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Drug Name Classification Action Indication Contra- Side Effects Nursing

indication Consideration

Generic Antianemic Least Prophylaxis and Clients with GI: Constipation, gastric 1. Take iron preparations
Name: drugs expensive, treatment of hemosiderosis, irritation, nausea, abdominal with meals to reduce
most effective iron- deficiency hemochromatosi cramps, anorexia, vomiting gastric irritation.
Ferrous iron salt for anemia. s, peptic ulcer, and diarrhea. These effects
sulfate PO therapy. regional enteritis may be minimizes by 2. Identify the foods that
Ferrous Investigational: and ulcerative administering preparations as inhibit the absorption of
sulfate Clients colitis. a coated tablet. Soluble iron iron
products receiving Hemolytic preparations may stain the
Brand Name: contain 20% epoetin therapy anemia, teeth. 3. Discuss the possibility
elemental (Failure to give pyridoxine- of indigestion, change in
Feosol iron; whereas iron responsive the stool color (black and
ferrous sulfate supplements anemia, and tarry or dark green), and
dried products either IV or PO cirrhosis of the constipation
contain 30% can impair the liver.
elemental hematologic 4. Advise to increase
iron. The response to intake of fruit, fiber, and
exsiccated epoitin) fluids to minimize drug’s
form is more constipating effect
stable in air.
5. Explain the possible
side effects that may
occur.

Drug Name Classification Action Indication Contra- Side Effects Nursing


indication Consideration

Generic Loop Diuretics Furosemide Edema Never use with Electrolyte and fluid effects: 1. Monitor serum
DrugName Classification Action Indication Contra- Side Effects Nursing
indication Consideration

Generic Antihypertensive Variable Calcium channel Hypersensitivity, CV: Peripheral and 1. Document indications
name Drugs / effects on AV blocker Lactation pulmonary edema, MI, for therapy, other agents
Cardiovascular node effective hypotension, palpitations, trialed/outcome and any
Nifedipine Drugs and functional Vasospastic syncope, CHF (especially if sensitivity to CCBs.
refractory (Prinzmetal's or used with a beta blocker), GI: 2. Note any pulmonary
periods. CO is variant) angina Nausea, diarrhea, edema, ECG
slightly (except Adalat constipation, flatulence, abnormalities, or
Brand name increased CC). Chronic abdominal cramps, palpitations. Document
while stable angina CNS: Dizziness, K+ levels, BP, and
Adalat peripheral without lightheadedness, giddiness, cardiopulmonary
vascular vasospasm nervousness, sleep assessment findings.
resistance is (except Adalat disturbances, headache, 3. May take with or
significantly CC), including weakness, depression, without food. Sustained-
decreased. angina due to Dermatologic: Rash, release tablets should
Slight to no increased effort dermatitis, urticaria, pruritus, not be chewed, crushed,
increase in HR (especially in photosensitivity, erythema or divided. Grapefruit
and slight to clients who Respiratory: Dyspnea, cough, juice may cause
no decrease in cannot take beta wheezing, SOB, respiratory increased serum drug
myocardial blockers or infection; throat, nasal, or levels.
contractility. nitrates or who chest congestion. 4. Maintain a fluid
remain Hematologic: intake of 2–3 L/day to
symptomatic Thrombocytopenia, avoid constipation.
following leukopenia, purpura, anemia. There is no cause for
clinical doses of concern if a tablet
these drugs). . coating appears in the
Essential stool. .
hypertension 5. Report any
(sustained- symptoms of persistent
release only). headache, flushing,
nausea, palpitations,
weight gain, dizziness.
Drug Name Classification Action Indication Contra- Side Effects Nursing
indication Considerations

Generic Laxative- Magnesium (Mg) is Used as an Hypermagnese CNS: Drowsiness ASSESSMENT:


Name: saline an essential element anticonvulsant. mia,
/Anticonvulsant for muscle Lowers hypocalcemia, RESP: Decreases 1. Document
Magnesium contraction, certain intracranial anuria, heart respiratory rate indications for therapy,
Sulfate enzyme system, and pressure for block active onset and
nerve transmission. hypomagnesemia labor use CV: Bradycardia, characteristics of S&S.
Sub- Extracellular fluid in patients cautiously in: arrhythmias, 2. Evaluate cardiac
Brand name classification: level: 1.5 mEq/L. receiving total Any degree of hypotension status and ECG
Mg depresses the parenteral Renal 3.Note any kidney
Epsom Salts Electrolyte, CNS and controls nutrition (TPN) insufficiency. GI: Diarrhea disease. Assess Mg
modifier- convulsion by prevention and levels and renal
magnesium blocking release of control of DERM: Flushing, function
supplement acetylcholine at the seizures in sweating 4. With premature
myoneural junction. toxemia( Pre- labor, continually
Also, Mg decreases eclampsia of METAB: Hypothermia assess fetal heart rate
the sensitivity of eclampsia) acute and intensity and
the motor and plate nephritis in NEURO: Decrease timing of
to acetylcholine and children and other deep –tendon reflexes contraindication.
decreases the conditions like paralysis.
excitability of the epilepsy, Antedote:
motor membrane. glomerulone
phiritis or Use artificial
hypothyroidism. ventilation
Electrolyte immediately. Have 5-
additive. Also 10 mEq of calcium
used for the readily available for IV
treatment of life- injection to depression.
threatening Hemodialysis and
arrhythmias peritoneal dialysis are
effective
DRUG STUDY

Submitted to: Ms. Teresita C. Natividad


Clinical Instructor

Submitted by: Adora S. Echevarria

Drug Name Classification Action Indication Contra- Side Effects Nursing


indication Consideration
Generic Anti-Infectives/ Interfere with Infections of the Hypersensitivity GI: N&V, diarrhea, 1. Cefuroxime
Name: Cephalosporins a final step in urinary tract to abdominal cramps or pain, sodium should not
Cefuroxime the formation lower cephalosporins. dyspepsia, glossitis, be added to
Sodium of the respiratory tract heartburn solutions of
bacterial cell (including aminoglycosides; if
Brand Name: wall pneumonia), Allergic: Urticaria, rashes, both drugs are
Kefurox, (inhibition of skin and skin pruritus, fever, chills, require, each should
Zinacef mucopeptide structures, erythema be given separately
biosynthesis), bones, and to the client
resulting in joints. CNS: Headache, malaise, 2. Prior to
unstable cell Septicemia, fatigue, vertigo, dizziness, reconstitution,
membranes meningitis, lethargy, confusion protect the drug
that undergo uncomplicated from light. The
lysis (same and powder and
mechanism of disseminated reconstituted drug
actions of gonococal may darken without
penicillin’s). infections due affecting potency
Also, cell to penicillinase- 3. Take tablets with
division and or non- food to enhance the
growth are penicillinase – absorption of the PO
inhibited. producing medication
Most effective strains of N. 4. Report any signs
against young, gonorrhea in of anemia (SOB,
rapidly men and dizziness, pale skin,
dividing women. etc.)
organisms and
are considered
bactericidal
Drug Name Classification Action Indication Contraindication Side Effects Nursing
Considerations
Generic Name: Histamine H2 Competitively Active Duodenal CNS: vertigo, 1. Assess patient
Ranitidine receptor inhibits action of and gastric malaise, for abdominal
Hydrochloride antagonist histamine on the ulcer ,pathologic headache pain. Note
H2 at receptor hypersecretory presence of
Brand Name: sites of parietal condition such EENT: blurred blood in emesis,
Zantac cells, decreasing as Zollinger- vision stool or gastric
gastric acid Ellison aspirate
secretion syndrome (ZES), Hepatic: 2. Drug may be
gastroesophageal jaundice; added to total
reflux disease, parenteral
erosive Other: burning solution
esophagitis, and itching at 3.Don’t confuse
heartburn injection site, ranitidine with
anaphylaxis rimantadine
4. Instruct
patient on proper
use of OTC
preparation, as
indicated
5. Remind
patient to take
once daily
prescription
drugs at bedtime
for best results.
6. Urge patient
to avoid cigarette
smoking because
this gastric acid
secretion and
worsen disease
7. Advise patient
to report
abdominal pain
and blood in
stool or
emesis may
increase