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Contraindication and Cautions
Side Effects/ Adverse Reaction
CNS: headache, drowsiness, vertigo, paresthesia, neuritis, neuropathies, CNS stimulation, depression and fever GI: diarrhea, nausea, vomiting, salivary gland enlargement, loss of taste, epigastric distress GU: nephritis Hematologic: agranulocytosis, leucopenia, thrombocytopenia, aplastic anemia Hepatic: jaundice,hepatic dysfunction, hepatitis Metabolic: hypothyroidism Musculoskeletal: arthralgia, myalgia Skin: rash, urticaria, discoloration, pruritus, erythema nodosum, exfoliative dermatitis, lupuslike syndrome, abnormal hair loss Other:
Thyroid hormone antagonist s
hyperthyroidism Inhibits oxidation of iodine in thyroid gland, blocking with tyrosine to form T4. Also may prevent coupling of moniodotyrosine and diiodotyrosine to form T4 and T3.
Contraindicated in patients hypersensitive to drug.
Patients drug dosage: 20 mg/tab 1 tab/ TID
Tablet forms: 5 mg and 10 mg
1. Administer mediation observing 2.
the 12 rights in giving the medication. Monitor CBC periodically to detect impending leupenia, thrombocytopenia, and agranulocytosis; also monitor hepatic function. Watch for evidence of hypothyroidism (mental depression; cold intolerance; hard nonpitting edema) Stop drug and notify prescriber if severe rash or enlarged cervical lymph nodes develop Instruct patient to take drug with meals to adverse GI reactions. Warn patient to report fever, sore throat, mouth sores, skin eruptions, anorexia, itching, right upper quadrant pain, yellow skin or eyes.
4. 5. 6.
lymphadonepathy Generic/ Brand name Classification Indication Action Contraindication and Cautions Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management .
O. Administer medication observing the 12 rights in giving the medication. Instruct patient to take drug 30 minutes before meals. Instruct patient to swallow tablets or capsules whole and not to open. upper respiratory infection Skin: rash Patient¶s dosage: 40 mg P. abdominal pain nausea. 1. Inform patient that drug effect take 1 to 4 days. to eradicate H. Tablet forms: 20 mg 5. daily with Azithromycin 500 mg/tab 1 tab O. Generic/ Brand name Classification Indication Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management . constipation and flatulence Muskuloskeletal: back pain Respiratory: cough.D.Omeprazole Antiulcer drugs (prilosec) Helicobacter pylori infection and duodenal ulcer disease. CNS: headache. 4. Other action: increase gastric metab Contraindicated in patients hypersensitive to drug or its components Use cautiously in patients with hypokalemia. pylori with Azithromycin (dual therapy) Inhibits activity of acid (proton) pump and binds to hydrogenpotassium adenosine triphosphatase at secretory surface of gastric parietal cells to block formation of gastric acid. 2. vomiting. and respiratory alkalosis. crush or chew them. 3. Instruct patient to avoid hazardous activity if she gets dizzy. dizziness and asthenia GI: diarrhea.
insomnia GI: abdominal cramping. blood pressure. Depresses rennin secretion and prevents vasodilation of cerebral arteries. lethargy. light headedness. Contraindicated in patients with bronchial asthma. Administer medication observing the 12 rights in giving the medication. fever. mental depression. Instruct patient to continue taking the drug as prescribed. 2. vivid dreams. sinus bradycardia. vomiting CV: bradycardia. hallucinations. Inform patient that drug masks common signs and symptoms of shock and hypoglycemia. and heart block greater than firstdegree. Patients drug dosage: 10 mg/tab 1 tab OD 3.` 5. withhold drug and notify prescriber immediately. A nonselective beta blockers that reduces cardiac oxygen demand by blocking catecholamineinduced increases in heart rate. 60 mg. Monitor vital signs especially the apical pulse before giving the drug. even when he¶s feeling well. 40 mg. nausea. diarrhea. 90 mg 1. Generic/ Brand name Classification Indication Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management . Cardiogenic shock. If extreme in pulse rates occur. 80 mg. and heart failure (unless failure is is secondary to a tachyarrhythmia that can be treated with propanolol) CNS: fatigue. intensification of AV block Hematologic: agranulocytosis Respiratory: bronchospasm Skin: rash Tablet forms: 10 mg. hypotension. constipation. 20 mg.Propanolol (Inderal) BetaAdrenergic blockers adjunctive management of thyrotoxicosis and Thyrotoxic crisis. Food may increase absorption of propanolol.intermittent claudication. 4. and force of myocardial contraction. Give or instruct the patient to take the drug consistently with meals. heart failure.
