cation Effects Action Effects Responsibilities Generic Name: Widely used Heart Contraindicated Tachycard CNS: Instruct patient Digoxin cardiacglycoside of failure,paroxys in patients ia, Agitation, not to stop DigitalisLanata. Acts malsupraventri hypersensitive Headache, Dizziness, taking drug Brand Name: byincreasing the culartachycardi to drug and in Dizziness, Fatigue, without Digitek forceand velocity of a,atrial those with Mental Generalized myocardial fibrillationand digitalis induced disturbanc muscle notifying Dosage: systoliccontraction. It flutter toxicity, es, weakness, physician.- PO: 10-15 mcg/kg (1 alsodecreases ventricular Nausea, hallucinatio Instruct to mg) individed doses conductionvelocity fibrillation, or and ns, report slow or over 24-48h IV : 10- through ventricular Vomiting, headache, irregular pulse, 15 mcg/kg (1mg) theatrioventricular tachycardia Diarrhea, malaise, rapid weight individed dose over node.Acton is more unless caused Anorexia paresthesia, gain, loss of 24h promptand less by heart failure. Blurred or vertigo CV: prolongedthan that of yellow Arrythmias, appetite, digitalisand digitoxin Patients with vision, heart nausea, Wolff- failure, diarrhea, Parkinson- EENT: vomiting, White syndrome Blurred blurred or unless the vision, yellow vision, conduction myopia, unusual accessory light tiredness or pathway has flashes, been photophobia weakness, pharmacologic , GI: swelling of the all surgically Anorexia, ankles, legs or disabled. diarrhea, fingers, nausea difficulty breathing.- Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Furosemide inhibits Management Hypersensitivity Cardiovas Hyponatrae Monitor BP, serum Furosemide reabsorption of Na of edema to furosemide cular: mia, electrolytes, renal Brand Name: and Cl mainly in the associated with and Acute hypochlorae function, orthostasis, Fortaz, Tazicef medullary portion of heart failure sulfonamides. hypotensi mic hearing (on high the ascending loop of and hepatic or Anuria or renal on, alkalosis, Dosage: Henle. Excretion of K renal disease; failure, chronic hypokalaem doses or rapid IV dosage: and ammonia is also acute Addison's aortitis, ia, admin). IM/IV increased while uric pulmonary disease, necrotizin headache, 1g q 12 acid excretion is edema; hypovolaemia or g angiitis, drowsiness, (8am, 8pm) reduced. It increases treatment of dehydration, muscle plasma-renin activity, hypertension precomatose orthostatic cramps, plasma- (alone or in state associated hypotensi hypotension norepinephrine and combination w/ liver on, , dry mouth, plasma-arginine- with other cirrhosis. vasculitis thirst, vasopressin antihypertensiv weakness, concentrations. es) lethargy, Onset: Diuresis: 30- restlessness, 60 min (oral); 30 min oliguria, GI (IM); approx 5 min disturbances (IV). Oedema: W/in , 15-20 min prior to hypovolaem diuretic effect. ia, Duration: 6-8 hr dehydration, (oral); 2 hr (IV). hyperuricae Pharmacokinetics: mia, acute Absorption: Fairly generalisede rapidly absorbed xanthemato from the GI tract. uspustulosis Bioavailability: , drug rash Approx 60-70%. w/ Distribution: Crosses eosinophilia the placenta; enters and breast milk. Plasma systemic protein binding: Up symptoms, to 99% (mainly reversible or albumin). irreversible Metabolism: hearing Undergoes minimal impairment hepatic metabolism. Excretion: Mainly via urine (as unchanged drug). Half-life: Up to approx 2 hr. Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Description: Prophylaxis of Hypersensitivity pain, Diarrhea, Assess for liver and Ceftadizime Ceftazidime binds to surgical to ceftazidime or swelling, nausea, renal dysfunction Brand Name: 1 or more of the infection in other burning, vomiting, Zeptrigen penicillin-binding patients cephalosporins. or abdominal Culture infection, and proteins (PBPs) undergoing irritation pain, arrange sensitivity Dosage: which inhibit the prostate around the metallic tests before and dosage: final transpeptidation surgery. IV needle; taste; during therapy if IM/IV step of peptidoglycan eosinophilia expected response is 1g q 12 synthesis in bacterial nausea, vo , not seen. (8am, 8pm) cell wall, thus miting, thrombocyt Warning: inhibiting diarrhea, osis; biosynthesis and stomach pruritus, Do not mix with arresting cell wall pain; rash aminoglycoside assembly resulting in orvaginal (maculopap solutions, administer bacterial cell death. itching or ular, these drugs Pharmacokinetics: discharge. erythematou separately. Absorption: Time to s), urticaria, peak plasma photosensiti Powder and concentration: vity, reconstituted solution Approx 1 hr (IM), 5 angioedema, darken with storage. min (IV bolus). fever; transient Have Vit. K available increases in in case serum hypoprothrombinemi concentratio a occurs ns of AST, Discontinue if ALT, hypersensitivity alkaline occurs phosphatase , LDH, γ- glutamyltra nsferase, bilirubin, serum creatinine concentratio ns; local reactions (e.g. phlebitis, pain or inflammatio n at inj site), candidiasis, vaginitis Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Paracetamol exhibits Mild to Patient w/ Bloody or Thrombocyt -Check that the Acetaminophen analgesic action by moderate pain chronic black, openia, patient is not taking peripheral blockage and fever alcoholism, tarry leucopenia, any other medication (Paracetamol) known G6PD of pain impulse stools pancytopeni containing deficiency, generation. It severe a, paracetamol. Brand Name: produces antipyresis -bloody or neutropenia, hypovolaemia, Biogesic by inhibiting the cloudy agranulocyt - For children who chronic hypothalamic heat- malnutrition. urine osis, pain may refuse medicine regulating centre. Its Renal and and burning off a spoon try using Dosage: -fever a medicine syringe to weak anti- hepatic sensation at Oral impairment. with or inflammatory activity inj site. squirt liquid slowly Pregnancy and without into the side of the 160mg PRN for temp is related to inhibition Rarely, lactation chills (not child’s mouth or use equal to or greater than of prostaglandin hypotension present soluble paracetamol 37.8 synthesis in the CNS. and before mixed with a drink. treatment tachycardia. Onset: Oral: <1 hr. and not - Some children may Duration: 4-6 hr Potentially caused by be happy to take one (analgesia). Fatal: paracetamol product Pharmacokinetics:Ab the Stevens- but dislike the taste of sorption: Readily condition Johnson another absorbed from the GI being syndrome, treated) toxic - Evaluate therapeutic tract. Time to peak epidermal response. plasma concentration: necrolysis, -pain in Approx 10-60 min the lower (oral). back and/or side Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Omeprazole is a Zollinger- Increased risk of Back, leg, Increased -Monitor therapeutic Omeprazole substituted Ellison Clostridium or risk of effectiveness and Brand Name: benzimidazole gastric syndrome difficile- stomach Clostridium adverse reactions at Omeprazole, antisecretory agent Gastric and associated pain difficile- beginning of therapy PriLOSEC, PriLOSEC and is also known as duodenal diarrhea associated and periodically OTC, Zegerid PPI. It blocks the ulcers, (CDAD) and -bleeding diarrhea throughout therapy. Dosage: final step in gastric Gastroesophag osteoporosis- or crusting (CDAD) Intravenous acid secretion by eal reflux related fractures. sores on and -Assess GI system: 40mg q 6 or OD on specific inhibition of disease, Headache, rash, the lips osteoporosis bowel sounds every NPO H+/K+ ATPase NSAID- pruritus, -related 8hours, abdomen for (6am, 12pm, 6pm, enzyme system associated dizziness, -blisters fractures. pain and swelling, 12am) present on the ulceration fatigue, cough, Headache, appetite loss. secretory surface of H.pyloric back or -bloody or rash, the gastric parietal infection abdominal pain, cloudy pruritus, -Monitor hepatic cell. Both basal and