, BP, respirations and pulse to make sure that they are within normal levels. Assess Pt closely for fall risk.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, Appears on Beer’s list, elderly or debilitated patients require reduced dosages, Common side effects Dizziness, weakness, insomnia, blurred vision, hypotension, constipation, nausea, abdominal pain, rashes. Lab value alterations caused by medicine May increase Lipase, serum levels. May increase AST, ALT, serum alkaline phospatase LDH and bilrubin. Which according to recent lab testing the ALT is slightly low, and the alkaline phos: Is slightly higher than normal values. Be sure to teach the patient the following about this medication Caution Pt for increase in risk for potential with falls. Advise patient to move slowly to prevent orthostatic hypotension. Advise patient to good oral hygiene to help decrease dry mouth Assessment Evaluation Why would you hold or not Check after giving give this med? Hold drug if the Resp < 12 Pulse Continue to monitor vital < 60, systolic BP < 100. If no signs and bowel function. pain... no need drug