Medications Chart Master List

Clinical Research of Medications
Reference: Mosby’s 2013 Nursing Drug reference
Drug Name
Generic and Trade
Classification and Indication for Use
Route, Dose Frequency
Both ordered and recommended
Drug Action
Side Effects
Nursing Implications
Assessment to be done

Morphine
Page 822-824

Opioid analgesic
Recommended Subcut/IM- 5-10mg q4hr
PO- 10-30mg q4hr prn

Depresses pain impulse transmission at the spinal cord level by interacting with opioid receptors
Drowsiness
Dizziness
Confusion
Head aches
Seizures
Bradycardia
Nausea
Vomiting
Respiratory depression
Respiratory arrest
Apnea
Pain- location, type, character, give dose before pain becomes severe

Bowel status- constipation commonly use laxative if needed

Safety: side rails up, night- light, call bell in reach

Gradual withdrawal after long-term use

Teach patient and family to report change in CNS and allergic reactions
Tylenol #3
Looked at as the three separate components
Codeine- Page 324-326
Acetaminophen- Page 62-64
Caffeine
Acetaminophen: Nonopiod analgesic

Use: mild to moderate pain or fever

Codeine: opiate analgesic

Use: Moderate to severe pain

Caffeine: used to counteract the sedative of the codeine.

Recommended
Codeine- 30mg
Acetaminophen- 325mg
Caffeine – 8 mg
PO/IM/SUBCUT
Acetaminophen: may block pain impulses peripherally. Does not possess anti-inflammatory properties

Codeine: depresses pain impulses at the spinal cord. Decreases cough reflex and GI motility
Acetaminophen:
Drowsiness
Nausea
Vomiting
GI bleeding
Renal Failure
Leukopenia
Neutropenia
Hemolytic Anemia
Thrombocytopenia
Rash
Hypersensitivity
Cyanosis
Anemia
Jaundice
CNS Stimulation
Delirium
Vascular collapse
Seizures
Coma
Death

Codeine: Sedation
Lethargy
Restlessness
Hallucinations
Bradycardia
Hypotension
Tachycardia
Circulatory collapse
Dry mouth
Urine retention
Respiratory depression
Respiratory paralysis
Dyspnea

Acetaminophen:
Assess: Renal studies (BUN, urine creatinine,