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XIII. DRUG SUMMARY/STUDY (All active oral or parenteral drugs). Include Intravenous fluids.

NAME OF DRUG: DOSAGE/FREQ/ CLASSIFICATION MECHANISM OF ACTION INDICATIONS/ SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
GENERIC NAME/ ROUTE/SUPPLIED CONTRAINDICATIONS (Before, During, After)
BRAND

Generic Name: Patient’s dose: Antianemics Elevates the serum iron Indications: > Constipation > GI Before:
1tab TID concentration, and is then > Upset stomach hemorrhage > Check the doctor’s
Ferrous > Prevention and
converted to Hgb or trapped > Black or dark- (rare) order
sulphate treatment of iron-
Maximum dose: in the reticuloendothelial colored stools > GI obstruction > Assess for allergy to any
deficiency anemias
350mg/day cells for storage and > Temporary (wax matrix ingredient, sulfite;
> Dietary
eventual conversion to a staining of the products; rare) hemochromatosis,
supplement for iron
Brand Name: usable form of iron teeth. > GI perforation hemosiderosis,
Minimum dose: > Unlabeled use:
8mg/day (rare) haemolytic anemias
Feosol supplemental use
> Nausea > Assess for skin lesions,
during epoetin
Route: > Vomiting color; gums, teeth (color);
therapy to ensure
bowel sounds
Oral proper hematologic
> Monitor blood studies
response to epoetin
Form: > Confirm that client does
have iron deficiency
Tablet Contraindications:
Reference: anemia
> Contraindicated
2011 Lippincott’s Nursing with allergy to any
During:
Drug Guide ingredient; sulphite
> Verify patient’s identity
allergy;
> Administer the right
hemochromatosis,
drug in the right dose and
hemosiderosis,
route at the right time
haemolytic anemias
> Do not crush, chew or
cut tablets and capsules
> Give drug with meals
(avoiding milk, eggs,
coffee, and tea)
> Administer liquid
preparations in water or
juice to mask the taste
and prevent staining of
teeth; have patient drink
solution with a straw
> Do not take this drug
with antacids nor
tetracyclines unless
prescribed

After:
> Warn patient that stool
may be dark or green
> Arrange for periodic
monitoring of Hct and
Hgb levels
> Keep this drug out of
reach of children (may
cause fetal poisoning)
> Report severe Gi upset,
lethargy, rapid
respirations and
constipation
> Document and record

Patient’s dose: Vitamins Increases protection Indications: > Digestive


Generic Name: 1tab QD mechanism of the immune > Dietary GI: distress Before:
system, thus supporting supplement;
Ascorbic Acid Nausea, vomiting, > Kindeny > Secure doctor’s order
Maximum dose: wound healing. > Frank and
heartburn, stones
150mg/day subclinical scurvy; > Do hand washing
diarrhea
> Extensive burns,
Brand Name: > Assess patient’s
delayed fracture or Hematologic:
Minimum dose:
wound healing, condition
Vital C 70mg/day sever febrile or Acute hemolytic
chronic disease > Give medication on
Route: anemia
states; right timing

Oral Reference: > To prevent CNS:


During:
vitamin C in
Form: 2007 Saunders Nursing Drug patients with poor Head ache (high
> Inform patient about
Handbook nutritional habits; doses)
Tablet the possible side effects
> To acidify urine
Urogenital: of the drugs
Macular
Urethritis, dysuria, > Instruct patient to be
degeneration.
crystalluria cautious of the
Contraindications: contraindications of the
Others:
drugs
> Use of sodium
Mild sireness,
ascorbate in After:
dizziness, faintness
patients on sodium
with rapid IV > Return the medication
restriction;
administration ticket on the right box for
> Use of calcium the next timing
ascorbate on
> Do the charting or the
patient receiving
documentation
digitalis.
Generic Name: Patient’s dose: Aniline Exhibits analgesic and Indications: > Dizziness > Blood Before:
1tab q4h/q6h Analgesics antipyretic activity by dyscrasia (rare)
Paracetamol > Relief of minor > Drowsiness > Check the doctor’s
inhibiting prostalglandin aches & pains
> Methaemo- order
Maximum dose: synthesis. It produces > Constipation
> Fever reduction. globinemia
1000 mg analgesia by elevating the > Check Vital Signs
Brand Name: Contraindications: > Stomach upset (rare)
pain threshold and
During:
Minimum dose: antipyresis through action on > Cardiac & > Blurred vision, or > Hemolytic
Biogesic
500 mg the hypothalamic heat- pulmonary disease. dry anemia (rare) > Inform patient about
regulating center. mouth/nose/throat the possible side effects
Route: > Hepatic or severe
may occur of the drugs
In therapeutic doses, renal disease.
Oral paracetamol’s analgesic and > Instruct patient to be
antipyretic action is cautious of the
Form:
comparable to that of contraindications of the
Tablet aspirin. Paracetamol does drugs
not adversely affect platelet
function and hemostasis. After:

> Return the medication


ticket on the right box for
the next timing

> Do the charting or the


Reference: documentation

https://www.mims.com

Generic Name: Patient’s dose: Isotonic Sodium Chloride is a source Indications: > Febrile response None known Before:
1000 ml @ 25 Intravenous of water and electrolytes for
Sodium > Indicated as a > Infection at the > Obtain history of the
Chloride 0.9 % ggts/min Solution the body. It is capable of source of water and site of injection patient’s fluid and
including diuresis depending electrolytes electrolyte status before
> Venous
Route: on the clinical condition of therapy and reassess
> Use as a priming thrombosis or
Other name: the patient. It is a crystalloid regularly
Intravenous solution in phlebitis
that is given intravenously in
Sodium hemodialysis > Before giving the bottle,
Form: case of shock, dehydration, > Extravasation
Chloride-Water procedures check for the correct
and diarrhoea to increase
Solution
Fluid > Hypervolemia patient to be
plasma volume Contraindications:
administered

> None known


> Check for the correct
fluid to be given

During:

> Upon inserting the


Reference:
chamber to another,
Pediatriconcall.com make sure that it is
inserted well

> Be alert for fluid


overload

> Check for the patient’s


comfort

After:

> Infuse the IV well to its


prescribed rate

> Check for the presence


of bubbles in the IV tube
> Document after

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