Vizconde, Ehreiz Raiden C.

BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action
Genereic Name: Classification: N/A Reactions 3% and 5% Sodium 1. State the 10 Rights of
D5.03 NaCl Hypertonic This which may Chloride Injection, USP Administering
(5% sodium intravenous occur because should be used with Medication to the
chloride injection) solution is of the solution great care, if at all, in mother and explain.
Mechanism of indicated for or the patients with 2. Monitor for signs of
Brand Name: Action: use in adults technique of congestive heart dehydration/ edema
Hypertonic Saline and pediatric administration failure, severe renal 3. Check for vital signs
Sodium and patients as a include febrile insufficiency, and in 4. Select the largest vein
Dosage: chloride — major source of response, clinical states in which suitable for the
500 cc @ electrolytes of the electrolytes infection at there exists edema medication.
50ugtts/min. fluid compartment and water for the site of with sodium retention. 5. Don gloves.
outside of cells hydration. injection, 6. Using syringe with 19 to
Route: (i.e., extracellular) Also, designed venous In patients with 22 gauge needle,
IV — work together for use as a thrombosis or diminished renal puncture resealable
to control diluent and phlebitis function, medication port and
extracellular delivery extending administration of 3% inject.
volume and blood system for from the site and 5% Sodium 7. Apply a tourniquet,
pressure. intermittent of injection, Chloride Injection, USP locate the vein, prep the
Disturbances in intravenous extravasation may result in sodium skin and insert the IV
sodium administration and retention. cannula at a 30 degree
concentrations in of compatible hypervolemia. angle with the bevel up.
the extracellular drug additives. 8. Lower the angle when
fluid are you are in the vein.
associated with 9. Insert IV line.
disorders of water 10. Check for blood
balance. backflow and
anaphylactic reactions.
11. Remove the tourniquet
and
12. Place a bandage over
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

the site. To secure IV

cannula.
13. Monitor drops of the
solution and check the
IV line.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action
Generic Name: Classification: For Should not be Reactions which Contains Sodium 1. Monitor for signs
D5 IMB Hypertonic maintenanace given to new may occur Metabisulfite, a of fluid imbalance.
of fluid and born babies because of the sulfite that may 2. Check Vital Signs.
Brand Name: Mechanism of electrolytes whose body solution or the cause allergic-type 3. Don gloves
Euro-Ion® in D5 Action: especially to weight is low; technique of reactions including 4. Using syringe with
Water (Balanced Contain a high patients who patients who administration anaphylactoid 19 to 22 gauge
Multiple concentration of need calories have damaged include febrile symptoms and life- needle, puncture
Maintenance soluterelative to and blood vessels response, threatening or less resealable.
Solution with 5% another solution hydration. and weakened infection at the severe asthmatic medication port
Dextrose) (e.g. the kidneys, and site of injection, episodes in certain and inject.
cell'scytoplasm). heart problems. venous susceptible persons. 5. Insert IV lining to
Dosage: When a cell is thrombosis or the IV cannula.
500 cc @ 40 placed in a phlebitis 6. Check for blood
ugtts/min hypertonic extending from backflow and
solution, the the site of anaphylactic
Route: water diffuses out injection, reactions.
IV of the cell, causing extravasation and 7. Inspect IV line and
thecell to shrivel. hypervolemia. measure the flow
of microdrops
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Nursing Responsibilities

