Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing

Responsibilities
Generic Name: A beta-lactam antibiotic Labeled indications Ceftazidime is GI: Nausea, Diarrhea,  Determine history of
Ceftazidime like the penicillins is include the contraindicated in abdominal pain hypersensitivity to
mainly bactericidal it treatment of people with a known cephalosporins and
inhibits the third and patients with: allergy to Skin: Rash pain and penicillins, and other drug
Brand Name: final stage of bacterial Pseudomonas ceftazidime or to any inflammation at allergies, before therapy
Fortaz and cell wall synthesis by aeruginosa other cephalosporin injection site begins
Tacizef preferentially binding infections. other antibiotic
to specific penicillin Gram-negative,  Perform Culture and
binding proteins that aerobic infections sensitivity studies before
Classification: are located inside the irritation of therapy and
Cephalosporin bacteria cell walls during therapy as indicated
penicillin 3rd
generation  If administered
concomitantly with another
antibiotic monitor renal
function and report if
symptoms of dysfunction
occur.
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Rapid-acting potent Hypertension: History of  Low blood  Assess patient’s underlying
Furosemide sulfonamide “loop” Oral LASIX may be Hypersentivity to  Dehydration condition before starting
diuretic and anti- used in adults for furosemide or  Jaundice therapy
hypertensive with the treatment of sulfonamides  Rash  Monitor for renal cardiac
Brand Name: pharmacologic effects hypertension alone  Nausea neurologic, GI
Lasix and and uses almost or in combination  Diarrhea manifestations of
Fumide identical to those of with other  Abdominal hypokalemia.
ethacynic acid. Exact antihypertensive Pain  Monitor for CNS,
Classification: mode of action not agents. hyperactive reflexes,
Loop Diuretics clearly defined: Hypertensive depressed cardiac output,
decreases renal patients who nausea, vomiting,
vascular resistance and cannot be tachycardia
may increase renal adequately  Assess fluid volume status
blood flow controlled with
thiazides will
probably also not
be adequately
controlled with
LASIX alone.
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Gastric acid pump Short-term Contraindicated with CNS:  Arrange for further
Omeprazole inhibitors: Suppresses treatment of active hypersensitivity to Dizziness,asthenia, evaluation of patient after
gastric acid secretion by duodenal ulcer; omeprazole or it’s vertigo, paresthesias, 8weeks of therapy
Brand Name: specific inhibiton of the first line therapy components use dream abnormalities gastroneflux disorders
Prilosec hydrogen potassium intreatment of cautiously with  Take drug before meals,
HTPase enzyme system heartburn or pregnancy, lactation Skin: Rash, swallow the capsules whole
Classification: at the secretory surface symptoms of Inflammation, uticaria, do not chew or crush them
Proton Pump of the gastric parietal GERD; pruritus, alopecia, dry  Report severe
Inhibitors (PPI) cells; blocks the final Long-term therapy: skin headache,fever,chills.
step of acid production treatment of
pathologic GI: Diarrhea,
hypersecretory Abdominal Pain,
Nausea and Vomiting,
Constipation, Dry
Mouth, Tounge
atrophy

