DRUG STUDY

Drugs Action Rationale Possible Nursing

Side Effects Consideration
Generic Name:  Inhibits synthesis of This drug used to Diarrhea
CEFTRIAXONE bacterial cell wall, causing treat a wide Nausea and  Advise patient to
SODIUM cell death. variety of Vomiting promptly report signs of
(ROCEPHIN) bacterial Dizziness adverse reactions.
infections, works Headache
Classification: by stopping the
Antibiotic growth of
bacteria.

Dose/Route/Frequency
1gm TIV OD ANST

Date ordered:
--

Generic Name:  Inhibits protein synthesis in This drug used to Headache 

CLARITHROMYCIN susceptible bacteria, causing treat many Dizziness   Take drug with food if
cell death. different types of Diarrhea GI effects occur.
(BIAXIN)
bacterial Abdominal   Shake suspension
Classification: infections Pain before use, do not
Macrolide Antibiotic affecting the skin Nausea and refrigerate, do not cut,
and respiratory Vomiting crush or chew extended
Dose/Route/Frequency system. release tablets; swallow
500mg BID them whole.
  Report severe or watery
diarrhea, severe nausea
Date ordered:
and vomiting, rash or
-- itching and mouth sores.

Generic Name:  Split links in the muco- This drug is used Nausea or
ACETYLCYSTEINE proteins contained in to loosen thick Vomiting  Nebulization with face
(N-ACETYLCYSTEINE) respiratory mucus mucus in Fever mask, mouthpiece or
secretions, decreasing the individuals with Drowsiness tracheostomy: 1-10ml of
Classification: viscosity of the mucus cystic fibrosis or Runny nose 20% solution or 2-20ml
Mucolytic chronic of 10% solution every 2-6
obstructive hour, the dose for most
Dose/Route/Frequency pulmonary patients is 3-5ml of the
600mg 1 sachet od @hs disease. 20% solution or 6-10ml
of the 10% solution TID
Date ordered: or QID.
 Drugs Action Rationale Possible Nursing
Side Effects Consideration
Generic Name:  The ipratropium ingredient This drug used to Dizziness
SALBUTAMOL + is an anticholinergic drug relieve Blurred Vision  Monitor the patient’s
IPRATROPIUM which relaxes smooth muscle in bronchospasms Nausea vital signs, noting
the lung. The Salbutamol and open aiways. Dry mouth hypotension and an
BROMIDE ingredient is a beta 2 agonist
(DUAVENT) Palpitations irregular or abnormal
which stimulates beta 2 sites in
the lungs to relax the bronchi.
pulse.
 Maintain a quiet,
Classification: comfortable environment
Anticholinergic
bronchodilator; selective to minimize anxiety and
beta2-adrenergic perhaps decrease
bronchodilator palpitations.
 Teach the patient
Dose/Route/Frequency pursed-lip breathing,
diaphragmatic breathing
1 neb q8h
and chest splinting.
Date ordered:
--

Generic Name: Binds to mu-opioid This drug is Sedation 

TRAMADOL receptors and inhibits the given to help Dizziness  Report severe nausea,
(ULTRAM) reuptake of norepinephrine relieve moderate Headache dizziness, severe
and serotonin causes many to moderately Hypotension constipation.
Classification: effects similar to the opioids severe pain, it Sweating
Analgesics but doers not have works in the Nausea and
respiratory depressant brain to change Vomiting
effects. what the body
Dose/Route/Frequency feels and
responds to pain.
50mg TIV q8h prn

Date ordered:
--
 DRUG STUDY

Drugs Action Rationale Possible Nursing

Side Effects Consideration
Generic Name:  Selectively inhibits This drug is used Nausea or  Do not exceed the
PARACETAMOL enzyme function in the to relieve pain. Vomiting recommended dosage.
(TAMIN) brain which allows it to Allergic skin Assess patient’s fever
treat pain and fever. It reaction or pain: type of pain,
Classification: activates certain receptors in Fatigue location, intensity,
Analgesics the brain that inhibit pain Headache duration, temperature, and
signals diaphoresis.
Assess allergic
Dose/Route/Frequency reactions: rash, urticaria.
300mg TIV q4h prn If these occur, drug may
have to be discontinued.
Date ordered:
--

Generic Name:  Budesonide controls the rate This drug is used Headache 
BUDESONIDE of protein synthesis, inhibits the to control and Dizziness   Report sore mouth,
migration of prevent Nausea
(BRONEX) sore throat, worsening of
polymorphonuclear leukocytes, symptoms Dry mouth
fibroblasts, reverse capillary
symptoms, severe
Classification: (wheezing and Lethargy sneezing, exposure to
permeability and lysosomal
Corticosteroid stabilization at the cellular level shortness of Fatigue chicken pox or measles,
to prevent or control breath) caused by eye infections.
Dose/Route/Frequency inflammation. asthma. 
1 neb q6h