Reactions
Mechanism of Action

Generic Classification: Rocephin is a Development Of Pain, Rash, Allergic 1. Check Vital signs
Name: Third-Generation, prescription medicine Drug-Resistant Fever, Chills, reactions, drug 2. Teach the
ceftriaxone Broad-Spectrum used to treat the Bacteria Eosinophilia, fever, serum mother that
Cephalosporin symptoms of many Prescribing Thrombocytosis, sickness-like ceftriaxone is
Brand Name: kinds of bacterial Rocephin in the Diarrhea, reaction, renal only used for
Rocephin Mechanism of Action: infections such as absence of a Headache and dysfunction, bacteria not
Ceftriaxone works by intra-abdominal proven or strongly Diaphoresis. toxic viruses, do not
Dosage: inhibiting the infections, bacterial suspected bacterial nephropathy, use alongside
400mg TIV q mucopeptide synthesis ear infections (Otitis infection or a reversible local anesthetic
12hours in the bacterial cell wall. Media), pelvic prophylactic hyperactivity, and diarrhea is
The beta-lactam moiety inflammatory disease, indication is hypertonia, common.
Route: of ceftriaxone binds to prosthetic joint unlikely to provide hepatic 3. Determine if the
IV carboxypeptidases, infection, meningitis, benefit to the dysfunction IV solution does
endopeptidases, and pyelonephritis, patient and including not contain
transpeptidases in the gonococcal infections increases the risk cholestasis, calcium
bacterial cytoplasmic and is also used as of the aplastic 4. Measure if the
membrane. These prophylaxis before development of anemia, amount of drug
enzymes are involved in surgery. Rocephin may drug-resistant hemorrhage, is within safe
cell-wall synthesis and be used alone or with bacteria. and parameters of
cell division. Binding of other medications. superinfection. the child by
ceftriaxone to these Rocephin is using the
enzymes causes the contraindicated in pediatric body
enzyme to lose activity; To reduce the patients with weight
therefore, the bacteria development of drug- known computation and
produce defective cell resistant bacteria and hypersensitivity to direct IV push
walls, causing cell maintain the ceftriaxone, any of computation.
death. effectiveness of its excipients or to 5. Make sure that
Rocephin and other any other the medication is
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

antibacterial drugs, cephalosporin. compatible with

Rocephin should be Patients with the IV solution
used only to treat or previous and any
prevent infections that hypersensitivity additives.
are proven or strongly reactions to 6. Don gloves.
suspected to be penicillin and other 7. Close the flow
caused by susceptible beta lactam clamp on the IV
bacteria antibacterial agents tubing or pinch
may be at greater the tubing just
risk of above the
hypersensitivity to injection port.
ceftriaxone 8. Prep the
injection port
Hyperbilirubinemic with alcohol.
neonates should 9. Inject the
not be treated with medication
Rocephin. slowly over
Ceftriaxone can several minutes.
displace bilirubin 10. Open the flow
from its binding to clamp and
serum albumin, readjust the flow
leading to a risk of rate to the
bilirubin ordered rate.
encephalopathy in 11. Observe for signs
these patients. Do of anaphylaxis.
not use with
calcium on IV may
cause calcium
precipitation.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action

Generic Name: Classification: Relief of Hypersensitivity Skin rashes, GI Severe Liver damage 1. Assess Vital signs
acetaminophen Analgesics minor aches to paracetamol. Distrubances, if: 2. Teach the
and pains Repeated adult takes more mother on the
Brand Name: Mechanism of such as administration in than 12 caplets in 24 contraindications
Paracetamol Action: headache, patients with hours, which is the ,use of
Paracetamol backache, anemia, cardiac, maximum daily paracetamol per
Dosage: exhibits analgesic menstrual pulmonary, renal amount day and how to
0.8 ml q 4hours and antipyretic cramps, and hepatic child takes more obtain safe
PRN activity by muscular damage. than 5 doses in 24 amounts within
inhibiting aches, minor Special hours, which is the drug parameters.
Route: prostaglandin arthritis pain, Precautions maximum daily 3. Recalculate the
Oral synthesis. It toothache amount MAR to ensure
produces analgesia and pain taken with other safety, by using
by elevating the associated drugs containing pediatric dosage
pain threshold and with common acetaminophen per weight.
antipyresis through cold and flu. adult has 3 or more 4. Observe proper
action on the alcoholic drinks hand washing
hypothalamic heat- every day while 5. Give the patient
regulating center. using this product. the medication.

very rarely 6. Remain with the

aggravates child until the
bronchospasm in medication is
patients who are swallowed; some
sensitive to aspirin clients may
and other pocket and store
nonsteroidal anti- medications in
inflammatory drugs. their cheeks
Although rather than
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

paracetamol does swallow them.

