The patient has been prescribed dextromethorphan (Delsym) What medication information should the nurse provide?
1. "Do not smoke while using this drug."
2. "Do not drink alcohol while using this drug."
3. "This drug takes an hour or so to take effect."
4. "Do not drink grapefruit juice while taking this medication."
5. "If you notice your speech is slurred, stop taking the medicine and call the clinic."
1,2,4,5
Rationale 1: Pulmonary irritants such as smoking should be avoided as drug effectiveness may be decreased.
Rationale 2: Sedation may occur if this drug is used concurrently with alcohol.
Rationale 3: The drug works in about 15 to 30 minutes.
Rationale 4: Grapefruit juice may raise serum levels of dextromethorphan and cause toxicity.
Rationale 5: Slurring speech may indicate CNS toxicity is occurring.
Global Rationale: Pulmonary irritants such as smoking should be avoided as drug effectiveness may be decreased. Sedation may occur if this drug is used concurrently with alcohol. Grapefruit juice may raise serum levels of dextromethorphan and cause toxicity. Slurring speech may indicate CNS toxicity is occurring. The drug works in about 15 to 30 minutes.
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