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DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING

CONSIDERATION

GENERIC NAME:

Cilostazol

BRAND NAME:

Pletal

100mg
1 tab
PO
Q 12




















Anti-coagulants,
Arterial
Vasodilator,
Phosphodiester
Inhibitor

May inhibit
phosphodiesterase
activity &
suppressing cyclic
adenosine
monophosphate
degradation
(cAMP). This
action increases
cAMP in platelets
& blood vessels,
which inhibit
platelet
aggregation &
causes
vasodilation. This
in turn relieves
symptoms of
claudication.

Peripheral
vascular disease

Headache,
diarrhea,
fast/irregular
heartbeat,
swelling of hands
and feet, easily
bruising/
bleeding, black or
tarry stool, vomit
that looks like
coffee grounds

Contraindicated in
patients with
hemostatic disorders
or active pathologic
bleeding, such as
bleeding peptic ulcer
& intracranial
bleeding

>Monitor client’s
vital signs before
and after & I&O

>Administer PO
medications &
with meals

>Note general
condition of client

>Document
indications for
therapy,
type/onset of
symptoms
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION

GENERIC NAME:

Enoxaparin

BRAND NAME:

Clexane

0.3cc
SC
OD





















Anti-coagulant

A low molecular
weight heparin
derivative that
accelerates
formation of anti-
thrombin III-
thrombin complex
& deactivates
thrombin
preventing
conversion of
fibrinogen to fibrin

Prevent deep
vein thrombosis

Thromocytopenia,
hemorrhage,
nausea, fever,
headache,
edema,
hematoma on
injection site

Hypersensitivity to
heparin &
enoxaparin

Contraindicated to
intramascular route

Conditions with high
risk of uncontrolled
hemorrhage
including major
bleeding disorders



>Monitor client’s
vital signs before
and after & I&O

>Lab test:
Baseline
coagulation
studies; periodic
CBC, platelet
count, urine &
stool culture

>Give only by
deep
subcutaneous
while lying down

>Monitor for
signs of bleeding

>Alternate
administration
between
anterolateral &
posterolateral
abdominal wall

>Monitor &
report any signs
of unexplained
bleeding
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION

GENERIC NAME:

Furosemide

BRAND NAME:

Lasix

40mg
1tab
PO
Q12




















Loop diuretics

Inhibits the
reabsorption of
sodium chloride
from the
ascending limb of
the loop of Henle,
leading to a
sodium-rich
dieresis. Promotes
water & sodium
excretion

Management of
hypertension,
edema
associated with
congective heart
failure as
complication of
diabetes mellitus

Diarrhea,
dizziness,
headache,
hyperglycemia,
glycosuria,
hypokalemia,
magnesium
depletion can
cause cardiac
arrhythmias, fluid
& electrolyte
imbalance

Severe sodium &
water depletion

Hypersensitivity to
sulphonamides,
furosemide,
hyponatremia,
hypokalemia,
precomatose states
associated with liver
cirrhosis, anuria or
renal failure

>Monitor client’s
vital signs before
and after & I&O

>Arrange &
monitor sodium &
potassium serum
electrolytes

>Give early in the
morning so that it
will increased
urination & will
not disturbed
sleep

>Monitor &
record weight to
monitor fluid
changes

>Arrange for
potassium-rich
diet or
supplemental
potassium as
needed
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION

GENERIC NAME:

Fluconazole

BRAND NAME:

Diflucan

100mg
1tab
PO
OD



















Anti-fungal

Interferes with
cytochrome p-450
activity,
decreasing
ergosterol
synthesis &
inhibiting cell
membrane
formation

To treat &
preventing certain
yeast & fungal
infections

Treament for
vaginal
candidasis,
urinary tract
infections

Headache,
abdominal
discomfort,
diarrhea, nausea,
vomiting,
hapatotoxicity

Hypersensitivity to
fluconazole or other
azoles

>Monitor client’s
vital signs before
and after & I&O

>Assess infected
area & monitor
CSF cultures
before &
periodically
during therapy

>Monitor BUN,
liver function
tests & serum
creatinine before
& periodically
during therapy