Name of drug Action Indication Side effects Preferred dose Nursing

responsibilities
Gentamycin Inhibits protein Serious infection CNS- fever, Prescribe dose >Obtain specimen
synthesis, directly to caused by sensitive headache, lethargy, Injection- 40 for culture and
the 30s ribosomal strains of encephalopathy, mg/mL (adults); sensitivity test
subunit; bactericidal Pseudomonas confusion, 10mg/mL (children) before giving first
aeruginos, dizziness, seizures, IV infusion dose. Therapy may
Escherichia coli, numbness, (premixed) 40mg, begin while
Proteus, Klebsiella, peripheral 60mg, 70mg, 80mg, awaiting results.
or Staphylococcus neuropathy, vertigo, 90mg, 100mg, > Monitor renal
ataxia, tingling 120mg; in normal function: urine
CV- headache saline solution output, specific
EENT- ototoxicity, gravity, urinalysis,
blurred vision, BUN and creatinine
tinnitus levels and creatinine
GI- vomiting, clearance. Report to
nausea prescriber evidence
GU- nephrotoxicity, of declining renal
possible increased function.
in urinary excretion >Watch for signs
of casts and symptoms of
Hematologic- superinfection
anemia, (especially of upper
eosinophilia, respiratory tract)
leucopenia, such as continued
thrombocytopenia, fever, chills, and
agranulocytosis increased pulse rate.
Musculoskeletal- >Therapy usually
muscle twitching, continues for 7 to 10
my-asthenia gravis- days. If no response
like syndrome occurs in 3 to 5
Respiratory- apnea days, stop therapy
Skin- rash, uticaria, and obtain new
pruritis, injection specimens for
site pain culture and
Other- anaphylaxis sensitivity testing.
Name of drug Action Indication Side effects Preferred dose Nursing
responsibilities
Ampicillin Inhibits cells-wall >respiratory tract or CNS: lethargy, 500 mg TIV every 8 >before giving drug,
synthesis during skn and skin hallucinations, hours ask patient about
bacterial structure infections seizures, anxiety, allergic reaction to
multiplication (anti- >GI infections or confusion, agitation, penicillins
injection, UTI’s depression, >obtain specimen
penicillins) >Bacterial dizziness, fatigue for culture and
meningitis or CV: vein irritation, sensitivity tests
septicemia thromphlebitis before giving first
>Uncomplicated GI: nausea, dose
gonorrhea vomiting, diarrhea, >given drug 1-2
>To prevent glossitis, stomatitis, hours before 2-3
endocarditis in gastritis, abdominal hours after meals
patients having pain, enterocolitis, >monitor sodium
dental, GI and GU pseudomembranous level because each
procedures colitis, black hairy gram of ampicillin
tongue contains 2.9 mEq of
GU: intestinal sodium
nephritis, >watch for sign and
nephropathy, symptoms of
Vaginitis hypersensitivity,
Hematologic: such as
anemis, reythematous
thrombocytopenia, maculo-popular
purpura, rash, urticaria, and
eosinophilia, anaphylaxis
leukopenia, >inform patient to
hymolytic anemia, notify prescriber if
agranulocytosis rash, fever, or chills
Skin: pain at develop.
injection site
Other:
hypersensitivity
reaction,
overgrowth of
nonsusceptible
organisms
Name of drug Action Indication Side effects Preferred dose Nursing
responsibilities
USN with Relaxes bronchial, >to prevent or treat CNS: tremor, ½ + 2cc NSS every >back tapping after
combivent uterine, and bronchospasm in ner5vousness, 6 hours nebulization
vascular smooth patients with dizziness, insomia, >instruct patients to
muscle by reversible headache, gargle with water
stimulating beta obstructive airway hyperactivity, after nebulization
receptors disease weakness, CNS because it can cause
(bronchodilators) >to prevent stimulation, malaise throat irritation
exercise-induced CV: tachycardia,
bronchospasm palpitation,
hypertension
EENT: dry and
irritated nose and
throat with inhaled
form, nasal
congestion,
epistaxis,
hoarseness
GI: heartburn,
nausea, vomiting,
anorexia, altered
taste, increased
appetite
Metabolic:
hypokalemia
Musculoskeletal:
muscle cramps
Respiratory:
bronchospasm,
cough, wheezing,
dyspnea, bronchitis,
increased sputum
Other: sensitivity
reaction
Name of drug Action Indication Side effects Preferred dose Nursing
responsibilities
Ranitidine Competitively >duodenal and CNS: vertigo, 50 mg TIV >assess patient for
inhibits actions of gastric ulcer; malaise, headache abdominal pain.
histamine on the H2 pathologic EENT: blurred Note presence of
at receptors sites of hypersecretory vision blood in emesis,
parietal cells, conditions, such as Hepatic: jaundice stool, or gastric
decreasing gastric Zollinger Elison Other: burning and aspirole
acid secretion (anti- syndrome itching at injection
ulcerance) >maintenance site, anaphylaxis,
theory for angioedema
duodenal/gastric
ulcer
>erosive esophagitis
>heartburn
Name of drug Action Indication Side effects Preferred dose Nursing
responsibilities
Omeprazole Inhibits activity of
acid (proton) pump
and binds to
hydrogen-potassium