Generic General Action Indication and Date ordered/ Client’s

Name/Brand Purpose Date Response to

name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Neutral Human Neutral human Given to the Date ordered:

Insulin insulin of patient to August 2, 2010
Humulin R recombinant treatment of
DNA origin. A Diabetes Date started:
10 units AM short acting Mellitus for the August 2, 2010
5 units PM preparation that control of
may be hyperglycemia. Date changed
SC or IV administered by or discontinued:
injection SC or IV
injection. Onset
of action occurs
at
approximately
30 min, with a
duration of
about 5 hrs. and
peak activity at
1-3 hours.

Nursing Responsibilities

• Check first for the doctor’s order.

• Do CBG test. Then scale how much units will you administer.
• Drug should be given subcutaneously
• Don’t rub the site after injection.
• Monitor patient for hyperglycemia (rebound effect)
• Check glucose level for effectiveness of the drug.
Generic General Action Indication and Date ordered/ Client’s
Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Mannitol Rapid-acting Used for Date ordered: -Patient’s or

potent management of August 2, 2010 client’s blood
100cc/ sulfonamide hypertension, pressure was
“loop” diuretic alone or in Date maintain within
Every 8 hours and combination performed: normal range.
(q8°) antihypertensive with other August 2, 2010 (110/80-
with antihypertensive 120/80)
pharmacologic agents, and for Date changed - patient
effects and uses treatment of or experienced
almost identical hypercalcemia. discontinued: headache and
to those of dizziness.
ethacrynic acid.
Exact mode of
action not
clearly defined;
decreases renal
vascular
resistance and
may increase
renal blood
flow.

Diuretics

Nursing Responsibilities

• Check first for the doctor’s order.

• Advise patient to take drug with food to prevent GI upset.
• Monitor for the I and O of the patient q6°.
• Monitor for urine output, for mannitol is said to be a diuretic.
• Insert Foley catheter to the pt. undergoing this drug if possible, for the monitoring
of urine output.
• Also check for the vital signs of the patient q4°.
Generic General Action Indication and Date ordered/ Client’s
Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Citicoline Na Citicoline is a This medication Date ordered: - After taking

complex is given to the August 2, 2010 the medication
Cholinerve organic patient in order the Glasgow
molecule that to treat Date Coma scale
Doctor’s order: functions as an cognitive performed: (GCS) of the
intermediate in dysfunction and August 2, 2010 patient did not
1g IV (q12°) the biosynthesis prevent further worsen.
every 12 hours of cell damage. Date changed
membrane or discontinued:
phospholipids.
Choline
belongs to the
group of
biomolecules in
living systems
known as
nucleotides that
plays important
role in cellular
metabolism.

Nursing Responsibilities

• Check first for the doctor’s order.

• Cholinerve must not be administered along with medications containing
meclophenoxate.
Generic General Action Indication and Date ordered/ Client’s
Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Clindamycin Semi- synthetic Clindamycin is Date ordered:

derivative of used to treat a August 2, 2010
Cleocin incomycin with wide variety of
a greater degree serious Date
200mg/tab of antibacterial bacterial performed:
activity in vitro, infections. It is August 2, 2010
Oral better an antibiotic
absorption, and which works by Date changed
Every 6 hours lower incidence stopping the or discontinued:
(q6°) of GI adverse growth of
effects than bacteria. This
incomycin. antibiotic only
Suppresses treats bacterial
protein infections.
synthesis by
binding to 50 s
subunits of
bacterial
ribosomes, and
therefore,
inhibits other
antibiotics that
act at this site.

Nursing Responsibilities

• Check first for the doctor’s order.

 • Check for the elevated specimen that can be a contributing factor to have
infection. (WBC)
• Instruct the patient to take this medication by mouth with or without food, usually
4 times a day (every 6 hours), or as directed by your doctor.
• Instruct the patient not lie down for at least 30 minutes after taking this drug.
Antibiotics work best when the amount of medicine in your body is kept at a
constant level.

Generic General Action Indication and Date ordered/ Client’s

Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Paracetamol Moderate to Date Client’s body

Tramadol Physiologic moderately prescribed: temperature
(dolcet) action severe pain. August 2, 2010 reduces and
Maintains client feels less
500mg/tab • Decreased normal body Date pain.
Every 4 hours pain. temperature. performed:
(q4°) PRN August 2, 2010
For temperature Pharmacologic
> 37.8°C action Date changed
or discontinued:
• Binds to mu-
opioid
receptors.

