MECHANISM OF CAREGIVER

DRUG NAME DOSAGE INDICATION CONTRAINDICATION ADVERSE REACTION

ACTION RESPONSIBILITIES
Generic Name:

Contraindicated to
Assess patients
250 / 50mcg patients with
Salmeterol Senafoate and respiratory condition
inhalation hypersenitivity to drug CNS: Tremor, headache
Fluticasone before starting
powder or any of its
components. theraphy

Assess peak flow

CV: subjective
readings before
Selectively activated palpitations and cardiac
starting theraphy and
beta 2 adrenergic arrhythmias
maintenance periodically after
receptors, which treatment for
results in
Asthma and COPD
bronchodilation and Be alert for adverse
Brand Name: Route: blocks the release of including chronic Caution to patients who MS: Arthalgia reactions and drug
allergic mediators from bronchitis and are unusually responsive reactions
emphysema.
the mast cells in the to symphatomimetics
respiratory tract. and patients with
coronary artery Don’t give drug for
Seretide Inhalation
insufficiency. Others: Hypersensitivity acute bronchospasm
reactions,
oropharyngeal
irritation, hoarseness,
oral candidiasis, Tell patient to take
paradoixical drug at about 12 hour
Classification: Frequency: bronchospasm. intervals even if he is
feeling better.
Adrenergics BID
 MECHANISM OF CAREGIVER
DRUG NAME DOSAGE INDICATION CONTRAINDICATION ADVERSE REACTION
ACTION RESPONSIBILITIES
Generic Name:

Pregnancy (Catergory C)
Albuterol CNS: Tremor, anxiety, nemonitor therapeutic
lactation. effectiveness which is
Bronchospams
indicated by
Adult: PO 2-4mg significant subjective
3-4 times/day;
sustained improvement in
pulmonary function
release 2 CV: palpitations, within 60 - 90 mins
times/day Synthetic hypertension, after drug
sympathomimetic hypotension, reflex administration.
amone and moderately tachycardia,
selective beta2- bradycardia
adrenergic agonist
with comparatively to relieve
long action. Acts more
prominently on beta2 bronchospam Monitor for signs and
Senses: Blurred vision, symptoms of fine
Brand Name: Route: associate with
receptors (partcularly acute or chronic dilated Pupils
smooth muscles of tremor in fingers.
bronchi, uterus and asthma, bronchitis,
or other reversible
vascular supply to obstructive airway For GI symptoms,
Ventolin Inhalation every skeletal muscles) than diseases. Also used GI: Nausea, vomiting report promptly to
4-6 hours on beta 1(heart) to prevent
receptors. Minimal or exercised-induced physician.
no effect on alpha-
adrenergic receptors. bronchospam.
Minimal or no offect
on alphaadrenergic
receptors. Inhibits
Classification: Frequency: histamine release by
mast cells.
LAB Tests: Periodic
Autonomic nervous ABGs, pulmonary
system agent; beta functions and pulse
adrenergic agonist 1-2 inhalations Others: Muscle cramps, oximetry.
(sympathomimetic); every 4 to 6 hoarseness
bronchodilator hours
(respiratory smooth
muscle relaxant)
 MECHANISM OF CAREGIVER
DRUG NAME DOSAGE INDICATION CONTRAINDICATION ADVERSE REACTION
ACTION RESPONSIBILITIES
Generic Name:
Allergy to loop diuretics.
Assess for the mentioned
Chlorothiazide Prevent severe CNS: dizziness cautions and contraindications.
hypersensitivity reactions.
Bronchospams
Adult: PO 2-4mg 3-
4 times/day;
sustained release 2 Perform a thorough physical
times/day Fluid and electrolyte
CV: hypotension assessment to establish baseline
imbalances.
data before drug therapy begins.

It causes active
pumping out of Inspect skin to determine
Brand Name: Route: chloride from the Severe renal failure, anuria. GI: GI upset hydration status and have a
cells lining the baseline data.
ascending limb of Considered to be
Loop of Henle and a milder form of
distal tubule by diuretics GU: hypokalemia (can
Assess cardiopulmonary status
blocking the chloride compared to loop precipitate hyperglycemia),
(blood pressure, pulse rate, heart
Inhalation every 4-6 pump. Since sodium diuretics. Systemic lupus increased bicarbonate
Diuril and lung sounds, etc.) to
hours passively moves with First-line drugs for erythematosus (SLE). excretion (can lead to
evaluate fluid movement and
chloride to maintain management of alkalosis), hypocalcemia and
state of hydration.
electrical neutrality, essential tetany
both sodium and hypertension
chloride are excreted
in the urine. Glucose tolerance Obtain an accurate body weight
EENT: ototoxicity, reversible
abnormalities and diabetes to provide baseline to monitor
loss of hearing
mellitus. fluid balance.

