DRUG STUDY

Instruction: Write medication/s ordered by the physician to your patient and fill up the table.

DRUG INDICATION MECHANISM SIDE EFFECTS ADVERSE NURSING

OF ACTION EFFECTS RESPONSIBILITIES
Generic name: To reduce IOP. Increases Headache, CNS: seizures, -Monitor vital signs,
Mannitol To reduce ICP urinary output nausea, dizziness, confusion, including central venous
and treat by inhibiting diarrhea, headache, fever. pressure and fluid intake
Brand name: cerebral edema. tubular vomiting, CV: edema, and output hourly. -
Osmitrol reabsorption of dry mouth, thrombophlebitis, Observe injection site
water and thirst, hypotension, HTN for signs of inflammation
electrolytes. dehydration, HF: tachycardia, or edema.
Dosage,
It raises the blurred vision, angina pectoris, -Lab tests: Monitor
Timing, &
osmotic nausea, vascular overload. closely serum and urine
Route:
pressure of the vomiting, EENT: blurred vision, electrolytes and kidney
18cc every 8
plasma allowing runny nose, rhinitis function during therapy.
hours IVT
water to be arm pain, GI: thirst, dry mouth, -Measure I&O
drawn out of chills nausea, diarrhea accurately and record to
body tissues. Metabolic: achieve proper fluid
dehydration, fluid, balance.
and electrolyte -Monitor vital signs
imbalance closely. Report
Repiratory: significant changes in
Pulmonary edema BP and signs of CHF.
Skin: Local pain, -Monitor for possible
urticarial, injection- indications of fluid and
site reaction. electrolyte imbalance
(e.g., thirst, muscle
cramps or weakness,
paresthesias, and signs
of CHF).
-Be alert to the
possibility that a
rebound increase in ICP
sometimes occurs about
12 h after drug
administration. Patient
may complain of
headache or confusion.
DRUG INDICATION MECHANISM SIDE EFFECTS ADVERSE NURSING
OF ACTION EFFECTS RESPONSIBILITIES
Generic name: To reduce the Piperacillin and Diarrhea, CNS: headache, -Watch for seizures;
Piperacillin + development of tazobactam is a constipation; insomnia, fever, notify physician
tazobactam drug-resistant combination nausea; seizures, agitation, immediately if patient
bacteria and penicillin antibio headache; or anxiety, dizziness, develops or increases
Brand name: maintain the tic that is used sleep problems pain seizure activity.
Zosyn effectiveness of to treat many (insomnia), CV: arrhythmia, chest -Perform baseline
ZOSYN and different convulsions pain, edema, HTN, assessment on the
other infections (seizures), tachychardia patient
Dosage,
antibacterial caused by fever, EENT: rhinitis -Educate the family of
Timing, &
drugs, ZOSYN bacteria, such mouth sores, GI: diarrhea, patient regarding the
Route:
should be used as stomach skin sores, constipation, nausea, drug, its importance of
500 mg IVTT
only to treat or infections, skin sore throat, abdominal pain, completing the
every 8 hours
prevent infections, pneu cough, dyspepsia, stool therapeutic regimen,
ANST
infections that monia, and trouble breathing, changes, vomiting common side effects,
are proven or severe uterine leg cramps, Repiratory: dyspnea and adverse reactions.
strongly infections constipation, Skin: pruritus, rash -Monitor patient’s iv
suspected to be irregular Others: anaphylaxis, infusion site for signs of
caused by heartbeats, hypersensitivity phlebitis or infiltration,
bacteria. fluttering in your reactions, such as swelling.
chest inflammation, -Ensure that the patient
phlebitis at IV site is able to receive the full
course of the antibiotic
treatment as prescribed.

DRUG INDICATION MECHANISM OF SIDE EFFECTS ADVERSE NURSING RESPONSIBILITIES

ACTION EFFECTS

Generic name: -Assists in Vitamin Constipation, Allergic rash -Assess patient for signs of
Multivitamins + essential supplementation. diarrhea, upset vitamin deficiency before and
B complex biochemical stomach, rash, periodically during
reactions. administration.
itching/swelling,
Brand name: -Treatment and dizziness, -Make sure to give the desired
Nutrillin prevention of headache, dose ordered for the patient.
vitamin deficiency fatigue, insomnia, -Stress proper nutritional habits
Dosage, -Helps strengthen to family to prevent recurrence
nausea, vomiting
Timing, & immunity and of deficiency.
Route: maintain good
0.6 mL/drops appetite.
P.O. O.D.

DRUG INDICATION MECHANISM OF SIDE EFFECTS ADVERSE NURSING RESPONSIBILITIES

ACTION EFFECTS

Generic name: For short-term It binds to Nausea, CNS: -Assess respiration and notify
Amikacin treatment of bacterial 30s vomiting, neuromuscular physician immediately if patient
serious bacterial ribosomal dizziness, blockade exhibits any interruption in
Brand name: infections due to subunits and drowsiness, EENT: ototoxicity respiratory rate or other signs of
Amikin susceptible strains interferes with weakness, skin GU: azotemia, respiratory failure (cyanosis,
of gram-negative mRNA binding rash, urticaria, nephrotoxicity, confusion sleepiness)
Dosage, bacteria, including and tRNA pruritus, tinnitus increase in urinary -Monitor signs of
Timing, & Pseudomonas acceptor sites, excretion of casts. hypersensitivity reactions.
Route: species, interfering with Respiratory: apnea -Assess any residual muscle
40mg IVT Escherichia coli, bacterial growth. weakness.
every 8 hours species of indole- This leads to -Monitor signs of ototoxicity
positive and disruption of (hearing loss, tinnitus,
indole-negative normal protein dizziness). Report these signs
Proteus. synthesis and to the physician and caution
production of patient and family to guard
non-functional or against falls and trauma.
toxic peptides.

DRUG INDICATION USES NURSING RESPONSIBILITIES

Name of Intravenous For the treatment of Management and -Document baseline data.
Fluid: dehydration or treatment of dehydration -Observe for signs of fluid overload.
Plain Normal Saline hypovolemia, including (e.g., hypovolemia, -Monitor manifestation of continues
Solution (PNSS) hypovolemia.
during cardiopulmonary shock), metabolic
-Prevent hypervolemia.
Type of Intravenous resuscitation and shock alkalosis in the presence -Educate patient’s family.
Solution: (e.g., septic shock, of fluid loss, and mild
Crystalloid solution anaphylactic shock, sodium depletion.
diabetic ketoacidosis with
Volume/Regulation: compensated shock,
500 mL at 20 cc/hr cardiogenic shock).