Drug Name Classification and Indication and Side Effects and Special Precautions Nursing

Mechanism of Contraindication Adverse Effects Responsibilities

Actions
Generic Name: Classifications: Indications: Side Effect Clindamycin is one of  Monitor for
Clindamycin Antibiotic Patients undergoing  Vomiting many medications that S&S of
oral, dental, or upper  Nausea can lead to an hepatotoxicity
Trade/Brand Name: Action: respiratory surgery,  Joint pain overgrowth of harmful  Check for the
(Not Specified) Antimicrobial and may be used for  Pain when bacteria in the large history of
prophylaxis against prophylaxis against swallowing intestine. This may allergy to drug
Dosage: Viridans group bacterial endocarditis  Heart burn result in minor diarrhea  Check for the
300 mgs streptococcal in penicillin-allergic or the potentially fatal history of
infection patients at high risk Adverse Effect disease colitis regional
Route: of these infections.  Rash (inflammation of the enteritis or
IVTT large intestine). ulcerative
 Peeling or
Contraindications: Clindamycin should colitis; history
blistering of skin
Frequency and Patient who has only be used to treat of antibiotic
 Hives
Timing: previously been severe infections that associated
Q6H found to be sensitive  Itching cannot be treated by colitis
12-6-12-6 to clindamycin.  Difficulty in other antibiotics since it
breathing or is more likely to
swallowing produce this sort of
 Hoarseness infection than many
 Swelling of the other antibiotics.
face, throat,
tongue, lips, The dosage is based on
eyes, hands, feet, your medical condition
ankles, or lower and response to
legs treatment, also based on
 Yellowing of the weight.
skin or eyes
 Decreased
urination
Drug Name Classification and Indication and Side Effects and Special Precautions Nursing
Mechanism of Contraindication Adverse Effects Responsibilities
Actions
Generic Name: Classifications: Indications: Side Effect  If you have dry  Monitor daily
Furosemide Diuretics Heart Failure,  Nausea mouth, increased weight, intake
Hypertension  Vomiting thirst, muscle and output
Trade/Brand Name: Action: Edema  Dizziness cramps, nausea, or  Monitor BP
Laxis Furosemide is a potent  Weakness vomiting, consult and PR before
loop diuretic that Contraindications:  Diarrhea your doctor and during
Dosage: works to increase the Contraindicated with  Constipation straight away. administratio
20 mgs excretion of Na+ and an allergy to  You can have n
 Stomach
40 mgs water by the kidneys furosemide dizziness,  Notify the
cramping
by inhibiting their lightheadedness, physician if
 Headache
Route: reabsorption from the or fainting, thirst, dry
IVTT proximal and distal  Itching or rash
especially if you mouth,
tubules, as well as the  Increased
rapidly get up lethargy,
Frequency and loop of Henle. It urination
from a laying or weakness,
Timing: works directly acts on seated position. hypotension
Q8H the cells of the Adverse Effect
or oliguria
8-4-12-8 nephron and indirectly  Anorexia
occurs
modifies the content  Gastric
 Check for the
Q12H of the renal filtrate. irritation
history of
8-8  Anemia allergy in the
 Muscle cramps drug
 Mood changes
Drug Name Classification and Indication and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Contraindication Adverse Effects
Actions
Generic Name: Classifications: Indications: Side Effect Use cautiously in  Obtain a history
Piperacillin Penicillin Antibiotics Used to treat infections  Diarrhea patient with other drug of
Tazobactam caused by certain types  Constipation allergies, especially to hypersensitivity
Actions: of bacteria  Nausea cephalosporin and in reactions prior to
Trade/Brand Name: Piperacillin is in a  Vomiting those with bleeding administration.
Kenzolin class of medications Contraindications:  Heartburn tendencies and renal  Administer
called penicillin Patients with a history  Stomach pain impairment. ANST
Dosage: antibiotics. It works by of allergic reactions to fever  Monitor patient
4.5 mgs killing bacteria that any of the penicillin, for any adverse
 Headache
cause infection. cephalosporin’s, or reactions.
 Mouth sores
Route: Tazobactam is in a beta-lactamase  Advise patient to
IVTT class called beta- inhibitors  Insomnia
report rash,
lactamase inhibitor. It itching or other
Frequency and works by preventing Adverse Effect
 Rash signs of
Timing: bacteria from hypersensitivity
Q8H ANST destroying piperacillin.  Itching
immediately
8-4-12  Difficulty
 Advise patient to
breathing or
report diarrhea.
swallowing
 Wheezing
 Severe diarrhea
 Unpleasant or
abnormal taste
 Shortness of
breath
 Unusual
bruising or
bleeding
BELVIS, ABIGAIL

