Drug Name Simvastadin

Action Decrease serum triglycerides, decrease LDL , cholesterol, and modest increases in HDL cholesterol

Classification ANTILIPEMIC; HMG-CoA inhibitor

Indication

Side Effects

Contraindication s >hypersensitivit y to simvastatin >active liver disease >hepatic encephalopathy >hepatitis >jaundice >pregnancy >children <10

Nursing Responsibility ASSESSMENT: >obtain baseline periodic liver function during the first year and yearly thereafter. Monitor cholesterol levels throughout therapy. >report signs of bleeding promptly when taking concurrent warfarin >assess and report for muscle pain. >moderate intake of juice while taking the medication

Drug Name Generic name: Tramadol HCL Brand Name: ULTRAM, ZYDOL

Action Certainly acting opiate receptor agonist that inhibits the uptake of norepinephrin e and serotonin, suggesting both opioid and non opioid mechanisms of pain relief. May produce opioid-like effects, but causes less respiratory depression than morphine

Classification Narcotic analgesic

Indication Management of moderate to moderately severe pain.

Side Effects

Contraindication s >Hypersensitive to tramadol >pt on MAO inhibitors >hypnotics >opioids >substance abuse >pt on obstetric preoperative drugs, >pregnancy >children <10

Nursing Responsibility >Assess level of pain relief and administer PRN dose but not exceeding the recommended total daily dose. >monitor VS and assess for orthostatic hypotension or signs of CNS depression. >assess bowel and bladder function; report urinary frequency or retention >use seizure precaution with pt. who have history of

seizure >monitor ambulation and take safety precautions.

Drug Name Generic name: Gabapentin Brand Name: NEURONTIN, GABARONE

Action Used in conjunction with other anticonvulsant s to control certain types of seizure in patients with epilepsy. Effective in controlling painful neuropathies

Classification ANTICONVULSANT S

Indication For patient having episode of seizure

Side Effects

Contraindication s >hypersensitivit y to gabapentin >pregnancy >lactating >Children <3

Nursing Responsibility >monitor effectiveness >assess frequency of seizures >assess safety: vision may impaired by gabapentin >report when there is bleeding or unusual bruising

Drug Name Generic Name: Indomethacin Brand Name: INDOCIN

Action Antipyretic and antiinflammatory actions may be related to its ability to inhibit prostaglandin biosynthesis. It is a potent analgesic

Classification ANTIPYRETIC, ANALGESIC, ANTIINFLAMMATOR Y

Indication Palliative treatment in active stages of moderate to severe rheumatoid arthritis,

Side Effects

Contraindication s >allergy with the drug >epilepsy >parkinsonism >impaired renal or hepatic function >controlled infections >coagulation defects >CHF

Nursing Responsibility >monitor for effectiveness. >reduced fever >question pt carefully regarding aspirin sensitivity >monitor renal and hepatic function

Drug Name

Action

Classification

Indication

Side Effects

Contraindication s

Nursing Responsibility

Generic Name: CLOPIDOGREL Brand name:

SITAGLIPIN HUMULIN