Name of Drug Generic

Route

Dosage/ Frequency 1tab TID

Mechanism of Action > provides elemental iron, an essential component in the formation of hemoglobin

Specific Indication > iron deficiency > as a supplement during pregnancy

Contraindication

Side Effects/ Adverse Reaction > nausea, epigastric pain, vomiting, constipation, black stool, diarrhea, anorexia > temporarily stained teeth from liquid forms

Nursing Consideration > GI upset, maybe related to dose > between meal doses are preferable > drug can be given with some foods although absorption maybe decreased > entericcoated products reduce GI upset but also reduce amount of iron absorbed > monitor

Oral Ferrous sulfate

> contraindicated in patients hemosideorosis, primary hemolytic anemia, deficiency anemia, peptic ulceration, ulcerative colitis, or regional enteritis and in those receiving repeated blood transfusions > use cautiously long-term basis

Name of Drug Generic

Route

Dosage/ Frequency 1ampule TIV 30min prior to BT

Mechanism of Action >Diphenhydramine blocks histamine H1-receptors on effector cells of the GI tract, blood vessels and respiratory tract. It also causes sedation and has some anticholinergic action.

Specific Indication > Relief of symptoms associated with perennial and seasonal allergic rhinitis; vasomotor rhinitis; allergic conjunctivitis; mild, uncomplicated urticaria and angioedema; amelioration of allergic reactions to blood or plasma; dermatographism ; adjunctive therapy in anaphylactic reactions > Active and prophylactic treatment of motion sickness > Nighttime sleep aid

diphenhydramine TIV

Contraindication Side Effects/ Adverse Reaction Hypersensitivity ; > CNS neonates, depression, lactation. dizziness, headache, sedation; paradoxical stimulation in children; dryness of mouth, thickened respiratory secretion, blurring of vision, urinary retention; GI disturbances; blood dyscrasias.

Nursing Consideration Assessment > History: Allergy to any antihistamines, narrow-angle glaucoma, stenosing peptic ulcer, symptomatic prostatic hypertrophy, asthmatic attack, bladder neck obstruction, pyloroduodenal obstruction, third trimester of pregnancy, lactation > Physical: Skin color, lesions, texture; orientation, reflexes, affect; vision examination; P,

> Parkinsonism (including druginduced parkinsonism and extrapyramidal reactions), in the elderly intolerant of more potent drugs, for milder forms of the disorder in other age groups, and in combination with centrally acting anticholinergic antiparkinsonian drugs

BP; R, adventitious sounds; bowel sounds; prostate palpation; CBC with differential Interventions Monitor patient response, and arrange for adjustment of dosage to lowest possible effective dose.

Name of Drug Generic Calcium Gluconate

Route

Dosage/Frequency

Mechanism of Action > Replaces calcium and maintains calcium level.

Specific Indication > Hypocalcemic emergency > Adjunctive treatment of Magnesium intoxication > Hypophosphatemia > Hyperkalemia with secondary cardiac toxicity

Contraindication

Side Effects/ Adverse Reaction CNS: tingling sensation, syncope with rapid I.V. injection. CV: mild drop in blood pressure, vasodilation, bradycardia, arrhythmias, cardiac arrest with rapid I.V. injection. GI: irritation, constipation, nausea, vomiting, thirst, abd. pain. GU: polyuria, renal calculi. Metabolic: hypercalcemia Skin: local

Nursing Consideration Before: > Make sure prescriber specifies form of calcium to be given; crash carts may contain both calcium gluconate and calcium chloride. > Tell patient to take oral calcium 1 to 1!/2 hours after meals if GI upset occurs. During: > Give I.M. injection in gluteal region in adults and in lateral thigh in infants. Use

TIV

1ampule TIV after BT of 4

reactions, including burning, necrosis, tissue sloughing, cellulites, soft tissue calcification with I.M. use, pain.

I.M. route only in emergencies when no I.V. route is available bec. of irritation of tissue by calcium salts. > Tell patient to take oral calcium with a full glass of water. After: > Monitor calcium levels frequently. Hypercalcemia may result after large doses in chronic renal failure. Report abnormalities.

Name of Drug Generic Amlodipine

Route

Dosage/Frequency

Mechanism of Action > inhibits calcium movement across cell membranes of cardiac and vascular smooth muscle. > It dilates coronary arteries, peripheral arteries and arterioles. >Decreases total peripheral vascular resistance by vasodilation.

Specific Indication > Amlodipine is used to manage hypertension, chronic stable angina, and vasospastic angina. > It may be used alone or with other antihypertensives or antianginals.

Contraindication

Side Effects/ Adverse Reaction

Nursing Consideration

oral

1cap BID

> Allergy to amlodipine > Hepatic or renal impairment > Sick sinus syndrome > Heart block > lactation

> Peripheral edema > Headache > Flushing > Dizziness > Palpitations > Nausea > Unusual tiredness or weakness > Chest pain > Bradycardia > Orthostatic Hypotension

> Assess baseline renal and liver function. > Assess blood pressure. > Assess apical pulse. > Assess for peripheral edema behind medial malleolus. > Assess skin for flushing. > Question for headache and weakness. > May be given

without regards to food. Grapefruit juice may increase drug concentration

Name of Drug Conzace

Contents Vit C 5,000 iu Vit E 100 iu Vit C 500 mg Zn sulfate 25 mg

Route Oral

Dosage 1cap TID

Specific Indication > Cellular/tissue maintenance & repair & prevention of premature aging > Maintenance of healthy skin & as adjunct for treatment of various skin disorders

Administration > May be taken w/ meals for better absorption or if GI discomfort occurs