Name of the Classification & Dose, Mechanism of Contraindication Side Effects Nursing Responsibilities

Drug Indication Route & Action

Frequency

Generic Name: Amlodipine is a Dose:10 mg Calcium channel Hypersensitivity to Frequent:  Before administering the
medication, assess px’s
Amlodipine calcium channel blockers which amlodipine. Hepatic peripheral edema,
Route: oral blood pressure. If BP is
blocker which cause dilation of impairment, severe headache and
Brand Name: <90 mmHg, do not
helps to lower the coronary arteries aortic stenosis, flushing. administer the medication
Norvasc Frequency:
blood pressure. It and peripheral hypertrophic and contact the physician.
single dose Occasional:
is administered to arteries which cardiomyopathy Asses px for peripheral
per day dizziness,
patients who have decreases total with outflow tract edema, skin flushing and
hypertension, peripheral obstruction palpitations, ask if experiencing side
coronary artery vascular nausea, unusual effects such as headache,
disease, chronic resistance and fatigue or asthenia.
stable angina and blood pressure by weakness/
asthenia.  Advise client or the
vasospastic vasodilation
significant others to not
angina abruptly discontinue the
Rare: chest pain,
bradycardia, medication.
orthostatic  Advise client to
hypotension continuously take
the medication to
control
hypertension

Generic Name: N-acetylcysteine Dose:1 Mucolytic splits Acute asthma, Frequent:  Before administering the
medication, assess px
N-Acetylcysteine is classified as a tablet linkage of increases risk of Stickiness on
vital signs especially
respiratory mucoproteins, anaphylactoid face, transient
Brand Name: Route: oral respiration rate, depth,
inhalant which reducing viscosity reaction to patients unpleasant odor and rhythm.
Mucomyst used to help clear of pulmonary w/ severe
Frequency: Occasional:
thick mucus from secretions respiratory  If px experience
as Increased bronchospasm,
the lungs that may insufficiency
prescribed bronchial discontinue administering
interfere w/ px
breathing. secretions, throat the medication and notify
irritation, nausea, the physician.
vomiting,
 Monitor px vital signs and
rhinorrhea type of respiration.
Rare: rash, facial  Observe px sputum color,
edema, consistency an amount
bronchospasm,
wheezing,
nausea, vomiting

Generic Name: Hydrocortisone is Dose:50 mg Hydrocortisone is Fungal, Frequent:  Before administering the
medication to px, obtain
Hydrocortisone an anti- a anti- tuberculosis, viral Insomnia,
Route: IVP px baseline weight, vital
inflammatory drug inflammatory skin lesions headache,
Brand Name: sign such as blood
which calms down adrenocortical (serious infections), nausea, vomiting, pressure, serum glucose,
Solucortef Frequency:
body’s immune steroid which IM administration in increase blood cholesterol, electrolytes,
every 8
 and screen px for
response to hours inhibits the idiopathic glucose
infections such as fungal
reduce pain and accumulation of thrombocytopenia
infection, and viral skin
swelling. It is inflammatory lesions.
administered to px cells at
to reduce the inflammations  Ask px medical history
swelling and sites, before administering the
mucus production phagocytosis, medication.
in the airways of lysosomal
 Assess px for the
the lungs. enzyme release, presence of edema, signs
synthesis and/or of infection due to
release of reduced immune
mediators of response such as
inflammations presence of sore throat,
fever, and other vague
symptoms.

 Monitor px for
hypocalcemia,
hypokalemia, nausea/
vomiting, irritability, and
changes in EKG

Generic Name: Omeprazole is a Dose: 40 Omeprazole Hypersensitivity to Frequent:  Administer medication to

px before eating or
Omeprazole proton pump mg interferes w/ omeprazole, other Headaches
preferably in the morning
inhibitor used to gastric acid proton pump
Brand Name: Route: IV Occasional: for once daily dosing.
increase gastric secretion by inhibitors. May
Prilosec pH and reduces inhibiting increase risk of  Advise px to swallow the
Frequency: diarrhea,
gastric acid hydrogen- fractures, capsule whole.
once a day abdominal pain,
production. It is potassium- gastrointestinal
nausea  Monitor px for macrocytic
administered to adenosine infections, or
anemia because
patient with triphosphate hepatic impairment Rare: Dizziness, medication could interfere
GERD, duodenal enzyme or proton asthenia (loss with absorption of vitamin
ulcer pump n gastric of strength, B12.
cells energy), vomiting,
constipation, 
upper respiratory
tract infection,
back pain, rash,
cough.

Generic Name: Combivent is a Dose:1 neb Combivent blocks History of Cough, dry mouth,  Before administering the
medication, auscultate px
Albuterol adrenergic the action of hypersensitivity to headache, nausea
route: Nasal lung sounds and assess
agonist which acetylcholine at ipratropium,
Brand Name: Occasional: lung sounds. Ask history
helps to cause parasympathetic atropine. Narrow- of glaucoma, urinary
Combivent Frequency: Insomnia,
bronchodilations sites in bronchial angle glaucoma, retention, myasthenia
every 4
and inhibits nasal smooth muscle. prostatic gravis.
hours asthenia altered
secretions to help hypertrophy,
taste.  Monitor px VS including
patients bladder neck
breathing. It is obstruction, heart rate, depth, rhythm,
type of respiration and
 quality if pulse.
administered to myasthenia gravis.
patient with  Monitor px ABG’s and
obstructive airway Rare: observe for retractions.
disease and Drowsiness,
prevention for diarrhea, dry  Evaluate px improvement.
exercise-induced mouth, flushing,
 Advise px to increase fluid
bronchospasm intake to decrease lung
diaphoresis,
secretion viscosity.
anorexia.
 Remind px to not take
more than 2 inhalations at
one time.

 Advise client to rinse

mouth immediately after
inhalation to prevent
mouth and throat dryness

Generic Name: Piperacillin Dose4.5 Piperacillin Hypersensitivity to Diarrhea,  Ask px about history of
allergies to penicillin,
Piperacillin Tazobactam is grams inhibits cell wall penicillin. History of headache,
cephalosporins.
Tazobactam used to treat synthesis by allergies, renal constipation,
moderate to Route: IV binding to impairment, nausea, insomnia,  Monitor daily pattern of
Brand name: severe bacterial bacterial cell preexisting seizure rash. bowel activity and stool
Zosyn Frequency:
infections such as membranes. disorder consistency.
every 8 Occasional:
community Tazobactam
hours vomiting,  Monitor for signs of
acquired or inactivates
dyspepsia, infection such as
nosocomial bacterial beta- presence of fever,
pneumonia, lactamase pruritus, fever,
vomiting, diarrhea,
urinary tract agitation,
anal/genital pruritus, and
infection, candidiasis, oral mucosal changes.
complicated intra-
dizziness,  Monitor I & O, urinalysis,
abdominal
abdominal pain, serum electrolytes
infections, skin
edema, anxiety, especially potassium and
and soft tissue
dyspnea, rhinitis. renal function tests.
infection including
diabetic foot
infection.

Generic Name: Ceftriaxone is a Dosage: 2 g Binds to bacterial History of Discomfort w/ IM  Ask px about history of
allergies to penicillin,
ceftriaxone third-generation cell membranes hypersensitivity / administration,
Route: IV cephalosporins.
cephalosporin and inhibits cell anaphylactic oral candidiasis,
Brand Name: used to treat wall synthesis. reaction to mild diarrhea, mild  Assess oral cavity for
Rocephin Frequency:
bacterial infection cephalosporins. abdominal white patches on mucous
once a day
by stopping the Hepatic impairment, cramping, vaginal membranes, tongue.
growth of bacteria history of GI candidiasis.
 Monitory daily pattern of
disease, severe
 bowel activity and stool
renal impairment Occasional:
consistency.
Nausea, fever,
joint pain which  Monitor I&O, renal test for
could occur due to nephrotoxicity, CBC
discontinued
 Monitor for signs of
intake of drug
infection such as
Rare: Allergic presence of fever,
reaction such as vomiting, diarrhea,
anal/genital pruritus and
rash, pruritus,
oral mucosal changes.
urticaria,
thrombophlebitis 

Generic Name: Azithromycin is Dose: 500 Binds to Hypersensitivity to IV: Pain, redness,  Ask px regarding to
history of hepatitis,
azithromycin macrolide used to mg ribosomal other macrolide swelling at
allergies to
treat susceptible receptor site of antibiotics. History injection site
Brand Name: Route: IV azithromycin,
infection such as susceptible of cholestatic erythromycin.
Zithromax community organisms, jaundice/ hepatic PO: Nausea,
Frequency: diarrhea, vomiting,
acquired inhibiting RNA dysfunction  Assess for presence of
single dose abdominal pain infections such as WBC
pneumonia dependent associated w/
including lower protein synthesis azithromycin count, appearance of
respiratory tract therapy. wound and presence of
fever.
such as acute Hepatic/renal
bacterial dysfunction.  Check for GI discomfort,
exacerbations, nausea, vomiting.
COPD, and
pneumonia.  Monitor daily pattern of
bowel activity and stool
consistency.

 Monitor for signs of

infection such as
presence of fever,
vomiting, diarrhea,
anal/genital pruritus, and
oral mucosal changes.

Generic Name: A water-soluble Dosage: Combines w/ Wernicke’s Frequent: Pain,  Monitor EKG readings,
lab values for
Thiamine vitamin that 100 mg adenosine encephalopathy tenderness at IM
erythrocyte activity.
prevents thiamine triphosphate in injection
Brand Name: deficiency and Route: IV liver, kidneys,  Assess for clinical
Betaxin other metabolic leukocytes to improvement such as
Frequency:
disorders. form thiamine improved sense of
once a day wellbeing, weight gain.
diphosphate
necessary for
 Observe for reversal of
carbohydrate deficiency symptoms
metabolism. It
prevents reverse
 thiamine
deficiency.

Generic Name: A water-soluble Dosage: 1 Stimulates Anemias N/A  Before administering

the medication, assess
Folic acid vitamin used to mg production of
for the presence of
treat platelets, RBCs,
Brand Name: Route: Oral anemia using Schilling
megaloblastic and test and vitamin B12
Folvite macrocytic WBCs. It is
Frequency: blood level.
anemias due to essential for
once a day nucleoprotein  Determine client’s
folate deficiency.
synthesis and therapeutic
maintenance of improvement
normal
erythropoiesis.

Name of the Classification & Dose, Route Mechanism of Contraindication Side Effects Nursing Responsibilities
Drug Indication & Frequency Action
Generic Amlodipine Amlodipine Contradicted to clients -Headache -The nurse should know of
Dose: 10 mg
Name: belongs to a inhibits the with: the client is allergic to the
Amlodipine class of drugs influx of -Peripheral drug prescribe by the
Route: Oral
 Hypersensitivity edema physician.
known as extracellular
Brand Name: calcium channel Frequency: to
calcium ions
Dihydropyridines. -Dizziness
Norvasc blockers. It Once daily into the heart  Sever -The nurse should monitor
works by muscle and Hypotension the blood pressure of the
relaxing blood peripheral -Flushing client.
 Cardiogenic
vessels for the vascular shock
blood to smooth  High grade aortic -Rash
circulate easily. muscles cells stenosis. -The nurse should carefully
-Gingival monitor the cardiac rhythm of
It is indicated for to prevent
hyperplasia the client.
the treatment of: blood vessels
and heart
-Tachycardia
 Hypertension muscle to -In intaking the drug, the
. contract. nurse should monitor the
 CAD client’s condition. Check for
(Coronary presence of shortness of
Artery breath, high blood pressure
or continues complains
Disease). about chest pain.
 Angina.
 Heart or
chest pains.