Respi: Cough and

Epistaxis
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Decrease fever by a Paracetamol has Hepatic, Renal  GIT: Diarrhea,  If there is fever, assess
Paracetamol/ hypothalamic effect good analgesic and Failure, Acute Liver Increase patient fever/pain-location,
Acetaminophen leading to sweating and antipyretic Failure. Sweating, Loos intensity, duration,
vasodilation inhibits properties. It is of Appetite, temperature
pyrogen effect on the suitable for the Nausea or  Tell patient not to use for
Brand Name: hypothalamic heat treatment of pains vomiting, marked fever (Higher than
Biogesic, regulating centers. of all kinds stomach 39.5 degrees celcius) fever
Panadol, Tylenol Inhibits CNS. (headaches, dental cramps persisting longer than 3days,
Prostaglandin synthesis pain, postoperative or recurrent fever unless
with minimal effects on pain, pain in directed by prescriber
Classification: peripheral connection with  Teach the client warning
Non-narcotic prostagalandin colds, post- signs that immediate
analgesic synthesis traumatic muscle attention
antipyretic pain). Migraine  Evaluate therapeutic effects
headaches,
dysmenorrhea and
joint pain can also
be influenced
advantageously
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Ranitidine is a Indications for ZANTAC is CNS: Malaise,  Instruct the patient not to
Ranitidine competitive. Fleversible ZANTAC: Active contraindicated for Dizziness, Insomnia take new medication
inhibitor of the action duodenal or benign patients known to without consulting physician
of histamine at the gastric ulcer. have hypersensitivity Cardiovascular:  Avoid excessive alcohol
Brand Name: histamine H2 receptors Maintenance of to the drug or any of Tachycardia,  Assess patient for epigastric
Zantac found in gastric parietal healing of the ingredients Bradycardia or abdominal pain
cells this results in duodenal or gastric  Inform patient that it may
Classification: decreased gastric acid ulcer. Pathological Respi: Pneumonia cause drowsiness or
H2-Receptor secretion and gastric hypersecretory dizziness
Antagonists volume and reduce conditions (eg, Blood:
hydrogenation Zollinger-Ellison Thrombocytopnia
concentration syndrome and
systemic Skin: Erythema-
mastocytosis). multiform
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Tramadol is used to the ULTRAM (tramadol Tramadol may CNS: Dizziness,  Assess type, location and
Tramadol management of hydrochloride) is increase central Headache, intensity of pain before and
moderate to indicated for the nervous system and Drowsiness, Vertigo 2-3hr. After administration
Brand Name: moderately severe management of respiratory system  Assess BP and RR before and
Ultram pain. Extended release moderate to depression when GI: Nausea and periodically during
tablets are used for moderately severe combined with Vomiting, administration
Classification: moderate severe pain in adults. alcohol, anesthetics, Constipation, Diarrhea  Assess bowel function
Narcotic-Pain chronic pain in aduts or narcotics routinely
Reliever who require continous Skin: Itching,  Assess previous analgesic
treatment for an Sweating, Rash, history
extended period
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Is an ACE Inhibitor an Hypertension To avoid a  Dizziness or  Monitor BP AND PR
Captopril ACE Conusrus Management of hypotensive reaction Lightheadedne frequently during initial dose
antiotensin II, congestive heart when first ss adjustment and periodicaly
administering
antiotensin is a potent failure (CHF) captopril, it is  Fatigue during therapy (for treated
Brand Name: andogenous reduces the risk of recommended to  Headache PT’s with hypertension)
Capoten vasoconstrictor death or withdraw the  Insomia For patient treated with CHF
substance. development of diuretics temporarily  Weakness or monitor weight and assess
Classification: ACE Inhibitors block the CHF after a few days excessive patient routingly for
Antiotensin conversion of Myocardial beforehand (there is tiredness resolution of fluid overload
a small risk of
Converting antiotensin II. Infarction (MI) hypovolemia).  Coough
Enzyme (ACE) It also inactives the slows the Particular caution is  Hypotension
Inhibitor, vasodilator bradyrinin progression of left recommended for  Tachycardia
