DRUG NAME CLASSIFICATION & ACTION INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES

Generic Name: Pharmacological Class:  Bronchospasm in  Hypersensitivity to  Tremors CNS: tremors, anxiety,  Monitor vital signs.
Terbutaline Selective beta2- reversible drug, its nervousness,
adrenergic receptor agonist obstructive airway components, or  Nervousness insomnia, headache,  Assess neurologic status.
Brand Name: disease sympathomimetic dizziness, drowsiness,
Monovent Therapeutic Class: amines  Dizziness stimulation
Bronchodilator
Route:  Headache CV: palpitations, chest
Oral discomfort, tachycardia
Action:  Drowsiness
Dosage: Relaxes bronchial smooth GI: nausea, vomiting
1 tab muscle by  Palpitations
stimulating beta2- Skin: diaphoresis, flushing
adrenergic receptors;  Rapid heart rate
inhibits release of
hypersensitivity  Shortness of breath
mediators, especially from
mast  Chest discomfort
cells
 Nausea

 Vomiting

 Flushed feeling

 Anxiety

 Muscle cramps

 Sweating

 Pain at the injection

site

 Dry mouth
 DRUG NAME CLASSIFICATION & ACTION INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES
Generic Name: Pharmacological Class: Symptoms of  Hypersensitivity to  Dry mouth CNS: somnolecence,  Stay alert for excessive CNS
Levocetirizine Histamine1-receptor allergic rhinitis drug, its fatigue, asthenia depression.
antagonist (seasonal and components, or  Fatigue
Brand Name: perennial); cetirizine EENT: epistaxis (children),  Closely monitor renal function
Xyzal Therapeutic Class: uncomplicated skin  Runny or stuffy nose nasopharyngitis, tests in patients of impairment
Antihistamine manifestations of  End-stage renal pharyngitis CNS function.
Route: chronic idiopathic disease  Sore throat
Oral urticaria GI: dry mouth
Action:  Hemodialysis  CNS depression
Dosage: Exerts principal Respiratory: cough
5 mg antihistamine effects via  Renal impairment  Drowsiness (children)
selective inhibition of H1 (children ages 6 to
receptors 11)  Sedation Other: pyrexia (children)

 Dizziness

 Mental or physical
weariness

 Disturbed coordination

 Restlessness

 Insomnia

 Tremors

 Disturbed state of mind

 Irregular heartbeat

 Seizures

 Upper abdominal
distress

 Nausea & vomiting

 DRUG NAME CLASSIFICATION & ACTION INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES
Generic Name: Pharmacological Class:  Moderate to  Hypersensitivity to  Agitation CNS: dizziness, vertigo,  Assess patient’s response to
Tramadol Opioid agonist moderately drug, its components, headache, drowsiness,
drug 30 minutes after
severe pain in or opioids  Nervousness anxiety, stimulation,
administration.
Brand Name: Therapeutic Class: patients who confusion, incoordination,
Ultram Analgesic require  Acute intoxication  Anxiety euphoria, nervousness,
 Monitor respiratory status.
around the- with alcohol, sedative- sleep disorder, asthenia, Withhold drug and contact
Route: clock hypnotics, centrally  Seizures hypertonia, seizures, suicide prescriber if respirations
Oral Action: treatment of acting analgesics, become shallow or slower
Inhibits reuptake of pain for an opioid analgesics, or  Skin rash CV: vasodilation
than 12 breaths/minute.
Dosage: serotonin and extended psychotropic agents
50 mg 1 tab norepinephrine period  Dizziness EENT: visual disturbances
 Monitor for physical and
in CNS  Physical opioid GI: nausea, vomiting, diarrhea,
psychological drug
dependence  Spinning sensation constipation, abdominal pain,
dependence. Report signs to
dyspepsia, flatulence, dry
prescriber.
 Significant respiratory  Hallucinations mouth, anorexia
depression, acute or
 Monitor patient for signs and
severe bronchial  Fever GU: urinary retention and
symptoms of potentially life-
asthma or frequency, proteinuria,
threatening serotonin
hypercapnia in  Fast heart rate menopausal symptoms
syndrome, which may range
unmonitored settings
from shivering and diarrhea to
or absence of  Overactive reflexes Respiratory: respiratory
muscle rigidity, fever, mental-
resuscitative depression (with large doses,
status changes, and seizures.
equipment  Nausea concomitant anesthetic
use, or alcohol ingestion),
 Vomiting bronchospasm

