DRUG STUDY

Patients Initials:
Age:
Diagnosis:
Drug Features

T. B
35 y/o
Uroterolithiasis 2 Nephrolithiasis
Mechanism of

Therapeutics

Effects

Action

Responsibilities

Generic Name:

Competitively

Ranitidine HCL

inhibits action of

To decrease gastric

Patients with

histamine on the

acid secretion

H2 receptor sites of
parietal cells,

Brand Name:
Ulcedeg
Classification:
H2 Receptor

decreasing gastric
acid secretion

Indication

Contraindication

Adverse Effects

Check for skin test

CNS: headache,

possible allergic

hypersensitivity to Threatening:

malaise, vertigo

reaction before

while patient is on

drug and those

Anaphylaxis

EENT: blurred

NPO

with acute

Angioedema

vision

porphyra.
Use cautiously in

antagonist

patients with

Prescribed

hepatic

Dosage:

dysfunction.

50 mg Q8
Route:
Intravenous

Nursing

Adjust dosage in

Most Common
Life

Hepatic:
jaundice
Other: burning
and itching at
injection site

giving drug (as

ordered).
Observe the ten
rights of patient
before administering
drug.
Urge patient to
avoid cigarette

patients with renal

smoking because

function.

this may increase

gastric acid
secretion and

Form:

worsen disease.

Liquid in a glass

Assess and advise

ampule

patient to report

Color:

abdominal pain and

Clear

blood in stool or
emesis.
Dont confuse
ranitidine with
rimantidine.

Drug Features

Mechanism of

Therapeutics

Effects

Generic Name:

Action
Inhibits

Hyoscine N-

muscarinic actions

Antispasmodic

In patients with

Butylbromide

of acetylcholine

drug used to treat

angle glaucoma,

Brand Name:

on autonomic

conditions

obstructive uropathy,

Buscopan

effectors

associated with

obstructive disease

Classification:

innervated by

spasms of the

of the GI tract,

Belladonna

postganglionic

gastrointestinal

asthma, chronic

Alkaloid,

cholinergic

tract.

pulmonary disease,

Antimuscarinic

neurons. May

myasthenia gravis,

confusion,

Prescribed

effect neural

paralythic ileus,

hallucinations,

Dosage:

pathways

intestinal atony,

delirium,

20mg Q8

originating in the

unstable CV status in

impaired

Route:

inner ear to inhibit

acute

memory.

Intravenous

nausea and

hemorrhage,tachycar

CV: paradoxical

Form:

vomiting.

dia from cardiac

bradycardia,

Liquid in a glass

insufficiency, or

palpitations,

ampule

toxic megacolon.

tachycardia,

Color:

Patient with

flushing.

Clear

hypersensitivity to

EENT: dilated

belladonna or

pupils, blurred

Nursing
Responsibilities

Indication

Contraindication

Most Common
Constipation
Dry motuh
Epigastric distress
Nausea
vomiting

Adverse Effects

Observe the ten

CNS:

rights of patient

disorientation,

before

restleness,,

administering

irritatability,

drug.

dizziness,
drowsiness,
headache,

Raise side rails of

bed as precaution
because some
patients become
temporarily
excited or
disoriented and
some develop
amnesia or
become drowsy.
Reorient patient as
needed.
Alert patient to
possible

barbiturates.

vision,

withdrawal signs

Use cautiously in

photophobia,

or symptoms

patients in hot or

increased

(nausea, vomiting,

humid environments;

intraocular

headache,

drug can cause heart

pressure,

dizziness).

stroke.

difficulty

Advise patient that

swallowing.

eyes may be more

GU: urinary
hesitancy, urine
retention,

sensitive to light.
Warn patient to
avoid activities
that require

Respiratory:

alertness until

bronchial

CNS effects of

plugging,

drug are known.

depressed

Urge patient to

respirations.

report urine

Skin: rash,
dryness

hesitancy or urine
retention.

Drug Features

Mechanism of

Generic Name:

Action
Inhibits activity of

Omeprazole

acid (proton)

To decrease

Brand Name:

pump and binds to

Risek
Classification:
Proton

Therapeutics

Effects

Responsibilities
Adverse Effects

Observe the ten

Patient with

CNS: asthenia,

rights of patient

gastric acid

hypersensitivity to

dizziness,

before

hydrogen-

secretion to

drug or its

headache.

administering

potassium

prevent GI

component.

drug.

irritation that may

Use cautiously in

GI: abdominal

cause pain

patients with Barter

pain,

Caution patient to

constipation,

avoid hazardous

diarrhea,

activity if he gets

flatulence,

dizzy.

nausea, vomiting.

Advise patient that

Pump adenosine

Indication

Contraindication

Most Common

Inhibitor

triphosphatase at

Prescribed

secretory surface

syndrome,

Dosage:

of gastric parietal

hypokalemia, and

40 mg OD

cells to block

respiratory alkalosis.

Route:

formation of

Long-term

Intravenous

gastric acid.

administration of

Musculoskeletal:

bicarbonate with

back pain.

Form:
Powder

in

calcium or milk can

glass vial

cause milk alkali

Color:

syndrome.

