6.

DRUG SUMMARY
Upon Admission
Name of Drug Dosage, Route and Indication Contraindication Mechanism of Drug-to-Drug Adverse Effect Nursing
Frequency Action Interaction Responsibilities

Generic Name: Dosage: 2.5-5ml Reduction of fever Contraindicated in Inhibit Alcohol (chronic Hematologic: Before:
Paracetamol for children ages and temporary relief patients with severe prostaglandin use), hepatotoxic hemolytic anemia, Assess for possible
1yr-5yrs of minor aches, hepatic impairments synthesis in the medications, neutropenia, contraindications
Brand Name: pains and or severe acute liver CNS and, to a lesser hepatic enzyme leucopenia,
Tempra Forte Syrup Route: Per Orem discomfort disease. extent, block pain reducers may pancytopenia Check doctor’s
associated with the impulses through increase risk of order and
Classification: Frequency: every 4 common colds or Use cautiously in peripheral action. hepatotoxicity with Hepatic: Jaundice medication
Analgesic hours PRN flu, inoculations or patients with Acts centrally on prolonged high dose card/ticket
/Antipyretic vaccinations. sensitivity to hypothalamic heart- or single toxic dose. Metabolic:
acetaminophen; regulating center, May increase risk Hypoglycemia Carefully check all
severe renal producing of bleeding with OTC products to
impairment; peripheral warfarin with Skin: rash, urticaria avoid using
alcoholic hepatic vasodilation (heat chronic high dose multiple
disease; chronic loss, skin erythema, use. preparations
malnutrition and diaphoresis) containing
hypovolemia acetaminophen.
(Ofirmev); G6PD
deficiency. Prepare medication
for the right patient,
right route, right
dosage and right
time.

Do not exceed the

recommended
dosage
Check temperature
before giving
medication

During:
Explain procedure
to the
client/guardian and
give the
client/guardian
enough autonomy
to refuse the
medication after
explaining
thoroughly the
effects

Administer with
water

Give the drug with

food if GI upset
occurs

Monitor for any

allergic
reactions/hypersensi
tivity

After:
Discontinue drug if
hypersensitivity
reactions occur
 Advise not to take
more than 4g/24hr
period

Teach not to use

any unprescribed
medications since
many
nonprescription
combination
products contain
acetaminophen
severe/recurrent
pain or
high/continuous
fever may indicate
serious illness
.
Document the right
time and remarks
on the chart

Maintenance
Name of Drug Dosage, Route and Indication Contraindication Mechanism of Drug-to-Drug Adverse Effect Nursing
Frequency Action Interaction Responsibilities

Generic Name: Dosage: 1.25-2.5ml Carbocisteine is a Use in children less Carbocisteine is a No drug Gastrointestinal Before:
Carbocisteine mucolytic agent for than 2 years of age. blocked thiol interactions have disorders: Nausea, Assess for possible
 Route: Per Orem the adjunctive Use in patients with derivative of amino- been identified. diarrhoea, contraindications
therapy of active peptic acid; L-cysteine. abdominal pain, and cautions: any
Brand Name: Frequency: respiratory tract ulceration. The structure and vomiting, history of allergy to
Solmux Forte Syrup 2-5 years- four disorders mechanism of gastrointestinal the drug; persistent
times a day Hypersensitivity to
characterised by action of bleeding. cough due to
Classification: the active substance
excessive, viscous carbocisteine differs smoking, asthma, or
Mucolytic mucus, including from other Skin::Skin rashes, emphysema, which
chronic obstructive commonly available itching, bullous would be cautions
airways disease. mucolytic drugs dermatitis (e.g. to the use of the
such as N- Stevens-Johnson drug; and very
acetylcysteine syndrome, erythema productive cough,
(NAC) and multiforme). which would
erdosteine that bear indicate an
free sulfhydryl underlying problem
(thiol) groups via that should be
which they split evaluated.
glycoprotein bonds
in mucus. Assess cough:
type, frequency,
character, including
sputum: provide
dequate hydration
to 2L/day to
decrease viscosity
of
Secretions

Check doctor’s
order and
medication
card/ticket

Prepare medication
for the right patient,
right route, right
dosage and right
time.

During:
Explain procedure
to the
client/guardian and
give the
client/guardian
enough autonomy
to refuse the
medication after
explaining
thoroughly the
effects

Monitor for
possible adverse
reactions: CNS:
drowsiness,
dizziness GI:
nausea, vomiting,
abdominal pain
After:
Assess the skin for
the presence of
lesions and color to
monitor for any
adverse reactions

Discuss on detail all

information
regarding the drug.

Document the right

time and remarks
on the chart