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what should you assess for before giving gabapentin. tingling, needles, sizzling along nerve tract. what are considerations for patient taking gabapentin. Gabapentin (Neurontin) nursing assessment. Obtain detailed medical and drug related history including hypersensitivity, possible drug-drug and drug-food interactions. Assess the history of epilepsy; frequency, type, characteristics, onset, and duration of seizures. 11. Assess pediatric patients frequently. Children are more sensitive to the effects of opioid analgesics and may experience respiratory complications, excitability, and restlessness more frequently. 12. Assess risk for opioid addiction, abuse, or misuse before administration. Interpretation. Therapeutic ranges are based on specimens collected immediately before the next dose (ie, trough). Most epileptic patients show a response to the drug when the trough concentration is in the range of 2 to 20 mcg/mL. Therapeutic drug monitoring may be useful due to inter-individual variation in pharmacokinetics and dose-dependent bioavailability; specimens for measurements Assess signs of paresthesia (numbness, tingling) or changes in reflex activity. Perform objective tests, including electroneuromyography and sensory testing to document any drug-related neuropathic changes. Assessment. History: Hypersensitivity to gabapentin; lactation, pregnancy; Physical: Weight; T; skin color, lesions; orientation, affect, reflexes; P; R, adventitious sounds; bowel sounds, normal output; Interventions. Give drug with food to prevent GI upset. Arrange for consultation with support groups for people with epilepsy. Assess pain scale and characteristics; Monitor for signs of infection; Review WBC count; Monitor for renal impairment; Nursing Interventions. Administer with or without food. May give with food to reduce gastrointestinal upset. Do not exceed the maximum interval of 12 hours in between doses when administered 3 times per day. Q/A format: alternate names, side effects, what drug does, what to assess for, what to teach pt. Includes following medications Celexa (citalopram), dia hello quizlet What should I tell my healthcare provider before taking gabapentin tablets? Before taking gabapentin tablets, tell your healthcare provider if you: • are pregnant or plan to become pregnant. It is not known if gabapentin tablets can harm your unborn baby. Patients should not take gabapentin within 2 hours of antacid medications. Additionally, gabapentin may cause increased drowsiness and dizziness. Patients, family, and caregivers should also monitor for suicidality. Now let’s take a closer look at the medication grid for gabapentin in Table 8.10c. [11] Table 8.10c Gabapentin Medication Grid Nursing Assessment. Perform comprehensive neurological assessment. Assess renal function (creatinine clearance). Evaluate pain levels and characteristics. Screen for the history of substance abuse. Assess fall risk. Monitor for suicidal ideation, especially in young patients. Evaluate respiratory status, particularly with concurrent opioid use. Before taking gabapentin, tell your healthcare provider if you: • have or have had kidney problems or are on hemodialysis • have or have had depression, mood problems, or suicidal thoughts or behavior Study with Quizlet and memorize flashcards containing terms like B Choice B is correct. The first step of any assessment is always inspection. The first step the nurse should take is to compare the knees for symmetry. Choices A, C, and D are incorrect. These answer choices are procedures for assessing joints, which may be indicated, but do not represent the first step the nurse should take., B Find information on Gabapentin (Gralise, Horizant) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF. Before taking gabapentin, it is important to be aware of the following precautions and contraindications: 1. Allergy. Individuals with a known allergy or hypersensitivity to gabapentin should avoid its use. 2. Kidney problems. Gabapentin is primarily eliminated from the body through the kidneys. A naloxone challenge should be administered before giving naltrexone to help to avoid acute reactions. Interactions. There is no significant drug-drug interactions involved with narcotic antagonists. Nursing Considerations. Here are important nursing considerations when administering this drug: Nursing Assessment Gabapentin may cause suicidal thoughts, ataxia, or lack of muscle control and depression with these things in mind, monitor your patient for changes and behavior and depression while on Gabapentin, make sure you assess seizure activity and pain level in your patient, teach your patient to take this medication exactly as it's directed and to gabapentin (gab ah pen' tin)Neurontin . Pregnancy Category C . Drug class. Antiepileptic . Therapeutic actions. Mechanism of action not understood; antiepileptic activity may be related to its ability to inhibit polysynaptic responses and block posttetanic potentiation. What do I need to tell my doctor BEFORE I take this drug? If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have kidney disease or are on dialysis. ® Gabapentin 1/8 Identify appropriate indications for use of gabapentin. Relate general characteristics of gabapentin to specific patient situations. Apply nursing process considerations for gabapentin to specific patient situations. Correctly calculate dosage for gabapentin.
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