DRUG STUDY

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date Proton-pump Frequency: it inhibits proton pump Symptomatic Hypersensitivity dizziness, Caution patient to
Prilosec ordered: inhibitors activity by binding to GERD without to omeprazole, headache swallow capsules
OD hydrogen-potassium esophageal other proton abdominal pain, whole —not to
Generic name: 9-7-23 adenosine triphosphate, lesions pump inhibitors. constipation, open, chew or
Omeprazole Prescribed located at the secretary Concomitant use nausea, crush them.
dose: surface of gastric parietal Erosive with products vomiting, Arrange for
cells to suppress gastric esophagitis containing weakness further evaluation
40mg acid secretions (EE) rilpivirine. of patients after 8
weeks of therapy
Therapeutic: : Increases Duodenal Cautions: May for gastric reflux
gastric pH, reduces ulcer (short - increase risk of disorders; not
gastric acid production. term fractures, intended for
treatment) gastrointestinal maintenance
infections. therapy.
Short term Hepatic
treatment for impairment, pts of Administer
active benign Asian descent. antacids with
gastric ulcer. omeprazole, if
needed.

Patient/family
teaching:

•Report
headache, onset
of black, tarry
 stools, diarrhea,
abdominal pain

• Avoid alcohol.

•Swallow
capsules whole;
do not chew,
crush, dissolve,
or divide.

•Take the drug

before eating.

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date the COX-2-selective Frequency: selective COX-2 inhibitor Short term Etoricoxib is Assess client for
ordered: (coxib) class of used to relieve moderate treatment for contraindicated in Fatigue, history of allergic
Arcoxia nonsteroidal OD post-surgical pain as a moderate pain. patients with a dizziness, lower reactions to
9-7-23 antiinflammatory short-term treatment and history of extremity arcoxia or for
drugs (NSAIDs). inflammatory and painful bronchospasm, edema, previous
Generic name: Prescribed symptoms of various rhinoconjunctiviti dyspepsia, heart failure,
dose: forms of arthritis. s. heartburn, heart attack,
Etoricoxib nausea, bypass surgery,
120mg headache angina,
peripheral arterial
disease,
or transient
ischaemic
attack.

Monitor blood
pressure
regularly while
taking this
medication.

Arcoxia may be
taken
regardless of
food intake.

Patient/family
teaching:

Tell patient that

dizziness or
lightheadedness
is the most
common side
effect.

Take medication
with a
glass of water to
avoid
Dehydration.

Instruct the
patient to report
if he/she notice
any of the
following: Skin
rash,including
hives, raised red,
itchy spots.

(Other signs of
allergic reaction
such as
wheezing,
swelling of the
face,lips,
mouth,tongue or
throat which may
cause difficulty
in swallowing or
breathing.
Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date Frequency: Tramadol is a centrally Management Patients who have Asthenia, Monitor pulse,
Ultracet ordered: PHARMACO TID acting opioid analgesic of previously fatigue, hot B/P, renal/hepatic
THERAPEUTIC: moderate to demonstrated flushes. function. Assist
which binds to mu-
severe hypersensitivity toHeadache, with ambulation
Generic name: 9-7-23 opioids receptors and tramadol,
Paracetamol +. Centrally acting Prescribed: weakly inhibits the pain. tremor, if dizziness,
paracetamol Abdominal vertigo occurs.
Tramadol synthetic opioid. 1 tablet reuptake of or any other pain, Dry crackers,
norepinephrine component of
CLINICAL: constipation, cola may relieve
Ultracet diarrhea, dry nausea. Palpate
Analgesic or opioids. mouth, bladder for
vomiting urinary retention.
In cases of anorexia,
acute intoxication anxiety, Monitor daily
with confusion, pattern of bowel
alcohol, insomnia, activity, stool
hypnotics, nervousness consistency. Sips
narcotics, rash, increased of water may
centrally- sweating. relieve dry
acting analgesics, mouth.
opioids or
psychotropic Assess for
drugs. clinical
improvement,
record onset of
relief of pain.
Monitor closely
for misuse or
abuse.

Patient/family
teaching:
 • Patients with a
history of drug
abuse are at
increased risk for
misuse or abuse.
Take medication
only as
prescribed.
• Avoid alcohol,
other narcotics,
and sedatives.
• Avoid tasks
requiring
alertness, motor
skills until
response to drug
is established.
• Report severe
constipation,
difficulty
breathing,
excessive
sedation,
seizures, muscle
weakness,
tremors, chest
pain, palpitations.

