Normal dosage: Moderate to severe pain: Adult: PO 5-10 mg q6h prn; (may titrate up to 10-30 mg q4h prn) Controlled release product: 10 mg q 12h (titrate up). Route: Oral Side Effects: Euphoria, dysphoria, lightheadedness, dizziness, sedation, anorexia, nausea, vomiting, constipation, jaundice, hepatotoxicity, shortness of breath, respiratory depression, pruritus, skin rash, bradycardia, unusual bleeding, dysuria, frequency of urination, urinary retention Nursing Implications: Monitor patient's response closely, Consult provider if nausea continues after first few days of therapy. Note lightheadedness, monitor LFTs and hematologic status periodically in patients on high dosage. Prenatal vitamins Should contain increased amounts of folic acid, iron and calcium when compared to a woman's daily vitamin supplement. Take once a day- in morning or evening. Chewable form may be recommended if vitamin causes nausea. Side effects- nausea and constipation (increased iron) Teach pt. to take vitamin in morning or evening. If pt. becomes nauseated to try taking at night after a light snack. If pt. continues to be nauseated teach pt. to consult w/ doctor as a different form of the vitamin may be better tolerated. If pt. stops taking prenatal vitamin and does not consult with doctor or does not get immediate advice from doctor, pt. should at very least continue taking a folic acid supplement (0.8-1.0 mg).
RhoGAM Generic name: RH Immune Globulin Classification: vaccines/immunizing agents Dosage/Route/Frequency: Following Delivery IM: (Adults) HyperRHO S/D Full Dose, RhoGAM- 1 vial standard dose (300 mcg) within 72 hr. of delivery. Before Delivery IM: (Adults) Hyper RHO S/D Full Dose, RhoGAM- 1 vial standard dose (300 mcg) at 26-28 wk. Action: Prevention of antibody response and hemolytic disease of the newborn (erythroblastosis fetalis) in future pregnancies of women who have conceived a Rho(D)-positive fetus. Side Effects: CNS: dizziness, headache CV: hypertension, hypotension Derm: rash GI: diarrhea, nausea, vomiting GU: acute renal failure Hemat: DISSEMINATED INTRAVASCULAR COAGULATION, INTRAVASCULAR HEMOLYSIS, anemia MS: arthralgia, myalgia Local: pain at injection site Misc.: fever Nursing Implications: Assess vital signs periodically during therapy in patients receiving IV Rho(D) immune globulin. Rubella vaccine Generic/Trade Name: Measles, Mumps, & Rubella Vaccine Classification: Vaccination
Dosage/Route/Frequency for population being served: •0.5 mL subcut, 1 or 2 doses in adults born in 1957 or later with unreliable history •high-risk groups should receive a total of 2 doses given 1 mo apart Action: Prevention for children and adults from all three diseases Side Effects: Mild problems: •Fever •Mild rash •Swelling of the glands in cheeks or neck Moderate problems- •seizures caused by fever •temporary pain and stiffness in joints •temporary low platelet count which can cause a bleeding disorder Severe problems: •serious allergic reaction •deafness •long-term seizures •coma •lowered consciousness Tylenol Generic name: acetaminophen Classification: Nonopioid analgesic
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- Spring '19