#2—Jessie Baer (Prenatal)

Name of drug: Insulin Regular

Classification: Antidiabetic, short acting
Action: uptake glucose from blood circulation.
Side effects: hypoglycemia
Nursing implications/Patient and family education:
Assess for hypoglycemia and hyperglycemia, can give Insulin (R) in IV
Teaching proper administration technique, administrate15-30 minutes before meals, report any
side effects, such as hypoglycemia, have hard candy preparation.
Is it safe to give? Yes
Name of drug: Zolpidem Tablet - (Ambien)
Mechanism of Actions: CNS depression
Indications: insomnia.
Side Effects: Dizziness, drowsiness, confusion, headache, nausea, diarrhea, dyspepsia, myalgia,
URTI, hallucinations, may cause sleepwalking.
Adverse reactions: psychological and physical dependence, hypotension, dysrhythmias, and
suicidal thoughts
Nursing implications/Patient and family education:
Monitor vital signs, observe for side effects, such as hangover and lightheadedness
Teaching patients to avoid alcohol and CNS depressants. Take it before bed 15 to 30 min. Using
bathroom before bed to prevent sleep disruption. Avoiding drive or using heavy machinery
Is it safe to give? Yes
Name of drug: Metronidazole Tablet - (Flagyl)
Action: kill anaerobic bacteria
Side effects: dizziness, abdominal pain, nausea
Adverse effects: Seizures, Headache
Nursing implications/Patient and family education:
Obtain a culture and sensitivity before starting therapy. Can take it with empty
stomach or with food or milk to minimize GI upset.
Education: May cause unpleasant metallic taste, and may see dark, which is
normal. Avoid using alcohol during treatment
Is it safe to give? Yes
Name of drug: Acetaminophen -(Tylenol
Classification: Central analgesic, non-narcotic analgesic, antipyretic.
Action of the drug at the cellular level: inhibit prostaglandin synthesis in the CNS, block pain
impulses through peripheral action. Acts centrally on hypothalamic heat-regulating center,
producing peripheral vasodilation.
Side effects: nausea, stomach pain, loss of appetite, itching, rash, headache, dark urine, clay-
colored stools
Adverse effects: Hypersensitivity reaction
Nursing implications/Patient and family education: assess for fever. Avoid alcohol usage.
Don’t to take more than 4 g/24h period.
Is it safe to give? Yes
Name of drug: Ondansetron Injection - (Zofran Injection)
Classifications: gastrointestinal agent; antiemetic
Action: antiemetic
Side effects: dizziness and light-headedness
Adverse effects: diarrhea, constipation, dry mouth, Hypersensitivity reactions.
Nursing implications: Monitoring fluid and electrolyte, cardiovascular status.
Patient and family education: headache requiring an analgesic for relief is a
common adverse effect
Is it safe to give? Yes
Name of drug: Senna, sennosides Tablet - (Senokot)
Classification: Stimulant laxatives
Action: increasing GI motility and inhibiting water and electrolyte secretion.
Side effects: Abdominal cramps, diarrhea, nausea, vomiting
Adverse effects: Nephritis, hepatotoxicity, melanotic pigmentation of the
colonic mucosa
Nursing implications:  Once daily doses should be taken at bedtime.
Patient and family education: Stop use and contact prescriber if experience
nausea, vomiting, persistent diarrhea, or abdominal cramps.
Name of drug: Aluminum Hydroxide/Magnesium Hydroxide/Simethicone
Oral Suspension - (Maalox, Mylanta)
Classification: Electrolyte, antacid, laxative
Action: binds phosphates in GI tract and neutralizes gastric acidity
Side effects: diarrhea, constipation
Adverse effects: loss of appetite, unusual tiredness, muscle weakness
Nursing implications/Patient and family education: Asses input and output,
assess for abdominal cramping and constipation. Monitor Phospate levels and
aluminum toxicity
Name of drug: Ferrous Sulfate Tablet
Action: essential component of forming hemoglobin
Side effects: nausea, constipation,
Adverse effects: dark stools, diarrhea, stains teeth
Nursing implications/Patient and family education: take it with an empty
stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids
or antibiotics within 2 hours before or after taking ferrous sulfate. Take ferrous
sulfate with a full glass of water. Do not crush, chew, break, or open an
extended-release tablet or capsule. Swallow the pill whole.
Name of drug: Sodium Chloride Injection (0.9% Saline Flush
Classification: Isotonic solution
Action: Replacement of fluid and electrolytes lost from the intravascular and
intracellular spaces
Side effects: circulatory fluid volume overload
Adverse effects: fluid overload
Nursing implications/Patient and family education: monitor input and
output, check electrolyte balance. Observe fluid overload. Let patient report
difficulty breathing, chest pain, or edema.

