INDICATION/ MECHANISM OF SIDE EFFECTS/ NURSING

CONTRAINDICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

Indications: Inhibit reabsorption of

Generic Name: sodium and water in the  Low blood pressure  Assess patient’s
Furosemide Edema due to cardiac, ascending limb of the loop  Dehydration and underlying conditions
hepatic or renal disease, of Henle by interfering electrolyte depletion before starting
Brand Name: burns; mild to moderate with the chloride binding  Jaundice therapy
Lasix HTN, hypertensive crisis. site.  Ringing in the ears  Monitor for renal,
Acute heart failure, (tinnitus) cardiac, neurologic, GI
Classifications: reduced urinary output Loop diuretics increases  Sensitivity to light manifestations of
Diuretics due to gestoses, chronicethe rate of delivery of (photophobia) hypokalemia
renal failure, nephrotic tubular fluid and  Rash  Monitor for CNS, GI
Dosage: syndrome. electrolytes to the distal  Pancreatitis Cardiovascular,
20mg sites of hydrogen and  Nausea integumentary,
Contraindication: potassium ion secretion  Diarrhea neurologic
Frequency: while plasma volume  Abdominal pain, and manifestations of
Every 12 hours Anuria; hepatic coma & contraction increases dizziness, increased hypocalcemia
pre coma; severe aldosterone production. blood sugar and uric  Monitor CNS,
Route: hypokalemia &/or acid levels. hyperactive reflexes
IV Push hyponatremia; The increased delivery and depressed cardiac
hypovolemia w/ or w/o high levels of aldosterone output, nausea,
hypotension. promote sodium vomiting, tachycardia.
Hypersensitivity to reabsorption at the distal  Assess fluid volume
sulfonides. tubules, thus increasing status.
the loss of potassium and
hydrogen ions.
 INDICATION/ MECHANISM OF SIDE EFFECTS/ NURSING
CONTRAINDICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

Indications: Works by inhibiting the  Phlebitis  Assess patients’s

Generic Name: mucopeptide synthesis in  Rash previous sensitivity
Ceftriaxone Indicated in patients with the bacterial cell wall. The  Pain reaction to peniccilin
nuerologic complications, beta-lactam moiety of  Diarrhea or other
Brand Name: carditis and arthritis. It is ceftriaxone binds to  Thrombocytosis cephalosporins
Forgram also effective in Gram (-) carboxypeptidases,  Leucopenia  Assess patient for
Infections, meningitis, endopeptidases, and  Glossitis signs ans symptoms of
Classifications: gonorrhea. It is also for transpeptidases in the infection before and
3rd generation bone and joint infections, bacterial during the treatment
cephalosporin lower respiratory tarct cytoplasmicmembrane.  Report signs of
infections, middle ear These enzymes are petechiae, ecchymotic
Dosage: infection PID, septicemia involved in cell wall areas, epistaxis, or
2mg and urinary tract synthesis and cell division. other forms of
infections. Binding to these enzymes unexplained bleeding.
Frequency: ceftriaxone results in the  Monitor hematologic,
OD Contraindication: formation of defective cell electrolytes, renal and
walls and cell death. hepatic function.
Route: Hypersensitivity to
IV cephalosporins; penicillins
and related antibiotics.
 INDICATION/ MECHANISM OF SIDE EFFECTS/ NURSING
CONTRAINDICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

Indications: Reduces gastric acid  Dizziness

Generic Name: secretion and increases  Headache  Assess vital signs
Omperazole GERD, erosive esophagitis, gastric mucus and  Asthenia  Check for abdominal
short term treatment of bicarbonate production  Nausea pain, emesis, diarrhea
Brand Name: duodenal ulcer, gastric creating protective coating  Vomiting or constipation
Omperon ulcer, pathologic on gastric mucosa and  Diarrhea  Evaluate fluid and
hypersecretory conditions, easing discomfort from  Constipatrion intake
Classifications: including Zollinger-Ellison excess gastric acid.  Abdominal pain  Watch for elevated
Proton Pump Inhibitor Syndrome, Frequent  Back pain liver function test
heartburn  Cough result
Dosage:  Rsh  Advise patient to take
40 mg Contraindication:  Upper respiratory 30-60 minutes before
tract infection meal, preferably in
Frequency: Hypersensitivity to drug. the morning
OD Heaptic disease,
pregnancy, children,
Route: posterior laryngitis.
IV Push
 INDICATION/ MECHANISM OF SIDE EFFECTS/ NURSING
CONTRAINDICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

Indications: Facilitates gastric

Generic Name: emptying and decreases  Immune system  Taken by mouth
Domperidone The relief nausea and small bowel transit time disorder: very rare; usually 30 minutes
vomiting, epigastric sense by increasing esophageal allergic reaction before meal and at
Brand Name: of fullness, upper and gastric peristalsis and  Nervous system bedtime
Motillium abdominal discomfort and by lowering esophageal disorders: very rare;  Monitor persistence
regurgitation of gastric sphincter pressure extrapyramidal side of nausea and
Classifications: contents. effects vomiting to evaluate
Selective dopamine D2  GI disprders: rare GI the effectiveness of
receptor antagonist Contraindication: disprders including the drug
Dosage: very rare transient  Monitor for signs of
10 mg Hypersensitivity to intestinal cramps abdominal discomfort
domperidone or any of  Integumentary such as epigastric pain
Frequency: the excipients. disorders: very rare; or abdominal fullness.
TID urticaria  Do not increase dose
 Reproductive system or take this more.
Route: and breast disorders:
Oral rare; galactorrhoea,
gynecomastia,
amenorrhea
 INDICATION/ MECHANISM OF SIDE EFFECTS/ NURSING
CONTRAINDICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

Indications: Inhibits protein synthesis

Generic Name: in susceptible bacteria,  Stomach cramping  Take drug with food if
Clarithromycin Treatment of upper causing cell death  Discomfort diarrhea GI effects occur. Take
respiratory infections  Fatigue the full course of the
Brand Name: caused by streptococcus  Headache therapy.
Biaxin, Biaxin XL pyogenes, strptococcus  Report severe watery
pneumoniae. diarrhea, severe
Classifications: Treatment of lower nausea or vomiting,
Macrolide antibiotic respiratory infections rash or itching, mouth
caused by Mycoplasma sores, vaginal sores.
Dosage: pneumoniae,
500 mg Streptococcus
pneumoniae.
Frequency:
BID Contraindication:

Route: Hypersensitivity to
Oral clarithromycin ,
erythromycin or any
macrolide antibiotic.