Generic Mucomyst or Dose: 1 Acetylcysteine Contradicted to - -The nurse should make

Name: Acetylcysteine tablet exerts its clients who have: Bronchospasm sure that the client is not
Acetylcystei belong to a mucolytic allergic with the prescribe
ne class of drugs Route: Oral action through  Asthma -Drowsiness drug.
called its free  Acute
Brand Frequency: -Fever -The nurse should monitor or
Pulmonary, sulfhydryl Bronchosp
Name: N- as prescribe auscultate the patient for
Other. This group, which asm -Nausea
Acetylcystei by the presence of wheezing.
treats the opens the  Respiratory
ne, physician -Vomiting
symptoms of disulfide bonds insufficienc
Mucomyst -The nurse should monitor
pulmonary and lowers y.
-Shortness of the patient if he is still having
disease and mucus breath difficulty in breathing,
diagnostic viscosity. This
bronchoscopy. It action -Wheezing -The nurse should check if
 is indicated as increases with the patient is diagnosed with
adjuvant therapy increasing pH Asthma because the drug is
for patients with: and is most contradicting with the drug.
significant at
- Acute pH 7 to 9. The
bronchopulm mucolytic
onary action of
disease acetylcysteine
- Pulmonary is not affected
complications by the
of cystic presence of
fibrosis DNA.
- Atelectasis
due to
mucous
obstructions

Generic Hydrocortisone Dose: 50 mg The drug Contradicted to -Headaches -The nurse should obtain the
Name: belongs to a exerts it`s clients who have: baseline for the patient’s
Hydrocortis class of drugs Route: IVP pharmacologic -Insomnia weight, blood pressure,
one called al action by  Infection cholesterol, and electrolytes.
Frequency: -Nausea
glucocorticoids penetrating  High blood
Brand every 8 -The nurse should monitor
or and binding to pressure -Vomiting
Name: hours for infections including fungal
adrenocorticoids cytoplasmic  Diabetic
Solujcortef . It is indicated receptor  Glaucoma -Increased infections, TB, and viral skin
to patients who protein and  Liver problem blood glucose lesions.
experiences: causes a  Congestive heart -The nurse also should
structural failure assess if the is a presence of
- Adreno change in  Hypersensitive to edema and be alert to any
deficiency steroid hydrocortisone sign of infections.
- Swelling and receptor
inflammation complex. -The nurse should also know
- Slows down Suppress if the client if hypersensitive
immune migration of to the drug prescribe by the
system PML and physician.
- Respiratory decrease
disorders capillary
permeability by
their anti-
inflammatory
effect.

Generic Omeprazole is a Dose: 40 mg Omeprazole’s Contradicted to -Headaches The nurse should first know
Name: drug belongs to work is to clients who have: if the client is hypersensitive
Omeprazol a class of drugs Route: IV suppress -Diarrhea to the drug prescribed by the
e called Proton gastric acid  Hypersensitivity to physician.
Frequency: Omeprazole -Abdominal
Pump Inhibitors. once a day secretions by pain
Brand This is to treat specific  Concomitant use
Name: Apo- patients with inhibitions of with product -Nausea
Omeprazol The nurse should monitor if
various gastric hydrogen containing
e, Losec, the client is complaining of
disorders, potassium- rilpivirine
Prilosec any signs of side effects of
including gastric Adenosine the drug and then provide
and duodenal triphosphate care for it.
ulcers, GERD, enzyme
 and pathologic system which
hypersecretory transports acid
conditions. to the gastric The nurse should make sure
parietal cells. that the client is not having
any problems in his bowel
movement. continue

The nurse should monitor if

the client is still having chest
pains.

Generic This drug Dose: 1 neb Stimulates Contradicted to Headache The nurse should assess the
Name: belongs to the beta2 clients who have: client if there is any
Albuterol class group of Route: Nasal -adrenergic -Restlessness obstruction to the nasal part
drugs called (inhalation) receptors in  Hypersensitivity to that may hinder in using the
Brand albuterol. -Nervousness
Bronchodilators. Frequency: lungs, resulting prescribe drug
Name: This is used for in relaxation of  Severe -Tremors
Combivent every 4 Assess the client if he can do
relieving bronchial hypersensitivity to
Respimat hours -Nausea the said procedure or does
bronchospasm smooth milk protein
during bronchial muscle. (powder for need assistance.
-Dizziness
asthma, Relieves inhalation).
The nurse should know if the
bronchitis, and bronchospasm  Hypertension -Throat client is allergic or
emphysema. and reduces  Cardiovascular dryness and hypersensitive to the drug
This is a airway disease irritation that is prescribed by the
treatment or resistance.  Hyperthyroidism physician.
-Pharyngitis
prevention of  Diabetes
bronchospasm  HF -B/P changes The nurse should monitor
due to  Convulsive the client’s vital signs.
obstructive disorders -Heartburn
airways. The nurse should monitor
 Glaucoma -Transient the effectiveness of the drug
 Hypokalemia wheezing to the client.
 Arrhythmias.
The nurse should assess
lung sound for any
wheezing.

The nurse should assess the

characteristics of the sputum
of the client.

Generic Piperacillin or Dose:4.6g Penicillin’s Contradicted to -Diarrhea The nurse should monitor is
Name: Tazobactam is a inhibit cell wall clients who have: the client is hypersensitive to
Piperacillin drug may be Route: IV synthesis or -Insomnia the drug prescribed the
/Tazobacta used to treat activate  Hypersensitivity to physician.
Frequency: piperacillin/tazobact -Headache
m many infections, every 6 enzymes,
including which disrupt am. -Fever The nurse should monitor
Brand hours the client’s base line for vital
pneumonia and the bacterial  History of allergies
Name: other respiratory cell wall, (esp. -Rash signs.
Zosyn diseases, causing cell cephalosporins,
-Constipation The nurse should monitor
urinary tract lysis and cell beta-lactamase
the CBC of the client.
infections, death. May be inhibitors), renal -Nausea.
septicemia, bacteriostatic impairment, The nurse also needs to be
meningitis, intra- or bactericidal. preexisting seizure alert for the client’s
 abdominal Most effective disorder. -Vomiting temperature.
infections, against (Occasional)
gonorrhea and bacteria
syphilis, undergoing
bone/joint active growth
infection. and division.

Generic Acetaminophen Dose: 4g Appears to Contradicted to The nurse should advice the
Name: is a pain reliever inhibit clients who have: client that it could be taken
Acetaminop and a fever Route: Oral prostaglandin without regard to meal.
hen reducing drug. synthesis in the -Hypersensitivity to
Frequency: acetaminophen The drug may be crushed
This drug Once a day. CNS and, to a
Brand belongs to a lesser extent, depending to the client’s
Name: -Severe renal preference.
drug class block pain impairment
Tylenol called Antidote impulses The nurse should assess if
or Reversal through -Alcohol dependency the client is allergic to the
Agents. These peripheral drug.
drugs are used action. Acts -Hepatic impairment,
to treat many centrally on or active hepatic Advice the client to take the
conditions like hypothalamic disease drug with a full glass of
headaches, heat-regulating -Chronic malnutrition water.
muscle pain or center, and hypovolemia
aches, arthritis, producing Assess if the client can take
backache, peripheral -G6PD deficiency the drug orally if not, change
toothaches, sore vasodilation (hemolysis may the route of the drug for the
throats, colds, (heat loss, skin occur). client’s comfort.
flu, and fevers. erythema, Advice the client after intake,
diaphoresis) he should monitor if there is
any improvements for pains
or headaches.

Generic Ascorbic acid is Dose: Ascorbic acid Contradicted to -Hives Advice the client to take
Name: a drug that 500mg is absorbed clients who have: vitamins everyday or as
Ascorbic belongs to a through an -Difficult prescribe the physician
Acid group called Route: oral energy -Blood disorders like breathing.
Vitamins that dependent thalassemia, G6PD The nurse should assess if
Brand Frequency: deficiency, sickle cell -Swelling of the client has a
are water twice a day process that your face, lips,
Name: soluble. They has two disease, and hypersensitivity or any
hemochromatosis. tongue, or allergic reactions from
Vitamin c are cofactor in mechanisms throat.
various which are the vitamin c. If so advice to stop
-Vitamin C should be and find another an
physiologic simple diffusion used cautiously in -Heartburn, 
reactions, and active alternative for them
oxalate nephropathy -Upset
necessary for transport. or nephrolithiasis as Advice the client to drink a
collagen There are two stomach or
acidification by nausea,  lot of water intaking in the
formation, acts transporters ascorbic acid supplement.
as antioxidants. involve in the increases the -Diarrhea
It also helps with process, the chances of Advice the client not to chew
Poor wound SVCTs precipitation of -Stomach or break (if it is tablet form or
healing, (Sodium cysteine, urate, and cramps capsule) the supplement. It
bleeding gums, dependent oxalate stones. must be taken orally and be
scurvy vitamin C swallowed whole.
transporter)
and the hexose
 transporter.
The site where
the Ascorbic
Acid is
absorbed is the
distal small
intestine and is
regulated by
renal excretion.

Name of the Classification & Dose, Route Mechanism of Contraindication Side Effects Nursing Responsibilities
Drug Indication & Frequency Action

1.breo Breo ellipta is a Dose: 100-25 dry powder Hypersensitivity to Frequent:  After inhalation, rinse
mouth with water without
Ellipta corticosteroid mg inhaler corticosteroids and Headache,
swallowing to help reduce
used to prevent indicated for beta-adrenergic dry or irritated
2. Route: inhale risk of oropharyngeal
and decrease the long-term agents, seizures, high throat,
fluticasone candidiasis.
symptoms maintenance blood pressure, hoarseness,
Frequency:
obstructions by treatment of diabetes, low runny nose,  Inform client to do not
once a day
reducing the airflow potassium level, coughing administer for more than 1
swellings in the obstruction osteoporosis, inhalation as client can
lungs to make and reduction cataracts, wide Rare: sudden experience adverse
breathing easier of angled glaucoma worsening of effects.
exacerbations breathing
 Do not administer breo
in patients elipta additionally to LABA
with chronic without any reason
obstructive
pulmonary
disease
(COPD)

1. Hydralazine is a Dose: 50mg Direct Hypersensitivity to Occasional:  Obtain clients vital signs
especially BP and RR
hydralazine vasodilator used vasodilating hydralazine. Coronary Headache,
Route: oral immediately prior to
to manage effects on artery disease, mitral anorexia,
2. administering the
moderate to arterioles. valvular rheumatic nausea,
apresoline Frequency: 3 medication.
severe heart disease, vomiting,
times a day  Monitor client’s vital signs.
hypertension advanced renal diarrhea,
 Monitor client for headache,
impairment, palpitations, palpitations, tachycardia.
cerebrovascular tachycardia,  Assess client for presence
accident, suspected angina of peripheral edema of
coronary artery pectoris. hands and feet.
disease, mitral
valvular disease, Rare:
pulmonary Constipation,
hypertension. ileus, edema,
peripheral
 neuritis,
dizziness,
muscle
cramps,
anxiety,
hypersensitivit
y reactions
nasal
congestion,
flushing,
conjunctivitis.

1. Hydrochlorothia Dose: 25mg Inhibits Hypersensitivity to Expected:  Before administering the

medication, assess clients
hydrochlorot zide is a sodium hydrochlorothiazide, Increased
Route: inhale vital signs especially BP for
hiazide sulfonamide reabsorption anuria, history of urinary
hypotension
derivative, an in distal renal hypersensitivity to frequency,
2. Microzide Frequency:
antihypersentive tubules, sulfonamides or urine volume.  Assess clients electrolyts
daily
drug used to causing thiazide diuretics, especially for hypokelmia
treat mild to excretion of severe renal/hepatic Frequent:
moderate sodium, impairment, Potassium  Assess clients skin turgor,
depletion. mucous membrane for
hypertension, prediabetes or
potassium, hydration status
pulmonary diabetes.
hydrogen Occasional:
edema, hepatic  Assess peripheral edema
ions, water. Orthostatic
cirrhosis, and and muscle strength
hypotension,
renal
headache, GI  Document clients skin
dysfunction.
disturbances, temperature and moits
and
photosensitivit  Obtain clients baseline
y. weight along

 Monitor clients input and

ouput

1. Duoneb is a Dose: Blocks action History of Frequent:  Before adminestering

the medication,
ipratopium respiratory of hypersensitivity to Cough, dry
Route: inhaled auscultate clients lung
inhalant used to acetylcholine ipratropium, atropine, mouth,
2. Duo-neb for lung sounds
treat symtomps at narrow-angle headache,
Frequency:
of COPD. parasympathe glaucoma, prostatic nausea.  ask client about possible
every 4 hours
Bronchitis, tic sites in hypertrophy, bladder history of glaucoma,
emphysema, bronchial neck Occasional: unrinary retention and
and asthma smooth Dizziness, myasthenia gravis
muscle and obstruction, transient
myasthenia gravis. increased  upon administration,
application to
bronchospas monitor clients pulse
nasal mucosa
m. rate, depth, rhythm,
inhibits quality and type of
serous/serom respiration.
Rare:
Hypotension,
 ucous gland insomnia,  Determine presence of
wheezing, ronchi, or
metallic/unple
secretions. rales
asant taste,
palpitations,
urinary
retention.

