NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Duloxetine Cymbalta Selective serotonin 90 mg PO QHS
and norepinephrine
reuptake inhibitors
Peak Onset Duration Normal dosage range
6 hours Unknown 12 hours 20-30 mg per day for depression or 60 mg per day for neuropathic pain

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Bipolar Disorder, DMII N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Inhibits serotonin and norepinephrine reuptake in the
CNS. Indicated for Major depressive disorder, in
conjunction with psychotherapy. Management of diabetic
neuropathic pain
Contraindications/warnings/interactions
Hypersensitivity and concurrent MAOI therapy. Uncontrolled narrow
angle glaucoma, end stage renal failure, Chronic hepatic impairment or
substantial alcohol use. Use cautiously if there is history of suicide
attempt or mania as it may activate mania/hypomania, diabatic patients or
those with renal failure.
Common side effects
Fatigue, drowsiness, insomnia, decreased apetite,
constipation, dry mouth, nausea, dysuria, increased sweating.

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Risk of hepatotoxicity with chronic alcohol abuse
Nursing Process- Assessment
(Pre-administration assessment)
Monitor BP, appetite, Depression, pain
Lab value alterations caused by medicine
May cause in increased ALT,AST, bilirubin, CPK, and
alkaline phosphatase
Be sure to teach the patient the following about this
medication
Take as directed at the same time each day, don’t stop abruptly. Be alert
for anxiety, agitation, panic attacks, insomnia, irritability, hostility,
impulsivity, mania, worsening depression and suicidal ideation. May
cause drowsiness. Notify provider of signs of liver damage. Avoid taking
alcohol.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Increased sense of well being
You wouldn’t, needs to be gradually and decreased neuropathic pain
decreased