Drug Name Usual Client’s Dose, Current Positive Side Effects

Generic/Trade Dose, Route, Reason for Effects What negative effects will you
Route, Frequency Use How will/could look for?
Frequency (associated you monitor if
medical the
diagnosis) medication is
working?
PO (adults) 5– Give 1 tablet by Hypertensive Taking BP before Edema, dizziness, hypotension, low
amlodipine 10 mg once mouth one time chronic kidney and after heart rate
Besylate tablet daily a day disease administration
10mg medication. If the
BP is at the
normal range,
the medication is
working.
Patient does not
complain of
chest pain.
PO (adults) 80 Give 1 tablet by Atherosclerotic Monitor BP, and GI bleeding (blood in stool), nausea,
Aspirin EC tablet –325 mg once mouth one time heart disease of pain on patient. vomiting, abdominal pain, rash,
delayed release daily. a day native coronary Patient does not allergic reaction.
81mg artery without
have MI
angina pectoris
PO (adults) Give 1 tablet by Hypothyroidism The plasma Hyperthyroidism, weight loss,
Levothyroxine 75–125 mouth one time thyroid- tachycardia, feeling hot, sweating,
sodium tablet 137 mcg/day by a day stimulating
mcg mouth. hormone test is
in normal range.
Monitor how
patient tolerant
with room
temperate, not
fatigue, not ache
 muscle.
Patient gradually
gains weight
PO (adults) 1 Give 1 tablet by Non-pressure Blood test for Urine discoloration (preparations with
Multi- dose unit as mouth one time chronic ulcer of monitoring serum B vitamins), allergic reaction,
Vitamin/Minerals recommended a day other part if right vitamin levels in imbalance electrolytes.
tablet by individual lower leg limited body. They
manufacturer. to breakdown of should be meet
skin the
recommended
range levels
PO(adults) 20 Give 1 tablet by GERD Assess patient for Abdominal pain, vitamin
Omeprazole tablet mg once daily mouth one time the decrease in B12 deficiency, constipation or
Delay release 20 a day diarrhea, dizziness, headache.
abdominal pain
mg
gastric irritation
and bleeding.

PO (adults) 20 Give 20 mEq Acute diastolic Monitor heart Confusion, restlessness, weakness
Potassium –40 mEq/day  one time by heart failure, rate, cognitive abdominal pain, diarrhea, flatulence,
Chloride ER tablet mouth pulmonary function, chest nausea, vomiting.
extended release hypertension pain.
due to left heart Lab test for
disease potassium level
PO (adults) 40 Give 1 tablet by Hyperlipidemia LDL and total Abdominal cramps, constipation,
Pravastatin mg once daily mouth one time cholesterol levels diarrhea, heartburn, rash.
Sodium tablet 40 at bedtime a day are decrease,
mg and increase in
HDL cholesterol
levels.
Comparing the
lab result every 6
months
 Instill 1 drop in Instill 1 drop in Right eye Relieving An eye infection, eye
prednisolone each eye one right eye one cataract surgery symptoms such discharge/swelling/redness, vision
acetate time a day or time a day for 1 week as swelling, problems.
suspension 1% as prescribed. redness, and
itching.
PO (adults) Give 1.5 tablet Sleep disorder Monitor patient’s Suicidal/dying thoughts, drowsiness,
trazodone HCl 25–100 mg at by mouth at metal status, hypotension, dry mouth.
tablet 50 mg bedtime. bedtime behavior, BP and
heart rate.
Patient will
increase of
appetite, energy,
think more
possible.
PO (adults) Give 2000 unit Low vitamin D Increase serum Headache, constipation, increased
Vitamin D3 tablet
400–1000 IU by mouth one released to vitamin D levels liver enzyme, muscle pain, pancreas
(Cholecalciferol)
daily. time a day Chronic Kidney in blood. inflammation.
disease Stage 3
Metoprolol Tartrate PO (adults) Give 1 tablet by Hypertensive Decrease in BP. Dizziness, fatigue, hypotension,
25–100 mouth twice a Chronic Kidney Increase in bradycardia.
tablet 25 mg
mg/day day disease Stage 1 activity tolerance.
through 4 Pain is reduced
Instill 1 drop in Instill 1 drop in Right eye Monitor the An eye infection, eye
prednisolone
each eye one right eye two cataract surgery symptoms such discharge/swelling/redness, vision
acetate
time a day or times a day for 1 week as swelling, problems.
suspension 1%
as prescribed redness, and
itching of right
eyes
PO (adults) 2 Give 2 tablet by Constipation A soft, formed Electrolyte imbalances, dehydration,
Senna-S tablet
tablets once mouth two times Hold for loose bowel abdominal cramps, nausea, vomiting,
8.6-50 mg
daily at a day stools movement, diarrhea, urine discoloration
(sennosides-
bedtime; usually within 6–
docusate sodium)
 maximum 4 24 hr.
tablets twice
daily.

