Generic Name Classification Indications Mechanism of

(Brand Name) General Class and Enumerate and Action Contraindications Side Effects Nursing Considerations
Date Ordered family underscore specific Illustrate
indications

Ketorolac Therapeutic  Short-term  Ketorolac is an  Contraindicated in  Drowsiness ● Instruct patient to

(Toradol) classification: management of NSAID that acts patients  Sedation avoid aspirin,
analgesic severe, acute pain. by inhibiting the hypersensitive to  Dizziness products containing
synthesis of drug and those with  Headache aspirin, and alcohol
prostaglandins.  active peptic ulcer  Edema during therapy. 
disease, recent GI  Hypertension ● Warn patient that GI
bleeding or ulceration, bleeding,
 Palpitations
perforation, and perforation can
 Purpura
advanced renal occur at any time,
 Pruritis with or without
impairment, risk of
renal impairment  Rash warning, in anyone
because of volume  diaphoresis taking NSAIDs on a
depletion, long-term basis.
suspected or Inform patient of signs
confirmed and symptoms of GI
cerebrovascular bleeding. 
bleeding, ● Keep emergency
hemorrhagic equipment readily
diathesis, available at time of
incomplete initial dose, in case of
hemostasis, or high severe
risk of bleeding.  hypersensitivity
reaction
● Protect drug vials
from light
● Administer every 6
hours to maintain
serum levels and
control pain
Generic Name Classification Indications Mechanism of
(Brand Name) General Class and Enumerate and Action Contraindications Side Effects Nursing Considerations
Date Ordered family underscore Illustrate
specific indications

Tramadol Therapeutic  Moderate to  Mechanism of Contraindicated in  Dizziness ● assess type, location,

(Ultram) classification: moderately severe action is patients  Vertigo and intensity of pain
analgesic pain unknown. It’s a hypersensitive to  Headache before and 2-3 hours
centrally acting drug; in patients  Anxiety (peak) after
synthetic experiencing acute  Confusion administration
analgesic intoxication with  Vasodilation ● Instruct patient to
compound that alcohol; and in ● assess BP and RR
 Nausea
isn’t chemically those taking before and after
 Constipation
related to hypnotics, centrally periodically during
acting analgesics,  Hypertonia administration
opiates but is
thought to bind opioids, or  pruritus ● assess bowel function
to opioid psychotropic drugs. routinely.
receptors and The combination ● Instruct patient to take
inhibit reuptake product (Ultracet) drug only as
of shouldn’t be used in prescribed.
norepinephrine patients with ● Caution patient to
and serotonin. impaired hepatic avoid potentially
function. hazardous activities
that require mental
alertness until
adverse CNS effects
of drug are known.
 Generic Name Classification Indications Mechanism of
(Brand Name) General Class and Enumerate and Action Contraindications Side Effects Nursing Considerations
Date Ordered family underscore specific Illustrate
indications

Diphenhydramine Therapeutic  Treatment of  Competitively  Contraindicated in  Drowsiness ● Take similar doses

(Benadryl) classification: antihista hypersensitivity blocks effects of patients  Constipation with meals and at
mine reactions histamine at hypersensitive to  Diarrhea bedtime
peripheral H1 drug, patients  Dizziness ● Drug causes
receptor sites having acute  Dry drowsiness. Avoid
Blocks the action of asthmatic attacks, mouth/nose/thro activities requiring
acetylcholine and neonates, at mental alertness
premature  Headache ● Use sun protection as
neonates, and it may cause
 Anorexia
breast-feeding photosensitivity
 N&V
women.  ● Use sugarless
 Anxiety candy/gum to
 Use with extreme
 GI upset diminish dry mouth
caution in patients
with angle-closure  Asthenia effects
glaucoma, prostatic ● Avoid alcohol and
hyperplasia, other CNS
pyloroduodenal and depressants
bladder neck ● Stop therapy 72-96
obstruction, asthma hr. prior to skin
or COPD, increased testing. Report
intraocular pressure, adverse effect and
hyperthyroidism, CV lack of response
disease,
hypertension, and
stenosing peptic
ulcer.