Name and Dose frequency, Mechanism of Indications Contraindications Adverse Nursing

classification of route, duration action effects responsibility

drug of
administration
Generic Name: Dose: Inhibits proton Short-term Contraindicated in CNS: Long term
omeprazole 40 mg pump activity treatment for patients dizziness, therapy may
magnesium Route: by binding to active benign hypersensitive to headache cause vitamin
Brand Name: Intravenous hydrogen- gastric ulcer. drug or its GI: nausea, B12 absorption
Prilosec, Losec Frequency: potassium Duodenal components and in vomiting, problems. Assess
Classification: STAT adenosine ulcer (short- patients receiving diarrhea, patient for signs
Antiulcer drug triphosphatase, term rilpivirine- constipation, and symptoms of
located at treatment) containing abdominal pain cyanocobalamin
secretory Short-term products. Skin: rash deficiency
surface of treatment of Use cautiously in (weakness, heart
gastric parietal erosive patients sensitive palpitations,
cells, to esophagitis to fish. dyspnea,
suppress gastric associated paresthesia, pale
acid secretion. with GERD. skin, smooth
tongue, CNS
changes).
Monitor patients
for signs and
symptoms of
acute interstitial
nephritis.
Periodically
assess for
osteoporosis.
Discontinue drug
if signs and
symptoms of
cutaneous lupus
erythematosus or
 SLE develop;
refer patient to
the appropriate
specialist for
evaluation.

Name and Dose frequency, Mechanism of Indications Contraindications Adverse effects Nursing
classification of route, duration action responsibility
drug of
administration
Generic Name: Dose: Decreases fever Relief of mild CNS: agitation, Stimulation, Assess patient’s
paracetamol 500 mg by inhibiting to moderate anxiety, fatigue, drowsiness, fever by
Brand names: Frequency: the effects of pain; treatment headache, nausea, monitoring the
Abenol, Prior to BT pyrogens on the of fever insomnia. vomiting, body
Taminol, Route: hypothalamus GI: Nausea, abdominal pain, temperature
Tylenol, Intravenous heat regulating vomiting, hepatotoxicity, Assess any
Classification: centers and by a constipation. hepatic seizure, allergic
Analgesic hypothalamic CV: HTN, leucopenia, reactions:
action leading hypotension, neutropenia, rashes, urticaria;
to sweating and peripheral edema, hemolytic if these occur,
vasodilation. periorbital edema, anemia, rash, drug ma have to
tachycardia urticarial, be discontinued.
GU: oliguria cyanosis, Teach patient to
Hematologic: anemia, recognize signs
hemolytic anemia, jaundice, CNS of overdose:
leukopenia, stimulation. bleeding,
neutropenia, bruising,
pancytopenia, malaise, fever,
anemia. sore throat.
Respiratory: Advise patient
abnormal breath to consult health
sounds, dyspnea, care
hypoxia, professional if
atelectasis, pleural fever is not
effusion, relieved by
pulmonary edema, routine doses of
stridor, wheezing this drug or if
fever is greater
than 39.5˚C or
last longer than
3 days.
Name and Dose Mechanism Indications Contraindicatio Adverse Nursing
classification of frequency, of action ns effects responsibility
drug route,
duration of
administratio
n
Generic Name: Dose: H1-receptor Relief of Hypersensitivity CNS:  Monitor
Diphenhydrami 10mg antagonist symptoms to antihistamines Drowsiness, cardiovascul
ne Route: and associated with of similar dizziness, ar status
Classification: IV antihistamine perennial and structure; lower headache, especially
Antihistamine with seasonal respiratory tract fatigue, with pre-
significant allergicrhinitis; symptoms disturbed existing
anticholinergi vasomotor (including acute coordination, cardiovascul
c activity. rhinitis; allergic asthma); narrow- tingling, ar disease.
High conjunctivitis; angle glaucoma; heaviness and  Monitor for
incidence of mild,uncomplicat prostatic weakness of adverse
drowsiness, ed urticaria hypertrophy, hands, tremors, effects
but GI side andangioedema bladder neck euphoria, especially in
effects are obstruction; GI nervousness, children and
minor. obstruction or restlessness, the older
Effects in stenosis; insomnia; adult.
parkinsonism pregnancy confusion;  Supervise
and drug- (category C), (especially in ambulation
induced lactation, children):
extrapyramid premature excitement, and use
al symptoms neonates, and fever. CV: side-rails as
are neonates; use as Palpitation, necessary.
apparently nighttime sleep tachycardia, Drowsiness
related to its aid in children mild is most
ability to <12 y. hypotension or prominent
suppress hypertension, during the
central cardiovascular first few
cholinergic collapse. days of
activity and Special therapy and
to prolong Senses: often
action of Tinnitus, disappears
dopamine by vertigo, dry with
inhibiting its nose, throat, continued
reuptake and nasal therapy.
storage. stuffiness; Older adults
blurred vision, are
diplopia, especially
photosensitivit likely to
y, dry eyes. manifest
GI: Dry dizziness,
mouth, nausea, sedation,
epigastric and
distress, hypotension.
anorexia,
vomiting,
constipation,
or diarrhea.
Urogenital:
Urinary
frequency or
retention,
dysuria. Body
 as a Whole:
Hypersensitivit
y (skin rash,
urticaria,
photosensitivit
y, anaphylactic
shock).
Respiratory:
Thickened
bronchial
secretions,
wheezing,
sensation of
chest tightness.