• Inhibits
reuptake of
serotonin and
norepinephrine
in the CNS.

Analgesics

Nursing Responsibilities
 • Assess type, location, and intensity of pain before and 2-3 hr (peak) after
administration.
• Assess BP & RR before and periodically during administration. Respiratory
depression has not occurred with recommended doses.
• Assess bowel function routinely. Prevention of constipation should be instituted
with increased intake of fluids and bulk and with laxatives to minimize
constipating effects.
• Monitor patient for seizures. May occur within recommended dose range.

Generic General Action Indication and Date ordered/ Client’s

Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Rosuvastatin Rosuvastatin is This medication Date ordered: The patient’s

a cholesterol- is used to treat August 2, 2010 cholesterol
Crestor lowering high decrease while
medication that cholesterol. Date having side
20mg/tab blocks the Lowering your performed: effects like
Once a day production of cholesterol can August 2, 2010 dizziness.
(OD) @ HS cholesterol (a help prevent
type of fat) in heart disease Date changed
the body. It and hardening or discontinued:
 works by of the arteries,
reducing levels conditions that
of "bad" can lead to
cholesterol heart attack,
(low-density stroke, and
lipoprotein, or vascular
LDL) and disease.
triglycerides in
the blood, while
increasing
levels of
"good"
cholesterol
(high-density
lipoprotein, or
HDL).

Nursing Responsibilities

• Check first for the doctor’s order.

• Instruct the patient to take this medication exactly as it was prescribed for you. Do
not take the medication in larger amounts, or take it for longer than recommended
by your doctor.
• This medication should be taken with a full glass of water.
• Rosuvastatin is usually taken once a day. You may take the medicine with or
without food. Take rosuvastatin at the same time each day.
• The patient should avoid eating foods that are high in fat or cholesterol.
Rosuvastatin will not be as effective in lowering your cholesterol if you do not
follow a cholesterol-lowering diet plan.

Generic General Action Indication and Date ordered/ Client’s

Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Ceftriaxone Ceftriaxone is Ceftriaxone Date ordered:

in a group of injection is August 2, 2010
Rocephin drugs called used to treat
cephalosporin many kinds of Date
1gm + 20cc antibiotics. It bacterial performed:
D5w in soluset works by infections, August 2, 2010
x 30 min. every fighting including
12 hours (q12°) bacteria in your severe or life- Date
body. threatening discontinued:
IV injection forms such as
Antibiotics meningitis.

Nursing Responsibilities

• Check first for the doctor’s order.

• Check for appropriate specimens that should be obtained for isolation of the
causative organism and for determination of its susceptibility to the drug.
• Assess patient for any s/sx of infection.
• Do not mix ceftriaxone with any diluent that contains calcium, including a TPN
(total parenteral nutrition) solution.
• Assess for allergic reaction during therapy.

Generic General Action Indication and Date ordered/ Client’s

Name/Brand Purpose Date Response to
name/ Dosage/ performed/ Treatment
Route/ Date changed
Frequency of or discontinued
Administration

Perindopril Perindopril is Used in patients Date ordered: - Client’s blood

Arginine prescribed to with stable August 2, 2010 pressure is
 treat high blood coronary artery maintain in
Aceon pressure. disease to Date normal range
Perindopril is in reduce the risk performed: but having a
a class of of August 2, 2010 series of
5mg/tab prescriptions cardiovascular dizziness and
Once a day called mortality or Date headache.
(OD) angiotensin- nonfatal discontinued - Patient’s
converting myocardial verbalize
enzyme (ACE) infarction. It is clearly.
inhibitors. It also indicated
makes blood for the
flow more treatment of
smoothly by patients with
preventing the essential
production of hypertension.
certain natural
chemicals that
tighten the
blood vessels.
Anti-
hypertensives

Nursing Responsibilities

• Check first for the doctor’s order.

• Check for vital signs to have a baseline data.
• Instruct the patient to elevate head 30-45°. (if BP is above normal)
• Instruct patient to avoid drinking alcohol. It can further lower your blood pressure
and may increase some of the side effects of perindopril.
• Perindopril can be taken with or without food.