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Medication Grid: Include all scheduled medications and any PRNs given during your shift. This includes continuous infusions. Add rows as needed. Generic/Trade Name: Drug class: Dose/Route/Frequency: Why is your patient receiving it? What assessments are required to determine if it is safe to give this medication? *Provide actual patient assessment data/values List the priority nursing considerations for this medication (ex: side effects, drug interactions, administration, etc.) How do you know the medication is effective? Must be measurable. *Provide actual patient assessment data/values Potassium chloride Electrolyte 30ml feeding tube PRN Low potassium levels Pt. recent mg level 2mg/dl No dysrhythmias You should not use this medicine if you have high levels of potassium in your blood (hyperkalemia), or if you also take a “potassium-sparing” diuretic Not effective currently Pt. potassium level is low at 3.4mmol/l. dexmedetomidine additive 400 mCg + Sodium Chloride 0.9% 100 mL sedation slowed breathing; · slow or irregular heartbeats; · anemia; · dry mouth, nausea; · fever; or · dizziness. fentaNYL additive 2,500 mCg + Sodium Chloride 0.9% 250 mL Potent synthetic opiate agonist 10ml/h the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate Hypersensitivity or known intolerance to this drug, its excipients, or any product components -Severe respiratory depression -Severe obstructive lung conditions folic acid vitamin 1mg orogastric tube tablet daily anemia Hypersensitivity to any of the ingredients -Folate dependent tumors (UK) -Malignant disease other than megaloblastic anemia from folate deficiency (UK) -Long term treatment in untreated cobalamin deficiency (UK) Heparin anticoagulant 5,000 units SUbQ , injection q8h The most common adverse reaction was hemorrhage. Insulin NPH Recombinant Human Insulin 16 units,subcutaneous injection Q6H Lactulose/Constulose Osmotic cathartic 30ml/orally/TID Management of hepatic encephalopathy abdominal cramps, gaseous distention, flatulence, belching, bowel distention, cramping, nausea and vomiting, and with excessive doses, diarrhea Diarrhea is an indication of overdose. Severe diarrhea may lead to hypovolemia, hypokalemia, and hypernatremia, especially in elderly or acutely ill patients. If diarrhea develops, the dosage should be reduced Lansoprazole/Prevacid Proton Pump inhibitor 10ml/orally/Daily Prevent stress ulcers Abdominal pain, benign fundic gland polyps, constipation, diarrhea, dry mouth, flatulence, nausea, stomachache, vomiting Levocarnitine/Carnitor Neutraceutical 20ml/orally/BID Carnite defiency Hypersensitivity to any of the ingredients Melatonin/Advanced Sleep Melatonin 3mg/orally/at bedtime daily Regulate sleep and wake cycle daytime drowsiness; · depressed mood, feeling irritable; · stomach pain; · headache; or · dizziness Piperacillin-tazobactam/Zosyn combination penicillin antibiotic 3.375 GM/IVPB injection/Q8H 12.5ml/hr/infuse over 4H Treat infection Spiperacillin or any other penicillin antibiotic hould not use if allergic to Rifaximin/Xifaxan Semisynthetic, nonsystemic rifamycin antibacterial agent 550mg/orally/BID Hepatic encephalopathy peripheral edema, nausea, dizziness, fatigue, and ascites Acetaminophen/Tylenol Analgesic 650mg/orally/Q8H/ PRN Mild pain and fever Liver failure,hyoersensivity reactions Magnesium sulfate/Magnesium Sulfate-Sodium Chloride anticonvulsant 2GM/IVPB infusion/PRN Treat low magnesium level Hypersensitivity reactions Irritation and pain at the injection site Midazolam/ Short-acting benzodiazepine 2mg,IV Push injection/Q30min/PRN Treat anxiety /agitation Midazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing

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