DRUG ACTION INDICATION/CONTRAIND SIDE NURSING

ICATION EFFECTS/ADVE CONSIDERATO

RSE EFFECTS NS
Generic Furosemi INDICATION SIDE  Assess
Name: de is IV: Acute pulmonary edema EFFECTS fluid
Furosemide anthranil Oral: Hypertension, oliguria  Peeing status.
ic acid in acute or chronic renal more than Monitor
derivativ failure, edema normal daily
e and a Parenteral: Edema  Feeling weight,
Brand potent thirsty intake
Name: diuretic. with a and
Edemann, It mainly Dosage: 40mg IV dry output
Frusema inhibits mouth ratios,
the  Headache amount
reabsorpt CONTRAINDICATION s and
ion of Na Hypersensitivity to  Feeling location
Pharmacol and furosemide and confused of
ogic chloride sulfonamides. Anuria, renal or dizzy edema,
classificati in the failure with anuria not  Muscle lung
on: ascendin responding to furosemide; cramps, sounds,
Diuretics g loop of renal failure due to poisoning or weak skin
Henle by nephrotoxic or hepatoxic muscles turgor,
and in agents, hypovolaemia, and
Pregnancy both the dehydration, hypotension, mucous
Risk proximal comatose or pre-comatose membran
category: C and the states associated with liver ADVERSE es.
distal disease, porphyria, digitalis EFFECTS Notify
renal intoxication. Lactation.  Fluid and health
tubules. electrolyt care
It also e professio
interferes Reason why given: depletion nal if
with the Furosemide is given to help thirst, dry
 Symptom
chloride- treat fluid retention and mouth,
atic
binding swelling that is caused by lethargy,
hypotensi
cotransp CHF (congestive heart weakness
on
ort failure) , liver disease and ,
 Symptom
system, kidney disease and other hypotensi
atic
thereby medical conditions. on, or
hyperuric
causing oliguria
aemia
its occurs.
natriureti  Nephroto
 Monitor
c effect. xicity
BP and
 Ototoxici
pulse
ty
before
and
during
 administr
ation.
Monitor
frequenc
y of
prescripti
on refills
to
determin
e
complian
ce in
patients
treated
for
hypertens
ion.

DATE ORDERED: 9/5/20

DATE ORDERED: 9/5/20

 DRUG ACTIO INDICATION/CONTRAIN SIDE NURSING
N DICATION EFFECTS/AD CONSIDERA
VERSE TIONS
EFFECTS
Generic The INDICATION SIDE  Monitor
Name: exact  For the relief of EFFECTS such
Nubain mechani moderate to severe  Flushing patients
sm of pain. (warmth, for signs
action is tingling, of
unknow or sedation
Brand Name:
Nubain n, but is redness) and
believed  Nausea respirat
to  Vomitin ory
interact Dosage: 5mg g depressi
Pharmacologi with an  Stomach on,
c opiate cramps particul
classification: receptor arly
or pain
 Analg site in CONTRAINDICATION  Upset when
esics the CNS  Hypersensitivity to initiatin
(Opio (probabl
stomach
Nalbuphine HCl.  Dizzines g
d) y in or s therapy
 Anaes associate with
thetics d with  Spinning
sensation Nubain.
–
the Reason why given:
Local  Dry
& limbic Nubain was given to the mouth
Gener system). patient because it helps with
al The the management of pain
opiate severe enough to require this
antagoni type of opioid drug, because ADVERSE
stic the patient will undergo EFFECTS
effect CTT/JP drain that will require
may  Sedation
anaesthetics.
result  Drowsine
from ss
competit  Sweating
ive  Nausea
inhibitio  Dry
n at the mouth
opiate  Dizziness
receptor,  Lighthead
but may edness
also be a
result of
other
mechani
 sms.
Nalbuph
ine is
thought
primaril
y to be a
kappa
agonist.
It is also
a partial
mu
antagoni
st
analgesi
c, with
some
binding
to the
delta
receptor
and
minimal
agonist
activity
at the
sigma
receptor.