Drug Name Classification and Indication and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Contraindication Adverse Effects
Actions
Generic Name: Classifications: Indications:  Blistering, Talk to your doctor Check physician’s
Hydrocortisone Corticosteroids Indicated for burning, crusting, right away if you have
certain endocrine, dryness, or more than one of these order
Trade/Brand Name: Actions: rheumatic, collagen, flaking of the symptoms while you Do not give medication
Solu- Cortef Hydrocortisone binds allergic, ophthalmic, skin are using this
to the glucocorticoid respiratory,  irritation medicine: blurred without doctor’s order
Dosage: receptor leading to hematologic, vision, dizziness or
100mgs downstream effects neoplastic,  itching, scaling, fainting, a fast, or prescription.
such as inhibition of edematous, severe redness, irregular, or pounding
soreness, or
Observe 10 rights in
Route: phospholipase A2, NF- gastrointestinal, and heartbeat, increased giving medication.
IVTT kappa B, other other conditions. swelling of the thirst or urination,
inflammatory skin irritability, or unusual
Frequency and transcription factors, Contraindications:  redness and tiredness or weakness.
Timing: and the promotion of Contraindicated to scaling around
Q6H anti-inflammatory patient with: the mouth Avoid people who are
12-6-12-6 genes. High blood pressure  thinning of the sick or have infections
and chronic heart skin with easy and wash your hands
disease bruising, often. If you are
especially when exposed to chickenpox
used on the face or measles, tell your
or where the skin doctor right away. If
folds together you start to have fever,
(e.g. between the chills, sore throat, or
fingers) any other signs of an
infection, call your
 thinning, doctor right away.
weakness, or While you are being
wasting away of treated with
the skin hydrocortisone, do not
have any
immunizations
(vaccines) without
your doctor's approval.
Hydrocortisone may
lower your body's
resistance and the
 vaccine may not work
as well or you might
get the infection the
vaccine is meant to
prevent

Drug Name Classification and Indication and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Contraindication Adverse Effects
Actions
Generic Name: Classifications: Indications: Check with your Check physician’s order
Salbutamol Bronchodilators Treatment and  Trembling, doctor right away if
Do not give medication
prevention of particularly in the you develop a skin
Trade/Brand Name: Actions: bronchospasm (acute or hands. rash, hives, itching, without doctor’s order or
Hi- Vent It works by relaxing severe) in patients with  Nervous tension. trouble breathing or
prescription.
the muscles of the reversible obstructive  Headaches. swallowing, or any
Dosage: airways into the lungs, airway disease,  Palpitations swelling of your Observe 10 rights in
1 nebule which makes it easier including exercise-  Muscle cramps. hands, face, or mouth giving medication.
to breathe. induced bronchospasm. while you are using
Route: Contraindications: this medicine. Assess lung sounds, PR
Inhalation Patients with a history and BP before drug
of hypersensitivity to Hypokalemia (low administration and
Frequency and any of its components. potassium in the during peak of
Timing: blood) may occur medication.
Q8H while you are using
8-4-12-8 this medicine. Observe fore paradoxical
spasm and withhold
medication and notify
physician if condition
occurs.
 If administering
medication through
inhalation, allow at least 1
minute between
inhalation of aerosol
medication.
Advise the patient to rinse
mouth with water after
each inhalation to
minimize dry mouth.

Drug Name Classification and Indication and Side Effects and Special Nursing Responsibilities
Mechanism of Contraindication Adverse Effects Precautions
Actions
Generic Name: Classifications: Indications: Call your doctor Check physician’s order
Tranexamic Acid Antifibrinolytics Indicated for short term  feeling or being right away if you
Do not give medication without
prevention in patients sick, have shortness of
Trade/Brand Name: Actions: with haemophilia  diarrhoea breath, trouble doctor’s order or prescription.
Hemostan Tranexamic acid  Dizziness. breathing, chest
Observe 10 rights in giving
(sometimes Contraindications: tightness, flushing
 Hypotension medication.
Dosage: shortened to txa) is a hypersensitivity to of the face, trouble
500mg medicine  Thromboemboli swallowing, or any
that controls tranexamic acid or any of swelling of your Monitor blood pressure, pulse, and
c, e.g., arterial,
Route: bleeding. It helps the ingredients hands, face, or respiratory status as indicated by
IVTT your blood to clot venous, mouth while you
and is used for acquired defective color are using this severity of bleeding.
embolic;
Frequency and nosebleeds and vision, since this medicine.
Timing: heavy periods.  Neurologic, e.g.,
prohibits measuring one Monitor for overt bleeding every 15–
Stat visual Call your doctor
endpoint that should be right away if you 30 min.
impairment, have any eye
followed as a measure of
convulsions, problems, such as a
toxicity change in your Monitor neurologic status (pupils,
headache,
subarachnoid vision. level of consciousness, motor
mental status
hemorrhage activity) in patients with
changes;
active intravascular subarachnoid hemorrhage.
myoclonus;
clotting
 Rash
Assess for thromboembolic
complications.(especially in patients
with history).

