Nicoderm Cq

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Nicotine Peak 2-4 hours

Trade Name Nicoderm CQ Onset Rapid

Classification Dose Route Time/frequency Smoking 14 mg Topical Q day detterent Duration Normal dosage range Unknown 14 mg/day for 6 wk, then 7 mg/day for 2 wk

Why is your patient getting this medication She is in the hospital and can’t smoke

For IV meds, compatibility with IV drips and/or solutions n/a

Mechanism of action and indications (Why med ordered) Provides a source of nicotine during controlled withdrawl from cigarette smoking. Indicated as adjunct therapy for smoking cessation

Nursing Implications (what to focus on) Contraindications/warnings/interactions .Use cautiously with diabetes mellitus

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

Lab value alterations caused by medicine Insulin requirements may decrease during smoking cessation.

Common side effects Burning at patch site, erythema, pruritis

Be sure to teach the patient the following about this medication Encourage the patient to participate in a smoking cessation program. Apply patch at same time each day to clean, dry skin. Wash hands with plain water after administration as soap increases absorption. Do not trim or cut patch. Dispose of used patch by folding adhesive sides together and replace in foil pouch. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving assess for smoking history and for signs of med? Smoking cessation and nicotine withdrawal including irritability If there are signs of nicotine toxicity decreased withdrawal drowsiness, fatigue, and craving. such as nausea vomiting diarrhea, symptoms. increased salivation, abdominal pain, headache, dizziness, auditory and visual disturbances, weakness, dyspnea, hypotention, and irregular pulse.