DATE ORDERED: 9/6/20

 DRUG ACTION INDICATION/CONTRAIN SIDE NURSING
DICATION EFFECTS/AD CONSIDERA
VERSE TIONS
EFFECTS
Generic Tramadol INDICATION SIDE  Control
Name: inhibits Oral: Moderate to severe pain EFFECTS environ
Tramadol reuptake of Parenteral: Postoperative pain,  Sleepines ment
norepineph moderate to severe pain. s (tempera
rine,  Difficult ture,
serotonin, y falling lighting)
Brand
Name: and asleep or if
Gesitram enhances Dosage: 50mg IV q8 staying sweating
serotonin asleep or CNS
release. It  Headach effects
alters CONTRAINDICATION e occur.
Pharmaco perception  Suicidal patients; acute  Nervous  Limit
logic and intoxication w/ use in
ness
classificati response to hypnotics, centrally patients
on:  Uncontro
pain by acting analgesics, llable with
Analgesics binding to opioids, psychotropic shaking past or
(Opioid)
mu-opiate drugs or alcohol; of a part present
receptors uncontrolled epilepsy, of the history
Pregnanc in the acute or severe body. of
y risk CNS. bronchial asthma. addictio
category: n to or
C Reason why given: depende
Tramadol was given to the ADVERSE nce on
patient q8 because of the JP EFFECTS opioids.
(Jackson pratt) that is placed  Resp.  Report
into the patient’s surgical site depressio severe
where they had CTT drain. n nausea,
Jackson Pratt helps to empty  Seizure dizzines
excess fluid from the body.  Dizziness s, severe
And having JP drain can be constipa
 Headache
painful and give discomfort to tion.
 Somnolen
the patient.
ce
 Weakness

DATE ORDERED: 9/6/20

 DRUG ACTIO INDICATION/CONTRAI SIDE NURSING
N NDICATION EFFECTS/ADV CONSIDERA
ERSE TIONS
EFFECTS
Generic Paraceta INDICATION SIDE  Check
Name: mol IV: Fever, mild to moderate EFFECTS that the
Paracetamol exhibits pain  An patient
analgesic Oral: Post-immunisation allergic is not
action by pyrexia, fever, mild to reaction taking
Brand Name:
peripher moderate pain (rash and any
Acetadol,
Aeknil, al Rectal: Fever, mild to swelling) other
Anaseran, blockage moderate pain, post-  Flushing, medicat
Biogesic of pain immunisation pyrexia low BP ion
impulse and a fast containi
generatio heartbeat ng
Pharmacologi n. It Dosage: 600mg IV q6 (this can paraceta
c produces happen mol.
classification: antipyres sometime  Alcohol
 Analg is by CONTRAINDICATION s when increase
esics inhibitin  Hypersensitivity paraceta s the
(Non- g the  Severe hepatic mol is risk of
Opioi hypothal impairment or active given in liver
d) amic liver disease (IV) hospital damage
 Antip heat- into a that can
yretic regulatin vein in occur if
s g centre. Reason why given: your arm) an
Its weak Paracetamol 600mg IV q6 overdos
anti- prn was given to the patient e of
Pregnancy inflamm because of the pain caused ADVERSE paraceta
risk category:
atory by the JP drain. EFFECTS mol is
C
activity  Thromboc taken.
is related ytopenia The
to  Leucopeni hazards
inhibitio a of
n of  Neutrope paraceta
prostagla nia mol
ndin  Pancytope overdos
sysnthesi nia e are
s in the  Agrunoloc greater
CNS. ytosis in
persiste
nt
heavy
drinkers
and in
 people
with
alcoholi
c liver
disease.
 Evaluat
e
therape
utic
respons
e.

DATE ORDERED: 9/7/20

 DRUG ACTIO INDICATION/CONTRAIN SIDE NURSING
N DICATION EFFECTS/ADV CONSIDERAT
ERSE IONS
EFFECTS
Generic Clopidog INDICATION SIDE  Disconti
Name: rel Oral: Acute coronary EFFECTS nue
Clopidogrel selective syndrome, prophylaxis of  Headache medicati
ly and thromboembolic disorder. s or on seven
irreversi dizziness days
Brand
bly  Nausea before
Name:
Artheogrel, inhibits  Diarrhea elective
Clapidz, adenosin Dosage: 75mg tab OD or surgery
Clopidra, e constipati if
Clopifar diphosph on antiplatel
ate CONTRAINDICATION  Indigestio et effect
(ADP)  Active pathological n is not
Pharmacol from bleeding (e.g. peptic desirable
 Stomacha
ogic binding ulcer or intracranial .
classificati to its che or
hemorrhage) abdomina
on: platelet  Severe hepatic l pain  The
Anti-
P2Y12 impairment  Increased combinat
coagulants,
Anti- receptor bleeding ion of
platelets & and (your low-dose
Fibrinolytic subseque Reason why given: blood aspirin
s nt ADP- Clopidogrel is known as taking and
(Thrombol mediated anticoagulant which means it longer to clopidog
ytics) activatio helps prevent blood clots. It rel in
clot) or
n of prevents life threatening easy acute
Pregnancy glycopro problems with heart, blood coronary
risk bruising
tein vessels and in people who had syndrom
category: IIB/IIIA stroke, heart attack, and severe ADVERSE e
B
complex, chest pain. In the case of our EFFECTS without
thus patient it would prevent any ST
 Cross-
reducing future stroke and it could help reactive elevation
platelet with the chest pain. drug is given
aggregati hypersensi for at
on. tivity (e.g. least one
rash, month
angioede but no
ma, longer
hematolog than 9-
ic 12
reaction) months.
 Prolonged The
routine
 bleeding long-
time. term use
 Blood and of this
lymphatic combinat
system ion
disorders. increases
the risk
of
bleeding
without
clear
evidence
of
benefits.

