DRUG LIST

Drug Trade/Brand Classification Mechanism of Side/Adverse Nursing

name Action Effects Responsibility

Hyoscine-n- Hyoscine Butylbromide is
a quaternary ammonium
butylbromide Buscopan Antispasmodic, antimuscarinic agent.
Anticholinergic Hyoscine butylbromide
does not readily pass the
blood-brain barrier. It’s a
competitive antagonist of
the actions of
acetylcholine and other
muscarinic agonists. The
receptors affected are
those of peripheral
structures that are either
stimulated or inhibited by
muscarine, i.e. exocrine
glands, smooth and
cardiac muscle.
 dryness of the  Be alert for adverse
mouth, with reactions and drug
difficulty in interactions.
swallowing  Assess for eye pain
 thirst  Assess for urinary
 dilation of the hesitancy
pupils with loss of  Assess for
accommodation constipation
and photophobia  Monitor urine output
 increased intra-  Encourage patient to
ocular pressure void.
 flushing and  Monitor BP for
dryness of the skin possible
 bradycardia hypertension.
followed by  For pregnant women,
tachycardia, with monitor cervical
palpitations and effacement and
arrhythmias dilatation.
 urinary urgency
with the inability to
do so, as well as
reduction in the
tone and motility of
the gastro-
 intestinal tract,
leading to
constipation
 occasionally
vomiting, giddiness
and staggering
may occur
 retrosternal pain
may occur due to
increased gastric
reflux.
More common Assessment
Cephalexin Daxbia, Keflex Antibiotics Like penicillin. It acts by  Diarrhea
inhibiting bacterial cell Rare  History: Penicillin
or cephalosporin
wall synthesis, lack of  Abdominal or
bacterial cell wall results allergy, pregnancy,
stomach pain
in death due to lysis of or lactation
 blistering,
bacteria.  Physical: Renal
peeling, or
function tests,
loosening of
respiratory status,
the skin
skin status; culture
 chills and sensitivity tests
 clay-colored of infected area
stools Interventions
dark urine  Arrange for
 diarrhea culture and
 dizziness sensitivity tests of
 fever infection before and
 general during therapy if
tiredness and infection does not
weakness resolve.
 headache  Give drug with
 itching or rash meals; arrange for
small, frequent
  joint or muscle meals if GI
pain complications occur.
 light-colored  Refrigerate
stools suspension, discard
 loss of appetite after 14 days.
 nausea and Teaching points
vomiting  Take this drug
 red skin with food.
lesions, often Refrigerate
with a purple suspension; discard
center any drug after 14
days.
 Complete the full
course of this drug
even if you feel
better.
• Dizziness
Ferrous Sulfate  Slow FE, Fer-In-Sol, Iron Preparation Elevates the serum iron • Nausea & Vomiting • Advise patient to take
Feratab, Iron, Mol- concentration which then • Nasal Congestion medicine as prescribed.
Iron, Feosol, MyKidz helps to form High or • Dyspnea • Caution patient to
Iron 10 trapped in the • Hypotension make position changes
reticuloendothelial cells • CHF slowly to minimize
for storage and eventual • MI orhtostatic hypotension.
conversion to a usable • Muscle cramps • Instruct patient to avoid
form of iron. • Flushing concurrent use of
alcohol or OTC medicine
without consulting the
physician.
• Advise patient to
consult physician if
irregular heartbeat,
dyspnea, swelling of
hands and feet and

Acerola, Ascorbic
Ascorbic Acid Quick Melts, Vitamin
C/Rose Hips, Cecon,
Acid Cemill 500, C-Time,
Ester-C, N Ice with
Vitamin C, Sunkist
Vitamin C, Vasoflex
HD, Vicks Vitamin C
Drops, Vitamin C
hypotension occurs.
• Inform patient that
angina attacks may
occur 30 min. after
administration due reflex
tachycardia.
• Encourage patient to
comply with additional
intervention for
hypertension like proper
diet, regular exercise,
lifestyle changes and
stress management.
Assessment & Drug
In humans, an  nausea, Effects   
exogenous source of  vomiting,  Lab tests:
ascorbic acid is required  heartburn, Periodic Hct &
for collagen formation Hgb, serum
 stomach
and tissue repair by cramps, and electrolytes.
acting as a cofactor in  headache.  Monitor for S&S
the posttranslational of acute hemolytic
formation of 4- anemia, sickle
hydroxyproline in -Xaa- cell crisis.
Pro-Gly- sequences in Patient & Family
collagens and other Education
proteins. Ascorbic acid is  High doses of
reversibly oxidized to vitamin C are not
dehydroascorbic acid in recommended
the body. These two during pregnancy.
forms of the vitamin are  Take large doses
believed to be important of vitamin C in
in oxidation-reduction divided amounts
reactions. The vitamin is because the body
involved in tyrosine uses only what is
metabolism, conversion needed at a time
of folic acid to folinic acid, and excretes the
carbohydrate rest in urine.
metabolism, synthesis of  Megadoses can
lipids and proteins, iron interfere with
metabolism, resistance to absorption of
infections, and cellular vitamin B12.
respiration.  Note: Vitamin
C increases the
absorption of iron
when taken at the
same time as
iron-rich foods.
 Do not breast
feed while taking
this drug without
consulting
physician.
 Nursing Care Plan

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Acute Pain related STO: After 30 -Assess pain, - Provides STO: After 30
“Sobrang sakit na.” to Celebrex
uterine minutesCelecoxib
 nonsteroidal of nursingprevents
location,
the  information
Headache to minutes
 of nursing
Assess range of motion,
Celecoxib contraction asanti- intervention, the of a chemical
synthesis intensity (scale  aid in
Abdominal pain intervention, the
degree of swelling, and pain
Objective: evidenced by inflammatory
patient will report
called of
prostaglandin by  determining
Indigestion (dyspepsia) patient verbalized
in affected joints before and
 Facial cervical dailatation
drug decreased pain an enzyme
inhibiting 0 – 10),
called  choice or
Diarrhea decreased of pain
periodically throughout
grimace of 9 cm sensations, with a
cyclooxygenase duration.
2 (COX-2).  effectiveness of
Nausea sensations, with a
 Uncomfortabl pain rating of 8/10.
Prostaglandins are  interventions.
Flatulence (gas) pain therapy.
rating of 9/10.
e important mediators of pain  Assess patient for allergy
 Insomnia
 Irritability and inflammation -Provide
in the comfort -Promotes to sulfonamides, aspirin, or
 Fainting
 restlesness body. measure like relaxation, NSAIDs. Patients with these
 Vital Signs: back rub,  Vomiting
refocuses allergies should not receive
BP= 130/80 helping position of Kidney failure
attention, and may celecoxib.
PR. comfort.  Heart
enhancefailure
coping
 Aggravation of  Assess patient for skin
abilities.
Pain Scale: 10/10 -Suggest hypertension rash frequently during
use of relaxation  Chest pain muscle
- Relieves therapy. Discontinue at first
technique and  Ringing in the ears
and emotional sign of rash; may be life-
deep breathing  Deafness
tension, enhances threatening. Stevens-
exercises.  sense ofand
Stomach control and
intestinal Johnson syndrome may
may
ulcers improve coping develop. Treat
 abilities.
Bleeding symptomatically; may recur
once treatment is stopped.
-Encourage the -to reduce the
mother to void discomfort.
before delivery