DRUG STUDY

Drug Order Mechanism Indication Contraindication Side effects & Nursing Responsibilities
of action adverse reaction

Generic name: Exerts Co- Co-Amoxiclav is Some common

Co-amoxiclav bactericidal amoxiclav contraindicated in side effects of c- BEFORE
activity via is given to patients with a amoxiclav may
Brand name: inhibition of prevent history of include: > Check the MAR (Medical Administration
Augmentin bacterial cell infections hypersensitivity to Record).
Classification: wall following penicillin and in -Nausea and > Make sure to read the label and check the
beta-lactamase synthesis by surgery. patients who are vomiting expiration date of the medication.
inhibitors binding one sensitive to -Diarrhea >Inform the client about why, how and how often
Dosage: or more of amoxicillin & they need to consume this medication.
1 g/tab the penicillin potassium injection- >Educate the client about the side effects that
Route: Orally binding associated might occur.
Frequency: proteins cholestatic jaundice
BID (PBPs). or hepatic DURING
dysfunction. >Before giving the medication, make sure to read
the label again before giving it to the patient.

AFTER
>Monitor the patient for the medication to take
effect and to monitor any side effects like Nausea
and Vomiting.
>. Discontinue drug and notify physician if S&S of
hypersensitivity occur.
Generic Ferrous Ferrous Ferrous sulfate is Some common BEFORE
Name: sulfate is an sulfate contraindicated in side effects of  Check the MAR (Medical Administration
Ferrous sulfate iron tablets are patients with ferrous sulfate Record).
supplement often - Allergy or may include:  Make sure to read the label and check
Brand Name: that works by prescribed hypersensitivity the medication’s expiration date.
Feosol providing the to to iron - nausea,  Inform the client about why, how, and
Drug body with the postpartum supplements or - vomiting, how often they need to consume this
Classificatio iron it needs women as any of the - diarrhea, medication.
to produce an Iron tablet's - constipati
n: Iron  Educate the client about the side effects
hemoglobin supplement components. on,
supplement that might occur.
Dosage: 1 tab and red to helps - Conditions that - stomach  Calculate and prepare the correct
Route: blood cells. replenish can lead to iron kicramps dosage of ferrous sulfate tablets.
Orally iron stores overload, such  Ensure the medication is stored properly
Frequency: and correct as according to manufacturer instructions.
OD the anemia, hemochromatos Assess history of
allowing the is or allergies
body to hemosiderosis. Tx:
produce an - Active peptic a. Give drug with food,
adequate ulcers or other milk or antacids
number of gastrointestinal b. Do not increase or
healthy red disorders that double dose; follow
blood cells may worsen exactly as prescribed
and prevent with iron and indicated
symptoms supplementatio c. Discontinue drug
of anemia. n. promptly if diarrhea.
- Hemolytic Dark stools.
anemia (a type Hematemesis,
of anemia ecchymosis, epistaxis
where red blood or rash occur and do
cells are not use again. Contact
destroyed faster physician
than they are Edx:
produced). a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
Assess history of
allergies
Tx:
a. Give drug with food,
milk or antacids
b. Do not increase or
double dose; follow
exactly as prescribed
and indicated
c. Discontinue drug
promptly if diarrhea.
Dark stools.
Hematemesis,
ecchymosis, epistaxis
or rash occur and do
not use again. Contact
physician
Edx:
a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs

DURING
 Recheck the label and dosage before
administering.