#15—Danica Crowley (Newborn)

Name of drug: Metronidazole Tablet - (Flagyl)
Action: Action Disrupts DNA and protein synthesis in susceptible
organisms.
Side effects: CNS: SEIZURES, dizziness, headache, aseptic meningitis
(IV), encephalopathy (IV). EENT: optic neuropathy, tearing (topical
only). GI: abdominal pain, anorexia, nausea, diarrhea, dry mouth, furry
tongue, glossitis, unpleasant taste, vomiting. Derm: STEVENS-
JOHNSON SYNDROME, rash, urticaria; topical only, burning, mild
dryness, skin irritation, transient redness. Hemat: leukopenia. Local:
phlebitis at IV site. Neuro: peripheral neuropathy. Misc: superinfection.

NURSING IMPLICATIONS
Assessment
● Assess for infection (vital signs; appearance of
wound, sputum, urine, and stool; WBC) at beginning
of and throughout therapy.
● Obtain specimens for culture and sensitivity before
initiating therapy. First dose may be given before receving results.
● Monitor neurologic status during and after IV infusions. Inform health
care professional if numbness, paresthesia, weakness, ataxia, or seizures
occur.

Nursing implications/Patient and family education:

Caution patient to avoid intake of alcoholic beverages or preparations
containing alcohol during and for at least 3 days after treatment with
metronidazole, including vaginal gel. May cause a disulfiram- like
reaction (flushing, nausea, vomiting, headache, abdominal cramps)

Name of drug: Ampicillin injection D5W

Classification: Antibiotic, aminopenicillin
Dosage: 1000 mg q4 hours
Route: IV piggyback
 Action of the drug at the cellular level: bactericidal action
Side effects: rash, hives, fever
Adverse effects: angioedema, peritus, Stevens-Johnson syndrome
Nursing implications: check for allergic reactions, assess vitals, examine for drug interaction
Patient and family education: It is given for group B streptococcus
Is it safe to give? Yes
Name of drug: Lactated Ringer’s
Classification: Isotonic Solution
Dosage: 100 ml/hr continuously
Route: IV
Action of the drug at the cellular level: keep fluid balance of inside and outside of the cell
Side effects: difficulties with breathing
Adverse effects: edema and fluid overload
Nursing implications: check for edema and fluid overload, examine site of IV for irritation, and
check vital signs
Patient and family education: This solution replaces any fluid and blood loss. Patient stays
hydrated as well.
Is it safe to give? Yes

Name of drug: Butorphanol

Classification: Opioid agonists-antagonist
Dosage: 1mg q 4 hr PRN
Route: IV
Action of the drug at the cellular level: it works in CNS to block pain reception.
Side effects: drowsiness, dry mouth, trouble sleeping, vomiting, sweating.
Adverse effects: n/v, constipation, headache, blurred vision, dizziness and drop in urine output
Nursing implications: assess respiration before, during and after using of this medication, check for
adverse effects
Patient and family education: it is used to treat the pain
Is it safe to give? Yes