DRUGS MECANISM OF RATIONALE POSSIBLE SIDE NURISNG

ACTION EFFECT CONSIDERATIOND

 Promoted
Cefuroxime Inhibits cell-wall Prophylaxis use Diarrhea adequate
synthesis, for incoming fluid intake.
Classification: promoting infection. Nausea and  Instructed
Antibiotics osmotic Vomiting patient to
instability; usually east small
Dosage and bactericidal. Abdominal pain frequent
Frequency meals to
Headache prevent N&V.
750mg 1V q8  Instructed
(8/31/19) patient to
report
500mg 1 tab 2x a abdominal
day for 7 days pain if occur.
(9/2/19)  Instructed
patient to
report if
headache
occur.

Amlodipine Inhibits calcium To decrease Edema Monitor BP

ion influx across blood pressure. frequently during
Classification; cardiac and Flushing initiation of therapy.
smooth-muscle
Calcium channel cell, dilates palpitations Notify prescriber if
blacker coronary arteries sign of HF occur such
and arterioles as swelling of hands
and decreases BP and feet.
Dosage and and myocardial
frequency oxygen demand.

10mg 1 tab OD
DRUGS MECANISM OF RATIONALE POSSIBLE SIDE NURSING
ACTION EFFECTS CONSIDERITON

Telmisartan Blocks To decrease BP by Nausea, Monitor patient

vasoconstricting relaxing / dilating Abdominal pain, for hypotension
Classification: and aldosterone- the blood vessels. Diarrhea, after staring drug.
eseceting effects Dyspepsia
Angiotensin of angiotensin II place patient
receptor blockers supine if
hypotension
occurs, and give
Dosage and I.V NSS, if needed
Frequency

80mg 1 tab OD

Ascorbic acid Exogenous source To boost the Heartburn, With or without

of ascorbic acid is immune system stomach cramps food
Classification: required for And to enhance
collagen formation absorption of Headache Drink with plenty
Vitamins and tissue repair. ferrous sulfate of water
It is reversibly Nausea and
oxidized vomiting
Dosage and
Frequency

1tab a day
DRUGS MECANISM OF RATIONALE POSSIBLE SIDE NURSING
ACTION EFFECT CONSIDERITIONS

Ferrous sulfate Iron is absorbed To increase RBC Constipation, Review

form the production due to gastric irritation, pregnancies and
Classification: duodenum and blood loss. Nausea, menstruation
upper jejunum by Abdominal cramps History;
Iron supplements an active Diarrhea, Dark Note frequency
mechanism colored stool amounts and
through the heavy or abnormal
Dosage and mucosal cells bleeding
frequency where it combines Note any
with the protein complaints of
1tab a day transferrin fatigue, palor poor
skin turgor or
change in
menstrual status

Monitor VS

Tramadol To opioid Used to help Nausea, vomiting, Monitor fluid

receptors and relieve moderate fatigue, headache, intake and output,
Classification: inhibits reuptake to severe pain. constipation, electrolyte levels,
Analgesics of norepinephrine drowsiness, BP, weight, and
and serotonin. vertigo, pulse rate
Dosage and palpitations,
frequency orthostatic Consult prescriber
hypotension and dietitian
30mg SIVP q8 PRN about providing a
high-potassium
diet or potassium
supplement .
DRUGS MECANISM OF RATIONALE PASSIBLE SIDE NURSING
ACTION EFFECT CONSIDERTIONS

Hydralazine A direct-acting To decrease blood Tachycardia, Monitor patient

peripheral pressure palpitations, closely for signs
Classification: vasodilator that immediately. angina pectoris, and symptoms
relaxes arteriolar severe headache,
vasodilator smooth muscle. nausea, vomiting Monitor patient
and diarrhea BP, pulse rate and
body weight
Dosage and frequently. Drug
frequency may be given with
diuretics and beta
5mg IV stat blockers to
(8/31/19) decrease sodium
retention and
tachycardia and to
prevent angina
attacks.

Clonidine Stimulate alpha To decrease Drowsiness, Drug may be given

receptors and blood pressure dizziness, feeling to lower BP rapidly
Classification: inhibit the central immediately. tired or irritable, in some
Antihypertensive vasomotor center, dry mouth, loss of hypertensive
decreasing appetite, emergencies.
Dosage and sympathetic constipation
frequency outflow to the Monitor BP and
heart, kidneys and pulse rate
75mg SL stat peripheral frequently dosage
(9/2/19) 1am vasculature is usually adjusted
to patient BP and
tolerance.
DRUGS MECANSIM OF RATIONALE POSSIBLE SIDE NURSING
ACTION EFFECT CONSIDERATION

Furosemide Inhibits sodium To reduce extra Hepatic Monitor weight,

and chloride fluid in the body dysfunction, BP, and pulse rate
Classification: reabsorption at and promote jaundice, diarrhea, routinely with
the proximal and diuresis. Abdominal long-term use.
Loop diuretic distal tubules and discomfort and
the ascending loop pain Monitor uric acid
40mg IV OD of henle. level, especially in
(9/1/9/19) patient with
history of gout.

Ketorolac Inhibit To relive pain. Diarrhea, Observe patient,

prostaglandin dizziness, medication may
Classification: synthesis by drowsiness make patient
NSAIDs competitive swelling drowsy or dizzy.
blocking of the
enzyme
Dosage and cyclooxygenase.
frequency

30mg ANST
DRUGS MECANISM OF RATIONALE POSSIBLE SIDE NURSING
ACTION EFFECT CONSIDERATIONS

Magnesium Replaces To prevent Poor reflexes Monitor fluid

sulfate. magnesium and seizures in breathing intake and output.
maintains preeclampsia. difficulties,
Classification: magnesium level; weakness, Output should be
as an confusion heart 100 ml or more
Electrolyte anticonvulsant, disturbances during 4 hrs
replacement reduces muscle period before
contraction by dose.
Dosage and interfering with
frequency release of Monitor renal
acetylcholine at function
myoneural Watch out for
junction. toxicity gluconate
on hand.

Calcium carbonate Act by neutralizing Used to provide Constipation Promoted

hydrochloric acid calcium and adequate fluid
Classification: in gastric secretion decrease gastric Headache intake to prevent
subsequent acid. constipation.
Calcium salt increases in ph GI upset
may inhibit the Instructed patient
action of pepsin. Dry mouth to report if
Dosage and headache occur.
frequency
Administer drug
1 tab a day with food to
prevent GI upset.

Instructed patient
to small frequent
sip of water to
prevent dry
mouth.
DRUGS MECANISM OF RATIONALE POSSIBLE SIDE NURSING
ACTION EFFECT CONSIDERATION

Celecoxib To produce anti- To relieve acute Abdominal pain Patients allergic to

inflammatory pain. diearreha or with a history of
Classification: analgesic and dyspepsia. anaphylactic
NSAIDs antipyretic effects reaction to
sulphonamides
aspirin or other
Dosage and NSAID my be
frequency allergic to this
drug
200mg 1 tab BID

Nifedipine Inhibit calcium ion To dilate blood Constipation Monitor BP and

influx across vessels and to HR regularly.
Classification: cardiac and decrease blood Difficulty
oxygen demand. pressure. breathing Watch for
Calcium channel swallowing symptoms of heart
bloker. failure
Fast heartbeat
flushing (feeling of
Dosage and warmth)
frequency

30mg 1 tab BID

10mg 1 tab PRN