Medication Information Sheet+Wk 7

8/2/2019 Medication Information Sheet+Wk 7

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Medication Information Sheet

Tizanidine(Zanaflex)

Centrally acting

antispasticity

agent, adrenergic

PO 4 mg every

6 hours, or 24

mg day divided

into 3 doses.

(NOT TO

EXCEED 36

MG IN A 24

HR. PERIOD)

Hypersensitivity,

hypotension, anxiety,

sedation, depression,

rash, skin ulcers, back

pain, myasthenia,

paresthesia, dizziness,

dry mouth, weakness,

bradycardia

Liver function

tests (prior to and

after 1 month, 3

& 6 months)

glucose levels,

AST & ALT

levels, Alkaline

phophatase levels

Allergies, pulse, blood

pressure, level of

consciousness, respiratory

status, astenia

Muscle spasms or

cramps, pain relief and

pain prevention

Decrease in pain

rating on a scale

of 0-10, (Hers was

currently rated at

8, so any rating

less than an 8)

Less musclecramps.

Diltiazem

(Cardizem,

Tiamate, Tiazac,

Dilacor XR,XT)

Antianginal,

antiarrhythmic,

antihypertensive,Calcium Channel

Blocker

PO 30-360

mg per day, IV

0.25- 0.35 mg

/kg followed by

1-15 mg/hr for

up to 24 hours.

Arrhythmias, CHF,

edema, anxiety, muscle

cramps, epistaxis,

blurred vision, anemia

leucopenia, Steven

Johnsons Syndrome,

dizziness, abn. liverfunction test, syncope,

tachycardia

Serum Calcium

levels, serum

potassium level,

renal and hepatic

function.

Allergies, Blood pressure

pulse, signs of CHF, ECG,

lung sounds, dyspnea,

bradycardia, JVD, angina

Hypertension A decrease in

Blood pressure to

124/82

Drug Name(Generic andProprietaryName) &Classification

Usual Dose/Routes ofAdministration

What kind ofadversereactions(include LIFETHREATENINGand mostfrequent?

Labs TestConsiderations?

What do you needto do/know beforeadministering med?(assessment andhow to implement)

Why is mypatient on thismedication?(indication, butspecific for yourpatient)

Evaluation ofEffectiveness:How do I

know this

medication isworking?

Clonidine

(Duraclon,

Catapres)

Antihypertensive

Adrenergic

PO 0.1 0.6 mg

BID TID up to

0.8 mg total qd;

Transdermal

0.1 0.3 mg q

7days; Epidural

30 mcg /hr then

titrated

Hypersensitivities, GI

Bleeding, neutropenia,

fatigue, thrombotic

thrombocytopenic

purpura,

hypercholesterolemia,

dyspnea, epistaxis,

dizziness, diarrhea,

hypertension, edema,

drowsiness, opioidwithdraw syndrome,

bradycardia,dry mouth,

Glucose levels,

Urinalysis,

Allergies, blood pressure,

pulse, I & O, assess for

edema

Hypertension / possible

opioid withdraw

Blood pressure

that is under

124/82

Normodyne,

Trandate

(labetalol)

Antihypertensive

Antianginal

(Beta Blocker)

100 mg PO daily/

BID (up to 400-

800 mg/day)

0.25 mg/kg

initial dose IV

or 2 mg/min. up

to 300 mg total

Arrhythmias, CHF,

Bradycardia,

impotence, orthostatic

hypotension,

pulmonary edema,

fatigue, weakness,

hyper/hypoglycemia,

paresthesia, wheezing

bronchospasm


apical pulse rate & rhythm

Hypertension Decrease in blood

pressure to an

optimal 124/82


2/4

Tizanidine

(Zanaflex)

Centrally actingantispasticity

agent, adrenergic

PO 4 mg every

6 hours, or 24

mg day divided

into 3 doses.

(NOT TO

EXCEED 36

MG IN A 24

HR. PERIOD)

Hypersensitivity,




pain, myasthenia,



bradycardia

Liver function

tests (prior to and

after 1 month, 3

& 6 months)

glucose levels,

AST & ALT

levels, Alkaline

phophatase levels


pressure, level of


status, astenia

Muscle spasms or


pain prevention

Decrease in pain

rating on a scale

of 0-10, (Hers was

currently rated at

8, so any rating

less than an 8)

Less muscle

cramps.

Metoclopramide

(Octamide,

Reclomide,

Reglan)

Antiemetic

PO, IV, IM, &

Rectally, 1-2

mg/kg q 2-4

hours for two

doses, then q 3

hours for 3 more

doses.

Neuroleptic malignant

syndrome, drowsiness,

extrapyramidal

reactions, restlessness,

arrhythmias, nausea,

supraventricular

tachycardia,

depression,

Serum prolactone

and aldosterone

levels, hepatic

function tests.

Allergies, nutrition status,

Abdominal distention,

nausea and vomiting,

extrapyramidal symptoms

of Parkinsons Disease,

dystonic reactions, bowel

sounds, muscle spasms or

weakness.