 Ensure
that
patients
know
they
should
report
any
signs of
increase
d
bleeding
and
bruising.

DATE ORDERED: 9/9/20

 DRUG ACTION INDICATION/CONTRAIN SIDE NURSING
DICATION EFFECTS/AD CONSIDERA
VERSE TIONS
EFFECTS
Generic Carvedilol INDICATION SIDE  Monitor
Name: is a non- Oral: Left-ventricular EFFECTS BP and
Carvedilol selective B- dysfunction post myocardial  Tirednes pulse
blocker. It infarction, hypertension, s frequent
reduces heart failure, chronic stable  Weaknes ly during
Brand
peripheral angina. s dose
Name:
Betacard, vascular  Lighthea adjustm
Cardipres, resistance dedness ent
Carvid, by selective Dosage: 6.25 ½ tab BID  Dizzines period
Dilabloc a1 receptor s and
blockade periodic
 Headach
and ally
e
Pharmaco suppresses CONTRAINDICATION during
logic  Nausea therapy.
renin-  Patient with
classificat angiotensin decompensated heart Assess
ion: ADVERSE for
system failure requiring IV EFFECTS
Beta- orthosta
through inotropic treatment.
blockers  Hypotensi tic
non-  Bronchial asthma or on with or
selective B- hypoten
Pregnanc related bronchospastic without sion
y risk blockade. conditions syncope, when
category: Cardevilol  2 or 3 degree AV
nd rd
bradycard assisting
C has weak block without ia.
patient
membrane permanent  Blood and up from
stabilising pacemaker. lymphatic
supine
properties  Severe bradycardia disorders
position.
and has no (<50bpm) (anaemia)
If heart
intrinsic  Cardiac
rate
sympathomi Disorders
Reason why given: decrease
metic Carvedilol was given to the  GI
s below
activity. disorders
patient to treat high blood 55
pressure and heart failure. At beats/mi
the time the patient’s BP was n,
at 140/90. decrease
dose.
 Monitor
intake
and
output
ratios
and daily
weight.
 Assess
patient
routinely
for
evidence
of fluid
overload
(periphe
ral
edema,
dyspnea,
rales/cra
ckles,
fatigue,
weight
gain,
jugular
venous
distentio
n).
Patients
may
experien
ce
worseni
ng of
sympto
ms
during
initiation
of
therapy
for HF.

DATE ORDERED: 9/5/20

 DRUG ACTION INDICATION/CONTRAI SIDE NURSING
NDICATION EFFECTS/AD CONSIDERATIO
VERSE NS
EFFECTS
Generic Acetylcys INDICATION SIDE  Monitor
Name: teine Endtotracheal: Mucolytic EFFECTS signs of
Acetylcyst exerts Inhalation/Respiratory:  Broncho bronchospa
eine mucolytic Mucolytic spasm sm and
action IV: Paracetamol Poisoning  Disagree respiratory i
through Ophtalmic: Dry eye able rritation,
Brand
Name: its free associated with abnormal odor including
ACC, sulfhydryl mucus production.  Drowsin wheezing,
Acetimax, group Oral: Paracetamol poisoning, ess cough,
Dextein, which mucolytic.  Fever dyspnea,
Exflem, opens up  Coughin increased
Flemisten the g up secretions,
disulfide Dosage: 600mg 1 tab OD blood and
bonds in 1month  Increase tightness in
Pharmac the the chest
ologic d
mucoprot volume and throat.
classificat
eins, thus CONTRAINDICATION of  Report
ion:
Antidotes lowering  Use of oral powder bronchia excessive
& mucous for solution and l or
Detoxifyin viscosity. effervescent tab in secretion prolonged
g Agents, children below 2 s respiratory
other eye years of age. problems to
preparatio the
n, cough Reason why given: physician.
and cold It is given to the patient
preparatio ADVERSE
because the patient’s chief EFFECTS
n.
complaint was cough with  Hyperse
Pregnanc DOB. And NAC or N- nsitivity
y risk Acetylcysteine is known as reactions
category: mucolytics which increase (e.g.
B expectoration of sputum by urticaria,
reducing its viscosity thus rash,
making it easier to cough it hypotens
up. It could also lead to ion,
reduction in exacerbations of wheezin
COPD. g)
 Fluid
overload
resulting
in
 hyponatr
emia and
seizures
 Decreas
ed
prothro
mbin
time.