Antihypertensiv and other vasodilatory venticular heart and renal  Diarrhea
e prostaglandin dysfunction into failure.  Nausea
heart failures used  Proteinuria
to decreased the  Hyperkalemia
progression of  Sore Throat
diabetic  Fever
neuropathy  Mouth Sores
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Metropolol has modest Hypertension Hypersensitivity  Insomia  Inquir patient’s complete
Metroprolol non-selective B1 Ischemic Heart renal failure  Intolerance health
selectivity and possess Disease cardiac (atenolol) include  History including allergies,
very low intrinsic arrhythmias heart Decompensated fatigue, cold diabetes or any respiratory
Brand Name: sympathomimetic failure ff. heart failure extremities, diaseases
Lopressor, activity (ISH) Myocardial peripheral vasular asthma or  Monitor BP and PR prior to
Toprol Infarction disecting diasease raynaud’s COPD (w/non- administrationof medicine
aneurysm phenimenon selective beta  If BP and PR is not normal
Classification: (esmolol) Bradyarrthmia blockers) range inform the health
Beta-Blockers Migraine  Hypoglycemia practitioner
prophylaxis (insulin  Observe daily intake and
Hyperthyroidism dependent output of fluid
Essential tremors diabetic pt.)  Check Body Weight
 Heart Block
 Metabolic
Disturbance
 Rush
 Blurred Vision
 Weakness
 Muscle
Cramps
 Nausea and
Vomiting
 Confusion
 Pheochromoc
ytomia
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: In the oliguric phase of  Acute Susceptibility  Dehydration Monitore the FF:
Mannitol acute renal failure, oliguric Dehydration  Anuria
mannitol increases renal  Intracranial  Vital Signs
osmotic pressure failure Bleeding  Intake and Output
Brand Name: (presssure needed to  Toxic  Headache  Central Venous Pressure
Osmitrol, stop the absorption of Overdose  Blurred Vision ss/sr of dehydration,
Resectisol something or osmosis)  Edema  Nausea and electrolyte inbalance/deficit
of the glumerular  Increased Vomiting  Neurologic status and
Classification: filtrate, thereby intracranial  Volume intracranial pressure reading
Osmotic promoting diuretic pressure Expansion
Diuretic treating the olinguric (ICP)  Chest Pain
phase of renal failure  Intraocular  Pulmonary
and (excretes toxic pressure Edema
materials) (IOP)  Tachycardia
(management for toxic  Hypokalemia
overdose)  Chronic Renal
Failure
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Tramadol is used to the ULTRAM (tramadol Tramadol may CNS: Dizziness,  Assess type, location and
Tramadol management of hydrochloride) is increase central Headache, intensity of pain before and
moderate to indicated for the nervous system and Drowsiness, Vertigo 2-3hr. After administration
Brand Name: moderately severe management of respiratory system  Assess BP and RR before and
Ultram pain. Extended release moderate to depression when GI: Nausea and periodically during
tablets are used for moderately severe combined with Vomiting, administration
Classification: moderate severe pain in adults. alcohol, anesthetics, Constipation, Diarrhea  Assess bowel function
Narcotic-Pain chronic pain in aduts or narcotics routinely
Reliever who require continous Skin: Itching,  Assess previous analgesic
treatment for an Sweating, Rash, history
extended period
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Gastric acid pump Short-term Contraindicated with CNS:  Arrange for further
Omeprazole inhibitors: Suppresses treatment of active hypersensitivity to Dizziness,asthenia, evaluation of patient after
gastric acid secretion by duodenal ulcer; omeprazole or it’s vertigo, paresthesias, 8weeks of therapy
Brand Name: specific inhibiton of the first line therapy components use dream abnormalities gastroneflux disorders
Prilosec hydrogen potassium intreatment of cautiously with  Take drug before meals,
HTPase enzyme system heartburn or pregnancy, lactation Skin: Rash, swallow the capsules whole
Classification: at the secretory surface symptoms of Inflammation, uticaria, do not chew or crush them
Proton Pump of the gastric parietal GERD; pruritus, alopecia, dry  Report severe
Inhibitors (PPI) cells; blocks the final Long-term therapy: skin headache,fever,chills.
step of acid production treatment of
pathologic GI: Diarrhea,
hypersecretory Abdominal Pain,
Nausea and Vomiting,
Constipation, Dry
Mouth, Tounge
atrophy

