University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2021
Views:

96

Pages:

1
Author:

Angelica Lam

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Ibuprofen (Advil, Motrin, Excedrin) MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ NSAID, analgesic, anti-inflammatory, antipyretic CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action To relieve moderate to severe pain as an adjunct to opioid analgesics. Therapeutic Use Rheumatoid arthritis and osteoarthritis, juvenile arthritis, reduce fever, ductus arteriosus, migraine pain, and nausea. Complications CNS: aseptic meningitis, CVA, dizziness, headache, nervousness, seizures. CV: fluid retention, heart failure, hypertension, and MI. EENT: amblyopia, epistaxis, stomatitis, and tinnitus. GI: anorexia, constipation, diarrhea, elevated liver enzymes, epigastric discomfort, ulceration, and hepatitis. Contraindications/Precautions All forms except ibuprofen lysine: angioedema, asthma, bronchospasm, nasal polyps, rhinitis, or urticaria caused by hypersensitivity to aspirin and other NSAIDs. For ibuprofen lysine: bleeding, coagulation defects, and congenital heart disease. Interactions ACE inhibitors, ARBs, beta-blockers, aspirin, cyclosporine, digoxin, diuretics, lithium, methotrexate, pemetrexed, and alcohol use. Medication Administration Can be taken as capsules, chewable tablets, and infusion. Nursing Interventions Should not be used in pregnant women starting at 30 weeks gestational; should be avoided in patients with recent MI; risk of heart failure increases with use of NSAIDs; GI tract bleeding, perforation and ulceration may occur without warning or symptoms. Monitor liver enzymes, BUN, serum creatine, CBC for decreased hemoglobin and hematocrit, and blood glucose levels in diabetics due to the sucrose in oral suspension. Client Education Evaluation of Medication Effectiveness Blocks the activity of cyclooxygenase, the enzyme needed for prostaglandin synthesis. Prostaglandin synthesis is an important mediator in the inflammatory response, which causes local vasodilation with swelling and pain. With the blocking of cyclooxygenase, inflammatory symptoms subside. ACTIVE LEARNING TEMPLATES Adults and children older than 12 y/o age may take nonprescription ibuprofen every 4 to 6 hours as needed for pain or fever. Children and infants may be given nonprescription ibuprofen every 6 to 8 hours as needed for pain or fever, but should not be given more than 4 doses in 24 hours. Ibuprofen may be taken with food or milk to prevent stomach upset. Take ibuprofen exactly as directed. Do not take more or less of it or take it more often than directed by the package label or prescribed by your doctor. THERAPEUTIC PROCEDURE A7