DRUG CLASSIFICATION DOSE ROUTE FREQUENCY ACTION POSSIBLE SIDE EFFECTS NURSING RESPONIBILITIES

Pre-operation
orders: 10/18/22
Omeprazole Proton pump 40mg TIV Premedication of 40 mg of oral Headache or abdominal pain may occur. If any  Advise patient to avoid alcohol and foods that
inhibitors omeprazole the night prior to of these effects last or get worse, tell your
surgery increases pH up to safe doctor or pharmacist promptly. may cause an increase in GI irritation.
values for the prophylaxis of
the acid aspiration syndrome.  Instruct patient to report bothersome or
prolonged side effects, including skin
problems (itching, rash) or GI effects (nausea,
diarrhea, vomiting, constipation, heartburn,
flatulence, abdominal pain).

Metoclopramide Antiemetic, 10mg TIV Metoclopramide as an
upper GI inexpensive antiemetic used in
stimulant the management of anesthesia-
associated nausea and vomiting
has multiple sites of action. It
increases the tone of the lower
esophageal sphincter and also
has anti-dopaminergic and anti-
serotonergic activity
Cefazolin Antibiotic 1g TIV Q8 Used for the treatment of a
number of bacterial infections.
Specifically it is used to treat
cellulitis, urinary tract
infections, pneumonia,
endocarditis, joint infection,
and biliary tract infections.
Pre-operation
orders: 10/19/22
 Agitation, anxiety, depression, dizziness,  Use metoclopramide cautiously in patients
drowsiness. with hypertension because it may increase
 Dry mouth. catecholamine levels
 Constipation, diarrhea, nausea  Assess patient for signs of intestinal
obstruction, such as abnormal bowel sounds,
diarrhea, nausea, and vomiting, before
administering metoclopramide. Notify
prescriber if you detect them.
 Chills, fever, headache, seizures  Use cefazolin cautiously in patients with
 Hearing loss impaired renal function or a history of GI
 Dyspnea disease, particularly colitis. Also use cautiously
in patients hypersensitive to penicillin
because cross-sensitivity has occurred in
about 10% of such patients.
 If possible, obtain culture and sensitivity test
results, as ordered, before giving drug
Tramadol Analgesic 10mg TIV Q6 To relieve moderate to  Agitation, anxiety, asthenia, depression,  Be aware that tramadol shouldn’t be given to
moderately severe pain dizziness patients with a history of anaphylactoid
 Abdominal pain, anorexia, constipation, reactions to codeine or other opioids
diarrhea, indigestion, nausea, vomiting

Paracetamol Non-opioid 900mg TIV Q6 Paracetamol is a commonly  Abdominal pain, hepatotoxicity, nausea,  Before and during long-term therapy, monitor
analgesic and used medicine that can help vomiting liver function test results, including AST, ALT,
antipyretic treat pain and reduce a high  Hemolytic anemia (with long-term use) bilirubin, and creatinine levels, as ordered. •
agent temperature (fever). It's Monitor renal function in patient on longterm
typically used to relieve mild or therapy. Keep in mind that blood or albumin
moderate pain, such as in urine may indicate nephritis; decreased
headaches, toothache or urine output may indicate renal 24
sprains, and reduce fevers acetaminophen failure; and dark brown urine
caused by illnesses such as may indicate presence of the metabolite
colds and flu. phenacetin.
Ketorolac Analgesic, anti- 30mg TIV Q8 To treat moderate to severe  Aseptic meningitis, cerebral hemorrhage,  Read ketorolac label carefully. Don’t use I.M.
inflammatory pain coma, dizziness, drowsiness, headache, form for I.V. route. Know that ketorolac isn’t
psychosis, seizures, stroke for intrathecal or epidural use.
 Inject I.M. ketorolac slowly, deep into a large
muscle mass. Monitor site for bleeding,
bruising, or hematoma.
 Give I.V. injection over at least 15 seconds.
 Notify prescriber if pain relief is inadequate or
if breakthrough pain occurs between doses
because supplemental doses of an opioid
analgesic may be required.
Celecoxib Anti- 200mg Oral Q12 To relieve signs and symptoms  Asceptic meningitis, cerebral hemorrhage,  Use celecoxib with extreme caution in
inflammatory, of rheumatoid arthritis depression, dizziness, fever, headache, patients who have a history of ulcer disease
antirheumatic insomnia, ischemic stroke, stroke, suicidal or GI bleeding because NSAIDs, such as
ideation, syncope, transient ischemic attacks, celecoxib, increase the risk of GI bleeding and
vertigo ulceration. In these patients, drug should be
used for shortest time possible.
 Be aware that serious GI tract ulceration and
bleeding, as well as perforation of stomach or
intestine, can occur without warning or
symptoms. Elderly patients are at greatest
risk. To minimize risk, give celecoxib with
food. If patient develops GI distress, withhold
celecoxib and notify prescriber immediately
10/20/2022
Cefalexin Antibiotic 500 mg Oral TID Treatment of a number of Drowsiness, dizziness, constipation, stomach up A very serious allergic reaction to this drug is
bacterial infections. It kills set, blurred vision, or dry mouth/nose/throat rare.
gram-positive and some gram- may occur.
negative bacteria by disrupting Get medical help right away if you notice any
the growth of the bacterial cell symptoms of a serious allergic reaction
wall. Cefalexin is a beta-lactam
antibiotic within the class of
first-generation cephalosporins
Mefenamic acid Nonsteroidal 500 mg Oral TID Used to relieve mild to  Diarrhea, constipation, gas or bloating,  Discontinue drug promptly if diarrhea, dark
Anti- moderate pain. It works by headache, dizziness, nervousness, ringing in stools, hematemesis, ecchymoses, epistaxis,
Inflammatory stopping the body's production or rash occur and do not use again. Contact
the ears
Drugs of a substance that causes pain, physician.
fever, and inflammation.  Notify physician if persistent GI discomfort,
sore throat, fever, or malaise occur.