Respi: Cough and

Epistaxis
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Rapid-acting potent Hypertension: History of  Low blood  Assess patient’s underlying
Furosemide sulfonamide “loop” Oral LASIX may be Hypersentivity to  Dehydration condition before starting
diuretic and anti- used in adults for furosemide or  Jaundice therapy
hypertensive with the treatment of sulfonamides  Rash  Monitor for renal cardiac
Brand Name: pharmacologic effects hypertension alone  Nausea neurologic, GI
Lasix and and uses almost or in combination  Diarrhea manifestations of
Fumide identical to those of with other  Abdominal hypokalemia.
ethacynic acid. Exact antihypertensive Pain  Monitor for CNS,
Classification: mode of action not agents. hyperactive reflexes,
Loop Diuretics clearly defined: Hypertensive depressed cardiac output,
decreases renal patients who nausea, vomiting,
vascular resistance and cannot be tachycardia
may increase renal adequately  Assess fluid volume status
blood flow controlled with
thiazides will
probably also not
be adequately
controlled with
LASIX alone.
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Atorvastatin is a Reduction of risk of Hypersensitivity,  Headache  Tell patient to take drug at
Atorvastatin selective, competitive stroke and heart active liver disease  Flatulence the same time each day to
inhibitor of HMG-CoA attack in Type 2 or unexplained  Diarrhea maintain its effects
Brand Name: reductase, the rate- Diabetes patients persistent elavations  Nausea and  Instruct patient to take a
Lipitor limiting enzyme that without evidence of serum Vomiting misssed dose as soon as
converts 3-hydroxy-3- of heart disease transaminas,  Anorexia possible. If it’s almost time
methylglutaryl- but with other risk porphyria,  Xerostomia for his next dose he should
Classification: coenzyme A to factor and pregnancy, lactation  Angioedema, skip the missed dose
Dyslipidacmic mevalonate, a revascularization  Myalgia  Advise patient to notify
Agent precursor of sterols, procedures in  Rash/Pruritis prescriber immediately if he
including cholesterol patients without  Alopecia develops unexplained
evidence of  Allergy muscle pain, tenderness, or
coronary heart weakness, especially if
diseases but with accompanied by fatigue or
multiple risk fever
factors other than
diabetes (e.g.
smoking, HTN, Low
HDL-C Family
history of early
CHO)
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Block pain impulses in Mild to moderate If a person has any HEMA:  Liver function studies:
Aspirin, CNS, inhibition of pain or fever type of bleeding Trombocytopenia, ast,alt,bilirubin, creatinine if
Acetylsalicylic prostaglandin including disorder such as leukopenia, patient is long term therapy
synthesis: anti pyretic rheumatoid hemophilia, aspirin neutropenia  Renal function studies:
Brand Name: action results from arthritis, should not be used. bun,urine creatinine if
Arhrinol, vasodilation of asteoarthristis, It is also CNS: Stimulation, patient is on long term
Arthrisin, peripheral vessels: thromboembolic contraindicated if a drowsiness, dizziness, therapy
Aspergum, Decreases platelet Disorders: transient person has confusion, convulsion,  Blood Studies: CBC, Hct,
Bayer Aspirin, aggregation ischemic attacks, gastrointestinal flushingg, HgB, pro-time if patient is on
Coryphen, rheumatic fever, issues such as peptic hallucinations, coma long term therapy
Easpirin, post myocardial ulcers.  I and O ratio: decreasing
Ecotrin, Emirin, infarction GI: Nausea and ouput may include renal
Entrophen prophylaxis of MI, Vomiting, bleeding, failure
Ischemia stroke, diarrhea, heartburn,
angina anorexia , hepatitis