1. Levothyroxine is Dose: 175mcg Converts to Hypersensitivity to Occasional:  Before administering the

medication, obtain clients
levothyroxin a synthetic T3, then binds levothyroxine. Acute Reversible
Route: oral baseline TSH, T3, T4,
e isomer to thyroid MI, untreated hair loss at
weight and vital signs
thyroxine use to receptor subclinical or overt start of
2. levoxyl Frequency:
treat proteins thyrotoxicosis, therapy in  Upon administration,
daily
hypothyroidism, exerting uncorrected adrenal children. monitor clients pulse rate
pituitary thyroid metabolic insufficiency, inability and rhythm
stimulating effects to swallow capsules, Rare: Dry
hormse elderly pts, angina skin, GI  Assess client’s appetite
through DNA intolerance, and sleep pattern
suppression pectoris,hypertension,
and protein adrenal insufficiency, rash, urticaria,
synthesis. myxedema, diabetes pseudotumor
mellitus and insipidus, cerebri,
and swallowing severe
disorders. headache in
children.

1. metformin metformin is a Dose: 500 mg Decreases Hypersensitivity to Occasional:  Before adminiestering the
medication, not received
biguanide hepatic metformin. Renal GI
2. fortamet Route: oral IV contrast dye within last
antihyperglycem production of disease/dysfunction, disturbances
48 hrs.
ic used to glucose. abnormal CrCl from such as
Frequency:  Obtain clients CBC, renal
manage type 2 Decreases any cause including diarrhea,
twice a day function unction test,
diabetes intestinal MI, septicemia, or nausea, fasting serum glucose,
mellitus as absorption of shock, acute or vomiting, and Hgb alc
monotheraphy chronic metabolic abdominal  Monitor clients fasting
glucose, acidosis, HF, hepatic bloating, serum glucose, Hgb alc,
improves impairment, excessive flatulence, renal function and CBC.
insulin acute/chronic alcohol anorexia  Monitor clients folic acid,
sensitivity. intake, elderly. renal function tests to
. Rare: determine early lactic
Unpleasant or acidocis
metallic taste  If client is on concurrent
that resolves oral sulfonylureas, assess
spontaneously for signs of hypoglycemia
during
therapy.

1. nebivolol Nebivolol is a Dose: 5mg Predominantly Hypersensitivity to Can be  Before administering the
medication, assess clinets
beta-adrenergic blocks beta1- nebivolol. Severe tolerated, with
2. Bystolic Route: oral baseline renal function
antihypertensio adrenergic bradycardia, mild and
and LFT
n drug used yto receptors. decompensated heart transient side
mange Large doses failure, cardiogenic effects.  also assess clients BP
 and apical pulse
hypertension Frequency: block both shock, heart block Occasional:
daily beta1 greater than first Headache.  askclients medical history
degree, severe
and beta2 hepatic impairment, Rare Fatigue,  upon administering the
receptors. sick sinus rhythm dizziness, medication, measure
diarrhea, clients BP near end of
nausea, dosing interval
insomnia,
 monitor client for
peripheral
hypotension
edema.
 evaluate clients pulse
quality, regularity and
bradycardia

 ask whether client is

experiencing headache

1. aspirin Aspirin is a Dose: 81mg Inhibits cyclo- Hypersensitivity to Occasional:  Before adminisertering the
medication, do not
nonsteroidal oxygenase salicylates, NSAIDs, GI distress
2. Ascriptin Route: oral administer if vinegar like
salicylate enzyme via asthma rhinitis, nasal including
odor is assessed
anticougalnt acetylation. polyps; inherited or abdominal
Frequency:
and anti- Inhibits acquired bleeding distention,  Assess clients hisoty of GI
daily
inflammatry formation of disorders, use in cramping, bleeding, pepctic ulcer
drug use to treat children, younger than heartburn,mild disease, OTC use of
mild to prostaglandin 16 yrs for viral nausea products that contains
moderate pain derivative infections. Do not use allergic aspirin
and fever. thromboxane for at least 7 days reaction such
A.  Monitor clients urinary PH
after tonsillectomy or as
oral surgery. bronchospas  Assess clients skin for
m, pruritus, signs of eccymosis
and urticaria.
 If drug is given as
antipyretic, assess
temperature directly
before and 1 hour after
giving medication.

 Assess client for

therapeutic response:
relief of pain, stiffness,
swelling; increased joint
mobility; reduced joint
tenderness; improved grip
strength.

1. vitamin Vitamin d3 is a Dose: A secosteroid Hypersensitivity to Cough,  Before administering the

medication, obtain clients
d3 fat soluble 1000units generated in cholecalciferol, diffcicult
baseline serum calcium,
vitamin the skin when ergocalciferol, vitamin swallowing,
2. Route: oral phosphorus, alkaline
essential for 7- D toxicity, dizziness, fast
Cholecalcife phosphate and creatinine
bone health, dehydrochole hypercalcemia, clients heartbeat,
rol immune sterol with malabsorption hives of  Upon administration,
 monitor clients serum and
function and cell Frequency: interacts with syndrome, concurrent itching,
urinary calcium levels,
growth. it is daily ultraviolet use with digoxin. puffiness or
serum phosphate,
used as dietary irradation swelling of the
magnesium and BUN
supplement in eyelids or
clients who do around the  Encourage client to
not get enough eyes, face lips increase fluid intake
vitamin D or tongue,
 Monitor signs and
skin rash,
symtpms of oxygen
tightness in
intoxication
chest, unusual
tiredeness or
weakness

1. Clopidogrel is a Dose: 75mg Inhibits Active bleeding such Frequent:  Before administering the
medication assess clients
clopidogrel thienopyridine binding of as peptic ulcer or Skin
Route: oral baseline chemistries,
derivative, an enzyme intracranial disorders.
2. plavix platelet count and PFA
antiplatelet drug adenosine hemmorhage,
Frequency: Occasional :  Obtain platelet count before
use to decrease phosphate hypersensititvity to
daily Upper
rate of MI and (ADP) to its clopidrogel drug therapy, every 2 weeks
stroke in clients platelet respiratory during the first week of
with elevation receptor and tract infection, therapy and weekly until
acute subsequent chest pain, therapeutic maintenance
syndrome, ADP- flu-like dose is reached
history of recent mediated symptoms,
headache,  Minitor clients platelet count
MI or stroke and activation of a for thrombocytopenia
peripheral glycoprotein dizziness,
arterial disease complex. arthralgia.  Assess client Hgb and Hct
for signs of bleeding
Rare: Fatigue,
edema,  Assess clients ALT, AST,
hypertension, bilirubin, BUN, and creatiine
abdominal for signs and symtomps of
pain, hepatic insuficiensy during
dyspepsia, theraphy
diarrhea,
nausea,
epistaxis,
dyspnea,
rhinitis.

1. isosorbide Dose: 60 mg Stimulates Hypersensitivity to Frequent:  Before administering the

medication, record clients
isosorbide mononitrate is a intracellular nitrates, concurrent Headache
Route: oral onset, type, radiation,
mononitrate nitrate used to cyclic use of sildenafil, occurs mostly
location, intensity and
prevent and guanosine tadalafil, vardenafil. in early
Frequency: duration of angina pain
treat angina monophospha therapy,
daily
pectoris due to te. diminishes  If headache occurs during
coronary rapidly in therapy, administer
disease intensity, medication with meals
usually
 disappears  Assiste client with
ambulation if light-
during
headedness, dizziness
continued
occurs
treatment.
 Assess clients facial and
Occasional: neck flushing
Transient
flushing of
face/neck,
dizziness,
weakness,
orthostatic
hypotension,
nausea,
vomiting,
restlessness.
GI upset,
blurred vision,
dry mouth.

Frequent:
Burning,
tingling at oral
point of
dissolution.

1. HMG-CoA Dose: 40g Interferes with Hypersensitivity to Generally well  Before administering the
medication, obtain clients
rosuvastatin reductase cholesterol rosuvastatin. Active tolerated. Side
Route: oral dietary history especially fat
inhibitor use to biosynthesis hepatic disease, effects are
2. crestor consumption
decrease by inhibiting breastfeeding, usually mild,
Frequency:
elevated total conversion of pregnancy, transient.  Ask client possibility of
daily
LDL cholesterol, the enzyme unexplained, pregnancy
serum HMG-CoA to persistent elevations Occasional:
triglyceride level mevalonate, a of hepatic enzymes Pharyngitis,  Assess clients baseline lab
headache, result most importantly
and increases precursor to
diarrhea, serum cholesterol,
HDL. cholesterol
dyspepsia, triglycerides and LFT
nausea,  Upon administration,
depression. monitor clients serum
cholesterol, HDL, LDL and
Rare: Myalgia, triglycerides to determine
asthenia, back therapeutic response
pain.
 Monitor lipid level within 2-4
weeeks of administering the
medication or chage in dose

 Monitor clients daily

pattern of bowel activity
 and stool consistency.

 Assess client for

headachea nd sore
throat.

Name of the Classification & Dose, Route Mechanism of Contraindication Side Effects Nursing Responsibilities
Drug Indication & Frequency Action

1. Sigoxin Digoxin is a Dose: 0.25 Inhibits Hypersensitivity to Dizziness,  Before aministering the
medication, assess
cardiac mg sodium/potass digoxin. Ventricular headache,
2. Digitex clients apical pulse. If
glycoside used ium ATPase fibrillation diarrhea, rash,
Route: clients pulse if 60 or
to treat mild to pump in visual
less, refuse the drug
moderate heart myocardial disturbance,
Frequency: and contact the
failure. It cells and physician
once a day
controls promotes  Take blood samples 6
ventricular calcium influx to 8 hours after or
response rate in before the next dose
patients with  Monitor clients vital
chronic atrial signs especially
fibrilation bradycardia and EKG
for aryhtmias after drug
administration
 Monitor clients serum
pottasuim magnesium,
calcium and renal
function

1. Furosemide is a Dose: 40 mg Enhances Hypersensitivity to Frequent:  Before administering the

medication, assess
furosemide loop diuetic excretion of furosemide, hepatic Nausea,
Route: IV clients vital signs
used to treat sodium, cirrhosis, hepatic dyspepsia,
especially BP and pulse
edema chloride, coma, severe abdominal
Frequency: for hypertension
associated with potassium by electrolyte depletion, cramps,
every 8 hours  Evaluate clients baseline
heart failure and direct action prediabetes, diabetes, diarrhea or renal function, serum
renal or hepatic at ascending systemic lupus constipation, electrolyes, serum
disease and erythematosus. Pts electrolyte sodium and potassium
hypertension limb of loop of with prostatic disturbances.  Assess clients skin
Henle hyperplasia/urinary turgor, mucous
stricture. Occasional: membrane, and presence
Dizziness, od edema
light-  Obtain clients baseline
headedness, weight
headache,  Auscultate clients lung
blurred vision, sounds
paresthesia,  After administration,
photosensitivit monitor clients vital signs,
y, rash, serum electrolytes and
fatigue,
 input and ouput
bladder
 Monitor client for
spasm,
symptoms of electrolyte
restlessness,
imbalance
diaphoresis.

Rare: Flank
pain.

1. pottasuim Potassium Dose: 40 Important for Renal failure, Occasional:  Before administering the
medication, assess for
chloride chloride is an mEgs multiple hyperkalemia, Nausea,
symtomps of hypokalema
electrolyte used cellular conditions in which vomiting,
2. Kaon-Cl Route: IV such as weaknes,
to prevent metabolic potassium retention is diarrhea,
incorporated fatigue, polyuria and
hypokalemia to processes. present. Solid oral flatulence, polydipsia
avoid acid base to 1L of PNNS dosage form in pts in abdominal  After administration,
imbalance and whom there is discomfort monitor clients serum
Frequency: for
to treat structural, with potassium and decreased
24 hours
hypoxemia. urinary output
distention,
 Monitor clients daily
phlebitis with pattern of bowel actity
IV and stool consistently
administration  Monitor clients input and
ouput
Rare: Rash.