Yellow

Nursing

gastrin level rises

in most patients
during first two

Respiratory:

weeks of therapy.

cough, upper

Advise patient to

respiratory tract

report any sign

infection.

and symptom of

Skin: Rash

drug adverse
reaction.

Drug Features

Mechanism of

Therapeutics

Generic Name:

Action
Unknown.

Clonidine

Thought to

Essential and renal

Contraindicated in

Hydrochloride

stimulate alpha2

hypertension.

Brand Name:

Effects

Nursing
Responsibilities

Indication

Contraindication

Most Common

Adverse Effects

Observe the ten

CNS: Drowsiness,

CNS: fatigue,

rights of patient

patients

dizziness, sedation,

malaise,

before

receptors and

hypersensitive to

weakness

agitation,

administering

Catapres

inhibit the central

drug.

depression

drug.

Classification:

vasomotor centers,

Use cautiously in

CV: bradycardia,

Monitor blood

severe rebound

pressure and pulse

hypertension,

rate frequently.

GI: constipation,
dry mouth

Centrally Acting decreasing

patients with severe

alpha antagonist

sympathetic

coronary

Skin: pruritus,

Prescribed

outflow to the

insufficiency,

dermatis, rash

Dosage:

heart, kidneys, and

conduction,

orthostatic
hypotension.

Caution patient
that drug may

75 mcg PRN for peripheral

disturbances, recent

BP of > 130/90

vasculature, and

MI, cerebrovascular

GI: nausea,

cause drowsiness

Route:

lowering

disease, chronic

vomiting,

but that this

Sublingual

peripheral

renal failure, or

anorexia.

adverse effect

Form:

vascular

impaired liver

Tablet

resistance, blood

function.

Color:

pressure, and heart

White

rate.

GU: urine
retention,
impotence

usually diminished
over four to six
weeks.
Inform patient that
dizziness upon
standing can be

minimized by
rising slowly from
a lying or sitting
position and
avoiding sudden
position change.
Dont confuse
clonidine with
quinidine or
clomiphene.

Drug Features

Mechanism of

Therapeutics

Effects

Generic Name:

Action
Relieve pain and

Indication

Contraindication

Etoricoxib

inflammation by

To relieve pain

Asthma or any other

Brand Name:

blocking an

and reduced

allergic disorder,

Arcoxia

enzyme in the

inflammation

dehydrated, stomach

Classification:

body called cyclo-

causing by stone

or duodenal ulcer,

cyclooxygenase-2
NSAIDs

oxygenase-2

formation in the

inflammatory bowel

(COX-2). COX-2

ureter.

disorder such as

is involved in the

Crohn's disease or

Prescribed

production of

ulcerative colitis.

Dosage:

irritant substances

120 mg Q8 prn

in the body in

Patient with liver or

blood pressure,

Route:

response to

kidney problems,

palpitations,

PO

disease and injury.

heart condition, or a

bruising

Form:

By blocking the

problem with blood

Tablet

action of COX-2,

vessels or circulation.

Color:

etoricoxib reduces

White

the symptoms of

Patient has high

pain and

blood pressure and

inflammation.

blood clotting

Nursing
Responsibilities

Most Common
Drowsiness
Nausea
Constipation

Adverse Effects

Observe the ten

CNS: dizziness,

rights of patient

tirediness,

before

headache

administering

GI: Indigestion,

drug.

GI Irritation,

Caution patient to

constipation,

avoid hazardous

diarrhea

activity if he gets

CV: Increase

problems.

dizzy.
Advise patient to
report if there is
sign and
symptoms of

Musculoskeletal:

allergic reaction

Joint pain, fluid

and adverse effect.

retention

Patient with
connective tissue
disorder, such
as systemic lupus
erythematosus (an
inflammatory called
lupus, or SLE).
Patient with allergic
reaction to a
medicine. It is
particularly important
that you tell your
doctor if you have
had a bad reaction to
any other NSAID
(such as aspirin,
naproxen, diclofenac,
and indometacin).

Drug Features

Mechanism of

Therapeutics

Effects

Nursing

Generic Name:

Action
Ural helps to

Na bicarbonate

neutralize the acid

Urinary

Renal failure or

1,760 mg, Na

in the urinary tract

alkalinization

hypernatremia; in

effect. Systemic

before

citrate 630 mg,

while assisting in

where indicated in

conjunction w/

alkalosis &/or

administering

citric acid 720

eliminating

the treatment of

hexamine mandelate

hypernatremia

drug.

mg, tartaric acid

organisms that

UTI; symptomatic

or hexamine

890 mg

cause infection.

relief of dysuria;

hippurate therapy.

Brand Name:

Most Common

Adverse Effects

Mild laxative effect Mild laxative

Observe the ten

rights of patient

Advice patient that

overused of Ural

imbalance.
Monitor for

Prescribed

electrolyte

Dosage:
1

sachet in a one
glass of water
Route:

Contraindication

electrolyte

Classification:

TID

Indication

may lead to

Ural

Dissolve

Responsibilities

imbalance.
Advice patient to
take drug
according to
prescription.
Observe for any

PO

signs and

Form:

symptoms of

Powder in sachet

systemic alkalosis

Color:

and

White

hypernatremia.