drug or other vertigo. with history of euphoria. seizures. 3. malaise. acute hypertonia abdominal Respiratory: conditions. Unknown. seizures or abdominal pain. Monitor CV and respiratory status. reaction can occur. Thought to bind to opioid receptors and inhibit reuptake of norepinephrine and serotonin. q6 hours PRN for Pain Tablet: 50 mg 1. 2. in diarrhea. or in patients with physical dependence on opioids Side Effects/ Adverse Reaction Patient¶s dosage: 100 mg/tab I tab PO. confusion. opioids. increased dyspepsia. 4. Use cautiously in patients at risk for vomiting. give drug before onset of intense pain. and other opioids ENT: Visual disturbances may be at risk. Monitor bowel and bladder function . Observe 12 rights in giving medications. Reassess patient¶s level of pain at least 30 minutes after administration. reaction to codeine sleep disorder. depression. GI: Constipation. anaphylactic nervousness. asthenia. dry patients with mouth. patients headache. usually after the coordination first dose. For better analgesic effect. or renal respiratory or hepatic depression impairment. intracranial flatulence. nausea. pressure or head Musculoskeletal: injury. 5. hypersensitive to somnolence. A centally acting synthetic analgesic compound not chemically related to opioids. Anticipate need for laxative Generic/ Brand name Indication Classification Action Contraindication Dosage/ Availability Nursing Management . Serious anxiety. dizziness. Withhold dose and notify prescriber if respirations decrease or rate is below 12 breaths per minute. Patients disturbance. respiratory anorexia. hypersensitivity CNS stimulation. Contraindicated in CNS.Tramadol Hydrochloride Ultram Classification: Synthetic centrally active analgesic Moderate to moderately severe pain.
flaccid paralysis CV: postinfusion phlebitis. with untreated Addison disease. heat cramps. 4. 5. weakness or heaviness of limbs. Teach patient signs and symptoms of hyperkalemia.1 mEq/ml. hyperkalemic form of familial periodic paralysis. Use cautiously in patients with cardiac disease or renal impairment. abdominal pain. except with prescriber¶s permission. vomiting. or acute dehydration. 0. listlessness. or other conditions linked to extensive tissue breakdown. hyperkalemia. CNS: paresthesia of limbs. 2.4 mEq/ml 1. Tell patient to take with or after meals with full glass of water or fruit juice to lessen GI distress. 6. 0. Generic/ Brand name Indication Classifica tion Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management . Warn patient not to use salt substitutes concurrently. 3. Monitor ECG and electrolyte levels during therapy.3 mEq/ml.2 mEq/ml. 0. diarrhea Patient¶s dosage: 10 meq x 2 hours x 8 cycle diluted to 90cc PNSS Injection for IV infusion: 0. Observe 12 rights in giving the medication.Potassium Chloride Electrolytes and replacement solutions Hypokalemia Replaces potassium and maintains potassium level Contraindicated in patients with severe renal impairment with oliguria or anuria. confusion. and tell patient to notify prescriber if they occur. Patient may be sensitive to tartrazine. hypotension GI: nausea. ECG changes.
vomiting. 6. . CV: Vasculitis EENT: Visual Disturbances. and skin eruptions 8. thrombocytopenia. lupus like syndrome Other: lymphadenopathy. exfoliative dermatitis. myalgia Skin: rash. nausea. Use cautiously in patient with hepatic dysfunction Hematologic: Agranulocytosis. neuritis. 9. CNS stimulation. 4. loss of taste GI: Diarrhea. mouth sores. Tell patient to ask prescriber about using iodized salt and eating shellfish. Monitor hepatic function. Give drugs with meals to reduce adverse GI reactions. epigastric distress. 3. 2. Observe the ten rights in giving the medication. nonpitting edema) 5. Contraindicated to patients hypersensitive to drug. drowsiness. These foods contain iodine and may alter effectiveness of the drug 10. blocking activity of iodine to combine with tyrosine to form t4 and may prevent coupling of monoiodotyrosine and diiodotyrosine to form t4 and t3. Patient¶s dosage: 50 mg 1 tab 12 tabs now and then. 4 tabs q6H Tablets forms: 5 mg and 10 mg 1. urticaria. paresthesia. Stop drug if transaminase levels are greater than three times the upper limit of normal. Watch for hypothyroidism (mental depression. Thyrotoxic of iodine in antagonist crisis thyroid gland. and hard. leukopenia. vertigo. Patients older than 40 may have an increased risk of Agranulocytosis. pruritus. erythema nodosum. neuropathies. Tell patient to report unusual bleeding and bruising. salivary gland enlargement GU: Nephritis Hepatic: Jaundice Metabolic: Doserelated hypothyroidism Musculoskeletal: arthralgia. aplastic anemia Hepatic: hepatotoxicity CNS: Headache. Teach patient to watch for signs and symptoms of hypothyroidism and to notify prescriber. fever. cold intolerance. Warn patients to report fever.PTU (propylhiouracil) Thyroid Hyperthyroidism Inhibits oxidation hormone . skin discoloration. sore throat. depression. Instruct patient to take drugs with meals 7.
