DRUG Mechanism Indications Side Effects Contraindications Nursing Monitoring

Of Action Consideration Parameters

>Generic >Inhibits activity >Symptomatic >CNS: headache, >Contraindicated >Dosage >Monitor vital
Name: of acid (proton) gastroesophageal dizziness, in patients adjustments >Monitor I & O
Omeprazole pump and binds reflux disease asthenia. hypersensitive to may be
to hydrogen- (GERD) w/o >GI: diarrhea, drug or its necessary in
>Brand Name: potassium esophageal abdominal pain, components. Asian patients
Losec adenosine lesions. nausea, vomiting, >Zegerid is and patients
triphosphatase at >Erosive constipation, contraindicated w/ hepatic
>Dosage/route secretory surface esophagitis and flatulence. in patients w/ impairment.
400mg OD IV of gastric parietal accompanying >Musculoskeletal: metabolic >Omeprazole
cells to block symptoms Back pain. alkalosis and increases its
>Classification: formation of caused by GERD. >Respiratory: hypocalcemia. own
Antisecretory gastric acid. >Maintenance of Cough upper >Use cautiously in bioavailability
drug; healing erosive respiratory tract patients w/ w/ repeated
gastrointestinal esophagitis. infection. Bartter’s doses. Drug is
tract drugs. >Pathologic >Skin: Rash. syndrome, labile in gastric
hypersecretory hypokalemia, and acid; less drug
conditions (such respiratory is lost to
as Zollinger- alkalosis. hydrolysis
Ellison >Long-term because drug
syndrome). administration of increases
>Duodenal ulcer bicarbonate w/ gastric pH.
(short-term calcium or milk >Zegerid
treatment). can cause milk- contains
>helicobacter alkali syndrome. 460mg sodium
pylori infection per dose in the
and duodenal form of
ulcer disease, to sodium
eradicate bicarbonate.
H.pylori w/ >Gastrin level
Clarithromycin rises in most
(dual therapy). patients during
>H.pylori the first 2 wks
infection and of therapy.
duodenal ulcer
disease, to
eradicate
H.pylori w/
clarithromycin
and amoxicillin
(triple therapy).
>Short-term
treatment of
active benign
gastric ulcer.
>Frequent
heartburn (2 or
more days a
week.)
 DRUG Mechanism Indications Side Effects Contraindications Nursing Monitoring
Of Action Consideration Parameters

>Generic >A centrally >Moderate to >CNS: dizziness, > Contraindicated > Reassess >Monitor CV an
Name: acting synthetic moderately vertigo, in patients patients level respiratory sta
Tramadol analgesic severe pain. headache, hypersensitive to of pain at least With-hold dose
hydrochloride compound not somnolence, CNS drug or other 30 mins. After notify prescribe
>Brand Name: chemically stimulation, opioids, in administration. respirations
Ultram related to asthenia, anxiety, breastfeeding >For better decrease or rat
>Dosage/route opioids. confusion, women and in analgesic below 12
Thought to blind
100mg/cap q 8 coordination those w/ acute in effect, give breaths/min.
to opioid
>Classification: disturbance, toxication from drug before >Monitor bowe
receptors and
Analgesic; inhibit reuptake emphori, alcohol, onset of bladder functio
pharmacologic of nervousness, hypnotics, intense pain. Anticipate nee
class: norepinepherine sleep disorder, centrally acting >In the case of laxative.
synthetic, and serotonin. seizures, malaise. analgesics, an overdose, >Monitor patie
centrally active >CV: vasodilation. opioids, or naloxone may risk for seizure
analgesic. >EENT: visual psychotropic also increase Drug may redu
disturbances. drugs. Serious risk of seizure thresho
>GI: nausea, hypersensitivity seizures. > Monitor patie
constipation, reactions can >Withdrawal drug dependen
vomiting, occur, usually symptoms may Drug can produ
dyspepsia, dry after the first occur if drug is dependence to
mouth, diarrhea, dose. Patients w/ stopped of codeine or
abdominal pain, history of abruptly. dextropropoxy
anorexia, anaphylactic Reduce dosage and thus has
flatulence. reaction to gradually. potential for ab
>GU: urine codeine and
retention, urinary other opioids
frequency, may be at
menopausal increased risk.
symptoms, >Use cautiously in
proteinuria. patients at risk
>Musculoskeletal for seizures or
Hypertonia. respiratory
>Respiratory: depression; in
Respiratory patients w/
depression. increased
>Skin: pruritus, intracranial
diaphoresis, rash. pressure or head
injury, acute
abdominal
conditions, or
renal or hepatic
impairment or in
patients w/
physical
dependence on
opioids.
 DRUG Mechanism Indications Side Effects Contraindications Nursing Monitoring
Of Action Consideration Parameters

>Generic > Thought to > Mild pain > Hematologic: > Contraindicated > Advise patient >Monitor and
Name: produce or fever hemolytic in patients that drug is only recheck
Paracetamol analgesia by anemia, hypersensitive to for short-term use temperature
blocking pain neutropenia, drug. and to consult before giving the
>Dosage/route: impulses by leucopenia, >Use cautiously in prescriber if giving medication and
500mg tab. inhibiting pancytopenia. patients w/ long- to children for after 15-30 mins.
synthesis of >Hepatic term alcohol use longer than 5
prostaglandin
>Classification: jaundice because days/ adults for
in the CNS or
Analgesic, >Metabolic: therapeutic doses longer than 10
of other
Antipyretic substances hypoglycemia causes days.
that sensitize >Skin: rush, hepatotoxicity in >Tell patient not
pain receptors urticaria these patients. to use for marked
to stimulation. fever(temperature
The drug may higher than 103.1
relieve fever F (39.5C), fever
through central persisting longer
action in the than 3 days, or
hypothalamic recurrent fever
heat-regulating unless directed by
center. prescriber.