1. Metformin Metformin is an Dose: 500mg Decreases Hypersensitivity to Occasional:  Before administering the
medication, obtain clients
antidiabetic hepatic metformin, renal diarrhea,
2. fortament Route: oral renal function test, fasting
drug used to production of disease, abnormal nausea,
serum glucose and HgB
treat type 2 glucose and CrCl from any cause vomiting,
Frequency: Aic
diabetes decreases including MI, abdominal
twice a day  Upon administration,
mellitus along intestinal septicemia, or shock; bloating, monitor clients fasting
with oral absorption of acute or chronic flatulence, serum glucose, Hgb A1c,
sulfonylurea or glucose, metabolic acidosis anorexia renal function and cbc
insulin. improves  Monitor client for alter
insulin Rare:
glucose requirements
sensitivity. Unpleasant or such as fever, increased
metallic activity , stress and
surgical procedure

1. captopril Captopril is an Dose: 25 mg Decreases Hypersensitivity to Frequent:  Before administering the

medication, obrain clients
angiotension plasma captopril. History of Rash.
2. capoten Route: oral vital signs most
converting angiotensin II, angioedema from
Occasional: especially the BP before
enzyme used to increases previous treatment
Frequency: Pruritus, each dose
treat plasma renin with ACE inhibitors,
once a day dysgeusia.  Upon administration,
hypertension activity, concomitant use with assess clients skin for
and for decreases aliskiren in clients presence of rash
Rare:
prevention of aldosterone with diabetes mellitus.  Monitor clients serum
Headache,
ventricular secretion and potassium level on
cough,
failure. decreases concurrent diuretic
insomnia,
plasma therapy, blood pressure,
 serum BUN, creatiin and
angiotensin II, dizziness,
CBC
increases fatigue,
plasma renin paresthesia,
activity, malaise,
decreases nausea,
aldosterone diarrhea or
secretion constipation,
dry mouth,
tachycardia.

Name of Classification & Dose, Route Mechanism of Contraindication Side Effects Nursing Responsibilities
the Drug Indication & Frequency Action

Patients on amiloride  Monitor serum potassium

1. Pota - Electrolyte KCL Potassium Nausea,
or triamterene. (particularly in renal
ssiu - Treat and 40 mEq ions vomiting, flatul
impairment).
m prevent participate in ence,
Chlor low potassium le Via IV a number abdominal  Monitor daily pattern of
ide vels due to poor of essential p pain/discomfo bowel activity, stool
2. Klor- dietary intake, run for 24 hysiological rt, and consistency
con certain diseases, hours processes, diarrhea.
 IV site for extravasation,
or other drugs. including the
phlebitis.
maintenance Hyperkalemia 
of intracellular and of upper
tonicity; the and
transmission lower gastroin
of nerve testinal conditi
impulses; the ons including,
contraction of obstruction,
cardiac, bleeding, ulce
skeletal, ration, and
and smooth perforation.
muscle; and
the
maintenance Skin rash
of normal
renal function.

 Monitor pulse for

Hypersensitivity
1.Lanoxin Potentiates bradycardia
Digoxin
-Anti-arrhy activity of Ventricular fibrillation Dizziness,
0.5 Microgram  EKG for arrhythmias for 1–
2.Digoxin thmic, contractile mental
2 hrs after administration
cardiotonic cardiac disturbances, (excessive slowing of pulse
- Used to muscle fibers, diarrhea, may be first clinical sign of
one a day
treat heart failure headache,
 toxicity)
and also used to increases
treat a certain force of nausea,
 Assess for GI disturbances,
type of irregular myocardial vomiting,
neurologic abnormalities
heartbeat contraction. red and
(chronic atrial Slows the bumpy rash  Monitor serum potassium,
magnesium, calcium.
fibrillation) heart rate by
decreasing
conduction
through SA,
AV nodes.

1. Lasix
 Check vital signs
2.
Furosemi Furosemide Anuria, severe Increased  B/P, pulse, for hypotension
-Diuretic urinary
de 40mg Produces electrolyte depletion, before administration
-Used to frequency/
diuresis, prediabetes, diabetes,
eliminate water and systemic lupus volume.  Assess muscle strength,
Via IV lowers B/P.
and salt from the erythematosus. mental status.
Nausea,
body. dyspepsia,
Every 8 hours  Obtain baseline weight.
abdominal Initiate I&O monitoring.
cramps,
diarrhea or
constipation,
dizziness,
light-
headedness,
headache,
flank pain.

1.
Glucopha
ge Hypersensitivity, GI
Metformin 500 Decreases  Assess baseline glucose,
-Anti-dia chronic heart disturbances
mg hepatic renal function tests.
2. betic failure, metabolic acid (diarrhea,
Metformin production of osis with or  Assess for hypoglycemia
via Tab nausea,
- Management of glucose. without coma, diabetic
ketoacidosis, severe vomiting,  Be alert to conditions that
type 2 diabetes Decreases
twice a day renal disease, abdominal alter glucose requirements:
mellitus as absorption of
abnormal creatinine bloating, fever, increased activity,
monotherapy or glucose,
flatulence, stress, surgical procedure.
concomitantly improves
anorexia),
with oral insulin
unpleasant/m
sulfonylurea or sensitivity
etallic taste
insulin. And also,
Improves that resolves
Polycystic
glycemic spontaneously
ovarian
control, during
syndrome,
stabilizes/decr therapy.
gestational
 diabetes mellitus eases body
and Prevention weight,
of type 2 improves lipid
diabetes profile.

1.  Obtain B/P immediately

Capoten before each dose, in
- Anti- addition to regular
hypertensive Rash, monitoring
2. Captopril Reduces History of
Captopril 25mg peripheral angioedema from distorted  If excessive reduction in
-Treatment of taste, chest
arterial previous treatment B/P occurs, place patient in
hypertension, pain, protein
Via tab once a resistance, with ace inhibitors, supine position with legs
CHF, diabetic anuria, in urine, fast
day pulmonary elevated
nephropathy, renal impairment. heart rate,
capillary
post-MI for dizziness,  Assess skin for rash,
wedge
prevention of pruritus
pressure; headache,
ventricular abdominal
improves  Assist with ambulation if
failure. pain dizziness occurs
cardiac
Delays
output,
progression of  Monitor serum potassium
exercise
nephropathy and levels in those on
tolerance. concurrent diuretic therapy
reduces risk of
cardiovascular
events in
hypertensive pts
with type 1 and
type 2 diabetes
 Name of Classification Dose, Route & Mechanism of
Contraindication Side Effects Nursing responsibilities
the Drug & Indication Frequency Action

Enalapril Antihypertensi Dose: 40 mg - It suppresses - History of angioedema Cough, headache, - Obtain blood pressure
Vasotec ve; for RAAS by from previous treatments dizziness, immediately before each
hypertension Route: preventing with ACE inhibitors or nausea, rash. dose
conversion of idiopathic/ hereditary
Frequency: - Assist with ambulation if
angiotensin I to angioedema dizziness occurs
Twice a day
II, a potent
vasoconstriction - monitor daily patterns of
; decreases bowel activity, stool
plasma consistency
angiotensin II, - Inform physician if
increases vomiting diarrhea,
plasma rennin diaphoresis, persistent
activity an cough, difficulty in
decreases breathing occurs
aldosterone
secretion

- Check vital signs

Furosemide Diuretic; for Dose: 40 mg -Enhances - If the patient has anuria Increased urinary
Lasix edema excretion of frequency/ - B/P, pulse, for
Route: Oral sodium, volume. hypotension before
administration chloride, Nausea, administration
potassium by dyspepsia,
Frequency: - Assess muscle strength,
direct action at abdominal
mental status.
ascending limb cramps, diarrhea
of loop of Henle or constipation, - Obtain baseline weight.
dizziness, light- Initiate I&O monitoring.
headedness,
headache,
flank pain

Chlorthalido Antihypertensi Dose: 25 mg Decreases Patients with anuria, Electrolyte - Assess blood glucose
ne ve; To treat extracellular hypersensitivity to derangement levels, BUMN, serum
Thalitone hypertension Route: Oral fluid volume, chlorthalidone (hypokalemia, electrolyte, and uric acid
administration plasma volume, hyponatremia, before therapy
cardiac output etc.), - Monitor patient signs of
Frequency:
which helps hypersensitivity re fluid and electrolyte
Once a day
explain how it action, and imbalance
reduces blood precipitation of
pressure acute gout
attacks.

Amlodipine Antihypertensi Dose: 5 mg Inhibits calcium None known Peripheral edema, - Assess baseline renal
Norvasc ve/ movement headache, function test, blood
Antianginal Route: Oral across cardiac flushing. pressure and apical pulse
administration and vascular Dizziness, - If systolic blood pressure
palpitations, is less than 90 mm Hg
 Frequency: smooth muscle nausea, unusual withhold medication and
Once a day cell membranes fatigue or notify physician
weakness - Assess peripheral
(asthenia). edema behind medial
malleolus

- Assess skin for flushing

and ask patient for
headache, loss of energy

- Monitor blood pressure

Methyldopa Antihypertensi Dose: 500 mg The Active hepatic disease, Dizziness, lighthe
regularly during therapy
Aldomet ve; to manage decarboxylated hypersensitivity to adedness, drowsi
Route: Oral - Monitor CBC and
hypertension in the body to methyldopa ness, headache,
administration differential results before
produce alpha- stuffy nose, and periodically during
methylmorphine and weakness ma therapy
Frequency:
, a metabolite y occur as your - assess for edema and
Twice a day
that stimulates body adjusts to weight gain
central inhibitory the medication. - Notify physician if the
alpha- patient has signs of heart
adrenergic failure
receptors

- Weigh patient and

Spironolacto Potassium- Dose: 25 mg Interferes with Acute renal insufficiency, dehydration,
initiate strict input and
ne sparing sodium anuria, hyperkalemia hyponatremia,
Route: Oral output.
Aldactone diuretic; reabsorption by lethargy, nausea,
administration - Evaluate hydration
management competitively vomiting, status by assessing
of edema inhibiting action anorexia, mucous membranes and
Frequency:
of aldosterone abdominal skin turgor
Once a day
in distal tubule, cramps, diarrhea, - Obtain baseline serum
promoting headache, electrolyte and monitor
sodium and - Check baseline vital
water excretion, signs
increasing
potassium

- Monitor urinary ph.;

Acetylsalicyl Anti- Dose: 100 mg Inhibits Concurrent use with GI distress
sudden acidification may
ic acid inflammatory/ prostaglandin alfuzosin, ergot (including
Route: Oral result in toxicity
Bayer antipyretic; synthesis, acts derivatives abdominal
administration - Assess skin for evidence
reduces on distention, of ecchymosis
inflammatory hypothalamus cramping, - Evaluate for therapeutic
Frequency:
response and heat-regulating heartburn, mild response; relief of pain,
Once a day
fever center nausea); allergic stiffness, swelling
reaction (including
bronchospasm,
pruritus, urticaria).

Metformin Anti-diabetic; Dose: 1,700 mg Decreases Renal disease/ Diarrhea, nausea, - Assess baseline
Glucophage absorption of dysfunction, abnormal vomiting, glucose, renal function
Route: Oral glucose and creatinine clearance due abdominal tests.
 administration improves insulin to MI, acute CHF bloating - Assess for
sensitivity hypoglycemia
Frequency:
Twice a day - Be alert to conditions
that alter glucose
requirements: fever,
increased activity, stress,
surgical procedure.

Name of the Classification & Dose, Route & Mechanism of

Contraindication Side Effects Nursing Responsibilities
Drug Indication Frequency Action

Aspirin is classified Inhibits Hypersensitivity to GI distress 1. Assess type, location,

Aspirin Dose: 75 mg
as non-steroidal prostaglandin salicylates, NSAIDs; (including duration of pain,
salicylate. It is used synthesis, acts asthma, rhinitis, abdominal inflammation.
Ascriptin Route: Oral
to everyday on nasal distention, 2. Assess other
painkiller for aches the polyps; inherited or cramping, medication for possible
Frequency:
and pains such as hypothalamus acquired bleeding heartburn, interactions - especially
headache, once daily heat-regulating disorders; use in mild nausea); warfarin which is a special
toothache, and center, children for viral hazard.
period pain. It can interferes with infections; allergic reaction
3. Assess for allergy to
also be used to treat production of pregnancy. (including
salicylates or NSAIDS
colds and "flu-like" thromboxane A, bronchospasm, before administration.
symptoms, and to a substance that Be cautious to pruritus, urticaria). 4. Use the drug only as
bring down a high stimulates platelet/ suggested; avoid
temperature. platelet bleeding disorders, overdose.
aggregation. severe renal/hepatic
impairment,
dehydration, erosive
gastritis, peptic ulcer
disease, sensitivity
to
tartrazine dyes.