Monitor intake and output and

Classification: Frequency: Gout. voiding patterns to evaluate fluid
balance and renal function.

Evaluate liver status to

1-2 inhalations
Thiazide diuretics Liver disease. determine potential problems in
every 4 to 6 hours
drug metabolism.
 MECHANISM CONTRAINDICA CAREGIVER
DRUG NAME DOSAGE INDICATION ADVERSE REACTION
OF ACTION TION RESPONSIBILITIES
Generic Name:

Activase

Brand Name:
Monittoringthe dosage,
Hypotension,
practice aspetic technique
100 mg/ vial, to Activates ileus,syncope, back
during medication, watch
beinfused in 3 plasminogen Treatment to pain,malaise,flatulence,
out for bleeding
hours synthesis prevent thrombus Hypersensitivity hemorrhage,gastritis,
formation hiccough, manifestations, instruct
ulcerativestomatitis, patient to report if any pain,
Alteplase or discomfort is felt on the
bleeding shock.
injection site.

Classification:

Tissue Plasminogen
Activator (tPA)
 MECHANISM OF CONTRAINDICA CAREGIVER
DRUG NAME DOSAGE INDICATION ADVERSE REACTION
ACTION TION RESPONSIBILITIES
Generic Name:

Aspirin
(acetylsalicylic acid)

Brand Name: Exhibits antipyretic,

anti-inflammatory
For pain on GI: dyspepsia,
and analgesic effects. integumentary heartburn, anorexia,
The antipyretic effect
structures, Hypersensitivity to nausea, epigastric Assess for pain:type,
is due to an action on
myalgia, salicylates, severe discomfort, potention of locationand pattern
the hypothalamus,
resulting in heatloss nueralgia, anemia, history of peptic ulcer. Allergic:
80mg/tab 1tab by vasodilation of headache, blood coagulation Bronchospasm, asthma- Note for asthma
Ecotrin, Easprin p lunch PO OD peripheral blood dysmenorrhea, defects, vitamin K like symptoms,
gout. Arthritis, deficiency, 1 week anaphylaxis, skin rashes, Monitor renal,LFTs and
vessels. Anti-
SLE, acute before and after urticaria. Hematologic: CBC
inflammatory effects
rheumatic fever. surgery, pregnancy prolongation of bleeding
are mediated by a
in the last time, Determine history of
decrease in trimester thrombocytopenia,leuco pepticulcers or bleeding
prostaglandin
Classification: penia. Other: thirst, tendencies
synthesis. It also
decreases platelet fever, dimness of vision.
aggregation.
Non-steroidal anti-
inflammatory drug
(NSAID)
 MECHANISM OF CONTRAINDICA CAREGIVER
DRUG NAME DOSAGE INDICATION ADVERSE REACTION
ACTION TION RESPONSIBILITIES
Generic Name:

Assess patient for

Clopidogrel CNS: Depression, dizziness, symptoms of stroke,
fatigue, headache PVD, or MI periodically
during theraphy

Monitor patient for

Brand Name: EENT: Epistaxis signs of thrombocytic
purpura.

Discontinue medication
Plavix Respi: Cough, dyspnea 5-7 days prior to
planned surgical
procedure.
Reduction of
atherosclerotic
Contraindicated in
events ( MI,
patient
Inhibits platelet stroke, vascular hypersensitive to: Instruct patient to take
75 mg 1 tab PO aggregation by death) in patients Pathologic medication as directed.
Classification: OD irreversively inhibiting at risk for such CV: Chest Pain, Edema, Advise patient to notify
bleeding (peptic Hypertension
the binding of ATP to events including health care professional
ulcer, intracranial
platelet receptors. recent MI, acute promptly if ever.
coronary hemorrhage),
lactation
syndrome, stroke
or PVD.
Antiplatelet Agent GI: Bleeding, abdominal
pain, diarrhea, dyspepsia,
gastritis

DERMA: Pruritus, Purpura

rash

HEMA: Bleeding,
Neutropenia,
Thromboctopenic Purpura
Metab:
Hypercholesterolemia
MS: Arthalgia, Back Pain