DRUG STUDY

GENERIC/BR DOSAGE CLASSIFICA INDICATI CONTRAINDICA SIDE NURSING

AND NAME & TION ON TION EFFECTS REPONSIBILI
FREQUEN TIES
CY
Ketorolac 15mg TIV
every 6hours
x 4doses
Diclofenac, 100mg tab, Pregnancy risk Analgesia, Contraindicated in CNS: anxiety, Tell patient to take
Voltaren OD category B; D in primary patients hypersensitive depression, drug with milk,
3rd trimester dysmenorrhea to drug and in those with dizziness, meals, or antacids
hepatic porphyria or drowsiness, to minimize GI
Pharmacologic Rheumatoid history of asthma, insomnia, distress.
Class: NSAID arthritis urticaria, or other irritability,
allergic reactions after headache, aseptic Instruct patient not
Therapeutic Class: Osteoarthritis taking aspirin or other meningitis. to crush, break, or
antiarthritic; anti- NSAIDs. chew enteric-coated
inflammatory Ankylosing CV: heart tablets.
spondylitis Avoid using during late failure,
pregnancy or breast- hypertension, Advise patient not
feeding. edema, fluid to take this drug
retention. with any other
Use cautiously in diclofenac-
patients with history of EENT: tinnitus, containing products
peptic ulcer disease, laryngeal edema, (such as Arthrotec).
hepatic dysfunction, swelling of the
cardiac disease, lips and tongue, Teach patient signs
hypertension, fluid blurred vision, and symptoms of
retention, or impaired eye pain, night GI bleeding,
renal function. blindness, including blood in
epistaxis, vomit, urine, or
reversible stool; coffee-ground
hearing loss. vomit; and black,
tarry stool. Tell him
GI: abdominal to notify prescriber
pain or cramps, immediately if any
constipation, of these occurs.
diarrhea,
indigestion, Teach patient the
nausea, signs and symptoms
abdominal of damage to the
distention, liver, including
flatulence, taste nausea, fatigue,
disorder, peptic lethargy, itching,
ulceration, yellowed skin or
bleeding, eyes, right upper
melena, bloody quadrant
diarrhea, appetite tenderness, and
change, colitis. flulike symptoms.
Tell patient to
GU: proteinuria, contact prescriber
acute renal immediately if
failure, oliguria, these symptoms
interstitial occur.
nephritis,
papillary Advise patient to
necrosis, avoid consuming
nephrotic alcohol or aspirin
syndrome, fluid during drug
retention. therapy.

Hepatic: Tell patient to wear

jaundice, sunscreen or
hepatitis, protective clothing
hepatotoxicity. because drug may
cause sensitivity to
Metabolic: sunlight.
hypoglycemia,
hyperglycemia. Warn patient to
avoid hazardous
 Musculoskeletal: activities that
back, leg, or require alertness
joint pain. until it is known
whether the drug
Respiratory: causes CNS
asthma. symptoms.

Skin: rash, Tell pregnant

pruritus, woman to avoid use
urticaria, of drug during last
eczema, trimester.
dermatitis,
alopecia, Advise patient that
photosensitivity use of OTC
reactions, NSAIDs and
bullous eruption, diclofenac may
Stevens-Johnson increase the risk of
syndrome, GI toxicity.
allergic purpura.

Other:
anaphylaxis,
anaphylactoid
reactions,
angioedema.
Cefuroxime (Ceftin) 500mg tab Pregnancy risk Serious lower Contraindicated in CV: phlebitis, Tell patient to take
BID category B respiratory patients hypersensitive thrombophlebitis drug as prescribed,
tract infection, to drug or other . even after he feels
Pharmacologic UTI, skin or cephalosporins. better.
Class: second- skin-structure GI:
generation infections, Use cautiously in pseudomembran Instruct patient to
cephalosporin bone or joint patients hypersensitive ous colitis, take oral form with
infection, to penicillin because of nausea, anorexia, food.
Therapeutic Class: septicemia, possibility of cross- vomiting,
antibiotic meningitis, sensitivity with other diarrhea. If patient has
difficulty
and gonorrhea beta-lactam antibiotics. Hematologic: swallowing tablets,
transient show him how to
Bacterial Use cautiously in breast- neutropenia, dissolve or crush
exacerbations feeding women and in eosinophilia, tablets but warn
of chronic patients with history of hemolytic him that the bitter
bronchitis or colitis or renal anemia, taste is hard to
secondary insufficiency. thrombocytopeni mask, even with
bacterial a. food.
infection of
acute Skin: Tell parent to shake
bronchitis maculopapular suspension well
and before measuring
Pharyngitis erythematous dose. Suspension
and tonsillitis rashes, urticaria, may be stored at
pain, induration, room temperature
Otitis media sterile abscesses, or refrigerated, but
temperature must be discarded
Uncomplicate elevation, tissue after 10 days.
d skin and sloughing at I.M.
skin structure injection site. Instruct patient to
infection, notify prescriber
Other: about rash, loose
hypersensitivity stools, diarrhea, or
reactions, serum evidence of
sickness, superinfection.
anaphylaxis.
Advise patient
receiving drug I.V.
to report discomfort
at I.V. insertion
site.