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Name:

Attending Physician:

Ward/Bed Number:

Age:

Impression/Diagnosis:

Name of Drug

 

Dosage, Route

Mechanism of Action

Indication

Adverse Reaction

Special Precaution

Nursing Intervention

Timing, Frequency

Generic:

Dosage:

Enters the bloodstream and is transported to the organs

MTV + FeSO4 is prescribed for postoperative patients to

anaphylaxis, sweating

Use cautiously in peptic ulcer, ulcerative colitis or regional

Monitor blood studies of patient

Multivitamin + Iron

1

tab/ tab

of the reticuloendothelial system (liver, spleen, bone marrow), where it is

prevent the occurrence of postoperative anemia and to keep her nutritionally balanced.

enteritis, alcoholism, severe hepatic impairment, severe

Observe proper dosage of medication

Brand:

 

separated out and becomes

renal impairment

Administer 1 or 2 hrs before meal

Route:

part of iron stores.

Take with a full glass of water/juice

Classification

PO

Contraindications

Side Effects

Functional:

Hemochromatosis, hemosiderosis, or other

nausea, constipation, dark stools, staining of teeth

Do not crush/chew enteric-coated tablets and do not open capsules

Vitamins & minerals, antianemics

Frequency:

OD

evidence of iron overload.

Encourage patient to avoid using antacids, coffee, tea, dairy products within 1 hour after

Chemical:

Timing:

Inform patient about dark, green or black stools to avoid panic

Water-soluble vitamin, iron supplement

8

Inform patient about what possible adverse effects that may occur

Assess bowel function for constipation/diarrhea

Name of Drug

Dosage, Route

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Freq., Timing

     

For treatment of hypertension

Bradycardia

Use cautiously in patients

Always check patient’s vital signs

A selective beta blocker that

Heart failure

with heart failure, diabetes,

before giving drug. Withhold drug

Generic:

Dosage:

selectively blocks beta1

AV Block

or respiratory or hepatic

if not normal and notify prescriber

metoprolol

50mg/tab

receptors; decreases cardiac

Edema

disease.

immediately.

1 tab

output, peripheral resistance,

Heart burn

and cardiac oxygen

Wheezing

Administer drug exactly as

Brand:

Route:

consumption; and depresses

Dyspnea

prescribed with meals.

PO

renin secretion.

Monitor for shortness of breath.

Frequency:

May cause drowsiness. Caution patient to avoid driving or other

BID

activities that require alertness

Classification

Contraindications

Side Effects

until response to the drug is known.

 

Hypersensitive to drug and

Fatigue

Functional:

Timing:

other beta blockers.

Dizziness

Advise patient to change positions

Antihypertensive

Nausea

slowly to minimize orthostatic

8

6

Diarrhea

hypotension.

Rash

Chemical:

Caution patient that this medication may increase

Selective beta blocker

sensitivity to cold.

Instruct not to abruptly stop the drug but taper dose as prescribed.

Name of Drug

 

Dosage, Route

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Freq., Timing

   

Inhibit prostaglandin

For relief of acute pain

Peripheral edema

Use cautiously in patients

Assess any allergy to medication.

Generic:

Dosage:

synthesis, impending COX-2,

GI bleeding

with history of ulcers

celecoxib

to produce anti-inflammatory,

Monitor patient’s vital signs to

200mg/cap

analgesics, and antipyretic

check any abnormalities in its

1 cap

effects.

health.

Brand:

Celebrex

Encourage to take bland biscuits,

 

Route:

and ice chips if nausea and

PO

vomiting occurs.

Encourage to have adequate rest to relieve dizziness and

Frequency:

headache.

Classification

BID x 5 days

Contraindications

Side Effects

Advise patient to

 

Hypersensitive to drug.

Headache

immediately report bloody stools

Functional:

Severe hepatic impairment

Dizziness

NSAID

Timing:

8

6

Nausea

and bloody vomit.

Flatulence

Tell patient that drug may harm

Tell patients that using OTC

 

Rash

Chemical:

the liver. Advise patient to stop

COX-2 inhibitor

drug and notify healthcare

provider immediately if she is experiencing signs and symptoms of liver toxicity (fatigue, yellowing of skin and eyes, right upper quadrant tenderness, flu-like symptoms).

NSAIDs with celecoxib may increase the risk of GI toxicity.

Name of Drug

Dosage, Route

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Freq., Timing

Generic:

Dosage:

 

Treatment of hypertension

Rash, angioneurotic

Use cautiously with severe

 

75mcg/tab

Stimulates CNS alpha2-

edema, tachycardia,

coronary insufficiency,

Take drug as prescribed.

clonidine hydrochloride

1 tab

adrenergic receptors, inhibits sympathetic cardio-

heart failure, ECG abnormalities, rash,

recent MI, cerebrovascular disease; chronic renal

Brand:

Route:

accelerator and

impotence

failure.

Encourage patient about lifestyle

Clonigen

vasoconstrictor centers, and

changes that will reduce blood

Frequency:

decreases sympathetic outflow from the CNS.

pressure(e.g.cessation of smoking, restrict intake of salt, exercise regularly).

