Name: Gina Salcedo Dazo

Age: 47 years old Sex: F ADx: Abnormal Uterine Bleeding FDx: AUB; Anemia; S/P BT

Indication and Contraindication Dosage and Special Adverse Mechanism of Drug Interaction Nursing
Usage Administration Precaution Reaction Action Responsibilities

Generic name:

Tranexamic This medication Active 500 mg TIV q8 Before using this Nausea, vomiting, Tranexamic acid Some products Before:
Acid is used to treat intravascular if bleeding medication, tell diarrhea, and competitively that may interact
heavy bleeding clotting your doctor or muscle pain may inhibits activation with this drug - Check doctor's
during your (contraindicated) pharmacist your occur. If any of of plasminogen include: "blood order
menstrual period. Subarachnoid medical history, these effects (via binding to the thinners" - Check the drug's
Tranexamic acid hemorrhage, (may especially of: persist or worsen, cringle domain), (anticoagulants name and expiration
works by slowing increase cerebral bleeding in the tell your doctor or thereby reducing such as warfarin,
the breakdown of ischemic brain pharmacist conversion of heparin), drugs - Check the dose
Brand name: and administration
blood clots, complications) (subarachnoid promptly. plasminogen to that prevent
NO BRAND which helps to Hypersensitivity to hemorrhage), plasmin bleeding
- Educate patient
NAME prevent tranexamic acid. history of blood (fibrinolysis), an (including factor
about the desired
INDICATED prolonged Upper renal tract clots (such as in Remember that enzyme that IX complex, anti-
and adverse effect
bleeding. bleeding,(relatively the legs, lung, your doctor has degrades fibrin inhibitor coagulant
of the drug
contraindicated brain, eye), prescribed this clots, fibrinogen, concentrates),
due to the certain heart medication and other plasma tretinoin,
possibility of clot diseases because he or she proteins, estrogens,
Drug retention) (irregular including the hormonal birth During:
has judged that
Classification: heartbeat, heart the benefit to you procoagulant control (such as
- Do not increase or
valve problems), is greater than the factors V and VIII. pills, patch, ring).
Antifibrinolytics decrease the dose,
blood clotting risk of side effects. Tranexamic acid follow exactly as
problems, kidney Many people using also directly prescribed or
problems this medication do inhibits plasmin indicated
(including blood not have serious activity, but
in the urine), side effects. higher doses are - Administer drug
irregular required than are carefully
menstrual needed to reduce
bleeding of plasmin
unknown cause. formation.
After:
ABSORBTION:
30 to 50% - Monitor for adverse
effect
PROTEIN
BINDING: 3% - Monitor vital signs

METABOLISM: - Be alert for early

Less than 5% signs of toxicity
 Name: Gina Salcedo Dazo

Age: 47 years old Sex: F ADx: Abnormal Uterine Bleeding FDx: AUB; Anemia; S/P BT

Indication and Contraindicatio Dosage and Special Adverse Mechanism of Drug Interaction Nursing
Usage n Administration Precaution Reaction Action Responsibilities

Generic name:

Diphenhydramine Diphenhydramine Hypersensitivity 1 amp IM 30 Before using this Drowsiness, The H1 receptor Some products Before:
is an mins prior to medication, tell dizziness, is located on that may interact
antihistamine blood your doctor or constipation, respiratory with this drug - Check doctor's
mainly used to transfusion pharmacist your stomach upset, smooth muscles, include: order
treat allergies. It medical history, blurred vision, or vascular antihistamines - Check the drug's
can also be used especially of: dry endothelial cells, applied to the skin name and
for insomnia, breathing mouth/nose/throat the (such as expiration
Brand name:
symptoms of the problems (such may occur. If any gastrointestinal diphenhydramine
NO BRAND common cold, as asthma, of these effects tract (GIT), cream, ointment, - Check the dose
NAME tremor in emphysema), persist or worsen, cardiac tissue, and spray). and administration
INDICATED parkinsonism, high pressure in tell your doctor or immune cells, the
- Educate patient
and nausea. It is the eye pharmacist uterus, and the
about the desired
used by mouth, (glaucoma), heart promptly. central nervous Tell your doctor or and adverse effect
injection into a problems, high system (CNS) pharmacist if you of the drug
vein, injection into blood pressure, neurons. When are taking other
Drug a muscle, or liver disease, the H1 receptor is products that
Classification: applied to the seizures, stimulated in cause drowsiness
skin. stomach/intestine these tissues it such as opioid
Antihistamine problems (such produces a wide pain or cough During:
as ulcers, variety of actions relievers (such as
blockage), including codeine, - Do not increase
overactive thyroid increased hydrocodone), or decrease the
(hyperthyroidism), vascular alcohol, marijuana dose, follow
difficulty urinating permeability, (cannabis), drugs exactly as
(for example, due promotion of for sleep or prescribed or
to enlarged vasodilation anxiety (such as
prostate). causing flushing, alprazolam, indicated
decreased lorazepam,
atrioventricular zolpidem), muscle - Administer drug
(AV) node relaxants (such as carefully
This drug may
make you dizzy conduction time, carisoprodol,
or drowsy or blur stimulation of cyclobenzaprine),
your vision. sensory nerves of or other
Alcohol or airways antihistamines
After:
marijuana producing (such as cetirizine,
(cannabis) can coughing, smooth chlorpheniramine). - Monitor for
make you more muscle adverse effect
dizzy or drowsy. contraction of
bronchi and GIT, - Monitor vital
Do not drive, use
and eosinophilic signs
machinery, or do
anything that chemotaxis
- Be alert for early
needs alertness promoting the
signs of toxicity
or clear vision allergic immune
until you can do it response.
safely. Avoid
alcoholic
beverages. Talk Diphenhydramine
to your doctor if acts as an
you are using inverse agonist at
marijuana the H1 receptor,
(cannabis). thereby reversing
effects of
histamine on
capillaries,
reducing allergic
reaction
symptoms.
 Name: Gina Salcedo Dazo

Age: 47 years old Sex: F ADx: Abnormal Uterine Bleeding FDx: AUB; Anemia; S/P BT

Indication and Usage Contraindicatio Dosage and Special Adverse Mechanism of Drug Interaction Nursing
n Administration Precaution Reaction Action Responsibilities

Generic name:

Hydrocortisone Hydrocortisone is a 100 mg TIV Talk to your Nausea, The anti- 488 medications Before:
natural substance doctor right heartburn, inflammatory are known to
(corticosteroid away if you or headache, actions of interact with - Check doctor's
hormone) made by the your child have dizziness, corticosteroids hydrocortisone. order
adrenal gland. It is more than one menstrual period are thought to Includes Aspirin, - Check the drug's
used to treat conditions of these changes, trouble involve Cyclosporine name and
such as arthritis, symptoms while sleeping, lipocortins, (Neoral, Sand expiration
Brand name:
blood/hormone/immune you are using increased phospholipase immune) Digoxin
NO BRAND system disorders, skin this medicine: sweating, or A2 inhibitory (Lanoxin) - Check the dose
NAME and eye conditions, blurred vision; acne may occur. proteins which, Diuretics (water and administration
INDICATED breathing problems, dizziness or If any of these through inhibition pills)
- Educate patient
cancer, and severe fainting; a fast, effects persist or arachidonic acid,
about the desired
allergies. irregular, or worsen, tell your control the
and adverse effect
pounding doctor or biosynthesis of
of the drug
heartbeat; pharmacist prostaglandins
Drug increased thirst promptly. and leukotrienes.
Classification: or urination; Because this The mechanism
irritability; or drug works by of action of
Hormone unusual weakening the hydrocortisone is
During:
tiredness or immune system, as a
weakness. it may lower your Corticosteroid - Do not increase or
ability to fight Hormone decrease the dose,
infections. Receptor follow exactly as
Agonist. prescribed or
indicated
- Administer drug
carefully

After:

- Monitor for
adverse effect

- Monitor vital signs

- Be alert for early

signs of toxicity
 Name: Gina Salcedo Dazo

Age: 47 years old Sex: F ADx: Abnormal Uterine Bleeding FDx: AUB; Anemia; S/P BT

Indication and Contraindication Dosage and Special Adverse Reaction Mechanism of Drug Interaction Nursing
Usage Administration Precaution Action Responsibilities

Generic name:

Ferrous Sulfate Ferrous sulfate is Contraindicated in 1 tab once a Ferrous sulfate Ferrous sulfate Iron combines Some products Before:
a type of iron. patients receiving day may cause side effects. with porphyrin that may interact
You normally get repeated blood constipation and Constipation; and globin chains with this drug - Check doctor's
iron from the transfusions and upset stomach. upset stomach; to form include: Antacids, order
foods you eat. In in those with You should tell black or dark- hemoglobin, Chloramphenicol, - Check the drug's
your body, iron hemosiderosis, your doctor if colored stools; or. which is critical Cimetidine name and expiration
becomes a part primary these side effects Temporary for oxygen (Tagamet),
Brand name: - Check the dose
of your hemochromatosis become severe staining of the delivery from the Levodopa
NO BRAND hemoglobin and , hemolytic or do not go teeth. lungs to other (Larodopa, and administration
NAME myoglobin. anemia unless away. The tissues. Iron Sinemet),
- Educate patient
INDICATED Hemoglobin iron deficiency medicine may deficiency Methyldopa
about the desired
carries oxygen anemia is also also turn your causes a (Aldomet),
and adverse effect
through your present, peptic stools dark, microcytic Penicillamine
of the drug
blood to tissues ulceration, which is anemia due to (Cuprimine,
and organs. ulcerative colitis, harmless. But the formation of Depen), Cinoxacin
Drug Myoglobin helps or regional black or tarry small (Cinobac),
Classification: your muscle cells enteritis. stools could be a erythrocytes with Ciprofloxacin
store oxygen. sign of danger, insufficient (Cipro),
Oral Iron During:
requiring hemoglobin. Demeclocycline
Supplement Ferrous Sulfate emergency (Declomycin), - Do not increase or
is an essential medical help. Doxycycline decrease the dose,
body mineral. (Oracea, Doryx, follow exactly as
Ferrous sulfate is Periostat, prescribed or
used to treat iron Monodox, indicated
deficiency Doxychel),
anemia (a lack of Enoxacin - Administer drug
red blood cells
caused by having (Penetrex), carefully
too little iron in Levofloxacin
the body). (Levaquin),
Lomefloxacin
Ferrous sulfate (Maxaquin),
may also be Methacycline, After:
used for other Minocycline
purposes not - Monitor for adverse
(Minocin, Dynacin,
listed in this effect
Myrac, Solodyn),
medication Nalidixic acid - Monitor vital signs
guide. (NegGram),
Norfloxacin - Be alert for early
(Noroxin), signs of toxocity
Ofloxacin (Floxin),
Oxytetracycline,
Sparfloxacin
(Zagam),
Tetracycline
(Sumycin)
 Name: Gina Salcedo Dazo

Age: 47 years old Sex: F ADx: Abnormal Uterine Bleeding FDx: AUB; Anemia; S/P BT

Indication and Contraindicatio Dosage and Special Adverse Reaction Mechanism of Drug Interaction Nursing
Usage n Administration Precaution Action Responsibilities

Generic name:

Mefenamic Acid Mefenamic acid Hypersensitivity 500mg 1 cap if Check with your Dependent on the Mefenamic acid Some products Before:
is used for the bleeding doctor right away dose and the has analgesic, that may interact
short-term if you are having duration of anti-inflammatory, with thisdrug - Check doctor's
treatment of mild chest pain or treatment, and antipyretic include: aliskiren, order
to moderate pain discomfort, mefenamic acid properties. ACE inhibitors - Check the drug's
from various nausea or frequently causes Themechanism of (such as captopril, name and expiration
conditions. It is vomiting, pain or diarrhea. Long- action of lisinopril),
Brand name: - Check the dose
also used to discomfort in the term treatment can mefenamic acid, angiotensin II
NO BRAND decrease pain arms, jaw, back, lead to enteritis or like that of other receptor blockers and administration
NAME and blood loss or neck, colitis (sometimes NSAIDs, is not (such as
- Educate patient
INDICATED from menstrual shortness of with steatorrhea). completely valsartan,
about the desired
periods. breath, slurred The drug can also understood but losartan),
and adverse effect of
Mefenamic acid speech, or causenausea, involves inhibition cidofovir,
the drug
is known as a weakness. This vomiting and upper of corticosteroids
nonsteroidal anti- medicine may abdominal pain. cyclooxygenase (e.g., prednisone),
Drug inflammatory cause bleeding in (COX-1 and fluconazole,
Classification: drug (NSAID). your stomach or COX- ketorolac, lithium,
intestines. 2).Mefenamic methotrexate,
NSAID During:
acid is a potent "water pills"
inhibitor of (diuretics such as - Do not increase or
prostaglandin furosemide). decrease the dose,
synthesis in vitro follow exactly as
prescribed or
indicated

- Administer drug
carefully

After:

- Monitor for adverse

effect

- Monitor vital signs

- Be alert for early

signs of toxocity