Date ordered:
--

Generic Name:  Butamirate citrate is a This reduces the Skin rash

BUTAMIRATE centrally acting cough resistance in the Nausea  Avoid simultaneous
CITRATE (SINECOD suppressant which is neither airways by Diarrhea administration of
FORTE) chemically nor inhibiting Dizziness expectorants.
pharmacologically related to bronchospasm  May be taken with or
Classification: opium alkaloids. In addition and anti- without food. Swallow
Cough Suppresants to its antitussive effect, and inflammatory whole, do not chew/crush.
it decreases the airways effect.
Dose/Route/Frequency resistance.
1 tab TID

Date ordered:
--
 Drugs Action Rationale Possible Nursing
Side Effects Consideration
Generic Name:  The ipratropium ingredient This drug used to Dizziness
SALBUTAMOL + is an anticholinergic drug relieve Blurred Vision  Monitor the patient’s
IPRATROPIUM which relaxes smooth muscle in bronchospasms Nausea vital signs, noting
the lung. The Salbutamol and open aiways. Dry mouth hypotension and an
BROMIDE ingredient is a beta 2 agonist
(DUAVENT) Palpitations irregular or abnormal
which stimulates beta 2 sites in
the lungs to relax the bronchi.
pulse.
 Maintain a quiet,
Classification: comfortable environment
Selective Beta2-adrenergic
Bronchodilator; to minimize anxiety and
Anticholinergic perhaps decrease
Bronchodilator palpitations.
 Teach the patient
Dose/Route/Frequency pursed-lip breathing,
diaphragmatic breathing
1 neb q6h
and chest splinting.
Date ordered:
--

Generic Name:  Fluticasone belongs to a class This product is Throat 

SALMETEROL + of drugs known as used to control irritation   Assess patient’s
FLUTICASONE corticosteroids. It works by and prevent Hoarseness respiratory condition
reducing the irritation and symptoms Headache
(SERETIDE) before starting therapy.
swelling of the airways. (wheezing and Nausea and
Salmeterol belongs to the class of
Classification: drugs known as long-acting beta
shortness of Vomiting
agonists. It works by opening breath) caused
Long-acting Beta-adrenergic
Agonists; Inhaled airways in the lungs to make by asthma or
Corticosteroids breathing easier. ongoing lung
disease (chronic
Dose/Route/Frequency obstructive
pulmonary
disease-COPD,
2 puff BID which
includes chronic
Date ordered: bronchitis and em
-- physema).
 DRUG STUDY

Drugs Action Rationale Possible Nursing

Side Effects Consideration
Generic Name:  Ketorolac reversibly This drug works Dry mouth
KETOROLAC inhibits cyclooxygenase-1 and by blocking your Drowsiness  Inform patient that drug
(KORTEZOR) -2 (COX-1 and -2) enzymes, body's production Dizziness is meant only for short
which results in decreased of certain natural Headache term pain management
Classification: formation of prostaglandin
NSAID substances that  Advise patient to
precursors. It exhibits minimal
anti-inflammatory effect at its
cause minimize GI upset by
analgesic dose. inflammation. eating small frequent
Dose/Route/Frequency servings of healthy foods.
 Instruct patient to avoid
30mg TIV q6h prn
aspirin products and herbs
during therapy.
Date ordered:
--

Generic Name:  Piperacillin is an extended- This drug used to Constipation

CLARITHROMYCIN spectrum penicillin antibiotic, treat and prevent Diarrhea   Should not be mixed
but it can be destroyed by an infections that are Nausea and
(BIAXIN) with other drugs in a
enzyme produced by bacteria proven or Vomiting
called beta lactamase.
syringe or infusion bottle
Classification: strongly Stomach upset due to possible problem
Tazobactam inhibits beta
beta-lactamase inhibitor lactamase and prevents the suspected to be with compatibility.
destruction of piperacillin. caused by 
Dose/Route/Frequency Therefore, tazobactam is given bacteria.
4.5g TIV q8h with piperacillin to enhance the
activity of piperacillin in
eradicating bacterial infections.
Date ordered:
--

Generic Name:  Fluticasone belongs to a class This product is Throat 

SALMETEROL + of drugs known as used to control irritation   Assess patient’s
FLUTICASONE corticosteroids. It works by and prevent Hoarseness respiratory condition
reducing the irritation and symptoms Headache
(SERETIDE) before starting therapy.
swelling of the airways. (wheezing and Nausea and
Salmeterol belongs to the class of
Classification: shortness of Vomiting
drugs known as long-acting beta
agonists. It works by opening breath) caused
Long-acting Beta-adrenergic
Agonists; Inhaled airways in the lungs to make by asthma or
Corticosteroids breathing easier. ongoing lung
disease (chronic
Dose/Route/Frequency obstructive
pulmonary
disease-COPD,
2 puff BID which
includes chronic
Date ordered: bronchitis and em
-- physema).
 Drugs Action Rationale Possible Nursing
Side Effects Consideration
Generic Name:  Budesonide controls the rate This drug is used Headache 
BUDESONIDE of protein synthesis, inhibits the to control and Dizziness   Report sore mouth,
migration of prevent Nausea sore throat, worsening of
(BRONEX) polymorphonuclear leukocytes, symptoms Dry mouth
fibroblasts, reverse capillary
symptoms, severe
Classification: (wheezing and Lethargy sneezing, exposure to
permeability and lysosomal
Corticosteroid stabilization at the cellular level shortness of Fatigue chicken pox or measles,
to prevent or control breath) caused by eye infections.
Dose/Route/Frequency inflammation. asthma. 
1 neb q6h

