MEDICATION INDICATION/

DRUG Classificatio CONTRAINDICATI MECHANISM OF DOSING & ADVERSE EFFECT NURSING

n ON ACTION ADMINISTRATION RESPONSIBILITIES

Generic Anthranilic acid Mild to Moderate CNS:  Assess patients who

Name: central Hypersensitivity derivative. Like Pain Drowsiness, develop severe
nervous to drug;GI ibuprofen inhibits adult: PO Loading insomnia, diarrhea and
 Mefenamic system agen inflammation,or prostaglandin Dose  500 mg dizziness, vomiting for
Acid t;analgesic; ulceration.Safety synthesis and PO Maintenance nervousness, dehydration and
nsaid; in children <14 y, affects platelet Dose 250 mg q6h confusion, electrolyte
Brand Name: antipyretic during pregnancy function. No prn headache. imbalance.
(category C), or evidence that it Administration GI: Severe  Lab tests: With
Ponstan, Ponst Pregnancy lactation is not is superior to Oral diarrhea, long-term therapy
el Category:C established. aspirin. ulceration, and (not recommended)
bleeding; nausea, obtain periodic
vomiting, complete blood
abdominal counts, Hct and
cramps, flatus, Hgb, and kidney
constipation, function tests.
hepatic toxicity.
 Discontinue drug
Hematologic:
promptly if
Prolonged
diarrhea, dark
prothrombin
stools, hematemesis,
time,
ecchymoses,
severe autoimmun
epistaxis, or rash
e hemolytic
occur and do not use
anemia (long-term
again. Contact
use), leukopenia,
physician.
eosinophilia,
 Notify physician if
agranulocytosis, persistent GI
thrombocytopenic discomfort, sore
purpura, throat, fever, or
megaloblastic malaise occur.
anemia,  Do not drive or
pancytopenia,bon engage in potentially
e marrow hazardous activities
hypoplasia. until response to
Urogenital: drug is known. It
Nephrotoxicity, may cause dizziness
dysuria, and drowsiness.
albuminuria,  Monitor blood
hematuria, glucose for loss of
elevation of BUN. glycemic control if
Skin: Urticaria, diabetic.
rash, facial
 Do not breast feed
edema.
while taking this
Spec Senses:
drug without
Eye irritation,
consulting physician.
loss of color
vision
(reversible),
blurred vision,
ear pain.
Body Whole:
Perspiration.
CV: Palpitation.
Respiratory:
Dyspnea; acute
exacerbation of
asthma;
 bronchoconstricti
on (in patients
sensitive to
aspirin).

MEDICATION INDICATION/
DRUG Classificatio CONTRAINDICATIO MECHANISM OF DOSING & ADVERSE EFFECT NURSING
n N ACTION ADMINISTRATION RESPONSIBILITIES

GENERIC Antibiotic,  Indications Bactericidal: Adults   Adverse effects  Arrange for

NAME: Cephalospori inhibits synthesis 1–4 g/day in culture and
n (first ·        Respiratory of bacterial cell divided doses; 250 Headache, sensitivity
cephalexin generation) tract infections wall, causing cell mg PO q 6 hr usual dizziness, tests of
caused death. dose.  lethargy, paresthe infection
 Brand
 Pregnancy by S. pneumoniae, g sias, Nausea, before and
Name:  
Category B roup A beta- vomiting, diarrhea, during therapy
Ap o-  Skin and skin
hemolytic anorexia, if infection
Cephalex (CA structure
streptococci abdominal pain, does not
N), Biocef, Ke infections: flatulence, resolve.
flex, Novo- 500 mg PO q
·        Dermatologic pseudomembranou         Give drug
Lexin(CAN), N 12 hr. Larger
infections caused s colitis, liver with meals;
u-Cephalex (C
AN), PMS- by staphylococci, toxicity, Nephroto arrange for
Cephalexin (C streptococci doses may be xicity, Bone small, frequent
AN), cephalexi needed in marrow meals if GI
nhydrochlorid ·        Otitis media severe cases; depression, Rangin complications
e caused do not g from occur.
monohydrate,  by S. pneumoniae, exceed 4 rash to fever to a       Refrigerate
Biocef, Keftab H. influenzae,strep g/day. naphylaxis;serum suspension,
tococci, sickness discard after
staphylococci, M. c Pediatric reaction, Superinf 14 days.
atarrhalis Patients  ections
25–50 mg/kg/day
·        Bone PO in divided
infections caused doses. 
by staphylococci, P.
mirabilis
 Skin and
·        GU infections skin
caused by E. coli, P. structure
mirabilis, Klebsiella infections:
Divide
 Contraindication total daily
dose, and
·        Allergy give q 12
to cephalosporins o hr. Dosage
r penicillins; renal may be
failure; lactation, doubled in
pregnancy severe
cases.
 Otitis
media: 75–
100
mg/kg/day
PO in four
divided
doses.