Lortab

NURS 2516 Clinical Medications Worksheets Generic Name Trade Classification Dose Route Time/frequency Hydrocodone/acetaminophen Name Lortab Opioid 1-2 tabs PO Q 4 hrs PRN 5/500 Peak Onset Duration For IV meds, compatibility with IV drips and 30-60 min 10-30 min 4-6 hrs /or solutions N/A Normal Dosage Range: 2.5-10 mg q 3-6 hr acetaminophen dosage should not exceed 4g/day from all sources. Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Bind to opiate receptors in the CNS. Alter the perception of and Hypersensitivity to hydrocodone and response to painful stimuli while producing generalized CNS acetaminophen, Severe hepatic or renal depression. disease. Common side effects CNS: confusion, sedation, dysphoria, euphoria, floating, hallucinations, headache, unusual dreams, EENT: blurred vision, diplopia, miosis. RESP: respiratory depression. CV: hypotension, bradycardia. GI: constipation, nausea, vomiting. GU: urinary retention. MISC: physical dependence, psychological dependence, tolerance. Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine (ask patient specifically) May cause increased plasma amylase and Additive CNS depression with alcohol, antihistamines, and lipase concentrations sedative/hypnotics. Be sure to teach the patient the following about this medication Instruct patient on how and when to ask for pain medication. Advise patient to call for assistance when ambulating. Change positions slowly to avoid orthostatic hypotension. Avoid alcohol, may cause drowsiness or dizziness, good oral hygiene, turn cough and breath every 2 hrs. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not Check after giving Assess Blood pressure, pulse and respirations before and give this med? Asses level of pain 1 periodically during administration. Assess type, location Respiration less than 12/min hr after administration and intensity of pain prior to and 1 hour following Pulse less than 60beats/min of medication. Assess administration. Assess bowel function. Blood pressure, pulse, respirations, bowel function.