Student Name Rotation: 3RD rotation Area: obstetrics ward

Yr and Section Date: May 11, 2021 Clinical Instructor:

Drug name Classification Mechanism of Indication Contraindication Side Effects Nursing

Action Responsibilities
Generic Name: antidiabetic Short-acting, clear, It lowers blood Hypersensitivity to Most side Gently rotate vial and
Insulin Injection agent colorless solution of glucose levels by insulin animal effects are vigorous shaking to
Regular exogenous increasing protein. related to ensure uniforms
Pregnancy unmodified insulin peripheral glucose hypoglycemia; suspension of insulin.
Brand Name:  Category: B extracted from beta uptake, especially ana-phylaxis
Humulin R cells in pork by skeletal muscle (rare), Give maintenance
pancreas or and fat tissue, and hyperinsulinemi doses by the
Dosage: synthesized by by inhibiting the a Profuse subcutaneous route
100 units/mL recombinant DNA liver from changing sweating, only and route
Onset: technology glycogen to hunger, injection sites
30 – 60 mins (human). Enhances glucose. headache, regularly to avoid
Peak: transmembrane nausea, damage to muscles
2 – 4hrs passage of glucose tremulousness, and to prevent
Duration: across cell tremors, subcutaneous
6-8hrs membranes of most palpitation, atrophy. Give regular
body cells and by tachycardia, insulin intramuscularly
Route: unknown weakness, or intravenously in
Subcutaneous mechanism may fatigue, emergency situation.
injection itself enter the cell nystagmus,
to activate selected circumoral Monitor response
intermediary pallor; numb carefully, to avoid
metabolic mouth, tongue, adverse effects; blood
processes. and other glucose monitoring is
Promotes paresthesia’s; the most effective way
conversion of visual to evaluate insulin
glucose to disturbances dosage.
glycogen. (diplopia, blurred
vision, Monitor patients
mydriasis), during times of trauma
staring or severe stress for
expression, potential dosage
confusion, adjustment needs.
personality
changes, ataxia, Instruct patients who
incoherent are also receiving
speech, beta-blockers about
apprehension, ways to monitor
irritability, glucose levels and
inability to signs and symptoms
concentrate, of glucose
personality abnormalities, to
changes, prevent hypoglycemic
uncontrolled and hyperglycemic
yawning, loss of episodes when SNS
consciousness, and warning signs
delirium, blocked.
hypothermia,
convulsions, Provide thorough
Babinski reflex, patient teaching,
coma. including measures to
avoid adverse effects,
warning signs of
problems, proper
administration
techniques and the
need to monitor with
any other insulin or
any other drug.
 Drug name Classification Mechanism of Indication Contraindication Side Effects Nursing
Action Responsibilities
Generic Name: Anti- - the drug shows - to stimulate the -ulcerative -metabolic changes -Assess patient
Dexamethasone inflammatory anti-inflammatory baby’s pulmonary processes in the (increased for changes in
Agent and system, or to digestive tract sweating, swelling, level of
Brand Name:  immunosuppressive prevent preterm (stomach, an increase in fat consciousness
 Decadron Antiemetic activity, affects the labor. intestines) mass, mainly in the and headache
Corticosteroid quality of energy gastritis, upper half of the throughout the
 Dexamethason
systemic and glucose gastroduodenitis body, elevated therapy.
e Intensol metabolism, affects ; levels of calcium,
 Dexpak the factor systemic potassium, sodium -Monitor
 Taperpak stimulating the osteoporosis in the blood); respiratory status
hypothalamus and acute infectious endocrine changes and lung sounds
Dosage: trophic hormone processes (adrenal
6 mg every 12 hours x adenohypophysis. HIV infection hypofunction, -Monitor serum
4 doses psychotic increased electrolytes
disorders sensitivity to sugar-
Route: heart disease containing -Instruct the
IM (intramuscular) tendency to products); patient to take the
injection hypertension changes in the medication
increased central nervous exactly as
intraocular system (neurosis, indicated and not
pressure convulsions, to skip doses or
diabetes orientation double up on
kidney disease disorders, missed doses.
overweight migraine-like pains,
chronic dizziness, - Instruct the
insufficient depressions, sleep patient to report
kidney and or disorders); severe abdominal
liver function digestive disorders pain, tarry stools,
thyrotoxicosis. (nausea, bloating, unusual swelling,
change in appetite); weight gain, bone
violations of the pain, visual
heart and blood disturbances or
vessels behavior
(bradyarrhythmia, changes.
thrombosis, heart
failure);
allergic processes;
osteoporosis;
 withdrawal
syndrome