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration
Brand name: Date ordered: PHARMACO Frequency: Blocks vasoconstrictor, Indicated for Hypersensitivity Insomnia,
Cozaar THERAPEUTIC: OD aldosterone- secreting patients with to losartan. dyspepsia, Maintain
9-7-23 effects of angiotensin II, hypertension Concomitant use heartburn, back/ hydration (offer
Generic name: Angiotensin II Prescribed inhibiting binding of to reduce of aliskiren in leg pain, muscle fluids
Losartan receptor antagonist. dose: angiotensin II to AT1 blood patients with cramps, frequently).
100mg receptors. pressure. diabetes. myalgia, nasal Assess for
CLINICAL: congestion, evidence of upper
Antihypertensive. Therapeutic Effect: sinusitis, respiratory
depression. infection, cough.
Causes vasodilation, Monitor B/P,
decreases peripheral pulse. Assist with
resistance, decreases B/P. ambulation if
dizziness occurs.
Monitor daily
pattern of bowel
activity, stool
consistency

Patient/family
teaching:

Avoid tasks that

require alertness,
motor skills until
response to drug
is established
(possible
dizziness effect).
• Report any sign
of infection (sore
throat, fever),
chest pain.
• Do not take
 OTC cold
preparations,
nasal
decongestants.
• Do not stop
taking
medication.
• Limit salt intake

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date ordered: PHARMACO Frequency: Inhibits calcium indicated for Hypersensitivity Peripheral Monitor BP for
Norvasc THERAPEUTIC: OD movement across cardiac the treatment to amlodipine. edema, therapeutic
9-6-23 and vascular smooth of headache, effectiveness. BP
Generic name: Calcium Prescribed muscle cell membranes hypertension, flushing. reduction
Amlodipine channel blocker dose: during depolarization. to lower blood Cautions: Dizziness, is greatest after
(dihydropyridine). 10mg pressure. palpitations, peak levels
Therapeutic Effect: Hepatic nau- sea, of amlodipine are
CLINICAL: impairment, unusual fatigue achieved
Dilates coronary arteries, severe aortic or weakness 6-9 h following
Antihypertensive, peripheral stenosis, oral
antianginal. arteries/arterioles. hypertrophic car- doses.
Decreases total peripheral diomyopathy with
vascular resistance and outflow tract Monitor for S&S
B/P by vasodilation. obstruction. of
dose-related
peripheral or
facial edema that
may not
be accompanied
by weight
gain; rarely,
severe edema
may cause
discontinuation
of drug.

Monitor BP with
postural
changes. Report
postural
hypotension.
Monitor more
frequently when
additional
 antihypertensives
or
diuretics are
added.

Monitor heart
rate; dose-
related
palpitations
(more
common in
women) may
occur

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration
Brand name: Date ordered: PHARMACO Frequency: Inhibits accumulation of Prednisone is Hypersensitivity Insomnia,
Prelone THERAPEUTIC: BID inflammatory cells at used to treat to prednisone. heartburn, Assess B/P (if
9-7-23 inflammation sites, conditions Acute superficial nervous- ness, systolic B/P is
Generic name: Adrenal Prescribed phagocyto- sis, lysosomal such as herpes simplex abdominal less than 90 mm
corticosteroid. dose: enzyme release/synthesis, arthritis, blood keratitis, systemic distention, Hg, withhold
Prednisone 20mg release of mediators of disorders, fungal infections, diaphoresis, medication,
CLINICAL: inflammation. breathing varicella, acne, mood contact
problems, administration of swings, physician).
Anti-inflammatory, severe live or attenuated increased Assess for
immunosuppressant. allergies, skin virus vaccines. appetite, facial peripheral edema
diseases, flushing, behind medial
cancer, eye delayed wound malleolus (sacral
problems, and healing, area in bedridden
immune increased pts). Assess skin
system susceptibility to for flushing.
disorders. infection, Question for
diarrhea, headache,
constipation. asthenia.

Patient/family
teaching:

• Do not abruptly
discontinue
medication.

•Compliance
with therapy
regimen is
essential to
control
 hypertension.

• Avoid tasks that

require alertness,
motor skills until
response to drug
is established.

• Do not ingest
grapefruit
products.

