St.

Anthony’s College
San Jose, Antique
Nursing Department

Name: L.Y.C
Age/Sex: 59 y.o/ F
Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
(Dosage, Route, Mechanism of Action Contraindication Reactions
Frequency, Timing)
*Observe 14Rights of
Generic Name: Classification: Indication: CNS: Ototoxicity— Medication Administration:
Gentamicin Sulfate Aminoglycoside Infection prophylaxis in tinnitus, dizziness, vertigo,  Check doctor’s order
minor skin abrasions and deafness (partially  Given by IM route if
Brand Name: Mechanism of Action: treatment of superficial reversible to irreversible), at all possible; given
Garamycin Bactericidal: Inhibits infections of the skin vestibular paralysis,
by deep IM
protein synthesis in due to susceptible confusion, disorientation,
Dosage: susceptible strains of organisms amenable to depression, injection.
1.7 mg gram-negative bacteria; local treatment. lethargy,nystagmus, visual  Cleanse area before
appears to disrupt disturbances, headache, application of
Route: functional integrity of Contraindication: numbness, dermatologic
IM bacterial cell Contraindicated with tingling,tremor,paresthesias, preparations.
membrane, causing cell allergy to any muscle twitching, seizures,
 Ensure adequate
death. aminoglycosides. muscular weakness,
· Use cautiously with neuromuscular blockade hydration of patient
renal or hepatic disease; CV: Palpitations, before and during
pre-existing hearing loss. hypotension, hypertension therapy.
GI: Hepatic toxicity,  Monitor renal
nausea, vomiting, anorexia, function tests,
weight loss, stomatitis,
CBCs, serum drug
increased salivation
GU: Nephrotoxicity levels during long-
Hematologic: Leukemoid term therapy.
reaction, agranulocytosis,  Consult with
granulocytosis, leukopenia prescriber to adjust
dosage.
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name: L.Y.C

Age/Sex: 59 y.o/Female

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
(Dosage, Route, Mechanism of Action Contraindication Reactions
Frequency, Timing)
CNS: Seizures, coldness,
Generic Name: Classification: Indication: sweating *Observe 14 Rights of
Epoetin alpha Erythropoiesis- Anemia caused by CV: Hypertension, Medication Administration:
stimulating agents reduction endogenous hypertensive
Brand Name: erythropoietin production encephalopathy  Check and verify with
Eposino primarily end stage renal MS: bone pain
Mechanism of Action: doctor’s order and
Erythropoietin is one disease; to correct
Kardex.
factor controlling rate of hemostatic defect in
uremia.  Assess patient’s status
Dosage: red cell production; drug is
and vital signs.
50-100 units/kg developed by recombinant
DNA technology  Monitor renal studies,
Contraindication: urinalysis, protein,
Hypersensitivity to blood,BUN, creatinine,
Route:
albumin, hypertension, I&O; report drop in
erythropoietin levels of
subcutaneous output < 50 ml/hr
>200 mU/ml
 monitor blood studies;
reticulocyte count
weekly; check for
symptoms of anemia,
fatigue, pallor, dyspnea
 Assess CNS
symptoms; coldness,
sweating
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name of student: EDEN MARIE D. FRANCISCO BSN 4 CI: ROQUE CORDERO III, RN

Name: L.Y.C

Age/Sex: 59 y.o/Female

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
(Dosage, Route, Mechanism of Action Contraindication Reactions
Frequency, Timing)
 St. Anthony’s College
San Jose, Antique
Nursing Department

Generic Name:
Morphine Hydrochloride Classification: Indication: CNS:  Check and verify with
Opiod Analgesic Moderate to severe pain. Dizzinesss, eupohoria, doctor’s order and
Brand name: light-headedness, seizures, Kardex.
Morphine LP Mechanism of Action: Contraindication: hallucinations,nervousness,
Binds with opiod receptors syncope and anxiety.  Assess patient’s status
Dosage: in the CNS, altering Contraindicated in patients CV: and vital signs.
1 ml perception of and hypersensitive to drug and Bradycardia, cardiac arrest,  Observe the 14 rights
emotional response to in those that would shock, hypotension, in medication
pain. preclude I.V administration tachycardia, palpitations, administration.
of opoids. peripheral circulatory
Route:  Monitor patient for
collapse.
IVTT GI: respiratory depression
Constipation, nausea,  Monitor patient for
vomiting signs and symptoms of
Frequency: GU: adrenal insufiency.
PRN Urine retention  Re-assess patient’s
Respiratory:
level of pain atleast 15
Apnea, respiratory arrest,
respiratory depression. and 30 mins.
Timing: SKIN:  Keep opiod antagonist
Diaphoresis, edema, (naloxone) and
pruritus, skin flushing. resuscitation equipment
ready.