DATE ORDERED: 9/11/20

 DRUG ACTION INDICATION/CONTRAIN SIDE NURSING
DICATION EFFECTS/AD CONSIDERA
VERSE TIONS
EFFECTS
Generic Clonidine INDICATION SIDE  Monitor
Name: stimulates Epidural: Chonic Pain due to EFFECTS blood
Clonidine a2 malignant neoplastic disease  Blisterin pressure
adrenoce IV: Hypertensive crisis g and
ptors in Oral: Attention deficit  Chest pulse
Brand
the brain hyperactivity disorder, pain rate
Name:
Catapin, stem menopausal flushing,  Confusio frequent
Clonigen, which prophylaxis of migraine, n ly.
Clonipress, results in vascular headache,  Decrease Dosage
Alphapres reduced prophylaxis, hypertension. d urine is
sympathe Transdermal: Hypertension output usually
tic tone  Fast, adjusted
Pharmacol and Dosage: Clonidine 75mg 1tab to the
pounding
ogic decreased patient’s
classificati or
peripheral CONTRAINDICATION irregular blood
on: resistance Severe bradyarrhythmia. heartbeat pressure
Antihyperte
, renal or pulse. and can
nsive
vascular Reason why given: cause
resistance The patient’s BP on Sept. 11 ADVERSE hypoten
, heart at 2:50pm was 180/100mmHg EFFECTS sion,
rate and and needs clonidine to  Hypotens bradycar
blood decrease heart rate and to ion dia, and
pressure. relax blood vessels. sedation.
 Bradycar
dia
 CNS
depressio
n
 Respirato
ry
depressio
n

DATE ORDERED: 9/5/20

 DRUG ACTION INDICATION/CONTRAI SIDE NURSING
NDICATION EFFECTS/AD CONSIDERA
VERSE TIONS
EFFECTS
Generic Ipratropium INDICATION SIDE  Check
Name: bromide is a Management of reversible EFFECTS inhaler
Combiven quarternry bronchospasm with  Changes techniqu
t UDV ammonuim obstructive airway diseases. in blood e.
compound pressure  Ensure
Brand
with anti- Dosage: 1 Combivent q8 +  Difficult that
Name:
Combiven cholinergic 2cc NSS or patients
t UDV (parasympath painful are able
olytic) urination to
Pharmac properties. . CONTRAINDICATION  Fainting correctly
ologic  Hypersensitivity to  Feeling use the
classificat atropine, its nervous delivery
ion: derivatives or to any device
 Muscle
Anti- other component of for their
asthmatic pain
Combivent UDV. medicati
& COPD  Severe on and
Preparatio dizzines consider
ns s use of a
Reason why given:
Patient’s chief complaint was space if
cough with DOB. appropri
ADVERSE ate.
EFFECTS  Evaluat
 Headach e
e therape
 Dizzines utic
s respons
 Nervous e.
ness
 Tachyca
rdia
 Fine
tremor
of
skeletal
muscles
and
palpitati
ons

DATE ORDERED: 9/11/20

 DRUG ACTION INDICATION/CONTRAIN SIDE NURSING
DICATION EFFECTS/ADV CONSIDERAT
ERSE IONS
EFFECTS
Generic Dopamin INDICATION SIDE  Monitor
Name: e IV: Acute heart failure EFFECTS blood
Dopamine stimulate  Irregular pressure,
s heartbeat pulse,
dopamine Dosage: Dopamine 200mg in  Nausea and
Brand
rgic 250d5 water x 10ml per hr  Vomiting peripher
Name:
Dopamax, receptors  Anxiety al pulses
Myocard, at lower  Headache every 15
Dopnax, doses  Chills minutes.
Dopazef producin CONTRAINDICATION  Monitor
g renal  Phaeochromocytoma hourly
and  Hyperthyroidism ADVERSE urine
Pharmaco mesenteri  Uncorrected output.
logic EFFECTS
c tacharrythmias or  Cardiac
classificati  Arrythmia
vasodilati ventricular fibrillation monitor
on:  Extravasat
ve; at should
Cardiac e
higher Reason why given: be used
Drugs
doses  Blood and
The patient was hypotensive at lymphatic on
stimulate Sept. 11 3:35pm. And patients
system
s both dopamine is known to treat receivin
disorders
dopamine symptoms of low blood g
rgic and pressure, low cardiac output dopamin
b1- and improves blood flow to e
adrenergi kidneys. infusion.
c  Notify
receptors physicia
producin n
g cardiac immedia
stimulatio tely if 1)
n and oliguria
renal develops
vasodilati ; 2)
ve. tachy-
dysrhyth
mias
develop;
3)
diastolic
pressure
rises
reducing
pulse
pressure;
4)
hypotens
ion
continue
s to exist
at
maximu
m dose
of 20
mcg/kg/
min; 5)
signs of
peripher
al
ischemia
(purple
extremiti
es, cold
extremiti
es,
diminish
ed
peripher
al
pulses)