Name of Drug Classification Dosage / Route Mechanisms of Indication Side Effects Nursing

Frequency Action Responsibility

(Generic/Brand)

Diphenhydramin Antihistamine, 50 mg Oral Interferes with Allergy CNS: headache, Monitor CV

e Antitussusive, histamine1- symptoms drowsiness, status, esp.
hydrochloride Antiemetic, receptor sites; caused by dizziness patient with
Antivertigo prevents but histamine CV: hypotension, CVD.
agent, doesn’t reverse release; palpitations Supervise
Antidyskinetic histamine- EENT: blurred patient during
mediated Nausea; vision, tinnitus ambulation.
response. Also vertigo GI: dysuria, urinary Use side rails
possesses CNS frequency/retention as necessary.
depressant & Cough SKIN:
anticholinergic photosensitivity Advise patient
properties. Dyskinesia; OTHER: decreased to avoid
Parkinson’s appetite alcohol & other
disease depressants
such as
Mild night sedatives while
time sedation taking drugs

Name of Drug Classification Dosage Route Mechanisms of Indication Side Effects Nursing
 / Frequency Action Responsibility
(Generic/Brand
)

ranitidine Anti ulcer 50 mg IV Reduces gastric Active CNS: headache, Assess VS

acid secretion duodenal ulcer anxiety,
& increases agitation Monitor CBC &
gastric mucus & Maintain liver function
HCO3 healing of GI: nausea, tests
production, duodenal ulcer vomiting,
creating Benign gastric diarrhea, Tell patient he
protective ulcer abdominal may take oral
coating on pain/ drug with or
gastric mucosa Erosive discomfort, without food.
esophagus constipation.

Gastro HEPATIC:
esophageal hepatitis
reflux disease
SKIN: rash

OTHER:
burning/ itching
at IV site
hypersensitivity
 Name of Drug Classification Dosage / Route Mechanisms Indication Side Effects Nursing
Frequency of Action Responsibility
(Generic/Brand)

Generic Name: Antiemetic 10 mg IV Stimulates Relieve of CNS: Monitor BP

Metoclopramide Dopaminergic motility of symptoms of restlessness, carefully
blocker upper GI tract acute and drowsiness, during IV
Brand Name: GI stimulant without recurrent fatigue,lassitude, administration
stimulating diabetic insomnia,
Apo –metoclop(CAN) gastric, biliary, gastroparesis extrapyramidal Monitor for
Maxolon or pancreatic reactions, exrapyramidal
Nu- secretions; Short term parkinsonism- rection, and
metoclopramide(CAN appears to therapy(4-12 like reactions consult
Octamide PFS sensitize wks) for adults akathisia, physician if
Reglan tissues to with dystonia, they occur.
action of symptomatic myoclonus,
acetylcholine; gastroesophagea dizziness,
relaxes pyloric l reflux who fail anxiety Monitor
sphincter to respond to patients with
which, when conventional CV: transient
diabetes,
combined with therapy hypertention arrange for
effects on alteration in
motility Preventing GI: nausea, insulin dose or
accelerate nausea and diarrhea timing if
gastric vomiting diabetic
emptying and associated with control is
intestinal emetogenic compromised
transit: little cancer by alteration in
effect on chemotherapy timing of food
gallbladder or absorption.
colon motility; Prophylaxis of
increases postoperative
lower nausea and
esophageal vomiting when
sphincter nasogastric
pressure; has suction is
sedative undesirable
properties;
induces Facilitation of
release of small bowel
prolactin intubation when
tube does not
pass the pylorus
with
conventional
maneuvers

Stimulation of
gastric emptying
and intestinal
transit of barium
when delayed
emptying
interferes with
radiologic
examination of
the stomach or
small intestine

Improvement of
lactation;
treatment of
nausea and
vomiting of a
variety of
etiologies;
emesis during
pregnancy and
 labor, gastric
ulcer, anorexia
nervosa

Name of Drug Classification Dosage / Route Mechanisms Indication Side Effects Nursing
Frequency of Action Responsibility
(Generic/Brand)

ACETAMINOPHE Antipyretic 500 mg oral Reduces fever Analgesic- CNS: Do not exceed
N Analgesic by acting antipyretic in Headache the
directly on the patients with recommended
hypothalamic aspirin allergy, CV: dosage.
heat- hemostatic Chest pain, dyspnea,
regulating disturbances, myocardial damage Give drug with
center to bleeding when doses of 5–8 food if GI upset
cause diatheses, g/day are ingested occurs.
vasodilation upper GI daily for several weeks Discontinue
and sweating, disease, gouty or when doses of 4 drug if
which helps arthritis g/day are ingested for hypersensitivity
dissipate heat. Arthritis and 1 yr reactions occur.
rheumatic
disorders GI: Hepatic toxicity and Report rash,
involving failure, unusual
musculoskeleta jaundice bleeding or
l pain (but lacks bruising,
clinically GU: yellowing of
significant Acute kidney failure, skin or eyes,
antirheumatic renal tubular necrosis changes in
and anti- voiding
inflammatory Hematologic: patterns.
effects) Methemoglobinemia—
Common cold, cyanosis; hemolytic
flu, other viral anemia—hematuria,
and bacterial anuria; neutropenia,
infections with leukopenia,
pain and fever pancytopenia,
Unlabeled use: thrombocytopenia,
Prophylactic for hypoglycemia
children
receiving DPT Hypersensitivity:
vaccination to Rash, fever
reduce
incidence of
fever and pain
 Name of Drug Classification Dosage / Route Mechanisms of Indication Side Effects Nursing
Frequency Action Responsibility
(Generic/Brand
)

Tramadol Analgesic 50 mg IV Inhibits For moderate CNS: dizziness, Reassess

hydrochloride reuptake of to moderately headache, patient’s level
serotonin & severe pain somnolence, of pain at least
norepineprine vertigo, seizures 30 minutes
in CNS CV: vasodilation after
EENT: visual administration
disturbances
Monitor CV and
GI: constipation, respiratory
nausea, status.
vomiting,
abdominal pain, Monitor bowel
anorexia and bladder
GU: function.
menopausal Anticipate need
symptoms, for stimulant
proteinuria, laxative.
urine retention
Monitor pt. at
Musculoskeleta risk for
l : hypertonia seizures.

Respiratory:
respiratory
depression
SKIN:
diaphoresis,
pruritus, rash