Classification: INTEG: Rush, Urticuria,

Non-Narcotic Bruising
analgesic, non-
steroidal EENT: tinnitus, hearing
inflammatory, loss
antipyretic,
antiplatelet RESP: Wheezing,
hypernea
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Increase glucose Moderate to Contraindicated in Metabolic:  Assess patient glucose level
Insulin (Regular) transport across muscle severe diabetic hyperglycemia and in hyperglycemia, before starting therapy and
and fat cell membranes ketoacidosis or patients hypoglycemia regularly. Thereafter if
Brand Name: to reduce glucose level hyperglycemia, hypersensitive to patients is under stress,
Humulin R, mild diabetic insulin or its Respi: Dyspnea, unstable, pregnant. Recently
Novolin R, ketoacidosis, newly ingredients increased cough, diagnoses or taking drugs
penfill diagnosed diabetes reduce pulmonary can interact with insulin
mellitus to control function, respiratory monitor level more
Classification: hyperglycemia tract infection frequently
Anti-Diabetic  Monitor patient’s
Sking: itching, rash, glycosylated hemoglobin
redness, stinging, level regularly
swelling  Monitor uterine ketone level
is elevated
 Be alert for adverse effect or
reaction and drug
interaction
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Calcium gluconate is a Cardiac arrest, Calcium salts are Side effects of calcium  Assess for cutaneous
Calcium mineral supplement hypocalcemia, contraindicated in gluconate include: burning sensations and
Gluconate and medication. parenteral patients with  nausea peripheral vasodilation, with
Supplementation is nutrition ventricular  vomiting moderate fall in BP, during
Brand Name: generally only required fibrillation or  decreased direct IV injection.
Calgonate, when there is not hypercalcemia. appetite  Monitor ECG during IV
Kalcinate enough calcium in the Intravenous  constipation administration to detect
diet. Supplementation administration of  dry mouth evidence of hypercalcemia:
Classification: may be done to treat or calcium is  increased decreased QT interval
Fluid and prevent osteoporosis or contraindicated thirst associated with inverted T
electrolyte and rickets. It can also be when serum calcium  increased wave.
water balance taken by mouth but is levels are above urination  Observe IV site closely.
agent, not recommended by normal.  tingling Extravasation may result in
replacement injection into a muscle. sensations tissue irritation and necrosis.
solution  Monitor for hypocalcemia
pregnancy and hypercalcemia (see
Signs & Symptoms, Appendix
F).
 Lab tests: Determine levels
of calcium and phosphorus
(tend to vary inversely) and
magnesium frequently,
during sustained therapy.
Deficiencies in other ions,
particularly magnesium,
frequently coexist with
calcium ion depletion.
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Citicoline consumption Citicoline is used Contraindication can  Headache  Citicoline may be taken with
Citicoline, promotes brain for Alzheimer's be described as a  Insomnia or without food. Take it with
citicolina, metabolism by disease and other special circumstance  Diarrhea or between meals.
citidoline, restoring phospolipid types of dementia, or a disease or a  Nausea  The supplement should not
cytidine content in the brain head trauma, condition wherein  Blurred vision be taken in the late
diphosphate and regulation of cerebrovascular you are not  Chest pains afternoon or at night
choline, cytifin neuronal membrain disease such as supposed to use the because it can cause
excitability. It also stroke, age-related drug or undergo difficulty sleeping.
Brand Name: influences the memory loss, particular treatment  Women who are pregnant or
Cognizin, mitochondria or energy Parkinson's as it can harm the trying to become pregnant
somazin, factories of the brain disease, attention patient; at times, it should consult with their
recognan, cells and found to deficit-hyperactive can be dangerous doctor before taking the
neurolin, improve memory disorder (ADHD), and life threatening supplements. Not enough is
cholinerv function after several and glaucoma. as well. When a known about the use of
clinical trials, citicoline procedure should Citicoline during pregnancy
Classification: has been shown to not be combined and breast-feeding. Stay on
raise the amount of with other the safe side and avoid use.
acetylcholine in the procedure or when a  Special attention should be
brain medicine cannot be paid for administration in
taken with another the neonate, premature and
medicine, it is called children.
Relative  Contact the physician
contraindication. immediately if allergic
Contraindications reaction such as hives, rash,
should be taken or itching, swelling in your
seriously as they are face or hands, mouth or
based on the relative throat, chest tightness or
clinical experience of trouble breathing are
health care providers experienced.
or from proven
research findings.
 Name of Drug Mechanism of Action Indication Contraindication Side Effects Nursing
Responsibilities
Generic Name: Gastric acid pump Short-term Contraindicated with CNS:  Arrange for further
Omeprazole inhibitors: Suppresses treatment of active hypersensitivity to Dizziness,asthenia, evaluation of patient after
gastric acid secretion by duodenal ulcer; omeprazole or it’s vertigo, paresthesias, 8weeks of therapy
Brand Name: specific inhibiton of the first line therapy components use dream abnormalities gastroneflux disorders
Prilosec hydrogen potassium intreatment of cautiously with  Take drug before meals,
HTPase enzyme system heartburn or pregnancy, lactation Skin: Rash, swallow the capsules whole
Classification: at the secretory surface symptoms of Inflammation, uticaria, do not chew or crush them
Proton Pump of the gastric parietal GERD; pruritus, alopecia, dry  Report severe
Inhibitors (PPI) cells; blocks the final Long-term therapy: skin headache,fever,chills.
step of acid production treatment of
pathologic GI: Diarrhea,
hypersecretory Abdominal Pain,
Nausea and Vomiting,
Constipation, Dry
Mouth, Tounge
atrophy

Respi: Cough and

Epistaxis