AFTER:
 Check for the client’s condition; assess
and report immediately if there are any
deviations from normal.
 Document the administration of ferrous
sulfate tablets, including the date, time,
dosage, and route.
 Instruct the patient to continue taking the
medication as prescribed for the full
course, even if symptoms improve.
 Advise the patient to report any unusual
or severe side effects to their healthcare
provider.
 Generic Celecoxib Celecoxib is Celecoxib is Some common BEFORE
Name: works by prescribed contraindicated in side effects of  Check the MAR (Medical Administration
Celecoxib inhibiting an for the patients with celecoxib may Record).
enzyme manageme  Celecoxib should include:  Make sure to read the label and check
Brand Name: called nt of pain not be used in the medication’s expiration date.
Celebrex cyclooxygena and individuals who - Upset  Inform the client about why, how, and
Drug se-2 (COX- inflammatio are allergic to it stomach how often they need to consume this
Classificatio 2). COX-2 is n. It may be or other NSAIDs. - Nausea medication.
responsible used in  It is - Diarrhea
n: NSAIDs  Educate the client about the side effects
for producing cases contraindicated - Headache
Dosage: 500mg that might occur.
prostaglandin where pain in patients who - Dizziness
Route: Assess history of
s, which are relief is have had a
Orally allergies
chemicals needed severe allergic
Frequency: Tx:
that promote after reaction (e.g.,
BID a. Give drug with food,
inflammation, childbirth. anaphylaxis) to
milk or antacids
pain, and sulfonamides,
b. Do not increase or
fever in the aspirin, or other
double dose; follow
body. By NSAIDs.
exactly as prescribed
blocking  Celecoxib is
and indicated
COX-2, generally
c. Discontinue drug
celecoxib avoided in the
promptly if diarrhea.
reduces third trimester of
Dark stools.
inflammation pregnancy due
Hematemesis,
and to potential risks
ecchymosis, epistaxis
alleviates to the fetus.
or rash occur and do
pain. not use again. Contact
physician
Edx:
a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
Assess history of
allergies
Tx:
a. Give drug with food,
milk or antacids
b. Do not increase or
double dose; follow
exactly as prescribed
and indicated
c. Discontinue drug
promptly if diarrhea.
Dark stools.
Hematemesis,
ecchymosis, epistaxis
or rash occur and do
not use again. Contact
physician
Edx:
a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
 Ensure the medication is stored properly
according to manufacturer instructions.

DURING
 Recheck the label and dosage before
administering.
 Advice the patient to take the medication
with food and a full glass of water to help
reduce the risk of stomach upset and
ensure proper absorption.
 AFTER:
 Check for the client’s condition; assess
and report immediately if there are any
deviations from normal.
 Advising patient to avoid or limit alcohol
consumption while taking celecoxib, as it
may increase the risk of gastrointestinal
side effects.
 Document the administration including
the date, time, dosage, and route.
 Instruct the patient to continue taking the
medication as prescribed for the full
course, even if symptoms improve.
 Advise the patient to report any unusual
or severe side effects to their healthcare
provider.

Generic Metoprolol It is used to Metoprolol should Some common BEFORE

Name: works by reduce/ not be used in side effects of  Check the MAR (Medical Administration
Metoprolol blocking the lower blood individuals with celecoxib may Record).
Brand Name: effects of pressure of certain medical include:  Make sure to read the label and check
Lopressor adrenaline the patient. conditions, the medication’s expiration date.
Drug (epinephrine) including: - Fatigue  Inform the client about why, how, and
Classificatio on the heart. - Dizziness how often they need to consume this
n: Beta By doing so, - Bradycardia - Bradycard medication.
it reduces (very slow ia
blockers  Educate the client about the side effects
heart rate heart rate) - Hypotensi
Dosage: 50mg that might occur.
and blood - Heart block on
Route: Assess history of
pressure, (a condition - Nausea
Orally allergies
making it an that affects - Headache
Frequency: Tx:
effective the electrical
BID a. Give drug with food,
medication signaling in
milk or antacids
for conditions the heart)
b. Do not increase or
like - Severe heart
double dose; follow
hypertension failure
- Asthma or exactly as prescribed
chronic and indicated
obstructive c. Discontinue drug
pulmonary promptly if diarrhea.
disease Dark stools.
(COPD) in Hematemesis,
some cases ecchymosis, epistaxis
- Allergy or or rash occur and do
hypersensitivi not use again. Contact
ty to physician
metoprolol or Edx:
other beta- a. Document accordingly
blockers b. Monitor for adverse
- Patients in effect
cardiogenic c. Instruct
shock (a discontinuation of
condition medication if adverse
where the effect occurs
heart cannot Assess history of
pump blood allergies
effectively) Tx:
a. Give drug with food,
milk or antacids
b. Do not increase or
double dose; follow
exactly as prescribed
and indicated
c. Discontinue drug
promptly if diarrhea.
Dark stools.
Hematemesis,
ecchymosis, epistaxis
or rash occur and do
not use again. Contact
physician
Edx:
 a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
 Ensure the medication is stored properly
according to manufacturer instructions.

DURING
 Recheck the label and dosage before
administering.
 Advice the patient to take the medication
with food and a full glass of water to help
reduce the risk of stomach upset and
ensure proper absorption.

AFTER:
 Check for the client’s condition; assess
and report immediately if there are any
deviations from normal.
 Document the administration including
the date, time, dosage, and route.
 Instruct the patient to continue taking the
medication as prescribed for the full
course, even if symptoms improve.
 Advise the patient to report any unusual
or severe side effects to their healthcare
provider.