Tolterodine tartrate PO (adults) 2 Give 1 tablet by Incontinence The incontinence Headache, dizziness, blurred vision,
mg twice daily mouth two times of urinary will dry eyes, dry mouth, constipation
table 1mg
a day decrease.
Patient may
control her
sedation.
PO (adults) Give 2 tablet by Acute diastolic Monitor BP, daily Dehydration, imbalance electrolyte ,
Torsemide tablet
10–20 mg mouth two times heart failure weight and rash, muscle cramps.
20 mg
once daily a day edema.
Decreasing in
edema.
Increase in
urinary output.
Decrease in BP.
Weight loss

Instill 1 drop in Instill 1 drop in Right eye Monitor the An eye infection, eye
prednisolone
each eye one right eye three cataract surgery symptoms such discharge/swelling/redness, vision
acetate
time a day or times a day for 1 week as swelling, problems.
suspension 1%
as prescribed redness, and
itching of right
eyes
PO (adults) Give 2 tablets Back pain Monitor the pain Hepatotoxicity, renal failure, rash.
Tylenol tablet 325
325–650 mg by mouth three Do not excess level.
mg
every 6 hr or 1 times a day 3000mg per 24 Assessment the
g 3–4 times hrs pain before and
daily after
administering
medication.
 Cannot give her
over 2000mg per
day.
Topical Apply to Left Pain Monitor the pain Confusion, drowsiness, stinging,
Lidocion Cream
(Adults) apply knee topically level. burning, hypotension.
4%
to affected three times a Assessment the
area 2–3 day pain before and
times daily after
administering
medication.
SQ (adults) Insert per sliding Type 2 diabetes Decrease blood Hypoglycemia, rash, dizziness,
Insulin Aspart
generally 0.5– scale mellitus with glucose levels drowsiness, confusion.
solution 100
1 units/kg/day diabetes chronic Check CBG
unit/ml
total. 50–70% kidney disease before injection.
may be given Monitor HgbA1C
as insulin every 3 months
aspart.
Inject (adults Inject 23 unit Type 2 diabetes Decrease blood Hypoglycemia, rash, dizziness,
Lantaus SoloStar
with Type2 SQ one time a mellitus with glucose levels drowsiness, confusion.
Solution Pen-
injector 100 unit/ml diabetes) 0.2 day diabetes Check CBG
units/kg or up neuropathy before injection.
(insulin Glargine)
to 10 units Monitor HgbA1C
once daily; every 3 months
then adjust on
the basis of
patient's
needs.