Facilitates Moderate to severe Frequent (22%– - Check baseline

Humalog It is classified as Dose: 75/25
passage of CHF (doses greater 10%): Headache, hydration status (skin
Mix antidiabetic. glucose, than 5 mg/kg should nausea,
Route: turgor for tenting mucous
Treatment of insulin- potassium, be avoided). fatigue, fever.
Insulin lispro Subcutaneous membranes, urinary
dependent type 1 magnesium Sensitivity to murine status).
diabetes mellitus; across cellular proteins, sepsis, Occasional (9%–
Frequency: - Monitor urinalysis,
non–insulin- membranes serious active 5%): Fever/
of infection. chills during erythrocyte sedimentation
dependent type 2 rate (ESR).
skeletal/cardiac infusion,
diabetes mellitus - Monitor for
muscle, adipose pharyngitis,
(NIDDM) when diet tissue. Controls vomiting, signs of infection.
and weight control storage, pain, - Monitor daily pattern
therapy have failed metabolism of dizziness, of bowel activity, stool
to maintain carbohydrates, bronchitis, consistency.
protein, fats. rash,
 Promotes rhinitis, cough, - Notify physician if
satisfactory serum
conversion of pruritus, sinusitis, persistent fever,
glucose levels or in glucose to myalgia, cough, abdominal pain,
event of pregnancy, glycogen in back pain. swelling of ankles/
surgery, trauma, liver.
feet occur.
infection, fever, Rare (4%–1%):
severe renal, Hypotension or
hepatic, endocrine hypertension,
paresthesia,
dysfunction. Regular
anxiety,
insulin used for depression,
emergency insomnia,
treatment of diarrhea, UTI.
ketoacidosis, to
promote passage of
glucose across cell
membrane in
hyperalimentation,
to facilitate
intracellular shift of
potassium in
hyperkalemia.

It is classified as Reversibly History of Occasional (13%– - Obtain CBC, BMP,

Ticagrelor Dose: 90 mg
Antiplatelet. inhibits platelet intracranial 7%): Dyspnea, digoxin level if applicable.
Reduction of P2Y12 ADP hemorrhage, active headache.
Brilinta Route: Oral - Question for history of
thrombolytic receptor to pathologic bleeding,
cardiovascular prevent signal severe hepatic Rare (5%–3%): bleeding, stomach ulcers,
Frequency: 2x a colon polyps, head
events in transduction impairment. Cough, dizziness,
conjunction with day and platelet nausea, diarrhea, trauma,
aspirin in pts with activation. back pain, fatigue. cardiac arrhythmias,
acute coronary unstable angina, re-
syndrome (ACS) cent MI, hepatic
including unstable impairment, HIV, hyper-
angina, non-STEMI, tension, stroke.
or STEMI. - Routinely screen for
bleeding.

It is classified as Inhibits HMG- Active hepatic Common: - Assess baseline lab

Atorvastatin Dose: 80 mg
aantihyperlipidemic. CoA reductase, disease, lactation, Atorvastatin is results: cholesterol,
Primary prevention the enzyme that pregnancy, generally well triglycerides, hepatic
Lipitor Route: Oral
of cardiovascular catalyzes the unexplained tolerated. Side function tests.
disease in high-risk early step in elevated hepatic effects are usually - Obtain dietary history.
Frequency:
pts. Reduces risk of cholesterol function test results. mild and transient. - Monitor for headache.
stroke and heart synthesis. - Monitor hepatic function
attack in pts with Frequent (16%): tests, CPK.
type 2 diabetes with Headache.
or without evidence
of Occasional (5%–
heart disease. 2%): Myalgia,
Reduces risk of rash, pruritus,
stroke in pts with or allergy.
without evidence of
heart disease with Rare (less than
 multiple risk factors 2%–1%):
other than diabetes. Flatulence,
dyspepsia,
depression.
It is classified as Selectively Cardiogenic shock, Metoprolol is - Record onset, type
Metoprolol Dose: 50 mg
betablockers. blocks beta1- MI with heart rate generally well (sharp,
Treatment of adrenergic less than 45 tolerated, dull, squeezing), radiation,
Lopressor Route: Oral
hemodynamically receptors; high beats/min or with transient and location,
stable acute dosages may systolic B/P less mild side effects. intensity, duration of
Frequency:
myocardial infarction block than 100 mm Hg, anginal pain, precipitating
(AMI), angina once daily beta2adrenergic overt heart failure, Frequent: factors (exertion,
pectoris, receptors. second- or third- Diminished sexual emotional
hypertension Decreases degree heart block, function, stress).
oxygen sinus bradycardia. drowsiness,
requirements. HTN/Angina: Sinus insomnia, unusual - Measure B/P near end
Large doses bradycardia, fatigue/weakness. of dosing interval
increase airway second- or third- Occasional: (determines whether B/P
resistance. degree heart block, Anxiety, diarrhea, is controlled
overt CHF, sick constipation, throughout day).
sinus syndrome nausea, vomiting,
- Monitor B/P for
(except with nasal
hypotension, respiration
pacemaker), severe congestion,
for shortness of
peripheral arterial abdominal
breath.
disease, discomfort,
pheochromocytoma. dizziness, difficulty - Assess pulse for quality,
breathing, cold rate, rhythm.
hands/feet.

Rare: Altered
taste, dry eyes,
nightmares,
paresthesia,
allergic reaction
(rash, pruritus).
It is classified as Suppresses Hypersensitivity to Frequent (12%– - Obtain B/P immediately
Ramipril Dose: 2.5 mg
ACE Inhibitor. renin- ACE inhibitors. 5%): Cough, before each
Treatment of angiotensin- History of ACE- headache. dose, in addition to
Altace Route: Oral
hypertension. Used aldosterone inhibitor induced regular monitoring
alone or in system. angioedema. Occasional (4%– (be alert to fluctuations).
Frequency: 2x
combination with Decreases 2%): Dizziness,
other a day plasma fatigue, nausea, - If excessive
antihypertensives. angiotensin II, asthenia (loss of reduction in B/P occurs,
Treatment of left increases strength, energy). place patient in supine
ventricular plasma renin position with legs
dysfunction activity, Rare (less than elevated.
following MI. decreases 2%): Palpitations, - Monitor B/P, renal
Prevention of heart aldosterone insomnia, function, serum
attack, stroke. secretion. . nervousness, potassium,
malaise, WBC.
abdominal - Do not discontinue
pain, myalgia. medication without
physician’s approval.
Lasix - Diuretic Dose: 20 mg Produces Anuria, severe Increased urinary  Check vital signs.
- Used to eliminate diuresis, lowers electrolyte frequency/ volume.  B/P, pulse, for
Furosemide water and salt from Route: Oral depletion, Nausea, hypotension before
 administration
the body Frequency: q8h B/P. prediabetes, dyspepsia,
diabetes, and abdominal cramps,  Assess muscle
systemic lupus diarrhea or strength, mental status.
erythematosus. constipation,
dizziness, light-  Obtain baseline weight.
Initiate I&O monitoring.
headedness,
headache,
flank pain.

Binds with Acute or severe Ambulatory pts, - Assess onset, type,

Morphine It is classified as Dose: 0.2 mg.kg
opioid receptors asthma, those not in location, duration of
Sulfate analgesics. Drug of within CNS. GI obstruction, severe pain may pain.
choice for pain due Route:
paralytic ileus, experience
Roxanol to MI, severe hepatic/renal nausea, vomiting - Obtain vital signs before
Frequency: q4h giving
impairment, more frequently
severe than those in medication.
respiratory supine position or
- If respirations are 12/min
depression. who have severe
or
pain.
less (20/min or less in
children), withhold
Frequent:
medication, contact
Sedation,
physician.
decreased B/P
- Monitor vital signs 5–10
(including
min after IV
orthostatic
administration,
hypotension),
15–30
diaphoresis, facial
min
flushing,
after
constipation,
subcutaneous, IM/
dizziness,
drowsiness,
nausea, vomiting.

occasional:
Allergic reaction
(rash, pruritus),
dyspnea,
confusion,
palpitations,
tremors,
urinary retention,
abdominal cramps,
vision, changes,
dry mouth,
headache,
decreased
appetite,
pain/burning at
injection site.

Rare: Paralytic
ileus.
Competes with Bladder neck quent: Dry mouth, - Monitor changes in B/P,
Atropine It is classified as Dose: 1 mg
acetylcholine for obstruction due to nose, throat (may pulse, temperature.
Anticholinergic or
 common binding prostatic be
Sulfate antiparasympatheti. Route:
sites on hypertrophy, cardio severe); decreased - Observe for tachycardia
It is an Intravenous muscarinic spasm, intestinal diaphoresis; if patient has
Isopto antimuscarinic agent receptors atony, constipation; cardiac abnormalities.
Atropine used to treat Frequency: located on myasthenia irritation at
bradycardia (low every 3 to 5 exocrine glands, gravis in those not subcutaneous or - Assess skin turgor,
heart rate). minutes as cardiac and treated with IM injection site. mucous
needed smooth muscle neostigmine, membranes to evaluate
ganglia, narrow-angle Occasional: hydration status
intramural glaucoma, Dysphagia, (encourage
neurons. obstructive disease blurred vision, adequate fluid intake
of GI tract, paralytic bloated feeling, unless NPO for surgery),
ileus, severe impotence, bowel sounds for
ulcerative colitis, urinary hesitancy. peristalsis.
tachycardia Ophthalmic:
secondary to Mydriasis, blurred
cardiac insufficiency vision,
or thyrotoxicosis, photophobia,
toxic megacolon, decreased visual
unstable acuity, tearing, dry
cardiovascular eyes or dry
status in acute conjunctiva, eye
hemorrhage, irritation, crusting
hepatic disease, of eyelid.
bronchial asthma.
Rare: Allergic
reaction, including
rash, urticaria;
mental confusion
or excitement,
particularly
in children; fatigue.
Stimulates Pheochromocytoma, Frequent: - Patient must be on
Dopamine It is classified as Dose: 30
adrenergic ventricular Headache, continuous cardiac
inotropic agents. is mcg/kg/min receptors. fibrillation. arrhythmias,
Intropin monitoring.
indicated for the Effects tachycardia,
correction of Route: are dose anginal pain, - Obtain initial B/P, heart
hemodynamic Intravenous dependent. palpitations, vaso- rate, respirations.
imbalances present Lower dosage constriction, - Measure urinary output
Frequency: stimulates. hypotension, frequently. If
in the shock
dopaminergic nausea, vomiting, extravasation occurs,
syndrome due to
receptors, dyspnea. immediately infiltrate
myocardial causing affected tissue with 10–15
infarction, trauma, renal Occasional: ml 0.9%
endotoxic vasodilation. Piloerection NaCl solution containing
septicemia, open- Higher doses (goose bumps), 5–10 mg phentolamine
heart surgery, renal stimulate both bradycardia, mesylate.
failure, and chronic dopaminergic widening of QRS - Monitor B/P, heart rate,
and beta- complex. respirations q15min
cardiac during administration
adrenergic
decompensation as receptors, (more often if
in congestive failure. causing cardiac indicated).
stimulation and
renal
vasodilation.
 It is classified as Interferes with Pts at risk for Occasional: - Monitor aPTT
Heparin Dose: 60 IU/kg
anticoagulant. blood bleeding Pruritus, burning (therapeutic range at
Prophylaxis and coagulation by (e.g., bacterial (particularly on 1.5–2.5 times normal)
Hep-Lock Route: IV
treatment of blocking endocarditis, soles of feet) diligently.
thromboembolic infusion conversion of uncontrolled caused by
disorders; prothrombin to hypertension, vasospastic - Assess
anticoagulant for Frequency: Per thrombin and platelet defects), reaction. Hct, platelet count, AST,
extracorporeal and hour fibrinogen to severe ALT.
dialysis procedures; fibrin. thrombocytopenia, Rare: Pain,
maintain patency of uncontrolled cyanosis of - Monitor
IV devices. bleeding (unless extremity 6–10 urine and stool for occult
secondary to DIC). days after initial blood.
therapy
- Assess
lasting 4–6 hrs,
for decrease in B/P,
hypersensitivity
increase in pulse rate,
reaction (chills,
complaint of
fever, pruritus,
abdominal/back pain,
urticaria, asthma,
severe headache (may be
rhinitis,
evidence
lacrimation,
of hemorrhage).
headache).
It is classified as Blocks action of History of Frequent: - Monitor rate, depth,
Salbutamol Dose: 1 vial
anticholinergic, acetylcholine at hypersensitivity to Inhalation (6%– rhythm, type of
Ipratropium bronchodilator. parasympathetic atropine. 3%): Cough, dry respiration, quality, rate of
Route:
Inhalation, sites in mouth, headache, pulse. Assess
Combivent Nebulization: Inhalation bronchial nausea. lung sounds for rhonchi,
Maintenance smooth muscle. Occasional: wheezing, rales.
Treatment of Frequency: q8h Inhalation (2%): - Monitor ABGs.
bronchospasm Dizziness, - Observe lips, fingernails
due to COPD, transient increased for cyanosis (blue or
bronchitis, bronchospasm. dusky color in
emphysema, Rare (less than light-skinned pts; gray in
asthma. 1%): dark-skinned
Not to be used for Inhalation: pts).
immediate Hypotension,
bronchospasm insomnia, - Increase fluid intake
relief. metallic/unpleasan (decreases lung
t taste, secretion viscosity).
palpitations,
urinary retention.

