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Drug Name Classification Indication Side Effect Nursing Responsibility
Generic Name: Therapeutic: To reduce Thirst Before:
Mannitol Diuretics intracranial Dizziness Assess the patient's medical history, pressure Headaches allergies, and baseline vital signs. Brand Name: Pharmacologic: To reduce Nausea Check weight, renal function, fluid Osmitrol Osmotic Diuretics swelling due to Vomiting balance, and serum and urine cerebral edema Increased Urine sodium and potassium levels. Desired Dose: Output Perform a detailed neurological 75 mL assessment to establish a baseline Dry mouth for comparison. Action Contraindication Adverse Effect Route Assess the patient's hydration status IV Increases osmotic Contraindicated CNS: Seizures, Dizziness, by checking for signs of pressure of in patients Confusion, Headache, dehydration or fluid overload. glomerular hypersensitive Fever. Frequency During: filtrate, thus to drug. Every 4 Hours Monitor blood pressure, heart rate, inhibiting tubular Contraindicated CV: Edema, and respiratory rate regularly during reabsorption of in patients with Thrombophlebitis, infusion. water and anuria, severe Hypotension, HTN, HF, Reassess neurological status electrolytes. Drug pulmonary Tachycardia, Angina frequently to detect any changes or elevates plasma congestion, Pectoris, Vascular improvements. osmolality and frank Overload. Monitor intake and output carefully increases urine pulmonary to detect any signs of fluid output. edema, active ENT: Blurred Vision, imbalance. intracranial Rhinitis After: bleeding Tell patient that thirstiness or dry (except during GI: Thirst, Mouth, mouth may occur, emphasize craniotomy), Nausea, Vomiting, drinking only the amount of fluids and severe Diarrhea. ordered hypovolemia Assess urine output and fluid GU: Urine Retention. balance to evaluate the response to mannitol therapy and ensure METABOLIC: adequate hydration. Dehydration, Fluid and Instruct the patient to promptly Electrolyte Imbalance. report adverse reactions and discomfort at IV site RESPIRATORY: Assess the patient’s response to Pulmonary Edema. treatment by comparing neurological status before and after SKIN: Local Pain, administration. Urticaria, Injection-Site Reaction (Infection, Phlebitis, Venous Thrombosis).