Monitor platelet count and clotting

factors prior to and periodically
throughout therapy in patients with
systemic fibrinolysis.
Drug Name Classification and Indication and Side Effects and Adverse Special Precautions Nursing Responsibilities
Mechanism of Contraindication Effects
Actions
Generic Name: Classifications: Indications: This medicine may Check physician’s order
Epinephrine alpha- and beta- Indicated in  skin redness, swelling, cause pulmonary
Do not give medication
adrenergic agonists the emergency treatment edema (fluid in the
warmth, or tenderness at
Trade/Brand Name: of type I allergic lungs). Check with without doctor’s order or
Not specified Actions: reactions, including the site of injection your doctor right
prescription.
 Induces increased anaphylaxis. It is also away if you have
Dosage: vascular smooth used to increase mean  difficulty breathing chest pain, difficult, Observe 10 rights in giving
1 ampule muscle contraction, arterial blood pressure in fast, or noisy medication.
pupillary dilator adult patients with  pounding, fast, or breathing, blue lips
Route: muscle contraction, hypotension associated irregular heartbeat and fingernails, pale Monitor BP, pulse,
IVTT and intestinal with septic shock. skin, increased respirations, and urinary
sphincter muscle Contraindications:  nausea sweating, coughing output and observe patient
Frequency and contraction. Other Hypersensitivity to that sometimes closely following
Timing: significant effects sympathomimetic drugs,  vomiting produces a pink IV administration.
Every 3 minutes include increased closed-angle glaucoma, frothy sputum, or Epinephrine may widen pulse
interval during heart rate, anesthesia with  sweating swelling in the legs pressure. If disturbances in
resuscitation myocardial halothane. Another and ankles. cardiac rhythm occur,
contractility, and unique contraindication  dizziness withhold epinephrine and
renin release via to be aware of is notify physician immediately.
beta-1 receptors. catecholaminergic  nervousness, anxiety, or
polymorphic ventricular restlessness Keep physician informed of
tachycardia. any changes in intake-output
 weakness ratio.

 pale skin Use cardiac monitor with

patients receiving epinephrine
 headache IV. Have full crash cart
immediately available.
 uncontrollable shaking
Check BP repeatedly when
of a part of your body epinephrine is administered
IV during first 5 min, then
q3–5min until stabilized.
 Drug Name Classification and Indication and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Actions Contraindication Adverse Effects

Chronic active
Generic Name: Classification: Indication: -Angioedema, very alcoholism, increased
Paracetamol severe allergic reaction; sensitivity to Alvedon, -Check doctor’s order
Analgesic and  Mild to moderate pain to swelling of the face, marked disturbances of
Brand Name: N/A Antipyretic fever tongue, or throat, liver function and/or
difficulty swallowing, -10 rights of medications.
kidney disease, anemia
 Dosage: 300mgs hives and difficulty
breathing -Hepatic studies; AST,
(1 ampule) ALT, bilirubin, creatinine
-Allergic reactions such
Mechanism of Action: Contraindication: as skin rash and hives.
Even less severe forms of -Renal studies; BUN, urine
Route: IVTT Alvedon is an analgesic- Hypersensitivity to drugs skin reactions, rashes, creatinine, occult blood,
antipyretic. It has or its components and itching may occur.
analgesic, antipyretic and albumin
weak anti-inflammatory -Liver effects. This can
Frequency and timing action. The mechanism of be very serious and can
action is associated with cause symptoms such as -I&O ratio: decreasing
Stat, then Q4Hfor temp. inhibition of fatigue, nausea, vomiting, output may indicate renal
of greater than or equal to prostaglandin synthesis, stomach upset, and loss failure
37.5 ˚c the predominant of appetite
influence on the
8-12-4-8-12-4 thermoregulation center
in the hypothalamus , -Blood studies: CBC
enhances heat transfer
 Drug Name Classification and Indication and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Actions Contraindication Adverse Effects

Reduce the dopamine

Generic Name: Classification: Indication: dose if an increased
-Irregular heartbeats. number of ectopic beats -Check physician’s order
Dopamine Intropin Agents Dopamine is indicated for
the correction of
is observed.
Brand Name: hemodynamic -Nausea. -Observe 10 rights of
imbalances present in the medication.
(Not Specified) Mechanism of Action: shock syndrome due to -Vomiting.
myocardial infarction, -Monitor blood pressure,
Used to treat the trauma, endotoxic -Anxiety. pulse, and peripheral
symptoms of low blood septicemia, open-heart pulses every 15 minutes.
Dosage: pressure, and low cardiac surgery, renal failure, and
chronic cardiac
-Headache.
output and improves -Monitor hourly urine
400mgs blood flow to the kidneys. decompensation as in
congestive failure. -Chills. output.

Contraindication -Shortness of breath. -Cardiac monitor should

be used on patients
Route: Dopamine is receiving dopamine
contraindicatedin patients infusion.
 IV
with pheochromocytoma
Frequency/Timing: or uncorrected
tachyarrhythmias
10cc/ hr including venticular
fibrillation and venticular
tachycardia