Children 212 years old 40 mg 4 times a day, Children under 2 20 mg 4 times daily Usual dose: 20125 mg per dose Mode of administration: PO, chew tabs, liquid Nursing implications:Assess patient for abdominal pain, distention, and bowel sounds prior to and periodically throughout course of therapy. Frequency of belching and passage of flatus should be assessed
Generic: Ketorolac Trade: Toradol Class: NSAID, non opioid agent, pyrrolizine carboxylic acid Indications: Short term management of pain Action: Inhibits prostaglandin synthesis, producing peripherally mediated analgesic. Also has antipyretic and antiinflammatory properties. Decreases pain Contraindications & Precautions: Hypersensitivity, cross sensitivity with other NSAIDS may exist. Known alcohol intolerance (injection only), perioperative pain from coronary artery bypass graft surgery. Side effects: drowsiness, abnormal thinking, dizziness, euphoria, headache, asthma, dyspnea, edema, pallor, vasodilation, myocardial infarction, GI Bleeding, StevensJohnson syndrome, toxic epidermal necrolysis Range of Dose: Adults under 65, 20 mg initially, followed by 10mg every 46 hours not exceeding 40 mg/ day Usual dose: Adults PO 1015 mg every 46 hours PO, IM 30 mg every 6 hours Mode of administration: PO, IM, IV, IV compatible with D5N5, D5W, Ringer's injection, NS. Nursing implications: Assess pain, evaluate LFT’s, especially AST and ALT may cause prolonged bleeding time, may cause increased BUN or K concentration. Generic: Calfactant Trade: Infasurf Class: Surfactant intratracheal suspension Action: Endogenous surfactant modities alveolar surface tension, thereby stabilizing the alveoli which makes it essential for effective ventilation. Restores surface activity to the lungs of premature infants who have RDS caused by a deficiency of lung surfactant. Contraindications & Precautions: Is not a therapy used for neonatal intensive care. Optimal care for premature infants with RDS who need ET intubation. Side effects: Aprea, intracranial hemorrhage, sepsis, pulmonary air leaks, pulmonary hemorrhage, cyanosis, bradycardia Range of Dose: 3 mL/Kg body weight at birth. Has been given every 12 hours for a total of up to 3 doses Usual dose: 3mL/ Kg Mode of administration: For intratracheal administration only, suspension drawn into syringe Nursing implications: monitor closely during and after administration, adjust amounts of oxygen therapy and vent pressure. Generic: Ferrous Sulfate Trade: Feratab, FerIron Class: antianemic, iron supplement Indications: Prevention/ treatment of irondeficiency anemia Action: An essential mineral found in hemoglobin, myoglobin, and many enzymes. Parenteral iron enters the bloodstream and organs of the reticuloendothelial system (liver, spleen, bone marrow) where iron is separated out and becomes part of iron stores Contraindications & Precautions: primary hemochromatosis, hemolytic anemias and other anemias not due to iron deficiency. Some products contain alcohol, tartrazine, or sulfites and should be avoided in patients with known intolerance or hypersensitivity
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- Fall '13
- Headache, Nursing Implications, Usual Dose