DRUG STUDY

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DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Acetaminophen Relieves pain and Mild pain or fever. Contraindicated in patients Hemolytic  Tell patient not to use
-analgesic reduces fever. hypersensitive to drug. anemia,jaundice,rash, drug for fever that’s
-300mg urticaria. higher than 39.5 C
IVTT Use cautiously with history of lasts longer than 3
-prn chronic alohol abuse because days or recurs.
hepatotoxicity may occur.  Tell patient that drug
is for short term use.
 Warn patient that
high dose or
unsupervised long-
term use can cause
liver damage.
Excessive risk of
hepatotoxicity.
 Tell patient to keep
track of daily
acetaminophen
intake, including otc
prescription
medication.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Acetylcysteine Increases respiratory Pneumonia,bronchitis,tu Contraindicated in patients Hemoptysis,nausea,vomiting,b  Instruct patient to

-mucolytic tract fluids to help berculosis. hypersensitive to drug. ronchospam follow directions on
-600mg at bedtime liquefy tenacious Use cautiously in debilitated drug label exactly.
-PO secretions. Restores patients with severe  If patient’s condition
glutathione in liver to respiratory insufficiency. doesn’t improve with
treat acetaminophen in 10 dys, tell him to
toxicity. notify prescriber. Drug
shouldn’t be used for
prolonged period.
Thins respiratory  Instruct patient to
secretions and reverses clear his airway by
toxic effects of coughing before
acetaminophen. aerosol use to achieve
maximum effect.
 Inform patient that
drug may have foul
taste or smell.
 DRUG STUDY
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Azithromycin Binds to 50s subunit of Acute bacterial Contraindicated in patients Dizziness, fatigue, head  Advise patient not to
-500mg bacterial ribosomes, exacerbations of chronic hypersensitive to drugs. ache,epistaxis,eye pin, nasal use alcohol or other
-OD blocking protein obstructive pulmonary Use cautiously patients with burning, drymouth, antihistamines while
-NGT synthesis,bacteriostatic disease pulmonary conditions because nausea,dyspnea,flulike taking drug.
or bacericidal drug can cause thickened symptoms.  Teach patient proper
secretions. use of nasal spray.
 Tell patient to avoid
getting nasal spray
into eyes.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Calcium carbonate Raises calcium level and Hypocalemic emergency Contraindicated in patients Pain, decrease in blood  Teach patient to take
-calcium supplement relieves gastric with ventricular fibrillation, pressure, oral calcium 1 to 1 ½
-1 tab discomfort. hyperkalemia,hyphosphotamia, vasodilation,constipation,naus hours after meals.
-PO renal calculi. ea,vomiting,hypercalcemia,  Warn patient to avoid
-TID cellulites. foods containing
oxalic acid, phytic
Use all calcium producs acid,and phosphorus
cautiously in patients taking because inter action
digitalis and patients with may interfere with
sarcoidosis and renal or cardiac calcium absorption.
disease.  Teach patient to
recognize and report
signs and symptoms
of hyperkalemia.
 Tell patient to take
calcium carbonate 1
hour after meals and
at bedtime.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Ceftriaxone Inhibits cell wall Serious infections of Contraindicated in patients Dizziness, fever, head ache,  Tell patient to
-antibiotic synthesis, promoting lower respiratory and hypersensitive to drug or other nausea, vomiting, pain, promptly report
-2gms osmotic instability urinary tract. cephalosporin. indurations, tenderness at adverse reactions.
-IVTT usually bacreicidal. injection site.  Instruct patient to
-q24 Use cautiously in patients with report pain at IV site.
history of sensitivity to  Tell patient to notify
penicillin. prescriber if loose
stool or diarrhea
occurs.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Furosemide Inhibits sodium and Acute pulmonary edema Contraindicated in patients Dizziness, fever, head ache,  Advise patient to
-diuretic chloride reabsorption at hypersensitive to drug or any of vertigo, weakness, stand slowly to
-20mg proximal and distal its components and in those hypotension,dehydration.abd prevent dizziness, not
-IVTT tubules and ascending with anuria. ominal to drink alcohol.
-q12 loop of Henle. discomfort,constipation,fluid  Instruct patient to
and electrolytes imbalance, report ringing in ears,
Use cautiously in patients with muscle spasm. severe abdominal pain
Promotes water and hepatic cirrhosis. or sore throat and
sodium excretion. fever because they
may indicate toxicity.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Omeprazole Inhibits acid pump and Erosive esophagitis; Contraindicated in patients Dizziness, head ache,  Explain importance of
-proton pump inhibitor binds to hydrogen- symptomatic,poorly hypersensitive to drug or any of abdominal pain, constipation, taking drug exactly as
-40mg potassium adenosine responsive gastro its components. diarrhea, flatulence, nausea, prescribed.
IVTT triphosphatase. esophageal reflux disease vomiting,backpain,cough.  Warn patient not to
-q24 (GERD) crush or chew tablet
or capsules.
Relieves symptoms  Explain how to
caused by excessive reconstitute powder
gastric acid. for oral suspension.
 Advise patient that
OTC drug may require
1 to 4 days for full
effect.
 DRUG STUDY
.
DRUG ORDER NURSING RESPONSIBILITIES/
(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF THE PRECAUTIONS
classification, dosage, route, ACTION DRUG
frequency)

Sodium bicarbonate Restores body’s Adjunct to advanced Contraindicated in patients Belching,flatulence,gastric  Tell patient not to
-oral antacid buffering capacity and cardiovascular life with metabolic or respiratory distention,hypermatremia,hyp take with milk.
-5 tab neutralizes excess acid. support during alkalosis. okalmia,irritation and pain at  Discourage use of
-PO pulmonary resuscitation. the injection site. antacid.
-TID Restores acid balance Use cautiously in patients with
and acid indigestion. hypertension, heart failure.