Date Name of Classification & Dose, Mechanism of Contraindicatio Side Nursing

Ordered the Drug Indication Route & Action n Effects Responsibiliti
 Frequen es
cy

The nurse
Generic Classification: Dose: 40 Potassium ions Contraindicated Nausea
should know
Name: Electrolyte mEq participate in a to clients with:
Vomiting if the client is
Potassium few essential
Indication: It is Route: IV Renal failure hypersensitive
chloride physiological
medicated to drip Diarrhea to the drug
(KCl) processes, prescribed.
client who has low (diffuse Hyperkalemia
including the Flatulence
Brand potassium level slowly) maintenance of Assess the
Conditions
Name: and to increase the intracellular Abdominal client if there
Frequenc which potassium
Kaon-Cl potassium level tonicity; the discomfort is presence of
y: run for retention is
Klor-Con with patient who transmission of with hypokalemia
24 hours present. where in there
has poor dietary nerve impulses; distention
intake or patients are symptoms
the contraction Solid oral
who are Phlebitis of weakness,
of cardiac, dosage from in
experiencing with IV fatigue,
skeletal, and patients whom
disease that affects polyuria, and
smooth muscle; there is administrati
polydipsia.
the potassium and the structural, on.
levels. maintenance of pathologic cause Monitor the
normal renal for delay in client’s serum
function. passage through potassium
GI tract. levels.

Monitor for
the client’s
urinary output
it may be
decreased.

Monitor the
stool and
bowel pattern
of the client.

Assess the IV
site for sign of
phlebitis.

The nurse
Generic Classification: Dose: Inhibits sodium/ Contraindicated Dizziness
should know
Name: Cardiac glycoside 0.25 mg potassium to clients with:
Headache if the client is
Digoxin ATPase pump in
Indication: Route: Hypersensitivity hypersensitive
myocardial cells.
Brand treatment of mild Oral to Digoxin. Diarrhea to the drug
Promotes prescribed.
Name: to moderate HG. calcium influx
Frequenc Ventricular Rash
Apo- Control vascular and increases Assess apical
Digoxin response rate in y: once a fibrillation pulse. If pulse
contractility. Visual
patients with day is 60 or
Renal disturbance.
Digox chronic arterial less/min (70
impairment or less/min for
fibrillation.
children),
 withhold drug,
Sinus nodal
contact
disease
physician.
Acute MI Assess the
blood
Concurrent use
samples. Best
of strong taken 6-8
inducers or hours after
inhibitors of P- dose or just
glycoprotein. before next
dose.

Monitor for
any signs of
bradycardia,
EKG for
arrythmias for
1-2 hours after
administration
.

Assess GI
disturbances.

The nurse
Generic Classification: Dose: 40 Enhances Contraindicated Increase
should know
Name: loop diuretic. mg excretion of to clients with: urinary
if the client is
Furosemi sodium, frequency
Indication: it is Route: IV Hypersensitivity hypersensitive
de chloride, and volume.
used to treat to furosemide. to the drug
potassium by prescribed.
Brand edema associated Frequenc Nausea
direct action at
Name: with HF and renal y: every 8 Anuria Monitor the
ascending limb
Lasix or hepatic disease hours Dyspepsia vital signs
of loop of Henle. Hepatic cirrhosis
or acute Produces especially
Abdominal
pulmonary edema. diuresis and Hepatic coma blood pressure
cramps and pulse for
lowers BP.
Severe hypotension
Diarrhea or
electrolyte before
constipation
depletion. administration
.
Electrolyte
Prediabetes disturbance Assess
s baseline renal
Diabetes
function
Systemic lupus serum
erythematosus. electrolytes.

Assess muscle
Patients with strength and
hyperplasia or mental status.
urinary stricture.
Auscultate for
 lung sounds.

Monitor the
blood pressure
and I&O.

The nurse
Generic Classification: Dose: Decreases Contraindicated Diarrhea
should know
Name: Biguanide 500mg hepatic to clients with:
Nausea if the client is
Metformi antihyperglycemic production of
Route: Hypersensitivity hypersensitive
n glucose.
Indication: Oral to Metformin Vomiting to the drug
Decreases prescribed.
Brand Management of intestinal
Frequenc Renal disease or Abdominal
Name: type 2 diabetes absorption of Verify the
y: twice a dysfunction bloating
Fortamet mellitus as glucose, client that she
monotherapy or day does not use
improves insulin Septicemia or Flatulence
concomitantly sensitivity. any IV
shock contrast dye
with oral Improves Anorexia
sulfonylurea or withing 48
glycemic Acute or chronic
insulin. hours.
control, metabolic
stabilizes/decrea acidosis Obtain renal
ses body weight, function tests,
improves lipid fasting serum
profile. glucose and
Hgb A1c and
CBC.

Asses for
hypoglycemia.

The nurse
Generic Classification: Dose: 25 Suppresses Contraindicated Rash
should know
Name: Angiotensin- mg renin- to clients with:
Pruritus if the client is
Captopril converting angiotensin-
Route: Hypersensitivity hypersensitive
enzyme inhibitors aldosterone
Dysgeusia to the drug
Brand oral system (prevents to Captopril
prescribed.
Name: Indication: conversion of
Frequenc History of Headache
Apoten Treatment of angiotensin I to Administer 1
y: once a angioedema cough
hypertension, HF, angiotensin II, a hour before or
diabetic day from previous 2 hours before
potent Insomnia
nephropathy, post- treatment with meals for
vasoconstrictor;
MI for prevention ACE inhibitors, Dizziness maximum
may inhibit
of ventricular concomitant use absorption
angiotensin II at
failure. with alsike in pts Fatigue and the tablet
local vascular
with diabetes can be
and renal sites). Paresthesia
mellitus. crushed.
Decreases
plasma Monitor the
angiotensin II, clients blood
increases plasma pressure after
renin activity, administering
decreases the drug in
addition to
aldosterone
 regular
secretion.
monitoring.

If hypotension
occurs, place
patient in
supine
position with
legs elevated.

The nurse
Generic Classification: Dose: 20 Interferes with Contraindicated Headache
should assess
Name: Antihyperlipidemi mg cholesterol to client who
Abdominal if the client is
Simvastat c. biosynthesis by have:
Route: pain cramps hypersensitive
in inhibiting
Indication: this is oral Hypersensitivity to the drug
conversion of prescribe by
Brand a drug that is a to Simvastatin. Constipatio
the enzyme the physician.
Name: secondary Frequenc n.
HMG-CoA to
Zocor prevention for y: ODHS Active hepatic The nurse
mevalonate. Upper
cardiovascular (once disease. should obtain
Decreases LDL, respiratory
events in patients daily at the dietary
cholesterol, Persistent tract
with bedtime/ history of the
VLDL, elevation of infection
hypercholesterole right eye client for
triglyceride hepatic function
mia and coronary at parameter.
levels; increase test result. Rare:
heart disease. bedtime)
in HDL Assess the
concentration. Pregnancy or Diarrhea client’s
breast feeding. baseline of
Flatulence serum
cholesterol,
Depression
LDL, VLDL,
Nausea or HDL,
triglycerides
vomiting.
and LFT.

The nurse
should also
monitor the
client’s bowel
pattern and
stool
consistency.

The nurse
Generic Classification: Dose: Inhibits cyclo- Contraindicated Abdominal
should assess
Name: -Anti- 325 mg oxygenase to client who distention
if the client is
Acetylsali inflammatory enzyme via have:
Route: Cramping hypersensitive
cylic Acid acetylation. to the drug
(ASA)/ -Antipyretic OD (right Inhibits Hypersensitivity
Heartburn prescribe by
Aspirin eye) formation of to salicylates
-Anticoagulant the physician.
prostaglandin Mild nausea
Brand Frequenc Bleeding Instruct the
Indication: it is a derivative
Name: y: disorders client that the
treatment for mild thromboxane A. Allergic
Durlaza, Reduces reactions drug cannot
 be break,
Ecotrin, to moderate pain inflammatory Sever renal or (bronchospa
crush, or
Bayer, or fever and response, hepatic sm,
divided.
Ascriptin reduces intensity of pain; impairment. pruritus,
inflammation. decreases fever; and Instruct the
Used as platelet inhibits platelet Dehydration urticaria. client to take
aggregation aggregation. it with a glass
Peptic ulcer of water.
inhibitor in the
disease.
prevention of
The nurse
transient ischemic should Assess
attacks, cerebral type, location,
thromboembolism, duration of
MI or reinfarction pain,
inflammation.
Inspect
appearance of
affected joints
for
immobility,
deformities,
skin
condition.

The nurse
should
monitor the
urinary pH.

Assess the
skin for
presence of
ecchymosis

The nurse
Generic Classification: Dose: Slows heart rate, Contraindicated Diminished
should assess
Name: Antianginal, 100 mg decreases to client who sexual
if the client is
Metoprol Antihypertensive, cardiac output, have: function.
Route: hypersensitive
ol MI adjunct reduces B/P. to the drug
oral Decreases Hypersensitivity Drowsiness
prescribe by
Brand Indication: myocardial to metoprolol.
Frequenc Insomnia the physician.
Name: treatment of ischemia
Lopressor hemodynamically y: BID MI with heart The nurse
severity Unusual
stable acute (twice a rate less than 45 should assess
day) beats/ min fatigue or
myocardial the clients
weakness baseline renal
infraction, to
Arterial function for
reduce CV
obstruction parameter.
mortality, angina
pectoris, Bronchospastic Assess the
hypertension. disease clients bp and
apical pulse
Hepatic before
impairment administering
 the drug.
Peripheral
vascular disease Monitor the
client’s
Hyperthyroidis respiration for
m presence of
shortness of
Diabetes breath.
mellitus
The nurse
should assess
for any
presence of
dyspnea, night
cough,
peripheral
edema, and
distended
neck veins.

The nurse
Generic Classification: Dose: 1 Blocks action of Contraindicated Cough
should assess
Name: Bronchodilator neb acetylcholine at to client who
Dry mouth if the client is
Salbutam parasympathetic have:
Indication: Route: hypersensitive
ol sites in bronchial
Headache to the drug
Ipratropiu Maintenance Nasal smooth muscle. Hypersensitivity
prescribe by
m treatment of Application to to Ipratropium
Frequenc Nausea the physician.
bronchospasm due nasal mucosa or atropine
Brand to COPD, y: every 8 Instruct the
inhibits
Name: bronchitis, hours Narrow angled client to take
serous/seromuco
Atrovent emphysema, and glaucoma the whole
us gland
HFA asthma. Not medication
secretions. Prostatic
indicated for and exhale
Causes hypertrophy
immediate completely.
bronchodilation,
medication for inhibits nasal Bladder neck Instruct the
bronchospasm secretions. obstruction client to wait
relief. at least 1
Myasthenia minute before
gravis. another
inhalation of
the
medication.

Assist the
client to rinse
the mouth
after
medication to
prevent dry
mouth or
throat.
 Date Name of the Classification Dose, Mechanism Contraindicatio Side Effects Nursing
Ordered Drug & Indication Route & of Action n Responsibilitie
Frequenc s
y

The nurse
January 21 Generic Classification: Dose: 75 Reduces Contraindicated Abdominal
should assess if
2021 Name: Anticoagulatio mg inflammator to patients who distention
the client is
Aspirin n, antiplatelets, y response, have:
Route: Cramping hypersensitive
thrombosis intensity of
Brand Oral Hypersensitivity to the drug
pain; prescribe by the
Name: Indication: this to salicylates. Heartburn
decreases physician.
Bayer, is a treatment Frequency
fever; Mild nausea
Buffering, for mild to : OD Asthma Instruct the
inhibits
Durlaz severe pain, platelet Allergic client not to
Rhinitis
fever and it aggregation. reactions break crush or
works as dissolve the
Platelet or
reduces drug.
bleeding
inflammations. disorders Should be taken
with meal to
Sever hepatic or avoid GI upset.
renal
impairment. Assess for
history of GI
Inherited bleed, peptic
bleeding ulcer disease.
disorder. Assess type,
location, and
duration of
pain.