in CNS: vertigo.Generic/ Brand name Indication Classifica tion Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management Furosemide (Lasix) Loop diuretics Edema A potent drug that inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of henle . and pulse rate routinely with long-term use and during rapid diuresis. blood pressure. and carbon dioxide levels frequently. diarrhea. Observe 12 Rights in giving medications. weakness. such as muscle weakness and cramps. to dizziness. anorexia. thrombocytopenia Patient¶s drug dosage: 20 mg/tab 1 tab OD x 5 days + KCl Tablet: 20 mg. BUN. hypocalcemia. Watch for signs of hypokalemia. 40 mg. 80 mg. 3. 5. . or sore throat. these symptoms may indicate toxicity. photosensitivity reaction Musculoseletal: muscle spasm Adverse reaction: GI: pancreatitis Hematologic: agranulocytosis. 500 mg 1. restlessness. fever Use cautiously in CV: orthotastic patients allergic to hypotension sulfonamides and GI: abdominal with hepatic discomfort and cirrhosis. leukopenia. headache. severe abdominal pain. Monitor fluid intake and output and electrolyte. 2. Monitor weight. and fever. pain. Contraindicated patients hypersensitive drug. 4. Use can lead to profound water and electrolyte depletion. hypomagnesemia Skin: dermatitis. nausea and vomiting Hepatic: jaundice Metabolic: hypokalemia. Advise patient to immediately report ringing in ears. hyperglycemia.
photosynsitivity Other: angioedema Patient¶s dosage: mg/tab 1 tab OD 500 Tablet: 250 mg. Flatulence. vomiting. somnolence CV: palpitations. 600 mg 1. bacteriostatic or H. Drug may cause overgrowth of nonsusceptible bacteria or fungi. Monitor patient for superinfection. depending on concentration S. pneumoniae Binds to the 50S subunit of bacterial ribosomes. nephritis Hepatic: cholestatic jaundice Skin: rash. Instruct patient to take drug as prescribed. 4. abdominal pain. vertigo. Contraindicated in patients hypersensitive to erythromycin or other macrolides. chest pain GI: nausea. melena GU: candidiasis. vaginitis. . bactericidal. Obtain specimen for culture and sensitivity tests before giving first dose. diarrhea. Give multidose oral suspension 1 hour before or 2 hours after meals. 500 mg. Instruct patient that tablets or oral suspension may be taken with or without food. 6. blocking by protein synthesis. Administer medication observing the 12 rights in giving the medication. 5. headache. dyspepsia. CNS: dizziness. don¶t give with antacids. influenza. fatigue. 2. 3. Mycoplasma pneumonia. even after she feels better. Use cautiously in patients with impaired hepatic function.Generic/ Brand name Indication Classifica tion Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management Azithromycin Macrolide antiinfectives Communityacquired pneumonia caused Chlamydia pneumonia.
Administer mediation observing the 12 rights in giving the medication. Contraindicated patients hypersensitive drug. 400mg 1. in to CNS: dizziness. 200mg. chronic bronchitis or emphysema 4. 3. 5. Encourage deep breathing exercises. asthma. Inform patient that drug should not be use for chronic or persistent cough such as with smoking. . 2.Generic/ Brand name Indication Classifica tion Action Contraindication Side Effects/ Adverse Reaction Dosage/ Availability Nursing Management Ambroxol (Ambrolex) Mucolytic s Acute and chronic disorder of the respiratory tract associated with pathologically thickened mucus and impaired mucus transport Increases production of respiratory tract fluids to help liquefy and reduce the viscosity of tenacious secretions. Monitor cough type and frequency. Advise patient to take each dose with 1 glass of water. headache GI: nausea and vomiting SKIN: rash Patient¶s dosage: mg/tab 1 tab OD 95 Tablets: 100mg. increasing fluid intake may prove beneficial.