GAROL, APRIL ARLES P.

BSN215 – GROUP 59

Far Eastern University

Institute of Nursing
SY 2010

DRUG STUDY

Drug Dosage / Classification Indication Contraindication Side effect Nursing Responsibilities

Frequency

50 mg by Therapeutic:  •Duodenal Contraindicated • Vertigo, •Assess pt. for abdominal

Generic name: slow IV then Anti-ulcer and gastric in patients malaise, pain. Note presence of
Ranitidine HCL 0.125- 0.25 agents ulcers hypersensitive to headache, blood in emesis, stool, or
mg/kg/hr as •Maintenanc drug and those blurred vision, gastric aspirate.
Brand name: continuous e therapy for with porphyria. jaundice, • Ranitidine may be
Zantac IV infusion Pharmacologic: gastric and burning and added to total parenteral
Histamine H2 duodenal •Use cautiously in itching at nutrition solution.
IV q 8o antagonists ulcer patients with injection site • Instruct patient on
•GERD hepatic proper use of OTC
•Erosive dysfunction. • CNS: preparation as indicated.
esophagitis Adjust dose in Confusion, • Remind patient to take
•Heartburn patients with dizziness, once daily prescription
impaired renal drowsiness, drug at bedtime for best
function. hallucinations, results
headache • Instruct patient to take
• Geriatric • CV: without regard to meals
patients (more Arrhythmias because absorption isn’t
susceptible to • GI: affected by food.
adverse CNS Altered taste, • Inform patient that
reactions) black tongue, increased fluid and fiber
• Pregnancy or constipation, intake may minimize
Lactation dark stools, constipation.
diarrhea, drug- • Advise patient to report
GAROL, APRIL ARLES P.
BSN215 – GROUP 59

induced onset of black, tarry

hepatitis, nausea stools; fever, sore throat;
• GU: diarrhea; dizziness; rash;
Decreased confusion; or
sperm count, hallucinations to health
impotence care professional
• ENDO: promptly.
Gynecomastia • Inform patient that
• HEMAT: medication may
Agranulocytosis, temporarily cause stools
Aplastic Anemia, and tongue to appear
neutropenia, gray black.
thrombocytopen
ia
• LOCAL:
Pain at IM site
• MISC:
Hypersensitivity
reactions,
vasculitis

Adult 10mg Therapeutic: •Managemen •GI hemorrhage, • Restlessness, • Give 30 minutes before
Generic name: 3x/day   t of epileptics, drowsiness, meals and at bed time.
Metoclopramide Antiemetics esophageal hypersensitivity, fatigue, • Assess patient for
Pedia: reflux lactation, pts. insomnia, nausea, vomiting,
Brand name: 15-20yrs 5- • Treatment with breast headache, abdominal distention, and
Plasil 10mg and cancer. dizziness, bowel sounds before and
3x/day prevention of nausea. after administration.
5-14yrs: 2.5- postoperative • Assess mental status
5mg 3x/day nausea and during treatment.
3-4yrs: 3mg vomiting • May cause drowsiness.
2- 3x/day • Advise patient to avoid
1-2yrs: 1mg concurrent use of alcohol
GAROL, APRIL ARLES P.
BSN215 – GROUP 59

2- 3x/day and other CNS depressant

Under 1 yr: while taking this
1mg 2x/day medication.
• Tell pt. To avoid driving
and other hazardous
activities for at least 2
hours.
• Advise patient to notify
health care professional
immediately if
involuntary movement of
eyes, face or limbs occurs.
• Instruct to take with a
full glass of water.
• Narcotic pain medicine,
sleeping pills, and
medicine for anxiety can
add to sleepiness
caused by
metoclopramide
• The drug can pass into
the breast milk and may
harm the baby.