Educate patient to report urinary retention, changes in vision, blanching of fingers, rash to

Classification

Timing:

Contraindications

Side Effects

medical health providers.

Functional:

Hypersensitiviy to Clonidine

Drowsiness, sedation, dizziness, headache,

Antihypertensive

or any adhesive layer

fatigue, nightmares,

Chemical:

components of the transdermal system

insomnia, nervousness,

Centrally acting alpha agonist

nausea, vomiting, weight gain, dry mouth, constipation

Name of Drugs

Dosage, Route,

Mechanism of Action

Indication

 

Adverse Reactions

Special Precautions

 

Nursing Responsibilities

Frequency, Timing

   
   

blocks the muscarinic receptors found

relief of spasm of the

Anaphylactic

Use cautiously in patients with

Take this drug 30 minutes to 1 hour

prolonged

Generic:

Dosage:

on the smooth muscle walls which

genito-urinary tract or

reactions,

Thyrotoxicosis, cardiac

before meals

Hyosine N

means its blocks the action of

gastro- intestinal tract

increased ICP,

insufficiency, pyrexia, fructose

Drug compatibility should be monitored

butylbromide

acetylcholine on the receptors found

and for the

disorientation,

hal

intolerance.

closely in patients requiring adjunctive

Brand:

within the smooth muscle of the

symptomatic relief of

lucination,

therapy

Buscopan

Route:

gastrointestinal and urinary tract and

Irritable Bowel

delirium,

Avoid driving & operating machinery

thus reduces the spasms and

Syndrome

impaired memory

after parenteral administration.

contractions. This relaxes the muscle

dyshidrosis

Avoid strict heat

Frequency:

and thus reduced the pain from the

dyspnea, bronchial

Raise side rails as a precaution

cramps and spasms.

plugging,

because some patients become

depressed

temporarily excited or disoriented and

Timing:

respiration

some develop amnesia or become

 

drowsy. Reorient patient, as needed, Tolerance

Classification

Contraindications

 

Side Effects

may develop when therapy is

Functional:

Buscopan Tablets

Constipation

Atropine-like toxicity may cause dose

Antispasmodics

should not be administered to

Decreased sweating

related adverse reactions. Individual tolerance varies greatly

Anticholinergic

patients with

Mouth, skin, eye

Oerdose may cause curare-like effects,

myasthenia gravis, megacolon and narrow

dryness Blurred feeling

such as respiratory paralysis. Keep

angle glaucoma.

Bloating

emergency equipment available.

Chemical:

Dysuria

 

Nausea or

vomiting Lightheadedness

Headache

Weakness

Name of Drug

Dosage, Route

Mechanism of Action

Indication

Adverse Reaction

Special Precaution

Nursing Intervention

Timing, Frequency

Generic:

Dosage:

Inhibits cell wall synthesis, promoting osmotic instability;

Treatment of skin and skin structure infection.

Pseudomembranous colitis, thrombocytopenia, transient

Use cautiously in patient hypersensitive to penicillin

Give after culture and sensitivity test before the administration of

cefuroxime

750 mg/ tab 1 tab

usually bactericidal.

neutropenia.

because of possibility of cross sensitivity with other

drug

Anaphylaxis.

beta-lactam antibiotics;

Instruct proper compliance to drug regimen.

Brand:

breastfeeding women ad in

Route:

patients with history of colitis

Monitor signs and symptoms of

PO

or renal insufficiency.

superinfection.

Monitor for occurrence of diarrhea.

Frequency:

Observe for signs and symptoms of anaphylaxis (rash,

Classification

Contraindications

Side Effects

pruritus, laryngeal edema,

Functional:

Hypersensitivity to drug or other cephalosphorins.

Diarrhea, nausea, anorexia, vomiting

wheezing). Discontinue the drug and notify the healthcare

Antibiotic

Timing:

provider immediately if these symptoms occur.

Chemical:

Second generation

cephalosphorin

Name of Drug

Dosage, Route

Mechanism of Action

Indication

Adverse Reaction

Special Precaution

Nursing Intervention

Timing, Frequency

   

Decreases fever by inhibiting

Relief of mild to moderate

Rash

Use cautiously in patients

Warn patient that high doses or

Generic:

Dosage:

the effects of pyrogens on

pain; fever

Urticaria

with long term alcohol use

unsupervised long-term use can

paracetamol

500 mg/tab 1 tab

the hypothalamus heat regulating centers and by a

because therapeutic doses cause hepatotoxicity

cause liver damage

hypothalamic action leading

Assess

patient’s

fever or pain: type

the sweating and

 

of pain, location, intensity,

Brand:

Route:

vasodilation.

duration, temperature, and diaphoresis.

PO

Relieves pain by inhibiting

Frequency:

prostaglandin synthesis at the CNS but does not have anti-inflammatory action because of its minimal effect on peripheral prostaglandin

Q4H

synthesis

Classification

Contraindications

Side Effects

Functional:

Hypersensitivity to drug.

Drowsiness

Analgesic

Timing:

Abdominal Pain

Antipyretic

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Chemical:

 

Para-aminophenol

derivative