DRUG STUDY

DRUG CLASSIFICATION INDICATION SIDE EFFECTS NURSING

CONSIDERATION
Pantoprazole Proton-pump inhibitor Decreases the amount of  Vitamin B-12 1. Instruct not to crush
acid produced in the deficiency or chew the tablet.
stomach, therefore  Kidney 2. Observe for signs
indicated for the ff patients: complications of
 GERD  Diarrhea hypomagnesemia
 Acid peptic disease  Decreased bone such as dizziness,
 Stomach ulcers health (sudden pain tremors, spasms,
or decreased ROM) etc.
 Dizziness 3. Monitor bone
 Irregular HR fractures or sudden
bone pain.
 Tremors/jerking
4. Monitor urine
muscle
output (decrease
movements/spasms
can cause acute
interstitial nephritis)
5. Observe for signs
of vit B-12
deficiency (due to
achlorhydria or
hypochlorhydia)
Imdur Nitrate/Anti-anginal agents Prevention of angina  Headache 1. Assess early
pectoris due to coronary  Lightheadedness symptoms of heart
artery disease (not for the  Irregular HR attack (chest
actual onset) pain/pressure
spreading to jaw or
Works by dilating blood shoulder or general
vessels ill feeling)
2. Instruct to not stop
taking this medicine
suddenly (could
cause severe
anginal attack)
3. Check BP
(contraindicated for
low BP)
Piptazo (Piperacilin- Beta-lactamase inhibitors To treat bacterial infections  Severe stomach 1. Watch out for signs
Tazobactam) (such as stomach pain of anaphylaxis.
 infections, pneumonia, and
uterine infections)
Budesonide Corticosteroids For bronchial asthma
(nebulization)
Memantine N-methyl-D-aspartate To treat moderate to
(NMDA) receptor severe dementia
antagonist (decreases abnormal
activity in the brain)
- May improve the
ability to think and
remember or may
slow the loss of
these abilities
- Not a CURE
Combivent (Albuterol Bronchodilator To prevent bronchospasm
and Ipratropium) combinations (Anti- (tightening and narrowing
cholinergic and beta2- of airways)
adrenergic agonist)
 Diarrhea (bloody or 2. Monitor bowel
watery) movement.
 Confusion 3. Report signs of low
 Muscle twitching potassium levels.
 Low potassium
level (leg cramps,
constipation,
irregular HR,
numbness, and
muscle weakness)
 Seizure
 Nausea
 Headache 1. Continuously
 Rash assess pulmonary
 Otitis media function through
 Bronchospasm breath sounds and
 Abdominal pain RR (to assess for
 Oropharyngeal effectiveness).
fungal infections 2. Teach patient on
proper use of
inhalation
techniques.
 Headache 1. Guard against fall
 Sleepiness and trauma caused
 Dizziness by SEs.
 Hallucinations 2. Help pt and
family/caregivers to
explore
nonpharmacologic
methods to reduce
combative
episodes and mood
disorders.
3. Report prolonged
headaches or skin
rash to address
symptomatic SEs
to promote comfort.
 Infection of ears, 1. Ensure adequate
nose, and throat hydration to
 Runny nose prevent
hyperpyrexia.
  Cough 2. Use nebulizer
 Bronchitis mouthpiece instead
 Headache of face mask to
 Shortness of breath avoid blurred vision
 Paradoxical or aggravation of
bronchospasm narrow-angle
 Urinary retention glaucoma.
3. Void before
 Palpitations
urination to avoid
 Chest pain
urinary retention.
 HBP 4. Teach proper use
 Tremors of inhaler.
 Dry mouth 5. Decrease level of
 Narrow-angle activity to prevent
glaucoma risks for fall and
injury.
Amlodipine Calcium-channel blocker Angina pectoris and  Dizziness 1. Monitor pt closely
hypertension  Lightheadedness especially BP
 Fatigue/lethargy 2. Take with meals.
 Peripheral edema 3. Report irregular
 Arrythmias heartbeat,
 Nausea shortness of
breath, dizziness,
 Abdominal
and swelling of
discomfort
hands and feet.
Trimetazidine Fatty acid oxidation Angina pectoris  Dizziness 1. Avoid activities.
inhibitors (piperazine  Headache 2. Monitor v/s
derivative)  Diarrhea
 Indigestion
 Extrapyramidal
symptoms
(trembling, shaking
of hands and
fingers, stiffness of
arms and legs)
NAC (Acetylycysteine) Mucolytic Help thin and loosen  Dry mouth 1. Assess the quantity
mucus in the airways due  Nausea and consistency of
to lung diseases.  Vomiting sputum to
 Diarrhea determine
Also, for acetaminophen effectiveness of the
overdose. drug.
2. Do back clapping to
 loosen secretions.
Risperidone Atypical antipsychotics To treat certain  Feeling sleepy 1. Maintain seizure
(2nd-generation) mental/mood disorders during the day and precaution.
(schizophrenia, bipolar wide awake at night 2. Instruct not to take
disorder, psychosis,  Decreased ROM with tea and cola.
irritability related to autistic  Dyskinesia 3. Monitor closely for
disorders, etc.)  Headache s/s of DM due to
 Changes in appetite insulin resistance
Dementia-related  Dizziness and hyperglycemia
psychosis caused by the
 Seizure
medication.
Lactulose Osmotic laxative Used as a laxative in the  Diarrhea 1. Assess abdominal
treatment of chronic  Bloating distention, BM, and
constipation in adults and  Burping presence of bowel
geriatric patients  Farting sounds.
 Stomach rumbling 2. Assess amount and
Most do not need medical consistency of
attention. stool.
3. Increase fluid
intake to avoid
dehydration.

Rosuvastatin HMG-CoA reductase Slows down production of  Nausea 1. Encourage simple

inhibitors (statins) cholesterol in the body  Constipation meals. Lessen fatty
and spicy foods.
2. Eat a high fiber
diet.
3. Take after a meal
or snack.