Monitor the
clients urinary
pH.

The nurse
January 21, Generic Classification: Dose: Mix Acts via Contraindicated Localized
should assess if
2021 Name: Antidiabetic 75/25 specific to patients who redness
the client is
Insulin receptor to have:
Indication: Route: Swelling hypersensitive
Lispro regulate to the drug
treatment for Subcutane metabolism Hypersensitivity
Itching prescribe by the
Brand type 1 diabetes ous of to insulin.
physician.
Name: and type 2 carbohydrat
Frequency Patients at risk Lipodystrop
Humalog diabetes to es, protein, The nurse
: multiple for hypokalemia. hy
improve and fats. should
glycemic daily administer the
Acts on Renal or hepatic Lipohypertr
control. It is injections. medication 15
liver, impairment. ophy
also used for minutes before
skeletal
 or immediately
gestational muscle, and Elderly.
after meals.
diabetes, mild adipose
to moderate tissue. Use during Monitor the
diabetic Controls episodes of client’s serum
ketoacidosis, serum hypoglycemia. glucose level.
mild to glucose
Assess the
moderate levels.
client for any
hyperosmolar
presence of
hyperglycemic hypoglycemia.
state.
Assess if there
are presence of:

Cool, wet skin

Tremors

Dizziness

Headache

Anxiety

Tachycardia

Numbness in
the mouth

Assess the
client when
sleeping for
restlessness and
diaphoresis.

The nurse
January 21, Generic Classification: Dose: 90 Reduce rate Contraindicated Dyspnea
should assess if
2021 Name: Antiplatelet mg of to patients who
Headache the client is
Ticagrelor cardiovascul have:
Indication: Route: hypersensitive
ar death, MI,
Brand Reduce rate of Oral Hypersensitivity Cough to the drug
stroke in pts prescribe by the
Name: cardiovascular with acute to ticagrelor
Frequency Dizziness physician.
Brilinta death, MI, coronary
stroke in pts : BID History of The nurse
syndrome Nausea
with acute intercranial should obtain
(ACS) or
coronary hemorrhage. Diarrhea CBC, serum
history of
syndrome chemistries,
MI. Reduce Active
(ACS) or Back pain renal function,
rate of stent pathologic
history of MI. LFT.
thrombosis bleeding. Fatigue
Reduce rate of in pts who Assess the
stent have been Severe hepatic client for any
thrombosis in stented for impairment. signs of
pts who have treatment of bleeding.
been stented ACS. Patient risk for
for treatment Assess the
 client skin for
of ACS. Reduces bradycardia.
any bruising.
platelet
aggregation. Monitor the
renal function,
uric acid and
digoxin levels.

The nurse
January 21, Generic Classification: Dose: 80 Inhibits Contraindicated Headache
should assess if
2021 Name: antihyperlipide mg HMG-CoA to patients who
Myalgia the client is
Atorvastatin mic reductase, have:
Route: hypersensitive
the enzyme
Brand Indication: Oral Hypersensitivity Rash to the drug
that prescribe by the
Name: Primary catalyzes the to atorvastatin.
Frequency Pruritus physician.
prevention of early step in
cardiovascular : ODHS Active hepatic Inform the
cholesterol
disease in disease. client that this
synthesis.
high-risk Decreases drug can be
Elevated LFT taken without
LDL and results any regards to
VLDL,
food or meal
plasma Pregnant
intake.
triglyceride
levels; Breastfeeding. The nurse
increases should obtain
HDL baseline
concentratio cholesterol,
n. triglycerides,
LFT.

Assess the
client for any
signs and
symptoms or
the side effects.

The nurse
January 21, Generic Classification: Dose: 50 Selectively Contraindicated Diminished
should assess if
2021 Name: Antianginal mg blocks beta1 to patients who sexual
the client is
Metoprolol and -adrenergic have: function.
Route: hypersensitive
Antihypertensi receptors. to the drug
Brand ve oral Slows heart Hypersensitivity Drowsiness
prescribe by the
Name: rate, to metoprolol
Frequency Insomnia physician.
Lopressor Indication: decreases
Treatment of : OD Severe sinus Inform the
cardiac Unusual
angina bradycardia client the drug
output, fatigue or
pectoris, to reduces B/P. can be crushed
MI with heart weakness but not into
reduce Decreases rate less than 45 powder.
mortality or myocardial Anxiety
beats/min or
hospitalization ischemia Instruct the
systolic B/P less
s in patients severity. Diarrhea client when
than 100 mm Hg
with HF intaking, strict
already
 monitoring of
receiving ACE Second- or third- Constipation
time should be
inhibitors, degree heart
Nausea observed.
diuretics, block
and/or Assess the
Diabetes milletus Vomiting
digoxin; clients baseline
hypertension Nasal renal function
and LFT.
congestion
Monitor blood
Abdominal pressure for any
discomfort signs of
hypotension.

Monitor the
client’s
respiration for
any shortness of
breath.

Assess the
quality, rate and
the rhythm of
the of the heart
rate.

The nurse
January 21, Generic Classification: Dose: 2.5 Suppresses Contraindicated Cough
should assess if
2021 Name: Antihypertensi mg renin- to patients who
Headache the client is
Ramipril ve angiotensin- have:
Route: hypersensitive
aldosterone
Dizziness to the drug
Brand Indication: this oral system. Hypersensitivity
prescribe by the
Name: drug is used to Blocks to ramipril or
Frequency Fatigue physician.
Altace treat conversion other ACE
hypertension. : BID inhibitors Instruct the
of Nausea
Used alone or angiotensin I client that this
can be used Renal Asthenia drug can be
to
with other impairment taken without
angiotensin
antihypertensi Palpitations any regards to
II, increases Hyperkalemia
ves. Treatment meal and
plasma renin Insomnia
for heart should be
activity, Hypertrophic mixed with
failure decreases cardiomyopathy Nervousness water or apple
following aldosterone with outflow juice.
myocardial secretion. tract obstruction. Malaise
infractions. Reduces The nurse
Abdominal should obtain
peripheral
pain BP before each
arterial
dose. If there is
resistance, Myalgia. increase in BP,
decreasing
position the
B/P.
client in supine
position with
 legs elevated.

The nurse
January 21, Generic Classification: Dose: 20 Enhances Contraindicated Increase
should assess if
2021 Name: loop diuretic. mg excretion of to patients who urinary
the client is
Furosemide sodium, have: frequency
Indication: it is Route: hypersensitive
chloride, and volume. to the drug
Brand used to treat TIV potassium Hypersensitivity
prescribe by the
Name: Lasix edema by direct to furosemide. Nausea
Frequency physician.
associated action at
with HF and : every 8 Anuria Dyspepsia Monitor the
ascending
renal or hours vital signs
limb of loop Hepatic cirrhosis Abdominal
hepatic disease of Henle. especially blood
cramps pressure and
or acute Produces Hepatic coma
pulmonary pulse for
diuresis and Diarrhea or
edema. Severe hypotension
lowers BP. constipation
electrolyte before
administration.
depletion. Electrolyte
disturbances Assess baseline
Prediabetes renal function
serum
Diabetes
electrolytes.
Systemic lupus Assess muscle
erythematosus. strength and
mental status.
Patients with
hyperplasia or Auscultate for
urinary stricture. lung sounds.

Monitor the
blood pressure
and I&O.

The nurse
January 21, Generic Classification: Dose: 0.2 Binds with Contraindicated Nausea
should assess if
2021 Name: Opioid mg/kg opioid to patients who
Vomiting on the client is
Morphine analgesic. receptors have:
Route: patients who hypersensitive
Sulfate within CNS,
Indication: TIV Hypersensitive are in supine to the drug
inhibiting prescribe by the
Brand Relief of ascending to morphine position.
Frequency physician.
Name: moderate to pain
Duramorph, severe, acute, : every 4 Acute or severe Decreased Assess the
pathways.
Infumorph or chronic hours asthma BP. onset, duration,
Alters pain
pain; analgesia perception, type, and
GI obstruction Diaphoresis location of the
during labor, emotional
pain due to pain.
response to Known of Facial
MI, dyspnea pain. suspected flushing Obtain vital
from paralytic ileus. signs before
pulmonary administering
 medication.
edema not Sever hepatic or Constipation
resulting from renal Monitor the
chemical impairment. Dizziness client’s vital
respiratory drowsiness signs 5-10
irritant. Severe minutes after
respiratory the IV
depression. administration.

Hypercarbia.

The nurse
January 21, Generic Classification: Dose: 1 Competes Contraindicated Dry mouth,
should assess if
2021 Name: Acetylcholine mg with to patients who nose aand
the client is
Atropine antagonist. acetylcholin have: throat
Route: IV hypersensitive
Sulfate e for to the drug
Indication: common Hypersensitivity Decrease
Frequency prescribe by the
Brand Preop to binding sites to atropine sweating.
: every 3 physician.
Name: inhibit on
Lomotil salivation/secr to 5 Narrow angel Constipation Monitor the
muscarinic
etions; minutes as glaucoma changes of the
receptors Dysphagia
treatment of needed respiratory rate
located on Pyloric stenosis
symptomatic and blood
exocrine Blurred
sinus pressure of the
glands, Prostatic vision
bradycardia; client after the
cardiac and hypertrophy
AV block; Bloated administration
smooth of the
ventricular muscle feeling
medication.
asystole; ganglia, impotence
antidote for intramural Observe the
organophospha Urinary client is there is
neurons.
te pesticide hesitancy any presence of
Decreases
poisoning. GI motility, tachycardia and
Adjuvant to any cardiac
secretory
decrease side abnormalities.
activity, GU
effects during muscle tone Assess the
reversal of (ureter, client skin
neuromuscular bladder); turgor and
blockage. abolishes mucus
various membranes for
types of hydration
reflex vagal status.
cardiac
slowing or
asystole.

The nurse
Generic Classification: Dose: 30 Stimulates Contraindicated Headache
should assess if
Name: cardiac mcg/kg/m adrenergic to patients who
Arrythmias the client is
Dopamine stimulant and in and have:
hypersensitive
vasopressor dopaminergi
Tachycardia to the drug
Brand Route: c receptors. Hypersensitivity
prescribe by the
Name: Indication: TIV to dopamine
 physician.
Adjunct in Frequency Effects are Ventricular Anginal pain
treatment of : dose fibrillation The nurse
shock dependent. Palpitations should be on
examples are Lower Uncorrected continuous of
tachyarrhythmias Vasoconstric
myocardia dosage cardiac
tion
infractions, stimulates monitoring.
Ischemic heart
trauma and dopaminergi Hypotension
disease Determine the
renal failure c receptors,
client’s weight
also cardiac causing Occlusive Nausea to know the
decompensatio renal vascular disease right dose to be
n. vasodilation. Vomiting
hypovolemia administered.
increased
Dyspnea. Assess the
peripheral
resistance, patency of the
vasoconstric IV access.
tion, B/P.

The nurse
January 21, Generic Classification: Dose: Interferes Contraindicated
should assess if
2021 Name: anticoagulant initial with blood to patients who
the client is
Heparin loading coagulation have:
Indication: hypersensitive
dose of 60 by blocking
Brand Prophylaxis Hypersensitivity to the drug
IU/kg conversion prescribe by the
Name: and treatment of to heparin.
physician.
of Route: IV prothrombin
thromboembol Severe Monitor the
to thrombin
ic disorders Frequency thrombocytopeni clients CBC
and
and : per hour a. daily.
fibrinogen to
thromboembol fibrin. Uncontrolled Assess if there
ic Prevents active bleeding. is a diligent
complications further bleeding.
associated extension of History of
with atrial existing heparin-induced Monitor the
fibrillation; urine and stool
thrombi or thrombocytopeni
anticoagulant for any occult
new clot a.
for blood.
formation.
extracorporeal No effect on Assess if the
and dialysis existing client has a
procedures; clots. decreased blood
maintain pressure and
patency of IV increase in
devices. pulse rate.

