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NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name gabapentin

Trade Name Neurontin

Peak

Onset

2-4 hr

rapid

Classification Dose Route Time/frequency Analgesic adjuncts, 400 mg Po TID anticonvulsants Duration Normal dosage range 8 hr 900-1800mg daily in three divided doses

Why is your patient getting this medication Not sure

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

Mechanism of action and indications (Why med ordered)

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

Mechanism of action is not known. May affect transport of amino acids across and stabilize neuronal membranes. Postherpetic neuralgia, chronic pain, prevention of migraines.

Hypersensitivity

Common side effects confusion, depression, drowsiness, ataxia

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Lab value alterations caused by medicine May cause false-positive readings when testing for urinary protein with Ames N-Multistix SG dipstick test; use sulfosalicylic acid precipitation procedure. May cause leukopenia.

Be sure to teach the patient the following about this medication Instruct patient to take medication exactly as directed. Take missed doses as soon as possible; if less than 2 hr until next dose, take dose immediately and take next dose 1-2 hr later, then resume regular dosing schedule. Do not double doses. Advise patient not to take gabapentin within 2 hr of an antacid. Gabapentin may cause dizziness and drowsiness. Caution patient to avoid driving or activities requiring alertness until response to medication is known. Instruct patient to notify health care professional of medication regimen before treatment or surgery. Advise patient to carry identification describing disease process and medication regimen at all times

Nursing Process- Assessment (Pre-administration assessment)

Assessment Why would you hold or not give this med?

Assess location, characteristics, and intensity of pain periodically during therapy

before treatment or surgery

Evaluation Check after giving Decreased intensity of pain