Name of Student Nurse: Date: September 20, 2021

Level/Block/Group: 3-BSN5 Hospital/Area: Surgical Ward Clinical Instructor:

NAME OF DRUG MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING
RESPONSIBILITIES

GENERIC NAME Thought to produce Contraindicated in patients CNS: agitation, CNS: cerebral edema, -For inflammatory
analgesia and exert its anti- hypersensitive to drug and confusion, dizziness, coma, seizures, conditions, rheumatic
inflammatory effect by those with NSAIS-induced headache, lethargy subdural or intracranial fever, and thrombosis, give
Aspirin inhibiting prostaglandin and sensitivity reactions, hemorrhage aspirin on a schedule
other substances that bleeding disorder, such as CV: hypotension rather than as needed.
sensitize pain receptors. hemophilia, von Willebrand tachycardia CV: arrhythmias
BRAND NAME Drug may relieve fever disease, telangiectasia, -Because enteric-coated
EENT: tinnitus, GI: GI bleeding, tablets are slowly absorbed
through central action in the bleeding ulcers, and hearing loss pancreatitis
hypothalamic heat- hemorrhagic states. they aren’t suitable for
regulating center. In low GI: nausea, dyspepsia, GU: antepartum and rapid relief of acute pain,
Asaphen, Asatab, fever, or inflammation.
Bayer Aspirin, doses, drug also appears to GI distress, occult postpartum bleeding
interfere with clotting by bleeding, vomiting They cause GI bleeding and
Durlaza, Ecotrin,
Hematologic: may be better suited for
Entrophen, keeping a platelet-
GU: interstitial leukopenia, long-term therapy, such as
Novasen, Rivasa aggregating substance from
nephritis, papillary thrombocytopenia, DIC for arthritis.
forming.
necrosis, proteinuria,
renal insufficiency, Hepatic: hepatitis -For patient who can’t
CLASSIFICATION
renal failure tolerate oral drugs, ask
Metabolic:
prescribes about using
Hematologic: hyperkalemia,
aspirin rectal
Therapeutic coagulopathy metabolic acidosis
suppositories. Watch for
class: Other: angioedema, rectal mucosal irritation or
NSAIDs Metabolic:
Reye syndrome bleeding.
Pharmacologic dehydration,
class: Salicylates hyperglycemia, -Febrile, dehydration
respiratory alkalosis children can develop
toxicity rapidly.
Skin: rash, bruising,
INDICATION urticaria, hives -Monitor elderly patients
closely because they may
Mild pain or fever; Other:
be more susceptible to
spondyloarthropa hypersensitivity
thies

DOSAGE &
FREQUENCY

Adults: and
children age 12
and older
weighting 50kg
or more: 325 to
650 mg PO or PR
every 4 hours
p.r.n. or, for
delayed release
products, 1,300
mg PO followed
by 65O to 1,300 reactions aspirin’s toxic effects.
mg PO every 8
-Monitor salicylate level.
hours. Maximum
Therapeutic salicylate level
dose is 4,000 mg
for arthritis is 150 to 300
in 24 hours.
mcg/mL, but this isn’t a
Children ages 2 reliable indicator of
to 11 weighing toxicity, especially in very
less than 50 kg: young patients and those
10 mg/kg/dose older than age 60. With
PO or PR every 4 long-term therapy, severe
hours up to 90 toxic effects may occur
mg/kg daily with levels exceeding 400
mcg/mL.

-During prolonged therapy,

assess hematocrit, Hb level,
PT, INR, and renal function