Assess the
client for any
complaint for
severe headache
and abdominal
or back pain.
 The nurse
January 21, Generic Classification: Dose: 1 Blocks Contraindicated Cough
should assess if
2021 Name: Bronchodilator neb action of to client who
Dry mouth the client is
Salbutamol acetylcholin have:
Indication: Route: hypersensitive
Ipratropium e at
Maintenance Nasal Hypersensitivity Headache to the drug
parasympath prescribe by the
Brand treatment of etic sites in to Ipratropium or
Frequency Nausea physician.
Name: bronchospasm bronchial atropine
Atrovent due to COPD, : every 8 Instruct the
smooth
HFA bronchitis, hours Narrow angled client to take
muscle.
emphysema, glaucoma the whole
Application
and asthma. medication and
to nasal Prostatic
Not indicated exhale
mucosa hypertrophy
for immediate completely.
inhibits
medication for serous/sero Bladder neck Instruct the
bronchospasm mucous obstruction client to wait at
relief. gland least 1 minute
secretions. Myasthenia before another
Causes gravis. inhalation of
bronchodilat the medication.
ion, inhibits Assist the client
nasal to rinse the
secretions. mouth after
medication to
prevent dry
mouth or throat.

As of Feb, 5 2021 (mitz update)

Date Name of the Classification Dose, Mechanism of Contraindicat Side Effects Nursing
Order Drug & Indication Route & Action ion Responsibilities
ed Frequenc
y

Februa Generic Classification: Dose: 400 Norfloxacin Contraindicate Nausea The nurse
ry 2, Name: Fluoroquinolo mg tabs works by d to client who should assess if
2021 Norfloxacin nes blocking DNA have/has: Stomach the client is
Antibiotics Route: gyrase enzyme cramps hypersensitive
Brand Name: Oral that is responsible History of to the drug
Noroxin Indication: it hypersensitivit Dizziness
in production and prescribed by
is a Frequency y to Noroxin
repair of the DNA Headache the physician.
medication : twice a
of the bacteria.
that helps to day Tendinitis The nurse
This leads to the Abdominal
treat bacterial death of the pain should collect
Myalgia
infections. bacteria and urine specimens
preventing from Peripheral Diarrhea for testing
repairing and neuropathy before
Abnormal
 multiplying. Central heart beats administrating
nervous antibiotics
system effects. Photosensitiv medication.
ity.
The nurse
should monitor
the signs of
pseudomembran
ous colitis
including
diarrhea and
fever.

Assess the client

if there is
presence of GI
problems like
nausea,
vomiting, and
heartburn.

The nurse
should advice
the client to take
the medication
1-hour or 2
hours before
meals with full
glass of water
and take the
drug at same
time each day.

Februa Generic Classification: Dose: 0.4 This medication Contraindicate Dizziness The nurse
ry 2, Name: Alpha mg works by relaxing d to client who should assess if
2021 Tamsulosin blockers the muscles in the have/has: Fainting the client is
Hydrochlorid Route: prostate and the hypersensitive
Indication: it oral Hypersensitivit Headache
e bladder. This to the drug
is a helps to relive the y to prescribed by
Frequency Anxiety
Brand Name: medication to symptoms of BHP Tamsulosin the physician.
Prostreat treat : once at
such as difficulty Insomnia
symptoms or night Low blood Advice the
in beginning the
the actual pressure Orthostatic client to take the
flow of the urine,
enlargement weak stream, and hypotension medication
Eye problems
of the prostate the need to urinate orally.
(glaucoma,
or benign
 prostatic often or urgency. cataracts) Nausea Advice to take
hyperplasia the medication
(BHP) Vertigo 30 minutes after
the same meal
Impotence
each day and
swallow the
medication
whole.

Do not crush or
break the
medication.

Februa Generic Classification: Dose: 325 Appears to inhibit Contraindicate Hypersensitiv The nurse
ry 2, Name: NSAID mg prostaglandin d to client who ity reaction should assess if
2021 Phloroglucin synthesis in the have/has: the client is
ol+ Indication: Route: CNS and, to a Nausea hypersensitive
Trimethyl prescribed for Oral lesser extent, Hypersensitivit to the drug
client who y to Spasrid. Dryness in
phloroglucin block pain prescribed by
experience Frequency the mouth
ol impulses through the physician.
dysmenorrhea : three Severe hepatic
peripheral action. Blurred
Brand Name: and other times a impairment Advice the
Acts centrally on vision
Spasrid kinds of pain. day client that the
hypothalamic Active liver
It decreases heat-regulating Dizziness medication does
disease
the center, producing not need or have
inflammation peripheral Alcohol Sleepiness any regards to
and uterine vasodilation. dependency meals.
contractions. Weakness
Results in
Chronic Advice the
antipyresis.
malnutrition client to take the
Produces
medication with
analgesic effect.
Hypovolemia full glass of
water.

Assess the
locations,
duration, type,
frequency, and
onset of the
pain.

Assess for the

clinical
improvement
and relief of
pain.
Februa Generic Classification: Dose: 50 This medication Contraindicate Headache The nurse
ry 9, Name: Analgesic, mg tabs inhibits d to client who should assess if
2021 Diclofenac anti- prostaglandins have/has: Abdominal the client is
sodium inflammatory Route: synthesis, pain/ cramps hypersensitive
Oral intensity of pain Hypersensitivit to the drug
Brand Name: Indication: y to NSAIDs Constipation
stimulus reaching prescribed by
Voltaren treatment of Frequency medications
sensory nerve Diarrhea the physician.
rheumatoid : twice a
endings. Produces
arthritis, day Perioperative The nurse
analgesic, anti- Nausea
osteoarthritis, pain in setting should advice
inflammatory
mild to of CABG Dyspepsia the client not to
effects.
moderate surgery. break or crush
pain, primary the medication.
Congestive
dysmenorrhea
heart failure Advice to take
.
the medication
Hypertension
with food to
Renal or prevent GI
hepatic distress.
impairment
The nurse
History of GI should assess
disease. the location,
duration, type,
onset of pain
and/ or
inflammation.

Monitor the
CBC, renal
function and
urine output of
the client.

Assess the
clients blood
pressure and
monitor for any
signs of
headache or
dyspepsia.

Februa Generic Classification: Dose: 10 Prevents from Contraindicate Abdominal The nurse
ry 9, Name: hyperosmotic mg 2 tabs reabsorption of d to client who cramping should assess if
2021 Lactulose laxative, the ammonia, have/has: the client is
ammonia Route: producing Flatulence hypersensitive
Brand Name: detoxicant Oral osmotic effect. Hypersensitivit to the drug
Increased
 Ezilax Indication: Frequency Promotes y to Lactulose thirst prescribed by
medication : once a increased the physician.
used for day peristalsis, bowel Patients Abdominal
preventing evacuation and requiring low discomfort Advice the
and treating of decreases serum galactose diet. client to take the
Nausea medication with
portal ammonia
Diabetes water, juice, or
systemic concentration Vomiting.
encephalopath milk.
Hepatic
y and impairment Assess the
treatment for
client’s bowel
chronic dehydration
pattern,
constipation.
frequency, and
characteristics.

Encourage the
client to drink
adequate fluid
intake.

Assess and
monitor the
client’s bowel
sound for
peristalsis.

Monitor the
client’s bowel
pattern, activity,
stool
consistency and
record the time
of evaluation.

Februa Generic Classification: Dose: 200 The principal Contraindicate Nausea The nurse
ry 9, Name: Anthelmintic mg mode of action of d to client who should assess if
2021 Albendazole (suspensio albendazole is by have/has: Vomiting the client is
Indication: it n) its inhibitory hypersensitive
Brand Name: is a Hypersensitivit Abdominal
effect in tubulin to the drug
Zentel medication Route: y to pain
polymerization prescribed by
used as an Oral which results in Albendazole the physician.
Headache
anti-worm the loss of
medication to Frequency History of Advice the
cytoplasmic Vision
treat the : twice a liver disease client to take the
microtubules in changes
symptoms of day medication at
the intestine of Blood or bone
infections nematodes Dark urine the same times
marrow
from worms. worms, ultimately each day.
disorders.
causing energy
Assess the
depletion and Renal or
client’s liver
 death of the hepatic function
organism. impairment including liver
function tests to
determine
appropriateness
of the therapy.

Assess the
abdomen to
evaluate for any
changes from
baseline related
to the infection,
identify possible
adverse effects,
and monitor for
improvement.

Februa Generic Classification: Dose: 1g This medication Contraindicate Headache The nurse
ry 9, Name: Nitroimidazol tabs enters the d to client who should assess if
2021 Secnidazole e bacterial cell as a have/has: Nausea the client is
antimicrobials Route: prodrug without hypersensitive
Brand Name: Oral Hypersensitivit Diarrhea
, Antibiotic an antimicrobial to the drug
Secnil Forte activity. y to prescribed by
Frequency Abdominal
Indication: it Antibiotics are Secnidazole the physician.
: once a pain
is a natural or
medication day Pregnancy
synthetic
that works by compounds that Alcohol
stopping the can kill or consumption
growth of suppress the
bacteria. growth of
microorganisms.

Februa Generic Classification: Dose: 250 This medication Contraindicate Diarrhea The nurse
ry 16, Name: antibiotic mg tabs inhibits DNA d to client who should assess if
2021 Levofloxacin enzyme gyrase in have/has: Nausea the client is
Indication: it Route: susceptible hypersensitive
Brand Name: is a oral Hypersensitivit Abdominal
microorganism, to the drug
Leflox medication y to pain
interfering with prescribed by
used to treat Frequency levofloxacin
bacterial cell Dizziness the physician.
susceptible : twice a
replications or
infections due day Known or The nurse
repairs. It serves Drowsiness
to different suspected CNS should monitor
as a bactericidal
kinds of disorders Headache the client’s
that could help in
bacteria. It preventing and serum glucose
Seizure
also a stopping the and also the
 treatment for growth of disorders renal function of
mild to bacterial the client.
moderate skin infections. Renal or
structure hepatic Monitor the
infections and impairment daily bowel
prostatitis. pattern of the
Bradycardia client.

Rheumatoid Be alert for any

arthritis. signs of allergic
reactions.

Monitor for any

muscle
weakness, pain
swelling
bruising and
popping
tendons.

Februa Generic Classification: Dose: 100 This medication Contraindicate Headache The nurse
ry 16, Name: Antirheumatic mg tabs weakly inhibits d to client who should assess if
2021 Nimesulide s prostaglandins have/has: Dizziness the client is
Route: synthesis and hypersensitive
Brand Name: Indication: Oral Hypersensitivit Somnolence
appear to exert its to the drug
NISE this effects through y to prescribed by
Frequency Gastrointesti
medication is various nimesulide the physician.
: twice a nal upset
a non- mechanism. It
steroidal anti- day Patients with Assess the type,
inhibits the Nausea
inflammatory gastrointestinal locations,
release of
drug, bleeding Abdominal duration and
oxidants from
prescribed for activated discomfort characteristics
Ulcers
painful neutrophils and of the pain.
inflammatory Diarrhea
has a scavenging Sever kidney
conditions, The nurse
effect on or liver Peripheral
back pain, should obtain
hypochlorous acid disease. edema
dysmenorrhea the vital signs of
without affecting
, and post- Bleeding the client for
neutrophil
operative disorder baseline
functions.
pain. parameters.

The nurse
should assess
for the clinical
improvement of
the client.
Record the
onset of pain
relief.
Februa Generic Classification: Dose: 5ml Useful as a buffer Contraindicate Muscle The nurse
ry 16, Name: urine 2 and neutralizing d to client who twitching should assess if
2021 Sodium Acid alkalinize tablespoo agent for have/has: the client is
Citrate n gastric acid. Sodiu Cramps hypersensitive
Indication: m citrate is Hypersensitivit to the drug
Brand Name: this Route: y to sodium Swelling
broken down prescribed by
Citralka medication Oral to sodium bicarbo acid chloride the physician.
Weight gain
helps the urine nate which
to be less Frequency Kidney failure Advice the
decreases Weakness
acidic that : once a client to take the
the acidity of Severe heart
helps the day at Black or medication as
urine, increasing damage
kidney get rid night bloody stools often as
the excretion of
the uric acid. substances that Hyperkalemia directed.
Severe
cause kidney
Severely diarrhea Advice the
stones.
dehydrated. client to take the
Seizures medication
preferably on an
Mood
empty stomach,
changes
1 hour before or
2 hours after
meal.