Drug Study

NURSING MANAGEMENT
A. Drug Study
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
INDICATION
Normal
Isotonic
Is a sterile, non- hydrated
Saline
Intravenous
pyrogenic
Solution
Solution
solution for fluid

and electrolyte
replenishment
CONTRAINDICATION
heart failure
pulmonary edema
renal impairment
sodium retention
ADVERSE
NURSING
REACTION
RESPONSIBILITIES
hypotension
venous
monitor the signs
thrombosis
hypervolemia
of infiltration
monitor the signs
of phlebitis
check the regulate
drop
37 | P a g e
DRUG
SPECIFIC
NAME
Hyoscine-N-
ACTION
Anti-
butylbromide
spasmodics
MECHANISM INDICATION
CONTRAINDICATION
OF ACTION
That it blocks Spasms in
Myasthenia gravies
Megacolon
the
the
Hypersensitivity
muscarinic
genitourina Narrow angle
receptors
ry tract
glaucoma
Spasms
in
found on the
Prostrate
the
smooth
hypertrophy with
muscle walls
which means
its blocks the
action of
acetylcholine
on the
receptors
gastrointes
tinal tract
Spasms of
urinary retention
Mechanical stenosis
in the GI tract
biliary tract Tachycardia
Colic
ADVERSE
REACTION
Constipation
Decrease
sweating
Mouth, skin,
NURSING
RESPONSIBILITY
Assess the
neurologic,
cardiovascular
Avoid driving and
eye dryness
Blurred feeling
Bloating
Dysuria
Nausea and
operating
Vomiting
Lightheadedne
ss
Headache
Weakness
Avoid strict heat

Raise siderails
machinery after
parenteral
administration.
as a precaution
Re-orient patient
as needed
found within
the smooth
muscle of the
gastrointestin
al and urinary
tract and thus
38 | P a g e
reduces the
spasms and
contractions.
This relaxes
the muscle
and thus
reduced the
pain from the
cramps and
spasms.
39 | P a g e
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
Oxytocin
Uterine
Helps the
Active
uterus to
Agent
contract
INDICATION
Stimulate for
labor
CONTRAINDICATION
ADVERSE
NURSING
REACTION
RESPONSIBILITIE
Hypersensitivity
Cephalopelvic
Hypertension
Increased
Disproportion
Transverse lie
heart rate
Systemic
monitor
contractions, fetal
and maternal
venous
return
Increased
cardiac
heart rate, blood
pressure
Monitor patient
extremely closely
output
Nausea and
Vomiting
Anoxia
Asphyxia
S
Continuously
during 1st and 2nd
stage of labor
Assess fluid
intake and output.

Watch out for
signs and
symptoms of
water intoxication
40 | P a g e
DRUG
SPECIFIC
MECHANISM OF
NAME
Ferrous
ACTION
Iron
Sulfate
Supplement serum iron
(FeSO4)
ACTION
Elevates the
concentration
INDICATION CONTRAINDICATION
For iron
deficiency
and
which then helps
supplement
to form high or
during
trapped in the
pregnancy
reticuloendothelia
l cells for storage
ADVERSE
NURSING
REACTION
RESPONSIBILITIES
Hypersensitivity
Dizziness
Advised patient to
Severe hypotension Constipatio
take medicine as
n
Upset
stomach
Black
make position
changes slowly to
colored
minimized
stools
Temporary
and eventual
staining of
conversion to a
teeth
prescribed.
Caution patient to
orthostatic
hypotension
Instruct patient to
avoid concurrent
usable form of
use of alcohol or
iron.
OTC medicine
without consulting
the physician
Advise patient to
consult physician
if irregular
heartbeat,
dyspnea, swelling
41 | P a g e
of hands and feet

and hypotension
occurs.
Inform patient that
angina attacks
may occurs 30
mins. after
administration due
to reflex
tachycardia
Encourage to
comply with
additional
intervention for
hypertension like
proper diet,
regular exercise,
and lifestyle
changes.
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
INDICATION
CONTRAINDICATION
ADVERSE
NURSING
REACTION
RESPONSIBILITIES
42 | P a g e
Cefalexin
Antibiotic
Interferes with skin and soft

a bacterial cell
tissue
wall synthesis,
infections
hypersensitivity
causing cell to
rupture and
die. Against
many gram-
fever
headache
edema
hypotension
vasodilation
palpitations
chest pain
nausea and
watch for the
allergy
watch out for the
side effects
monitor the vital
signs
vomiting
positive
bacteria;
shows limited
activity
against gramnegative
bacteria
DRUG
SPECIFIC
MECHANISM
INDICATION
CONTRAINDICATION
ADVERSE
NURSING
43 | P a g e
NAME
Folic Acid
ACTION
Supplement
OF ACTION
Required for
DNA synthesis
and cell
growth and is
Diarrhea
Heartburn
Constipation
Depression
anxiety
undiagnosed
REACTION RESPONSIBILITIES
toxicity
instructed to
megaloblastic
continue until 12th
anemia
week of
important for
pregnancy
instructed to eat
RBCs
fruit and
formation,
vegetables
should advised to
energy
take folic acid
production as
before the
well as the
conception
forming acids.
Important in
the
development
of nervous
system of the
fetus
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
INDICATION
CONTRAINDICATION
ADVERSE
NURSING
REACTION
RESPONSIBILITIES
44 | P a g e
Vitamin C
Vitamins
Increase
protection
mechanism of
the immune
system, thus
supporting
wound
healing.
prophylaxis
easy wound
healing
diarrhea
headache
heartburn
acute
hemolytic
anemia
dysuria
urethritis
nausea and
monitor Signs and

symptoms of
acute hemolytic
anemia
watch out for the
side effects
vomiting
45 | P a g e
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
INDICATION
CONTRAINDICATION
ADVERSE
NURSING
REACTION
RESPONSIBILITIE
S
Clusivol
OB
Vitamins
Used to treat pregnant

or prevent
vitamin
defiency due
hypersensitivity
constipation
diarrhea
upset stomach
watch for the

allergy
watch out for the
side effects
to poor diet
during
pregnancy
46 | P a g e
DRUG
SPECIFIC
MECHANISM
NAME
ACTION
OF ACTION
Mefenamic
Acid
NSAIDs
Aspirin- drug
that has
analgesic,
antipyretic
and antiinflammatory
activities.
These
activities to
be due inhibit
cyclooxygena
se and also
INDICATION
Relief of pain
Post-partum
Migraine
Fever
dysmenorrhea
CONTRAINDICATION
hypersensitivity
asthma
urticarial
active ulceration of
GIT
ADVERSE
NURSING
REACTION
RESPONSIBILITi
dizziness
headache
nervousness
tremors
CHF
Hypertension
Tachycardia
syncope
gas pain
dyspepsia
diarrhea
peptic
ulceration
nausea
weight
ES
instruct patient
not to take drug
for more than 7
days
advise to report
immediately if it
is failure to
relieve pain
tell patient
about the
adverse
reaction
antagonize
certain effect
of
prostaglandin
s
47 | P a g e

Drug Study

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NURSING MANAGEMENT

Is a sterile, non- hydrated

solution for fluid

monitor the signs

Avoid strict heat

heart rate, blood

during 1st and 2nd

intake and output.

Supplement serum iron

which then helps

of hands and feet

Interferes with skin and soft

watch for the

continue until 12th

take folic acid

monitor Signs and

Used to treat pregnant

watch for the

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