Name and Dose Mechanism Indications Contraindications Adverse effects Nursing

classification of frequency, of action responsibility
drug route,
duration of
administratio
n
Generic Name: 1 ampule IV Potent central Metoclopramide Sensitivity or CNS: Mild sedation, Report
Metoclopramid for N/V dopamine is used to intolerance to fatigue, restlessness, immediately
e receptor relieve metoclopramide; agitation, headache, the onset of
antagonist. heartburn and allergy to sulfiting insomnia, restlessness,
Brand Name: Structurally speed the agents; history of disorientation, involuntary
Reglan related to healing of ulcers seizure disorders; extrapyramidal movements,
Classification: procainamide and sores in the concurrent use of symptoms (acute facial
Gastrointestina but has little esophagus (tube drugs that can dystonic type), grimacing,
l agent, antiarrhythmi that connects cause neurologic rigidity, or
prokinetic c or the mouth to the extrapyramidal malignant syndrome tremors.
agent (GI anesthetic stomach) in symptoms; with injection. GI: Extrapyramida
STIMULANT) activity. people who pheochromocytoma Nausea, l symptoms
Exact have ; mechanical GI constipation, are most likely
mechanism of gastroesophagea obstruction or diarrhea, dry mouth, to occur in
action not l reflux disease perforation; ileus; altered drug children,
clear but (GERD; history of breast absorption. Skin: young adults,
appears to condition in cancer; pregnancy Urticarial or and the older
sensitize GI which backward (category B), maculopapular rash. adult and with
smooth flow of acid lactation, children Body as a Whole: high-dose
muscle to from the <6 y, infants, and Glossal or treatment of
effects of stomach causes neonates. periorbital edema. vomiting
acetylcholine heartburn and Hematologic: associated
by direct injury of the Methemoglobinemi with cancer
action. esophagus) that a. Endocrine: chemotherapy.
did not get Galactorrhea, Symptoms can
better with other gynecomastia, take months to
treatments. amenorrhea, regress.
Metoclopramide impotence. CV: Be aware that
is also used to Hypertensive crisis during early
relieve (rare). treatment
symptoms period, serum
caused by slow aldosterone
stomach may be
emptying in elevated; after
people who prolonged
have diabetes. administration
These periods, it
symptoms returns to
include nausea, pretreatment
vomiting, level.
heartburn, loss Lab tests:
of appetite, and Periodic serum
feeling of electrolyte.
fullness that Monitor for
lasts long after possible
meals. hypernatremia
Metoclopramide and
is in a class of hypokalemia
medications (see Appendix
called F), especially
prokinetic if patient has
agents. It works CHF or
by speeding the cirrhosis.
movement of Adverse
food through the reactions
stomach and associated
intestines. with increased
serum
prolactin
concentration
(galactorrhea,
menstrual
disorders,
gynecomastia)
usually
disappear
within a few
weeks or
months after
drug treatment
is stopped.