not normally 7. Observe any
produce signs of
methemoglobinemia anaphylactic
or hemolysis even reaction.
after overdosage or
in patients with
glucose-6-
phosphate
dehydrogenase
deficiency

Do not usewith any

other drug
containing
acetaminophen
(prescription or
nonprescription). If
you are not sure
whether a drug
contains
acetaminophen, ask
a doctor or
pharmacist.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action

Generic Name: Classification: Relief of Hypersensitivity Skin rashes, GI Severe Liver damage 1. Assess Vital signs
acetaminophen Analgesics minor aches to paracetamol. Distrubances, if: 2. Teach the
and pains Repeated adult takes more mother on
Brand Name: Mechanism of such as administration in than 12 caplets in 24 reporting to
Paracetamol Action: headache, patients with hours, which is the healthcare
Paracetamol backache, anemia, cardiac, maximum daily provider if new
Dosage: exhibits analgesic menstrual pulmonary, renal amount symptoms
3/4 supp q 4 and antipyretic cramps, and hepatic child takes more emerge and
hours for fever activity by muscular damage. than 5 doses in 24 documenting
>39"C inhibiting aches, minor Special hours, which is the new symptoms
prostaglandin arthritis pain, Precautions maximum daily and vitals of the
Route: synthesis. It toothache amount child
Suppository produces analgesia and pain taken with other 3. Recalculate the
by elevating the associated drugs containing MAR to ensure
pain threshold and with common acetaminophen safety, by using
antipyresis through cold and flu. adult has 3 or more pediatric dosage
action on the alcoholic drinks per weight.
hypothalamic heat- every day while 4. Observe proper
regulating center. using this product. hand washing.
5. Position the
very rarely patient on their
aggravates left side in the
bronchospasm in Sim's position.
patients who are 6. Drape the
sensitive to aspirin patient exposing
and other only the
nonsteroidal anti- buttocks.
inflammatory drugs. 7. Remove the
Although suppository from
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

paracetamol does the wrapper and

not normally lubricate it with
produce a water soluble
methemoglobinemia jelly.
or hemolysis even 8. Don gloves.
after overdosage or 9. Lift the person's
in patients with upper buttock
glucose-6- with the
phosphate nondominant
dehydrogenase hand and insert
deficiency the suppository
with the tapered
end first into the
Do not usewith any rectum for about
other drug 3 inches beyond
containing the rectal
acetaminophen sphincter while
(prescription or the patient is
nonprescription). If performing
you are not sure effective
whether a drug breathing.
contains 10. lie the child still
acetaminophen, ask so the
a doctor or suppository can
pharmacist. be retained.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action

Generic Name: Classification: Diazepam is Diazepam is not hives, Withdrawal 1.Observe if

diazepam Anticonvulsants indicated for recommended in difficulty symptoms (e.g., signs of seizures
the the treatment of breathing, rebound insomnia are present (e.g.,
Brand Name: Mechanism of management psychotic patients swelling of your and anxiety, panic, eye rolling,
Diazepam Action: of anxiety and should not be face, lips, palpitations, stiffening of the
Intensol disorders or employed instead tongue, or sweating, paranoid body, breathing
for the short- of appropriate throat, psychosis, epileptic problems and
Dosage: Diazepam is a term relief of treatment. slow breathing attacks, delirium), ataxia.)
2 mg (0.4 ml) benzodiazepine the with long anterograde 2. Teach the
PRN tranquillizer with symptoms of Acute or chronic pauses, amnesia, mother on when
anticonvulsant, anxiety. severe respiratory blue colored lips, paradoxical to administer the
Route: sedative, muscle Anxiety or insufficiency, difficult to wake reactions (e.g., medication and
Oral relaxant and tension respiratory up, restlessness, be able to
amnesic properties. associated depression, weak or shallow agitation, irritability, determine and
with the myasthenia breathing, aggressiveness, document signs
Benzodiazepines, stress of gravis, sleep severe delusion, rages, of seizure.
such as diazepam, everyday life apnea, severe drowsiness, nightmares, 3. Recalculate
bind to receptors in usually does hepatic lightheadedness, psychoses), the MAR to
various regions of not require insufficiency, depressed habituation, drug ensure safety, by
the brain and spinal treatment acute narrow- mood, dependence. using pediatric
cord. This binding with an angle glaucoma, thoughts of self- dosage per
increases the anxiolytic. phobic or harm, weight.
inhibitory effects of obsessional confusion, 4.Observe
gamma- Is a useful states, chronic hallucinations, proper hand
aminobutyric acid adjunct for psychosis, anxiety, washing
(GABA). GABAs the relief of hyperkinesis, panic attacks, 5Give the patient
functions include skeletal acute porphyria. the medication.
CNS involvement in muscle spasm Avoid alcohol.
sleep induction. due to reflex Infants <6 6.Remain with
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Also involved in the spasm to months. the patient until

