Question

Choose at least one medication from the following list and describe the medication in detail including but not limited to: Generic name, Trade name, Classification of medication, Dosage, Routes, why the patient would take this medication, action of medication, side effects / adverse effects, any lab values needed, contraindications, nursing implications, desired outcomes.

OXYCODONE

INDOMETHACIN

DICLOFENAC

TORADOL

NAPROXEN

FELDENE

MELOXICAM

CELEBREX

NABUMETONE

IBUPROFEN

MORPHINE SULFATE

Answer 1

Diclofenac

Generic names: diclofebac

trade names : Voltaren, Solaraze, Zipsor, Cataflam, and

classification : nonsteroidal anti-inflammatory drug (NSAID)

dosage and route: taken by mouth ,rectal, intramuscular, intravenous or applied to the skin.

Dosage for osteoarthritis: 150 mg daily

Diclofenac sodium extended-release tablets: 100 mg orally once a day

indications: to treat pain and inflammatory diseases such as gout.

action: decreases the production of prostaglandin and blocks both cycloxygenase-1 (COX-1) and cycloxygenase-2 (COX-2).

adverse reactions: abdominal pain, gastrointestinal bleeding, nausea, dizziness, headache, and swelling. Serious side effects may include heart disease, stroke, kidney problems, and stomach ulceration.

contraindications :

• Hypersensitivity
• History of allergic reactions following the use of other NSAIDs such as aspirin
• Third-trimester pregnancy
• Active stomach and/or duodenal ulceration or gastrointestinal bleeding
• Inflammatory bowel disease such as Crohn's disease or ulcerative colitis
• Severe congestive heart failure
• Severe liver insufficiency
• Severe chronic kidney disease
• porphyria
• Caution in patients with fluid retention or heart failure

nursing implications : Evaluate therapeutic response by assessing pain, joint stiffness, joint swelling and mobility.

- Assess any worsening of asthma in appropriate patients.

- Regular full dosage has both lasting analgesic and anti-inflammatory effects, making it useful for continuous pain associated with inflammation.

- Nurses should refer to manufacturer’s summary of product characteristics and to appropriate local guidelines.

desired outcome: the patient will report relief in pain.