Drug Name

Drug Route; Dosage and Frequency

Drug Action

Drug Indication

Drug Contraindication

Side Effect and Adverse Effect

Nursing Responsibility

Generic: Oxytocin

Brand Name: Pitocin

Drug Class: Oxytocic

Synthetic form of an Antepartum: to initiate or Containdicated or CV: Cardiac History: Significant endogenous improve uterine contraction significant with Arythmias PVcs cephalopelvic hormone produce in to achieve earl viginal cephalopelvic hypertension. disproportion, unfavorable the hypothalamus delivery; stimulation or disproportion, unfavorable fatal position or and stored in the reinforcement of labor in fatal position or Fatal Effect: meonatal presentation, severe posterior pituitary; selected cases of uterine presantations, obstetric jawndice, low apgar toxemia, uterine inertia, Stimulates the uterus inertia; management of in emergencies that favor hypertonic uterine patterns, score. especially the gravid evitable or incomplete durgicalintervention, previous CS. uterus just before abortion, second trimester prolonged use in severe GI: nawsea, vomiting 10 Units parturition and abortion. toxemia, uterine inertia, causes myo hypertonic uterine GV: Postpartum, epithelium of the Postpartum: to produce patterns, induction or hemorrhage, uterine lacteal glands to uterine contractions during augmentation of labor rupture pelvic rd contact which result the 3 stage of labor and to when vaginal delivery is hematom, spasin. in milk ejection in control postpartum contraindicated previous lactating women. CS. bleeding. Hypersensitivity: Anaphylacticm rxn. After delivery of LactationDeficiency the placenta

IM

Drug Name

Drug Route; Dosage and Frequency

Drug Action

Drug Indication

Drug Contraindication

Side Effect and Adverse Effect

Nursing Responsibility

Generic:

A partial against routine contraindicated with CNS: dizziness, headache, or antagonist @ management after allergy to tinnitus, diaphoresis. alpha receptors as delivery of the Methylergonovine, Methylergonovine Oral a result; it placenta. hypertension, toxemia, CV: transient, hypertention, Maleate increases the lactation pregnancy. palpitations, chest pain, strength,, treatment of dyspnea. Brand Name: duration and postpartum atony Uses cautiously 0.2 mg PO frequency of and hemorrhage; sepsis, obliterative GI: nausea, vomiting. Methergine sub involution of vascular disease, Tid or gid daily uterine contractions. the uterus. hepatic or renal Drug Class: in the impairment. puerperium for Uterine up to 1 week. Oxytocic stimulation during the second stage of labor following the delivery of the anterior or shoulder under strict medical supervision.

History: allergy to methylergonovine, hypertention, toxemia, sepsis, obliterative vascular disease, hepatic or renal impairment, lactation, pregnancy.

Physical: uterine tone, vaginal bleeding, orientation, reflexes, affects,; P, BP, edema; CBC, UFTs, renal function test, fetal monitoring.

Drug Name

Drug Route, Dosage and Frequency PO

Drug Action

Drug Indication

Drug Contraindication

Side Effect and Adverse Nursing Responsibility Effect

Generic: Cefalexin (Cephalexin)

Bacteriadal:

1-4g/day individed doses

Respiratory Tract infection causes by S. Inhibits synthesis of pneumoniae, group A beta hemolytic bacterial cell wall, streptococci. causing cell death.

Contraindicated allergy to cephalosporins or penicillin.

CNS: Headache, dizziness.

History: Penicillin or cephalosporin allergy, pregnancy or lactation.

Brand Name: 250mg. PO Apo , Cephalex, BIocef, Keptox, Nove-lexin, Nucephalex Drug Class: Antibiotic, Cephalosporin. (First Generation) 96hr.

Skin and skin structure infection causes by streptococcus, strephylococcus.

GI: nausea, vomiting, diarrhea, anorexia, Use cautiously renal abdominal pain, flatulence, failure, lactation, pseudomembranous, olitis, Physical: Renal pregnancy. hepatotoxicity function tests, respiratory stratus, skin stratus,; culture and sensitivity of infected area. GO: Nephrotoxicity

Drug Name Generic name: Amoxicillin trihydrate

Drug Route, Dosage, and Frequency

Drug Action Bactericida l: Inhibits synthesis of cell wall of sensitive organisms, causing cell death.

Dug Indication Infections due to susceptible strains of haemophilus influenzae. Helicobacter pylori infection in combination with other agents. Post-exposure prophylaxis against bacillus anthracis Unlabeled use: Chlamydia trachomatis in pregnancy.

Contraindication Contraindicated with allergies to penicillins cephalosporins. Use cautiously with renal dis orders, lactation.

Side Effect and Adverse Effect CNS: Lethargy GI: Nausea, vomiting, diarrhea, abdominal pain. GU: Nephritis Hematologic:Anemia Hypersensitivity: Rash, fever Other: super infections oral.

Nursing Responsibilities History: allergies to penicillins, Physical: culture infected area.skin color, lesions.