Generic Furosemide It is Furosemide is Some common BEFORE

Name: works by indicated to contraindicated in side effects of  Check the MAR (Medical Administration
Furosemide inhibiting the treat edema certain situations, celecoxib may Record).
Brand Name:
 Lasix reabsorption and including: include:  Make sure to read the label and check
Drug of sodium hypertensio the medication’s expiration date.
Classificatio and chloride n of the - Allergy to - Frequent  Inform the client about why, how, and
in the patient. furosemide urination how often they need to consume this
n: Loop
kidneys. This or - low medication.
diuretics action sulfonamide- potassium  Educate the client about the side effects
Dosage: 20mg increases the derived levels that might occur.
Route: excretion of drugs. - Dizziness Assess history of
Orally these - Anuria (a - Dehydrati allergies
Frequency: electrolytes, condition on Tx:
BID along with where the - Low blood a. Give drug with food,
water, from kidneys are pressure milk or antacids
the body. By not - Muscle b. Do not increase or
promoting producing cramps double dose; follow
diuresis urine). - Rash exactly as prescribed
(increased - Severe - Gastrointe and indicated
urine electrolyte stinal c. Discontinue drug
production), it imbalances, upset promptly if diarrhea.
helps reduce such as low Dark stools.
fluid retention potassium Hematemesis,
and lower levels ecchymosis, epistaxis
blood (hypokalemia or rash occur and do
pressure. ). not use again. Contact
- Hypovolemia physician
(low blood Edx:
volume) or a. Document accordingly
dehydration. b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
Assess history of
allergies
Tx:
a. Give drug with food,
milk or antacids
b. Do not increase or
double dose; follow
exactly as prescribed
and indicated
c. Discontinue drug
promptly if diarrhea.
Dark stools.
Hematemesis,
ecchymosis, epistaxis
or rash occur and do
not use again. Contact
physician
Edx:
a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
 Ensure the medication is stored properly
according to manufacturer instructions.

DURING
 Recheck the label and dosage before
administering.
 Advice the patient to take the medication
with food and a full glass of water to help
reduce the risk of stomach upset and
ensure proper absorption.

AFTER:
 Check for the client’s condition; assess
and report immediately if there are any
deviations from normal.
  Document the administration including
the date, time, dosage, and route.
 Instruct the patient to continue taking the
medication as prescribed for the full
course, even if symptoms improve.
 Advise the patient to report any unusual
or severe side effects to their healthcare
provider.

Generic Amlodipine It is Furosemide is Some common BEFORE

Name: works by indicated to contraindicated in side effects of  Check the MAR (Medical Administration
Amlodipine blocking the treat certain situations, celecoxib may Record).
Brand Name: entry of hypertensio including: include:  Make sure to read the label and check
Norvasc calcium into n of the the medication’s expiration date.
Drug the smooth patient. - Allergy - Headache  Inform the client about why, how, and
Classificatio muscle cells - Severe - Swelling how often they need to consume this
n: Calcium that surround hypotension of the medication.
blood vessels ankles  Educate the client about the side effects
channel
and the and feet that might occur.
blockers heart. This (periphera
Dosage: 10mg Assess history of
action l edema) allergies
Route: relaxes and - Dizziness
Orally Tx:
widens the - Flushing a. Give drug with food,
Frequency: blood - Fatigue
OD milk or antacids
vessels, b. Do not increase or
reducing the double dose; follow
workload of exactly as prescribed
the heart and and indicated
improving c. Discontinue drug
blood flow. promptly if diarrhea.
By reducing Dark stools.
blood Hematemesis,
pressure and ecchymosis, epistaxis
increasing or rash occur and do
blood flow to not use again. Contact
the heart physician
muscle, it Edx:
helps lower a. Document accordingly
blood b. Monitor for adverse
pressure effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
Assess history of
allergies
Tx:
a. Give drug with food,
milk or antacids
b. Do not increase or
double dose; follow
exactly as prescribed
and indicated
c. Discontinue drug
promptly if diarrhea.
Dark stools.
Hematemesis,
ecchymosis, epistaxis
or rash occur and do
not use again. Contact
physician
Edx:
a. Document accordingly
b. Monitor for adverse
effect
c. Instruct
discontinuation of
medication if adverse
effect occurs
 Ensure the medication is stored properly
according to manufacturer instructions.
DURING
 Recheck the label and dosage before
administering.
 Advice the patient to take the medication
with food and a full glass of water to help
reduce the risk of stomach upset and
ensure proper absorption.

AFTER:
 Check for the client’s condition; assess
and report immediately if there are any
deviations from normal.
 Document the administration including
the date, time, dosage, and route.
 Instruct the patient to continue taking the
medication as prescribed for the full
course, even if symptoms improve.
 Advise the patient to report any unusual
or severe side effects to their healthcare
provider.