Date ordered:
--

Generic Name:  Butamirate citrate is a This reduces the Skin rash

BUTAMIRATE centrally acting cough resistance in the Nausea  Avoid simultaneous
CITRATE (SINECOD suppressant which is neither airways by Diarrhea administration of
FORTE) chemically nor inhibiting Dizziness expectorants.
pharmacologically related to bronchospasm  May be taken with or
Classification: opium alkaloids. In addition and anti- without food. Swallow
Cough Suppresants to its antitussive effect, and inflammatory whole, do not chew/crush.
it decreases the airways effect.
Dose/Route/Frequency resistance.
1 tab TID

Date ordered:
--
 DRUG STUDY
Drugs Action Rationale Possible Nursing
Side Effects Consideration
Generic Name:  The ipratropium This drug used to Dizziness
SALBUTAMOL + ingredient is an anticholinergic relieve Blurred Vision  Monitor the patient’s
IPRATROPIUM drug which relaxes smooth bronchospasms Nausea vital signs, noting
muscle in the lung. The and open aiways. Dry mouth hypotension and an
BROMIDE Salbutamol ingredient is a beta
(DUAVENT) Palpitations irregular or abnormal
2 agonist which stimulates beta
pulse.
2 sites in the lungs to relax the
bronchi.  Maintain a quiet,
Classification:
comfortable environment
Selective Beta2-adrenergic
Bronchodilator; to minimize anxiety and
Anticholinergic perhaps decrease
Bronchodilator palpitations.
 Teach the patient
Dose/Route/Frequency pursed-lip breathing,
1 neb q6h diaphragmatic breathing
and chest splinting.
Date ordered:
--
Generic Name: Binds to mu-opioid This drug is Sedation 
TRAMADOL receptors and inhibits the given to help Dizziness  Report severe nausea,
(ULTRAM) reuptake of norepinephrine relieve moderate Headache dizziness, severe
and serotonin causes many to moderately Hypotension constipation.
Classification: effects similar to the opioids severe pain, it Sweating
but doers not have works in the Nausea and
Analgesics
respiratory depressant brain to change Vomiting
effects. what the body
Dose/Route/Frequency feels and
responds to pain.
50mg IV q8h prn for
pleuritic chest pain

Date ordered:
--

Generic Name:  Selectively inhibits This drug is used Nausea or  Do not exceed the
PARACETAMOL enzyme function in the brain to relieve pain. Vomiting recommended dosage.
(TAMIN) which allows it to treat pain Allergic skin Assess patient’s fever
and fever. It activates certain reaction or pain: type of pain,
Classification: receptors in the brain that Fatigue location, intensity,
Analgesics inhibit pain signals Headache duration, temperature, and
diaphoresis.
Assess allergic
Dose/Route/Frequency reactions: rash, urticaria.
300mg TIV q4h prn If these occur, drug may
have to be discontinued.
Date ordered:
--
 Drugs Action Rationale Possible Nursing
Side Effects Consideration
Generic Name:  Fluticasone belongs to a class This product is Throat 
SALMETEROL + of drugs known as used to control irritation   Assess patient’s
FLUTICASONE corticosteroids. It works by and prevent Hoarseness respiratory condition
reducing the irritation and symptoms Headache
(SERETIDE) before starting therapy.
swelling of the airways. (wheezing and Nausea and
Salmeterol belongs to the class of
Classification: drugs known as long-acting beta
shortness of Vomiting
agonists. It works by opening breath) caused
Long-acting Beta-adrenergic
Agonists; Inhaled airways in the lungs to make by asthma or
Corticosteroids breathing easier. ongoing lung
disease (chronic
Dose/Route/Frequency obstructive
pulmonary
disease-COPD,
2 puff BID which
includes chronic
Date ordered: bronchitis and em
-- physema).

Generic Name:  Inhibits protein synthesis in This drug used to Headache 

CLARITHROMYCIN susceptible bacteria, causing treat many Dizziness   Take drug with food if
cell death. different types of Diarrhea
(BIAXIN) GI effects occur.
bacterial Abdominal   Shake suspension
Classification: infections Pain before use, do not
Macrolide Antibiotic affecting the skin Nausea and refrigerate, do not cut,
and respiratory Vomiting crush or chew extended
Dose/Route/Frequency system. release tablets; swallow
30g TAB BID them whole.
  Report severe or watery
diarrhea, severe nausea
Date ordered:
and vomiting, rash or
-- itching and mouth sores.