DRUG STUDY

Date ordered: February 27,2018

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication
Indication: CNS: Fever,  Monitor BP for
Generic name: Amlodipine Binds to headache
To control therapeutic
Amlodipine 10mg 1 tab dihydropyridine and
hypertension. CV: Phlebitis or effectiveness
nondihydropyridine
besylate OD thrombosis extending
cell membrane from  Monitor BP with
receptor sites on injection site postural changes,
Brand name: Route: myocardial and
vascular smooth- Contraindication GI: Indigestion, Report postural
Norvasc P.O muscle nausea, severe
: hypotension,
cells and inhibits hepatic dysfunction,
Hypersensitivity to vomiting Monitor more
influx of
Classification Onset: frequently when
extracellular calcium amlodipine or its
RESP:
Antihypertensive Unknown ions across slow components additional
Hyperventilation
agent calcium channels. antihypertensives
SKIN:
Peak: Extravasation or diuretics added.
Date ordered: 6-12 hr  Monitor heart rate, dose-
related palpitations
02/27/2018
Duration:
24 hr

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DRUG STUDY

Wolters Kluwer, 2016 Nursing Drug Handbook Date ordered: February 27, 2018

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication

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 DRUG STUDY

Generic name: Indication: CNS:  In some patients,

Dizziness, fatigue,
Losartan Losartan Blocks binding To treat headache, insomnia, losartan is more
Potassium 100mg 1tab of angiotensin nephropathy in malaise effective when
OD II to receptor patients with CV: Hypotension given in two
Brand name: sites in many hypertension divided doses daily;
EENT: Nasal
Cozaar Route: tissues, congestion it may be used with

P.O including other anti-

GI: Diarrhea,
vascular Contraindication indigestion, nausea, hypertensives.
Classification:
smooth muscle vomiting Know that patients
Antihypertensive Peak: :
and adrenal Hypersensitivity to HEME: of African descent
6 hr
glands. Thrombocytopenia with hypertension
Ordered at: losartan or its
components MS: Back pain, leg and left ventricular
Onset:
pain, muscle spasms hypertrophy may
02/27/2018 Unknown
RESP: Cough, upper not benefit from
respiratory tract losartan to reduce
Duration: infection
stroke risk
24 hr
Date ordered: February 27, 2018
Wolters Kluwer, 2016 Nursing Drug Handbook

Name of Drug Dosage, Mode of Action Indication/ Adverse Effect Nursing Responsibility

56
 DRUG STUDY

Route and Contraindication

Frequency
Generic Ferrous Indication:  Peptic ulcer  Store all
name: Fe So4 Sulfate is an The prevention or  Enteritis forms at
Ferrous Sulfate 1 tab essential treatment of iron  Ulcerative colitis room
OD component in deficiency anemia  Vomiting temperature
Brand name: the formation due to inadequate  Give
 Severe abdominal
Ferrous Sulfate of diet, between
pain
hemoglobin, malabsorption meals with
 Diarrhea
myoglobin pregnancy, blood water if
Classification:  Dehydration
and enzymes. loss gastrointestin
Enzymatic  Hyperventilation
It is necessary al discomfort
mineral and  Pallor or cyanosis
for effective Contraindication occurs
Iron  Cardiovascular
erythropoiesis :  Transient
preparation. collapse
and Patients receiving staining of
transportation repeated blood mucous
Ordered at:
or utilization transfusions; membranes
02/27/2018
of oxygen. anemia not due to and teeth
iron deficiency. will occur
with liquid

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DRUG STUDY

iron
preparation.
To avoid,
place liquid
on the back
of the tongue
with dropper
or use straw.
Wolters Kluwer, 2016 Nursing Drug Handbook

Date ordered: February 27, 2018

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility

58
 DRUG STUDY

and Frequency Contraindication

Generic name: Increases plasma Indication:  Obtain
Sodium Na HCO3 bicarbonate, Treatment of Hypernatremia patient
Bicarbonate 650 mg 1tab neutralizes metabolic acidosis, and serum history
TID gastric acid promotion of osmolarity, including
Brand name: which forms gastric, systemic paravenous drug history
Sodium water, sodium and urine administrations and any
Bicarbonate chloride, carbon alkalinization in may lead to hypersensiti
dioxide and the case of tissue necrosis. vity.
raises blood pH. intoxication with  Assess
Classification:
weak organic respiratory
Fluids,
acids. and pulse
electrolyte
blood products rate, rhythm,

and Contraindication depth, lung

Hematological : sounds and

drugs. Hypoventilation, notify the

hypocalcemia, physician.
increase serum  Assess for
Ordered at:
osmolarity, further carbon
in all situations dioxide in
02/27/2018

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DRUG STUDY

where sodium GI tract,

intake must be may lead to
restricted like perforation
cardiac if ulcer is
insufficiency, severe.
edema,  Test and
hypertension, monitor
eclampsia, severe urine pH,
kidney urinary
insufficiency. output,
during
beginning
treatment.