Peptic ulcer arthralgia and urine dizziness, enzymes: AST, ALT, stimulated acid are Erosive myalgia, fatigue, increased alkaline inhibited. oesophagitis urticaria, dry -chills cough, back phosphatase during Prophylaxis of mouth, or treatment. acid aspiration photosensitivity, abdominal during general bullous eruption, -difficult, pain, -Assess anaesthesia fever, burning, arthralgia knowledge/teach Acid-related angioedema, or painful and appropriate use of dyspepsia bronchospasm, urination myalgia, this medication, anaphylaxis, urticaria, interventions to somnolence, -fever dry mouth reduce side effects aggression and vertigo Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Centrally acting Management Hypersensitivity nausea, CNS: Drow Assess for tramadol opiate receptor of moderate to to tramadol or constipati siness, dizzi level of pain Brand Name: agonist that inhibits moderately other opioid on, ness, relief and Ulram severe pain. analgesics; dizziness, vertigo, administer prn the uptake of Dosage: patients on MAO headache fatigue, dose as PO 50–100 mg q4–6h norepinephrine and inhibitors; ,drowsines headache, needed but prn serotonin, suggesting patients acutely s, and somnolence, not to exceed both opioid and intoxicated with vomiting. restlessness the nonopioid alcohol, Less , euphoria, recommended mechanisms of pain hypnotics, commonly confusion, total daily relief. May produce centrally acting reported anxiety, dose. analgesics, side coordination Monitor vital opioid-like effects, opioids, or effects in disturbance, signs and but causes less psychotropic clued sleep assess for respiratory drugs; substance itching, disturbances orthostatic depression than abuse; patients sweating, ,seizures. C hypotension morphine. on obstetric dry V: Palpitati or signs of preoperative mouth, ons, CNS medication; diarrhea, vasodilation depression. abrupt rash, . GI:Nausea Discontinue discontinuation; visual ,constipatio drug and alcohol disturbanc n, vomiting, notify intoxication; es ,and xerostomia, physician if vertigo dyspepsia, S&S of diarrhea, hypersensitivi abdominal ty occur. pain, anorexia, flatulence. Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Mefenamic acid, an Pain and Hypersensitivity Tachycard CNS: Dro Assess mefenamic acid anthranilic acid inflammation to drug; GI ia, wsiness, patients who Brand Name: derivative, is a inflammation, or Arrhythmi insomnia, develop Ponstan prototypical NSAID. ulceration. a, dizziness, severe Dosage: It reversibly inhibits Safety in vasculitis, nervousne diarrhea and Adult: PO Loading the cyclooxygenase-1 children <14 y, hypotensi ss, vomiting for Dose 500 mg PO and -2 (COX-1 and - during on, confusion, dehydration Maintenance 2) enzymes, thus pregnancy palpitation headache. and Dose 250 mg q6h prn resulting in reduced (category C), or s; GI: Severe electrolyte synthesis of lactation is not abdominal diarrhea, imbalance. prostaglandin established pain, ulceration, Lab tests: precursors. It has vomiting, and bleedi With long- analgesic and dyspepsia, ng; nausea term therapy antipyretic properties constipati , (not w/ minor anti- on, vomiting, a recommended inflammatory diarrhea, bdominal ) obtain activity. nausea, cramps, periodic heartburn, flatus, complete GI constipatio blood counts, perforatio n, hepatic Hct and Hgb, n, peptic toxicity. and kidney ulcer Hematolo function tests. gic: Prolon ged prothromb in time, severe autoimmu ne hemolytic anemia (long-term use), leukopenia , eosinophili a, agranulo cytosis, thrombocy topenic purpura, megalobla stic anemia, pancytope nia, bone marrow hypoplasia . Contraindi- Adverse Name of Drug Mechanism of Indication Side Effects Nursing cation Effects Action Responsibilities Generic Name: Contain fat-soluble Treatment and Hypersensitivity GI: Nausea, In Assess patient for multivitamin vitamins (A, D, and prevention of to preservatives, vomiting, recommen signs of nutritional