electrolyte labs, if pregnant consult HCPDuramorphIndication(s)used for pain management during labor through epiduralDosing5mg/dayExpected Reactionsreduce pain from labor contractionsSide Effectsrespiratory depression, constipation, CNS depression, sedation, dizziness, anxiety, and a feeling of floating or disorientation, orthostatic hypotension, pruritusNursing ImplicationsAssess for CNS, respiratory depression, constipation, Teach patient:not to use alcohol or do hazardous activities, report severe CNS or respiratory depressionLomotilIndication(s)exacerbations of functional diarrrheaDosingPO 5mg wid titrated to patient response, max is 8 tablets per day, administer for 48 hours only; if no response it should be discontinuedExpected Reactionsdecreased diarrhea and gastric motilitySide Effectsdizziness, drowsiness, lightheadedness, headache, nausea/vomiting,dry mouth, epigastric distress, constipation, respiratory depressionNursing ImplicationsAssess bowel pattern and for rebound constipation after terminatingdrug, bowel sounds, discontinue after 48 hours, assess for abdominal distention, decreased diarrhea Teach patient: avoid OTC products unless directed by HCP, do not use alcohol or CNS depressants, that product can be habit forming, do not engage in hazardous activities , not to use for more than 48 hours for acute diarrheaReferences44
Adams, M.P. & Urban, C.Q. (2013). Pharmacology Connections to Nursing Practice(2nd ed.). Upper Saddle River: Pearson.Skidmore-Roth, Linda (2015). Mosby’s 2015 Nursing Drug Reference(28th ed.).Vallerand, A., Sanoski, C., & Deglin, J. (2014). Davis's drug guide for nurses(14th ed.). Philadelphia: F. A. Davis. St. Louis: Elsevier. 45
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