Wolters Kluwer, 2016 Nursing Drug Handbook

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication

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 DRUG STUDY

Generic name: The plasma Indication: Hypercalcemia  Assess

Ketoanalogue Ketoanalogue kinetics of Prevention and may develop. electrolyte
1 tab OD amino acid and therapy of levels
Brand name: their damages due to  Explain
Ketosterile integration in faulty or deficient therapeutic
metabolic protein value of the
pathways are metabolism in drug
Classification:
well chronic renal  Assess allergy
Supplements
established. It insufficiency in to the drug
should be connection with  Caution
Ordered at:
nevertheless be limited protein patient of the
noted that, in food. different side
02/27/2018
uremic effects
patients, the Contraindication  Assess vital
plasma : signs
disturbances Hypercalcemia,  Proper
do not seem to distributed amono preparation of
depend on acid metabolism. the drug.
digested amino In case of
acid intake and hereditary

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DRUG STUDY

that post phenylketonuria. It

absorptive has to be taken
kinetics seems into account that
to be ketoanalogue
distributed contains
very early in phenylalanine.
the distribution Disturbed amino
of the disease. acid metabolism.

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Date ordered: February 27, 2018

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 DRUG STUDY

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility
and Frequency Contraindication
Generic name: Essential for Indication: CNS:  Monitor VS
Calcium CaCO3 nervous, muscular, To treat electrolyte Syncope, especially BP and
Carbonate 500 mg and skeletal imbalance tingling PR
1tab TID systems. Maintains CV:  Obtain ECG
Brand name: cell membrane and Contraindication Cardiac arrest, result
Caltrate 600 Route: cappillary : arrythmias,  Assess for
P.O permeability. Acts Hypersensitivity to bradycardia heartburn,
as an activator in the drug and its GI: indigestion,
Classification:
the transmission of components Constipation, abdominal pain
Electrolyte
the nerve impulses nausea and  Monitor serum
implacement;
and contraction of vomiting calcium before
Antacid
cardiac, skeletal treatment
GU:
and smooth muscle  Assess for nausea
Ordered at: Calculi,
hypercalciuruia and vomiting
02/27/2018
Local:
phlebitis
Wolters Kluwer, 2016 Nursing Drug HandbooWolters Kluwer, 2016 Nursing Drug Handboo

Date ordered: February 28, 2018

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 DRUG STUDY

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing
and Frequency Contraindication Responsibility
Generic Mannitol Increases Indication: CNS:  If your
name: 200 cc q6 osmotic pressure Test dose for marked Dizziness, headache, symptoms do
Mannitol with BP of plasma in oliguria or suspected seizures not get
prec glomerular inadequate renal CV: better, call
Brand name: filtrate, function, prevent Chest pain, your doctor

Osmitrol inhibiting acute renal failure hypotension,  Do not share

Route: tubular during cardiovascular tachycardia, heart your drugs
IV reabsorption of and other surgeries failure with others
Classificatio
water and EENT: and do not
nn:
electrolytes. Contraindication: Blurred vision, take anyone
Osmotic
These actions Active intracranial rhinitis else’s drugs
diuretuic
enhance water bleeding, anuria  Keep all
GI:
flow from secondary to severe drugs in a
Ordered at: Nausea and vomiting,
various tissues renal disease, safe place
02/28/18 dirrhea, dry mouth
and ultimately progressive heart away from
GU:
decrease failure, pulmonary children
Polyuria, urinary
intracranial congestion retention, osmotic

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 DRUG STUDY

pressures nephrosis

Date ordered: February 28, 2018

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility
and Frequency Contraindication
Generic name: Clonidine Stimulates Indication: CV:  Assess blood
Clonidine 750 mg 1 central alpha- Management of all Reflex pressure and
tab SL PRN adrenergic grades of tachycardia, apical pulse
Brand name: >160/90BP receptors to hypertension chest pain, heart before initial

Catapres inhibit failure, cardiac dose.

Route: symphatetic Contraindication: arrythmias  Check for edema
P.O cardio Hypersensitivity to GI: in feet, legs daily
Classificationn:
Sublingual accelerator clonidine, sick sinus Irritations, ulcer,  Monitor input-
Centrally acting
and syndrome constipation, output ratio:
drugs
vasocontricto liver injury check for
Frequency:
r centers GU: decreasing output
Ordered at: STAT
Renal  Note allergic
02/28/2018
insufficiency, reactions: fever,
renal failure, rash, pruritis,

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DRUG STUDY

proteinuria urticaria, and

ioedema
Wolters Kluwer, 2016 Nursing Drug Handbook

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