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration
Brand name: Date ordered: bronchodilator Frequency: dizziness,
Duavent It relieves nasal To control and -Cardiac disease nervousness, -Assess lung
6 hours congestion and reversible prevent including coronary nausea, sounds, PRand
9-7-23 bronchospasm by reversible insufficiency, a vomiting, BP before drug
Generic name: Prescribed relaxing the smooth airway history of stroke, headache, administration
Salbutamol dose: muscles of the obstruction coronary artery palpitation, and during peak
bronchioles. caused by disease and hypertension, of medication.
1 nebulize asthma or cardiac arrhythmia,
chronic arrhythmias tachycardia -Observe
obstructive paradoxical
pulmonary -Hypertension spasms and
disorder withhold
(COPD) -Hyperthyroidism. medication and
notify the
Quick relief for -Diabetes physician if
bronchospasm condition occurs.
-Glaucoma
For the -Administer PO
prevention of -Geriatric patients medications with
exercise- meals to
(older individuals
induced minimize gastric
are at higher risk
bronchospasm irritation.
for adverse
reactions and may -If administering
require lower medication
Long-term dosage) through
control agent inhalation, allow
for patients at least1 minute
with chronic or between
persistent inhalation of
bronchospasm aerosol
medication.
-Advise the
patient to rinse
mouth with water
Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date beta-lactamase Frequency: Sultamicillin tosylate Typical individuals with a Anaphylactic Determine
ordered: inhibitors IVTT 8 inhibits beta-lactamases indications are history of shock previous
Sultamicillin 9-10-23 hours in penicillin-resistant upper hypersensitivity to Diarrhea, hypersensitivity
tosylate microorganisms and it respiratory any of the active nausea, reactions to
Prescribed acts against sensitive tract infections substances vomiting, penicillins,
Generic name: dose: organisms during the including (ampicillin and abdominal cephalosporins,
Silgram 750mg stage of active sinusitis, otitis sulbactam); to any cramps and other
multiplication by media and other penicillin. anemia, allergens prior to
inhibiting biosynthesis of tonsillitis; abnormal therapy.
cell wall mucopeptide lower It is also hepatic
respiratory contraindicated in function, Monitor patients
tract infections individuals with jaundice carefully during
including history of severe Rash, itching the first 30 min
bacterial immediate and other skin after initiation of
pneumonias hypersensitivity reactions IV therapy for
and bronchitis; reaction (e.g. signs of
urinary tract anaphylaxis to hypersensitivity
infections and another beta and
pyelonephritis; lactam agent anaphylactoid
skin and soft reaction.
tissue
infections and Observe for and
gonococcal report symptoms
infections. of
superinfections.

Monitor I & O
ratio and pattern

Report chills,
wheezing,
pruritus (itching),
respiratory
distress, or
palpitations to the
physician
immediately.

Warn patients
that diarrhea
containing blood
or pus may be a
sign of a serious
disorder and to
seek medical care
if noted and not
to treat at home.

Assess patients
for infection
(vital signs,
wound
appearance,
sputum, urine,
stool, and
WBCs)at
beginning and
throughout
therapy.

Obtain specimens
for culture and
sensitivity before
 therapy. First
dose may be
given before
receiving results

Instruct patient to
notify physician
if symptoms do
not improve

Name of Drug Date Order Classification Dose/ Mechanism of Action Indication Contraindication Side Effects Nursing
Generic/Brand Frequency Consideration

Brand name: Date Frequency: Glycoair is Glycoair is The common

Glycoair ordered: Anticholinergic OD blocking the indicated for contraindicated in side effects of Nurses should
agent bronchoconstrictor action the patients with Glycoair monitor patients
Generic name: Prescribed of acetylcholine on maintenance hypersensitivity to include dry for signs of
Glycopyrrolate 9-8-23 dose: airway smooth muscle treatment of glycopyrrolate or mouth, anticholinergic
110/50 mg cells, thereby dilating the chronic any of the other constipation, effects, such as
airways obstructive ingredients in the blurred vision, dry mouth,
pulmonary formulation. dizziness, and urinary retention,
disease difficulty and constipation.
(COPD), urinating. Other
including possible side Patients should
chronic effects may be instructed to
bronchitis and include drink adequate
emphysema, to headache, fluids and to
reduce nausea, maintain good
exacerbations vomiting, and oral hygiene to
and improve allergic prevent dry
symptoms of reactions. mouth.
bronchospasm.
Nurses should
also monitor
patients for signs
of allergic
reactions, such as
rash, hives,
itching, and
difficulty
breathing.

Patients should
be advised to
seek medical
attention if they
experience any
signs of an
allergic reaction.

Glycoair may
interact with
other
medications, so
nurses should be
aware of the
patient's
medication
regimen and any
potential drug
interactions.

Patients should
be advised to
inform their
healthcare
provider of all
medications they
are taking,
including over-
the-counter
medications and
supplements.