Nausea and Vomiting,

esophageal reflux

Relief or

reduction in

nausea, vomiting,

and esophageal

reflux








know this

medication is

working?

Clonidine(Duraclon,

Catapres)

Antihypertensive

Adrenergic

PO 0.1 0.6 mgBID TID up to

0.8 mg total qd;

Transdermal

0.1 0.3 mg q

7days; Epidural

30 mcg /hr then

titrated

Hypersensitivities, GIBleeding, neutropenia,

fatigue, thrombotic

thrombocytopenic

purpura,


dyspnea, epistaxis,



drowsiness, opioid

withdraw syndrome,


Glucose levels,Urinalysis,

Allergies, blood pressure,pulse, I & O, assess for

edema

Hypertension / possibleopioid withdraw

Blood pressure

that is under

124/82

Normodyne,Trandate

(labetalol)

Antihypertensive

Antianginal

(Beta Blocker)

100 mg PO daily/BID (up to 400-

800 mg/day)

0.25 mg/kg

initial dose IV

or 2 mg/min. up

to 300 mg total

Arrhythmias, CHF,Bradycardia,


hypotension,

pulmonary edema,

fatigue, weakness,

hyper/hypoglycemia,


bronchospasm




pressure to an

optimal 124/82


3/4

Medication Information Sheet

Tizanidine(Zanaflex)

Centrally acting

antispasticity

agent, adrenergic

PO 4 mg every

6 hours, or 24

mg day divided

into 3 doses.

(NOT TO

EXCEED 36

MG IN A 24

HR. PERIOD)

Hypersensitivity,




pain, myasthenia,



bradycardia

Liver function

tests (prior to and

after 1 month, 3

& 6 months)

glucose levels,

AST & ALT

levels, Alkaline

phophatase levels


pressure, level of


status, astenia

Muscle spasms or


pain prevention

Decrease in pain

rating on a scale

of 0-10, (Hers was

currently rated at

8, so any rating

less than an 8)

Less musclecramps.








know this

medication isworking?

Clonidine

(Duraclon,

Catapres)

Antihypertensive

Adrenergic

PO 0.1 0.6 mg

BID TID up to

0.8 mg total qd;

Transdermal

0.1 0.3 mg q

7days; Epidural

30 mcg /hr then

titrated

Hypersensitivities, GI

Bleeding, neutropenia,

fatigue, thrombotic

thrombocytopenic

purpura,


dyspnea, epistaxis,



drowsiness, opioidwithdraw syndrome,


Glucose levels,

Urinalysis,


pulse, I & O, assess for

edema

Hypertension / possible

opioid withdraw

Blood pressure

that is under

124/82

Normodyne,

Trandate

(labetalol)

Antihypertensive

Antianginal

(Beta Blocker)

100 mg PO daily/

BID (up to 400-

800 mg/day)

0.25 mg/kg

initial dose IV

or 2 mg/min. up

to 300 mg total

Arrhythmias, CHF,

Bradycardia,


hypotension,

pulmonary edema,

fatigue, weakness,

hyper/hypoglycemia,


bronchospasm




pressure to an

optimal 124/82


4/4

Tizanidine

(Zanaflex)

Centrally actingantispasticity

agent, adrenergic

PO 4 mg every

6 hours, or 24

mg day divided

into 3 doses.

(NOT TO

EXCEED 36

MG IN A 24

HR. PERIOD)

Hypersensitivity,




pain, myasthenia,



bradycardia

Liver function

tests (prior to and

after 1 month, 3

& 6 months)

glucose levels,

AST & ALT

levels, Alkaline

phophatase levels


pressure, level of


status, astenia

Muscle spasms or


pain prevention

Decrease in pain

rating on a scale

of 0-10, (Hers was

currently rated at

8, so any rating

less than an 8)

Less muscle

cramps.








know this

medication is

working?

Clonidine(Duraclon,

Catapres)

Antihypertensive

Adrenergic

PO 0.1 0.6 mgBID TID up to

0.8 mg total qd;

Transdermal

0.1 0.3 mg q

7days; Epidural

30 mcg /hr then

titrated

Hypersensitivities, GIBleeding, neutropenia,

fatigue, thrombotic

thrombocytopenic

purpura,


dyspnea, epistaxis,



drowsiness, opioid

withdraw syndrome,


Glucose levels,Urinalysis,

Allergies, blood pressure,pulse, I & O, assess for

edema

Hypertension / possibleopioid withdraw

Blood pressurethat is under

124/82

Normodyne,Trandate

(labetalol)

Antihypertensive

Antianginal

(Beta Blocker)

100 mg PO daily/BID (up to 400-

800 mg/day)

0.25 mg/kg

initial dose IV

or 2 mg/min. up

to 300 mg total

Arrhythmias, CHF,Bradycardia,


hypotension,

pulmonary edema,

fatigue, weakness,

hyper/hypoglycemia,


bronchospasm




pressure to an

optimal 124/82

Medication Information Sheet+Wk 7

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