Name of student: EDEN MARIE D. FRANCISCO BSN 4 CI: ROQUE CORDERO III, RN

Name: L.Y.C

Age: 59 y.o/ Female

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
Mechanism of Action Contraindication Reactions
 St. Anthony’s College
San Jose, Antique
Nursing Department

(Dosage, Route,
Frequency, Timing)

Generic Name: Classification: Indication: Fluid and electrolyte  Check and verify with
Mannitol Osmotic Diuretic imbalance; acidosis doctor’s order and
Mechanism of Action: For renal function test, (with high doses). Kardex.
Brand Name: oliguric phase of renal Nausea, vomiting,  Assess patient’s status
Osmitrol Mannitol increases failure, raised intraocular thirst; headache, and vital signs.
urinary output by pressure; cerebral dizziness, convulsions,  Observe the 14 rights in
Dosage: inhibiting tubular oedema and transurethral chills, fever; medication
100 g reabsorption of water prostatic resection. tachycardia, chest pain;
administration.
and electrolytes. It raises blurred vision; urticaria
 Notify the doctor if
Route: the osmotic pressure of Contraindication: and hypotension or
IVTT the plasma allowing hypertension; acute patient is experiencing
water to be drawn out of Pulmonary congestion or renal failure; skin undesirable effects.
Frequency: body tissues oedema; intracranial necrosis;  Check weight, renal
Q6H bleeding; CHF; thrombophloebitis. function, fluid balance
metabolic oedema with and serum and urine
abnormal capillary and sodium and
Timing: fragility; anuria due to potassium levels daily.
severe renal disease;  To relieve thirst, give
severe dehydration. frequent mouth care or
fluids.
 Don’t give electrolyte-
free solution with
blood.

Name: L.Y.C
Age: 59 y.o/F
Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
(Dosage, Route, Mechanism of Action Contraindication Reactions
Frequency, Timing)
 St. Anthony’s College
San Jose, Antique
Nursing Department

CNS:
Generic Name: Classification: Indication: Dizziness, asthenia,  Check and verify with
Losartan Potassium Antihypertensive Hypertension fatigue, headache, doctor’s order and
insomnia.
Kardex.
Brand Name: Mechanism of Action: Contraindication: CV: edema, chest pain
Cozaar Inhibits vasoconstrictive Contraindicated in patients EENT: nasal congestion,  Assess patient’s status
and aldosterone secreting hypersensitive to drug. sinusitis pharyngitis, and vital signs.
Dosage: action of angiotensin II by sinus disorder.  Observe the 14 rights
50 mg/tab blocking the angiotensin GI: abdominal pain, in medication
II receptor on the surface nausea, diarrhea, administration.
Route: of vascular muscle and dyspepsia.
NGT other tissue cells. RESPI: cough, URI  Notify the doctor if
patient is experiencing
undesirable effects.
Frequency:  Monitor patients who
OD are also taking
diuretics for
symptomatic
hypotension.
 Regularly assess
patient’s renal function
(creatinine and BUN
levels).

Name of student: EDEN MARIE D. FRANCISCO BSN 4 CI: ROQUE CORDERO III, RN
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name: L.Y.C

Age/Sex: 59 y.o/Female

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
(Dosage, Route, Mechanism of Action Contraindication Reactions
Frequency, Timing)
CNS: headache
Generic Name: Classification: Indication: CV: hypertension  Check and verify with
Dexamethasone Anti- inflammatory drug Inflammatory conditions EENT: burning, stinging, or red doctor’s order and Kardex.
sodium phospate (ophthalmic) of eyelids, conjunctiva, eyes; corneal erosion corneal  Monitor and observe
cornea and anterior erosion.
Mechanism of Action: segment of globe; allergic Respiratory: bronchitis patient’s status and vital
Brand Name: Suppresses edema, fibrin conjunctivitis; signs.
deposition, capillary dilation, suppression of graft  Observe the 14 rights in
Maxidex leukocyte migration, capillary rejection after medication administration.
proliferation, and collagen keratoplasty.  Notify the doctor if patient
deposition.
is experiencing undesirable
Dosage: Contraindication:
Contraindicated in effects.
2 drops patients hypersensitive to  Watch for corneal
drug or its component. ulceration, which may
require stopping drug.
Route  Patient and family
education.
Opthalmic
 Assess for contraindicated
conditions

Name: L.Y.C
Age: 59 y.o/Female
Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities
Mechanism of Action Contraindication Reactions
 St. Anthony’s College
San Jose, Antique
Nursing Department

(Dosage, Route,
Frequency, Timing)

Generic Name: Classification: Indication:  Check and verify with

Anti-convulsant doctor’s order.
Clonazepam
 Assess patient’s status
Mechanism of Action: and vital signs.
Brand Name: Contraindication:  Observe the 14 rights in
medication
Klonopin administration.
 Notify the doctor if
Dosage: patient is experiencing
undesirable effects.
2 tab  Patient and family
education.
 Assess for
Route:
contraindicated
Oral
conditions

Frequency:
HS

Name of student: Racquel V. Canono – BSN 4 Clinical Instructor: Jerry V. Able, RN, MAN