NAME AND DOSE, MECHANISM OF INDICATIONS CONTRAINDICATION ADVERSE NURSING

CLASSIFICATIO FREQUENCY, ACTION S EFFECTS RESPONSIBILITY

N OF DRUGS ROUTE,
DURATION OF
ADMINISTRATIO
N
Generic Name: > Liquid and Suppresses the cough Symptomatic Serotonin syndrome CNS: high dose-  Caution
syrup: 10-20 mg reflex by a direct effect relief of coughs can result if this dizziness, patient to
Dextromethropa orally every 4 on the cough center in caused by medication is taken sedation. avoid taking
n hours or 30 mg the medulla. Related to minor viral with MAO inhibitors. more than the
every 6-8 hours opioids structurally but upper GI: nausea. recommended
Brand Name: has no analgesic respiratory dose or taking
> Gel: 30 mg properties tract infections alcohol or
Balminil DM orally every 6-8 or inhaled other CNS
hours, not to irritants. Most depressants
Drug Class: exceed 120 mg effective for concurrently
per day chronic with this
nonproductive medication;
Antitussive
cough. A fatalities have
> Extended-
common occurred.
release: 60 mg
ingredient in
orally every 12
nonprescriptio  Instruct
hours, not to
n cough and patient to
exceed 120 mg
cold cough
per day
preparations. effectively: sit
upright and
> Lozenges: 5-15
take several
mg orally every 1-
deep breaths
4 hours, not to
before
exceed 120 mg
attempting to
per day
cough.

> Strips: 30 mg
 Advise patient
orally every 6-8
to minimize
hours, not to
cough by
exceed 120 mg
avoiding
per day
irritants, such
as cigarette
smoke, fumes,
 and dust.
Humidification
of
environmental
air, frequent
sips of water,
and sugarless
hard candy
may also
decrease the
frequency of
dry, irritating
cough.

 Advise patient
that any cough
lasting more
than 1 week or
accompanied
by fever, chest
pain,
persistent
headache, or
skin rash
warrants
medical
attention.

 Instruct
patient or
family to
report other
problematic
side effects
such as severe
or prolonged
nausea or
sedation.
Generic Name: >Tablet: 200/400 A xanthine derivative Guaifenesin is Guaifenesin should GI: Low  Assess the
mg orally every 4 that acts as an expectorant not be used for incidence of quantity and
Glyceryl hours as needed; a bronchodilator by that is persistent or chronic nausea consistency of
guaiacolate not to exceed 2.4 directly indicated for sputum to help
cough such as occurs
g/day relaxing smooth providing CNS: Drowsines document
muscle of the bronchial temporary with tobacco s whether this
Brand Name:
>Injection: 250 airway and pulmonary symptomatic smoking, asthma, drug is
Dilor mg/ml blood vessels similar relief from emphysema, or Derm: Rashes, successful in
to theophylline. congested chronic bronchitis or Urticaria reducing the
Drug Class: chests and any other condition viscosity of
coughs which where cough is respiratory
may be due to secretions
Expectorant
a cold,
associated with
 Assess
bronchitis, excessive secretions, dizziness that
and/or other unless under the might affect
breathing supervision of a gait, balance,
illnesses. health care and other
professional. functional
Guaifenesin should activities
 Report balance
not be used for a
problems and
cough that is functional
specifically limitations to
associated with heart the physician,
failure or ACE and caution
inhibitor therapy. the patient
and family to
guard against
falls and
trauma.
Generic Name: 100 mg/ml po Acetylcysteine decreas Antidote for Contraindicated in Nausea,  Monitor signs
es viscosity of the patients with a vomiting, of
Acetylcysteine secretions and is used management of tendency to develop diarrhea, flatus, angioedema,
as a mucolytic agent in potentially fluid overload (e.g., and including
Brand Name: eyes and in bronchial hepatotoxic cardiomyopathy or gastroesophage rashes, raised
nebulizing solutions. overdosage of congestive heart al reflux. patches of red
Acetylcysteine is a acetaminophen failure). or white skin
sulfhydryl compound (should be (welts),
 and acts to increase administered burning/itchin
Mucosil synthesis of within 24 hr of g skin,
glutathione in the liver. ingestion). swelling in the
Drug Class: Glutathione face, and
subsequently acts as an difficulty
antioxidant and breathing.
Therapeutic:
facilitates conjugation Notify
Antidotes
to toxic metabolites, physician of
particularly the toxic these signs
metabolites of immediately.
acetaminophen. The  Monitor signs
antioxidant effects also of
have been used to treat bronchospasm
conditions associated and
with oxidative stress. respiratory
irritation,
including
wheezing,
cough,
dyspnea,
increased
secretions, and
tightness in
the chest and
throat. Report
excessive or
prolonged
respiratory
problems to
the physician.
 counsel
patient on
proper
inhalation
techniques