DRUG AND DRUG THERAPEUTIC INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS NURSING

DOSAGE CLASSIFICATION ACTION CONSIDERATIONS

Paracetamol 0.8 NONOPIOD Reduces fever by acting It is commonly Contraindicated with CNS: Headache Assess history and physical
ml q 4 hrs for ANALGESICS directly on the used for the relief allergy to CV: Chest pain, dyspnea, condition.
fever AND hypothalamic heat- of fever, acetaminophen. myocardial damage Do not exceed the
ANTIPYRETICS regulating center to headaches, and GI: Hepatic toxicity and recommended dose.
center to cause other minor aches failure, jaundice Give drug with food if GI
vasodilation and and pains, and is a GU: Acute renal failure, upset occurs.
sweating, which helps major ingredient in renal tubular necrosis. Administer drug only for
dissipate heat. numerous cold and HEMATOLOGIC: complaints indicated.
flu remedies. Methemoglobinemia, Report rash, unusual bleeding
hemolytic anemia, or bruising, yellowing of skin
anuria, neutropenia, or eyes and changes in
leucopenia, voiding pattern.
pancytopenia,
thrombocytopenia,
hypoglycemia
HYPERSENSITIVITY:
Rash, fever
Pen G Na PENICILLIN Bactericidal: Inhibits Treatment of Contraindicated with CNS: Letahrgy, Assess history and physical
125,000 “u” IV q ANTIBIOTIC synthesis of cell wall of severe infections allergy to penicillins, hallucinations, seizures condition.
8 hrs sensitive organisms, caused by sensitive cephalosporins, GI: Glossitis, stomatitis, Culture infection before
causing cell death. organisms such as imipenem. gastritis, sore mouth, treatment.
pneumococci. nausea, vomiting, Continue treatment 48-72
diarrhea. hours after the patient is
GU: Nephritis, asymptomatic.
proteinuria, hematuria, Report unusual bleeding, sore
pyuria throat, rash.
HEMATOLOGIC: Anemia,
thrombocytopenia,
prolonged bleeding time
Chloramphenicol ANTIBIOTIC Bacteriostatic effect Serious infections Contraindicated with CNS: Headache, delirium Assess history and physical
3.5 ml q 6 hrs against susceptible for which no other allergy to GI: Nausea, vomiting, condition.
bacteria; prevents cell antibiotic is chloramphenicol. glossitis, diarrhea Do not give this drug IM
replication. effective. HEMATOLOGIC: Blood because it is ineffective.
dyscrasias Monitor serum levels
OTHER: Fever, muscular periodically.
rashes, anaphylaxis, gray Monitor hematologic data
baby syndrome carefully.

Digoxin 0.2 ml CARDIAC Inhibits sodium Heart Failure, Contraindicated in CNS: Fatigue generalized Assess history and physical
BID GLYCOSIDE, potassium activated Atrial Fibrillation patients hypersensitive muscle weakness, condition.
CARDIOTONIC adenocine to drug and in those agitation, Monitor apical pulse for 1
triphosphatase,promoti with digitalis induced hallucinations,headache, minute before administering;
ng movement of toxicity, ventricular malaise, dizziness, hold dose if pulse lower than
calcium from fibrillation, or vertigo, stupor, 60 in adult and lower than 90
extracellular to ventricular tachycardia paresthesia in infant; retake pulse in 1
intracellular cytoplasm unless caused by heart CV: Arrhythmias hour. If adult pulse remains
and strengthening failure EENT: Yellow-green lower than 60 and infant
myocardial contraction. halos around visual pulse remains lower than 90,
Also acts on CNS to images, blurred vision, hold drug and notify
enhance vagal tone, light flashes, prescriber.
slowing conduction photophobia, diplopia Check dosage and preparation
through the SA and AV GI: Anorexia, nausea, carefully.
nodes. vomiting, diarrhea. Follow diluting instructions
carefully and use diluted
solution promptly.
Avoid giving with meals; it
delays absorption.
Do not discontinue drug
without notifying physician.
Furosemide 5 mg LOOP A potent loop diuretic Acute pulmonary Contraindicated with CNS: Dizziness, vertigo, Assess history and physical
1tab OD DIURETIC that inhibits sodium and edema associated allergy to furosemide, weakness, headache, condition
chloride reabsorption at with heart failure sulfonamides, drowsiness blurred Profound dieresis with water
the proximal and distal tartrazine. vision, tinnitus. and electrolyte depletion can
tubules and the CV: Orthostatic occur.
ascending loop of Henle hypotension, volume Administer with food and milk
depletion, to prevent GI upset.
thrombophlebitis Give early in the day so that
DERMATOLOGIC: increased urination will not
Photosensitivity, rash, disturb sleep.
pruritus, urticaria. Do not expose to light.
GI: Nausea, anorexia, Discard diluted solution after
vomiting, oral and 24 hours.
gastric irritation
GU: Polyuria, nocturia,
urinary bladder spasm
OTHER: Muscle cramps
and muscle spasms.