URLs GU infections, skin & soft tissue infections. Brand 250-500mg name: PO q8hr or Amoxil,Am 875 mg PO oxil bid. pediatric drops,ApoAmoxi (CAN)

Drug Name

Drug Route, Dosage and Frequency

Drug Action

Dug Indication

Contraindication

Side Effect and Adverse Effect

Nursing Responsibilities

Generic name: Ferrous sulfate Brand name: ASO- ferrous sulfate Feasol,fer-gen-sol Fer-In-sol Classification: Iron Preparation

Oral-men 10mg/day PO, 18mg/day pregnant women 30-60mg/day 2-4 hours duration.

Elevates the serum Prevention and Iron concentration, treatment of iron which then helps deficiency, anemias. to form high.

Contra indicated with allergy to any Ingredient, sulfite allergy, hemolytic anemias.

CNS: toxicity GI: nausea, vomiting, constipation, diarrhea

History: allergy to any ingredient,sulfite, hemolytic anemias. Physical: skin lesions, color gums, teeth (color)

Drug Name Generic name: Chloramphenicol Sodium Succinate Branded: Ophthalmic solutions, Akchloromycetin, chloroptic

Drug Route, Dosage and Frequency 50 in mg/kg day IV in divided doses q6 hr up to 100mg/kg/day in severe cases.

Drug Action Bacteriostatic effect against susceptible bacteria, prevents cell Replication.

Dug Indication

Contraindication

Side Effect and Adverse Effect CNS: headache, mild depression

Nursing Responsibilities History: allergy to chloramphenicol Physical: culture infection

Serous infections for Contraindicated with which no other allergy to phenicol. antibiotic is effective acute.

Drug Name

Drug Route, Dosage, Frequency IM or IV 250-500mg q6-12 hr

Drug Action

Dug Indication

Contraindication

Side Effect and Adverse Effect Adverse effect: CNS: headache GI: nausea GU: nephrotoxi city Hematologic Bone marrow depression Side effect: Stomach upset, loss appetite nausea, headache Severe diarrhea, difficulty breathing.

Nursing Responsibilities

Geberic name: Cefazolin sodium Brand name: ANCEF zolicef Classification: Antibiotic Cephalos -p0rin (generation)

Bactericidal inhibits synthesis of bacterial cell wall and causes cell death.

Respiratory tract infection caused by S. pneumonia, S. aureus Skin and skin structure infections caused by S. aureus.

Contraindicated with allergy to cephalosporin or penicillins Use cautiously with renal failure, lactation, preganancy.

History: penicillin or cephalos-porin Physical: Renal function test, skin status

Drug Name

Drug Route, Dosage and Frequency Oral-20mg PO as a first dose for patients who received 60mg IM or 30mg IV as a single dose or 30mg multiple dose, followed by 10mg q4-6hr do not exceed 40mh/24hr.

Drug Action

Dug Indication

Contraindication

Side Effect and Adverse Effect

Nursing Responsibilities

Generic name: Ketorolac Brand name: Acular , toradol Classification: NSAID Monopioid analgesic

Antiinflammatory & analgesic activity.

Short term management of pain(up to 5 days) Ophthalmic: relief of ocular itching due to seasonal conjunctivitis and relief of post operative inflammation of after cataract surgey.

Contraindicated with significant renal impairment, during labor & delivery, lactation Use cautiously with impaired hearing, allergies

CNS: headache Dermatologic: rash GI: Nausea GU: dysuria Hematologic: bleeding Respiratory: dyspnea

History:Renal impairment, allergies, pregnancy Physical: Skin color & lesions

Drug Name

Drug Route, Dosage and Frequency IV,SC,IM, 10mg/, 20mg/ml, q36hr

Drug Action

Dug Indication

Contraindication

Side Effect and Adverse Effect

Nursing Responsibilities

Generic Name: Nalbuphine hydrochloride Branded name: Nubain Drug Classification: Opioid agonistantagonist analgesic

Nalbuphine acts as an agonist at spevific opioids, Receptors in the CNS to produce analgesic & sedation but also acts to cause hallucinations and is an antagonist at MV Receptors.

Relief of moderate pain to severe pain

Contraindicated with by CNS: sedation, per sensitivity to clamminess, sweating nalbuphine Use cautiously with emotionally unstable pts.

History: hypersensi-tivity to nalbuphine, sulfites,lactation, emotional instability

Drug Name

Generic Name: Mefenamic acid Brand name: Apo-mefenamic (CAN) Pms-mefenamic acid (CAN) ponstel Drug Classification: NSAID

Drug Route, Dosage and Frequency Oral 500mg p.o as needed

Drug Action

Dug Indication

Contraindication

Side Effect and Adverse Effect CNS: headache Dermatologic: rash,sweating GI: dysuria Hematologic: Bleeding Respiratory: dyspnea

Nursing Responsibilities History: allergies Physical skin color and lesions

Antiinflammatory, Analgesic, & antipyretic activities related to inhibition of prostaglandin synthesis.

Relief of moderate pain when therapy will not exceed 1wk. Treatment of primary dysmenorrheal.

Contra indicated w/ hypersensitivity to mefenamic acid & aspirin allergy. Use cautiously w/ asthma, renal or liver dysfunction.