control of hypnosis, local the medication is
memory, anxiety, pathology swallowed; some
epilepsy and (such as clients may
neuronal inflammation pocket and store
excitability. of the medications in
muscles or their cheeks
joints, or rather than
secondary to swallow them.
trauma); 7.Observe any
spasticity signs of
caused by anaphylactic
upper motor reaction.
neuron
disorders
(such as
cerebral palsy
and
paraplegia);
athetosis; and
stiff-man
syndrome.

Oral
diazepam
may be used
adjunctively
in convulsive
disorders,
although it
has not
proved useful
as the sole
therapy.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Medication Classification/ Indication Contraindication Side Effects Adverse Reactions Nursing Responsibilities

Mechanism of
Action

Generic Name: Classification: Treatment IV (in the wheezing, Hypersensitivity 1. Monitor Vital
salbutamol Antiasthmatic and treatment of choking, reactions (e.g., Signs
prevention in premature other breathing urticaria, 2. Instruct mother
Brand Name: Mechanism of patient with labour): Pre- problems after angioedema, rash, on how to
Activent Action: reversible existing or risk treatments, bronchospasm, change cartridge
Salbutamol is a obstructive factors for fast or pounding oropharyngeal and the number
Dosage: direct-acting airway ischaemic heart heartbeats, oedema), of inhalations.
salbutamol sympathomimetic disease: As disease, fluttering in your hypokalemia (high Explain the
nebulization q 6 that acts on β2- metered- gestational age chest, doses). different
hrs. receptors to relax dose aerosol <22 weeks, severe inhalation
bronchial smooth or dry conditions in headache, Hyperglycaemia. methods used.
Route: muscle with less powder which blurred vision, Rarely, lactic 3. Shake the bottle
Inhalation prominent effect inhalation. prolongation of pounding in your acidosis Pharyngitis, and remove the
on the heart. It pregnancy is neck or ears, rhinitis, pulmonary cap.
activates adenyl 4-11 years 1 hazardous, chest pain, oedema 4. Allow the child
cyclase, the enzyme or 2 intrauterine severe dizziness, (parenteral). to exhale as fully
that stimulates the inhalations; foetal death, as possible.
production of cyclic ≥12 years known lethal 5. Have the child
adenosine-3', 5'- Same as adult congenital or firmly place their
monophosphate dose. lethal lips around the
(cAMP). Increased chromosomal mouthpiece
cAMP leads to malformation, immediately
activation of pulmonary after the strong
protein kinase A, hypertension. exhalation.
which inhibits Non-IV 6. Press the bottle
phosphorylation of formulation is not against the
myosin and lowers indicated for use mouthpiece to
intracellular ionic in uncomplicated release the
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022

Ca concentrations, premature labour medication while

resulting in muscle or threatened the child is
relaxation. abortion. taking in a long,
slow inhalation.
7. Hold the child’s
breath for a
couple of
seconds and
then slowly
exhale.
8. Rinse the mouth
with water and
then allow to
spit it out to
prevent a fungal
infection of the
mouth.
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022
Vizconde, Ehreiz Raiden C. BSN2A
03.09.2022