Brand Name: E) and most water- vitamin colorants, or heartburn, ded doses, deficiency before and Theragran deficiencies. additives, diarrhea throughout therapy. soluble vitamins (B- adverse Dosage: Special including Hematologi PO (Adults and com- formulations tartrazine, c: Acute reactions Children): are available saccharin, and hemolytic are Toxicity and plex vitamins B1 extremely for patients aspartame (oral anemia Overdose: Toxicity 1 dose unit ,B2, B3, B5, B6, B12, with particular forms); Some CNS: Head rare rarely occurs with (tablet/capsule/dropper needs, products contain ache (high multivitamin vitamin C, biotin, and GU:urine ful)/day including: alcohol and doses) preparations because folic acid). These Prenatal should be Urogenital: discolorati of the small amounts vitamins multiple avoided in Urethritis, on per unit of fat-soluble vitamins (with patients with dysuria, (preparati vitamins are a diverse group of larger doses of known crystalluria compounds necessary folic acid), ons with B intolerance for normal growth Preconceptiona vitamins). If overdose occurs, and development. l multiple treatment includes Misc: vitamins, induction of emesis Many act as allergic or gastric lavage, coenzymes or reactions calcium gluconate IV catalysts in numerous to if hypocalcemic, and metabolic processes. preservati maintenance of high ves, urine output. additives, or colorants Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: An essential mineral Prevention/trea Hemochromatosi Vomiting, CNS: CNS Advise patient to take ferrous sulfate found in hemoglobin, tment of iron s, hemosideoris, Severe toxicity, medicine as Brand Name: myoglobin, and many deficiency or other evidence abdominal coma, and prescribed. Feosol enzymes. Enters the anemia. of iron overload; pain, death with • Caution patient to Dosage: blood stream and is Anemias not due Diarrhea, overdose make position PO 350 mg/day transported to the to iron Dehydrati GI: GI changes slowly to organs of the deficiency; Some on, upset, minimize orhtostatic reticuloendothelial products contain Hypervent anorexia, hypotension. system, where it is alcohol, ilation, nausea, • Instruct patient to separated out and tartrazine, or Pallor or vomiting, avoid concurrent use becomes part of iron sulfites and cyanosis, constipatio of alcohol or OTC stores. should be Cardiovas n, medicine without avoided in cular diarrhea, consulting the patients with collapse epigastric physician. known pain • Advise patient to intolerance or consult physician if hypersentivity. irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. • Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia. Contraindi- Adverse Name of Drug Mechanism of Indication Side Nursing cation Effects Action Effects Responsibilities Generic Name: Semisynthetic broad- Similar to Hypersensitivity, anorexia, SpecSenses: Assess for doxycycline spectrum tetracycline those of some products Nausea, Interference infection at Brand Name: antibiotic derived tetracycline, contain alcohol vomiting, with color beginning of Monodox Chlamydial and bisulfites, diarrhea, vision. an throughout from oxytetracycline. Dosage: and avoid in patients photosensi the therapy PO/IV 100 mg q12 h More completely mycoplasmal with known tivity, GI: Report on day 1 absorbed with infections; hypersensitivity rashes Anorexia, evidence of effective blood levels gonorrhea, or intolerance nausea, super maintained for longer syphilis in vomiting, infections periods and excreted penicillin- diarrhea, Monitor more slowly than allergic enterocolitis bowel patients; ; esophageal function. most other rickettsial irritation Diarrhea, tetracyclines. Thus it diseases; acute (oral abdominal requires smaller and exacerbations capsule and cramping, less frequent dosing. of chronic tablet). fever and bronchitis.. bloody stools Skin: should be Rashes reported to health care as assign of pseudomembr anous colitis