 Diarrhea Skin: pruritus, sweating, hives,

angioedema, toxic epidermal
 Constipation necrolysis, Stevens-Johnson
syndrome
 Loss of coordination
Other: physical or
 Headache psychological drug
dependence, drug tolerance,
 Drowsiness serotonin syndrome, serious
and rarely fatal anaphylactoid
 Fatigue reactions
 DRUG NAME CLASSIFICATION & ACTION INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES
Generic Name: Pharmacological Class: Intra-abdominal Hypersensitivity to  Nausea CNS: headache, insomnia, Collect specimens for culture and
Meropenem Carbapenem infections drug, its dizziness, drowsiness, sensitivity testing as needed.
components, or  Vomiting weakness, seizures However, be aware that drug
Brand Name: Therapeutic Class: Bacterial other beta-lactams therapy may start pending results.
Merrem Anti-infective meningitis  Diarrhea CV: hypotension,
phlebitis, palpitations, Monitor patient for
Route: Complicated skin  Constipation heart failure, cardiac hypersensitivity reaction or
Intravenous Action: and skin-structure arrest, myocardial anaphylaxis. If either occurs, stop
Inhibits bacterial cell-wall infections  Headache infarction infusion immediately and initiate
Dosage: synthesis and penetrates emergency treatment.
1g gram-negative and gram-  Soreness, redness, or GI: nausea, vomiting,
positive bacteria swelling at the injection diarrhea, constipation, Monitor for CNS irritability and
site tongue discoloration, oral seizures.
candidiasis, glossitis,
pseudomembranous In prolonged therapy, evaluate
colitis hematopoietic, renal and hepatic
function and watch for
GU: vaginal candidiasis overgrowth of nonsusceptible
organisms.
Hematologic: anemia,
eosinophilia, leukopenia, If diarrhea occurs, check for
bone marrow depression, pseudomembranous colitis and
thrombocytopenia, obtain stool cultures.
neutropenia
Obtain hearing tests in child being
Musculoskeletal: treated for bacterial meningitis.
myoclonus

Respiratory: chest
discomfort, dyspnea,
hyperventilation

Skin: rash, urticarial,

pruritus, erythema at
injection site

Other: altered taste,

fever, pain, fungal
infections, anaphylaxis
 DRUG NAME CLASSIFICATION & ACTION INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES
Generic Name: Pharmacological Class:  Mucolytic agent in  Hypersensitivity to  Inflammation of the CNS: dizziness, Monitor respirations, cough, and
Acetylcysteine N-acetyl derivative of adjunctive drug (except with mouth drowsiness, headache character of secretions.
naturally occurring amino antidotal use)
Brand Name: acid (L-cysteine)  Diagnostic  Nausea CV: hypotension,
Fluimucil bronchial studies  Status asthmaticus hypertension, tachycardia
Exflem Therapeutic Class: (except with  Vomiting
Mucolytic, acetaminophen  Acetaminophen antidotal use) EENT: severe rhinorrhea
Route: antidote overdose  Fever
Oral GI: nausea, vomiting,
 Runny nose stomatitis, constipation,
Dosage: Action: anorexia
600mg Decreases viscosity of  Drowsiness
secretions, promoting Hepatic: hepatotoxicity
secretion removal through  Clamminess
coughing, postural Respiratory: hemoptysis,
drainage, and mechanical  Chest tightness tracheal and bronchial
means. In acetaminophen irritation, increased
overdose, maintains and  Coughing secretions, wheezing,
restores hepatic chest tightness,
glutathione, needed to  Wheezing bronchospasm
inactivate toxic
metabolites.  Shortness of breath Skin: urticaria, rash,
clamminess, angioedema

Other: tooth damage,

chills, fever,
hypersensitivity including
anaphylaxis
 DRUG NAME CLASSIFICATION & ACTION
Generic Name: Pharmacological Class:
Omeprazole Proton pump inhibitor
Brand Name: Therapeutic Class:
Prilosec Antiulcer drug
Route:
Oral Action:
Reduces gastric acid
Dosage: secretion and increases
40 mg gastric mucus and
bicarbonate production,
creating protective coating
on gastric mucosa and
easing discomfort from
excess gastric acid.
INDICATION CONTRAINDICATION SIDE EFFECTS ADVERSE EFFETCS NURSING RESPONSIBILITIES
Gastroesophageal Hypersensitivity to  Headache CNS: dizziness, headache,  Assess vital signs.
reflux disease drug or its asthenia
components  Abdominal pain  Check for abdominal pain,
Erosive GI: nausea, vomiting, emesis, diarrhea, or constipation.
esophagitis  Diarrhea diarrhea, constipation,
abdominal pain  Evaluate fluid intake and output.
Short-term  Nausea
treatment of Metabolic:  Watch for elevated liver function
active duodenal  Vomiting hypomagnesemia test results (rare).
ulcer
 Flatulence Musculoskeletal: back  Monitor magnesium level before
To reduce risk of pain; fractures of hip, starting drug and periodically
duodenal ulcers  Dizziness wrist, spine (with long- thereafter in patients expected to
term daily use) be on long-term treatment or
Gastric ulcers  Upper respiratory who take proton pump inhibitors
infection Respiratory: cough, upper with other drugs such as digoxin
Pathologic respiratory tract infection or drugs that may cause
hypersecretory  Acid reflux hypomahnesemia.
conditions, Skin: rash
including  Constipation
Zollinger-Ellison
syndrome  Rash
Frequent  Cough
heartburn (two or
more episodes a
week)