Lortab

NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Hydrocodone/ Lortab acetaminophe n Peak 30-60 min

Onset 10-30 min

Classification Dose Route Time/frequency allergy, cold, 7.5 mg 1-2 PO Q 4 hr PRN cough, opioid tabs analgesic/nonopio id combination Duration For IV meds, compatibility with IV drips and /or 4-6 hrs solutions

Mechanism of action and indications (Why med ordered) Bind to opiate receptors in the CNS. Alter the perception of and response to painful stimuli while producing generalized CNS depression. For pain.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity to hydrocodone and acetaminophen, Severe hepatic or renal disease. Common side effects – confusion, dizziness, sedation, hypotension, constipation, dyspepsia, nausea

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) - Additive CNS depression with alcohol, antihistamines, and sedative/hypnotics.

Lab value alterations caused by medicine - May cause increased plasma amylase and lipase concentrations

Nursing Process- Assessment (Preadministration assessment) - Assess Blood pressure, pulse and respirations before and periodically during administration. Assess type, location and intensity of pain prior to and 1 hour following administration. Assess bowel function.

Be sure to teach the patient the following about this medication - Instruct patient on how and when to ask for pain medication. Change positions slowly to avoid orthostatic hypotension. Avoid alcohol, may cause drowsiness or dizziness, good oral hygiene, turn cough and breath every 2 hrs. Assessment Evaluation Check after Why would you hold or not give this giving - Asses level of pain med? - Respiration less than 12/min 1 hr after administration of Pulse less than 60beats/min medication. Assess Blood pressure, pulse, respirations, bowel function.