Med template Promethazine PDF

Preview

Summary

ATI TEMPLATE...

Description

ACTIVE LEARNING TEMPLATE:

Medication

LVN STUDENT NAME _____________________________________

(Histantil) MEDICATION Promethazine __________________________________________________________________________ Pregnancy class C, Therapeutic: antimetics, antihistamine, sedative/hypnotic CATEGORY CLASS ______________________________________________________________________

book REVIEW MODULE CHAPTERmed ___________

PURPOSE OF MEDICATION

Expected Pharmacological Action blocks the effects of histamines, inhibitory effect on the chemoreceptors trigger zone in the medulla, antimetic properties, diminished nausea/vomiting , sedation

Therapeutic Use various allergic reaction treatment, treatment for motion sickness, preop sedation, treatment/prevention for nausea and vomiting, adjunct to anestisia and analgesia

Complications Neuroleptic malignant syndrome, confusion, disorrientation, suppressed respirations, bradycardia, constipation, drug induced hepatitis, HTN, hypotension, tissue necrosis at IV site if infiltration, blood dyscrasias, tinnitus, fatigue, sedation, nervousness, tachycardia, dry mouth

Contraindications/Precautions hypersensitivity, comatose patients, bladder neck obstruction, alcohol, angle closure glaucoma, use cautiously in IV infussion, cardiovasuclar disease, imparied liver/renal function, avoid in pts with intolerance, caution if lactating/breast feeding mothers.

Interactions CNS depressants, opioid analgesics, alcohol, antihistamines, sedative/hypnotics, antipyschotics, anticholinergic properties, antihistamines, antidepressants, atropine, haloperidol, phenothiazines, MAO inhibitors, phenothiazines, quinidine, disopyramide

Evaluation of Medication Effectiveness relief from allergic reaction, prevention of motion sickness, sedation , relief from nausea and vomiting.

ACTIVE LEARNING TEMPLATES

Medication Administration IM, PO, IV, Rectal, -well absorbed after oral and IM administration, rectal adm less effective, Onset for PO, IM Rectal 20min, peak unknown, duration 4-12hr, IV peak 3-5 min, peak unknown, duratin 4-12hrs.

Nursing Interventions Monitor BP, HR, RR, Iv site, assess levels of sedation, NMS, geri assess for adver anticholinergic effects, LOC, assess allergy symptoms, IV monitor IV site closely, monitor labs, and blood glucose

Client Education dose and schedule of med administation education, avoid driving due to dizziness, frequent mouth rinses, good oral hygiene, wear sunscreen, change positions slowly, avoid alcohol, notify MD for sore throat, jaundice, fever, etc.

THERAPEUTIC PROCEDURE

A7...