Apply to SKIN Apply to SKIN Dry skin and Check the skin Rash, hives, itching, red, swollen,
Cetaphil Lotion
topically as topically evert itching after condition. The blistered, or peeling skin.
(Emollient)
recommended day shift on shower skin may be
Tue, Fri softer and les dry
than before.
PRN’s and One-time Medication Orders
Drug Name Usual Client’s Current Positive Side Effects
Trade/Generic Dose, Dose, Reason for Effects What negative effects will you look
Route, Route, Use How will/could for?
Frequency Frequency (tie in dx you monitor if
with drug) the medication
is working
PO (adults) Give 2 tablets Pain Monitor the pain Hepatotoxicity, renal failure, rash.
Acetaminophen 325–650 mg by mouth Do not excess level.
tablet 500mg every 6 hr or every 8 hours 3000mg per Assessment the
1 g 3–4 times prn 24 hrs pain before and
daily after
administering
medication.
Cannot give her
over 2000mg per
day.
Insert (adult) Insert 1 House Bowel Patient passes a Abdominal cramps, nausea, diarrhea, rectal
Bisacodyl 10mg/day as suppository Protocol for soft, formed BM. burning, hypokalemia, muscle weakness
Suppository single dose by rectally every NO BM in 3 Hold for loose
10mg rectal 96 hours as days stool.
needed
Rectal use: Insert 118 ml House Bowel Soft, formed Diarrhea, anal irritation, rectal seepage of
Fleet Mineral oil (Adult) 60– rectally every Protocol for bowel movement, mineral oil
enema 150 mL as a 96 hours as NO BM in 3 usually within 2 to
single dose needed days and 15 minutes
bisacodyl
ineffective
PO (adult) mix Give 17 gram Constipation Patient has a Abdominal bloating, cramping, flatulence,
Polyethlene 17mg with 8 by mouth mix in 120cc soft, formed BM nausea
Glycol 3350 ounce of every 12 hour fluid
Powder water as needed
 PO (adult) 50- Give 1 tablet Pain Patient will feel Seizures, dizziness, headache, constipation
Tramadol HCl 100mg every every 6 hours pain is relief and nausea, abdominal pain.
tablet 50 mg 4-6 hours as needed. reduced.
Limit 4 Assessment the
tablet/24 pain before and
hours after
administering
medication.
PO (Adults Give 15 gram CBG less than Increase the Hypotension, nausea, vomiting, drug
Glucose tablet >25 kg) 1 mg; by mouth 70 blood glucose allergic, hyperglycemia.
chewable may be every 30 levels
repeated in 15 minutes prn CBG will raise
min if above 70
necessary
IV IM SC Inject 1 mg IM CBG less than Increase the Hypotension, nausea, vomiting, drug
Glucose (Adults >25 as needed 70 blood glucose allergic, hyperglycemia.
Emergency kit 1 kg) 1 mg; may levels
mg be repeated in CBG will raise
15 min if above 70
necessary
Topical Apply to Left Itching Monito skin dryness, edema, folliculitis, hypersensitivity
Alclometasone (adults) Apply knee topically condition. Itchy, reactions, hypertrichosis.
Diprosionate to affected every 12 prn redness, swelling
cream 0.05% area(s) 2–3 on skin will be
times daily reduced
(depends on
condition
being
treated).
Topical Apply to Left Itching Monito skin dryness, edema, folliculitis, hypersensitivity
Betamethasone (adults) Apply knee topically condition. Itchy, reactions, hypertrichosis.
Diprosionate to affected every 12 prn redness, swelling
cream 0.05% area(s) 1–3 on skin will be
 times daily reduced
(depends on
preparation
and condition
being treated)
Topical Apply to skin Rash Skin irritation and Burning, itching, local hypersensitivity
Miconazole (adults) Apply fold topically infection will reactions, redness, stinging
Nitrate powder twice daily. every 12 reduce.
2% hours prn Assessment skin
Apply to Fungal rash condition
abdominal
folds topically
every morning
and at
bedtime

Topical Apply to Itchy/irritated Monito skin Drowsiness, dizziness, headache,

diphenhydramin (adults) Apply affected area skin condition. Itchy, hypotension, dry skin.
e HCl cream 2 % to affected topically every redness, swelling
area up to 3– 2 hour as on skin will be
4 times daily. needed reduced