Drug card for each of the following:

ampicillin-sulbactam (Unasyn)

ceftriaxone (Rocephin)

azithromycin (Zithromax)

clindamycin phosphate (Cleocin)

vancomycin hcl (Vancocin)

gentamicin sulfate

levofloxacin (Levaquin)

 

Drug Name (Generic & Brand) Hydrocodone bitartrate + acetaminophen (Norco)
 

Classification

 

 

Combination drug- Opioid + Non-opioid analgesic (Controlled substance)

 

Action Hydrocodone- binds with opioid (pain) receptors in CNS

Acetaminophen- inhibits prostaglandin synthesis

Route PO
Frequency Every 4 hours (Q4H) PRN pain
 

Dose Range

 

1-2 tablets

Hydrocodone: 2.5 – 10mg

Acetaminophen: 325 – 650mg

 

Uses, including unlabeled (If any Unlabeled use)

 

Relief of Mild- Moderate pain

Cough

Anti-diarrheal (very low doses of opioid)

 

 

Side Effects/Adverse Effects (Do not list N/V/D or Rash)

 

 

Common: constipation, moderate decrease in blood pressure, orthostatic hypotension, anxiety, dizziness, drowsiness, upset stomach, dry mouth, tinnitus, headache, mood changes, dry mouth

Higher doses: respiratory depression, urinary retention

 

Nursing Implications (Include One Teaching; Two Other)

 

Teach- side effects; teach client not to get out of bed without assistance; not to drive while taking narcotic analgesic medication

Monitor amount of acetaminophen within 24 hours- do not exceed >4000mg/24 hours.

Large doses of acetaminophen can result in liver toxicity (hepatotoxicity); monitor hepatic enzymes in overdose. Acetaminophen does not produce anti-inflammatory action.

 

 

 

 

 

Drug card