Drug Classification Mechanism of Indication Contraindication Side Effects Nursing Responsibilities

name Action
Generic fluid and rapid acting Calcium Hypercalcemia and Side effects - Note number and
Name: electrolytic antacid with citrate is hypercalciuria, calcium Low blood consistency of stools. If
Calcium balance high utilized as an misfortune because of pressure (hypotensio constipation is a
Citrate agent; replacem neutralizing limit acid immobilization, serious n) problem, the physician
ent and moderately neutralizer renal infection, renal Headache may prescribe alternate
Brand solution; antacid drawn out term and treatment calculi, GI drain or Constipation or combination therapy
Name:  of activity. and avoidance obstacle, parchedness, Diarrhea with a magnesium
Citracal Diminishes of calcium hypochloremic Gas (flatulence) antacid or advise the
gastric acridity, inadequacy or alkalosis, ventricular Belching patient to take a laxative
Dosage: in this manner hyperphospha fibrillation, Nausea or stool softener as
1 tablet 2x repressing temia cardiovascular Vomiting necessary.
a day proteolytic sickness, pregnancy Low blood
activity of (classification C) phosphates - Lab tests: Determine
Route: pepsin on (hypophosphatemia) serum and urine calcium
Oral gastric mucosa. Low weekly in patients
Likewise builds blood magnesium (hyp receiving prolonged
ease off omagnesemia) therapy and in patients
esophageal High blood with renal dysfunction.
sphincter calcium
volume. Albeit (hypercalcemia) - Record amelioration of
delegated a symptoms of
non-systemic hypocalcemia
stomach
settling agent, a - Observe for S&S of
slight to direct hypercalcemia in patients
alkalosis as a receiving frequent or high
rule creates doses, or who have
with delayed impaired renal function
treatment. acid
bounce back, Patient & Family
which may
follow even low Education
dosages, is
believed to be - Do not continue this
brought about medication beyond 1–2
by arrival of wk, since it may cause
gastrin set off acid rebound, which
by activity of generally occurs after
calcium in small repeated use for 1 or 2
digestion tracts wk and leads to chronic
use. It is potentially
dangerous to self-
medicate. Do not take
antacids longer than 2
wk without medical
supervision.

- Avoid taking calcium

carbonate with cereals or
other foods high in
oxalates. Oxalates
combined with calcium
carbonate to form
insoluble, nonabsorbable
compounds.

- Do not breast feed

while taking this drug
without consulting
physician.
 Drug name Classification Mechanism of Indication Contraindic Side Effects Nursing
Action ation Responsibilities
Generic Name: Folic acid, Vitamin Folic acid, as it is Folic acid is Undiagnose Folic Acid may cause Administer orally if at
Multivitamins Supplement biochemically normally d serious side effects all possible. With
(Folic Acid) dormant, is demonstrated in megaloblast including: redness, severe GI
changed over to the treatment of ic anemia; skin rash, itching, malabsorption or very
Brand Name:  tetrahydro folic megaloblastic pernicious, feeling unwell, and severe disease, give
Folvite acid and methyl anemias of aplastic or difficulty breathing IM, IV, or
tetrahydro folate pregnancy. Folic normocytic subcutaneously.
Dosage: 1 capsule by dihydrofolate acid prerequisites anemias The most common - Test using Schilling
2x a day reductase are notably side effects of Folic test and serum
(DHFR). These expanded during Acid include: loss of vitamin B12 levels to
Route: folic acid pregnancy, and appetite, nausea, rule out pernicious
Oral congeners are insufficiency will abdominal swelling, anemia. Therapy
moved across bring about fetal gas, bitter or bad taste may mask signs of
cells by receptor- harm in your mouth, pernicious anemia
intervened insomnia, difficulty while the neurologic
endocytosis where concentrating, deterioration
they are expected irritability, overactivity, continues.
to keep up typical excitement, - Use caution when
erythropoiesis, depression, confusion, giving parenteral
combine purine and impaired preparations to
and thymidylate judgment premature infants.
nucleic acids, These preparations
interconvert amino contain benzyl
acids, methylate alcohol and may
tRNA, and create produce a fatal
and use formate gasping syndrome in
Using nutrient B12 premature infants.
as a cofactor, folic - Monitor the patient
acid can for hypersensitivity
standardize high reactions, especially
homocysteine if the drug is
levels by previously taken.
remethylation of Keep supportive
homocysteine to equipment and
methionine emergency drugs
through readily available in
methionine case of serious
synthetase allergic response.

Instruction:
- When the cause of
megaloblastic
anemia is treated or
passes (infancy,
pregnancy), there
may be no need for
folic acid because it
normally exists in
sufficient quantities in
the diet.
- Report rash,
difficulty breathing,
pain, or discomfort at
the injection site