Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities

and indication
Frequen
cy

Generic 30mg. IV Use to treat Indication: Peptic ulcer, Before; We have to

Name: q8 ANST moderately GI bleeding, monitor signs of
x 3 severe pain For short term gastritis, allergic reactions
Ketorolac doses. and management of severe hepatic anaphylaxis,
inflammatio moderate to reaction including pulmonary
n, usually severe acute (cholestasis, symptoms
Brand after post operative jaundice) (laryngeal edema,
Name: surgery pain (2 day occur rarely. wheezing & cough)
maximum in Nephrotoxicity or skin reactions
Toradol Hospital (glomerular (rash, pruritus, urtic
treatment nephritis, aria)
Contraindication interstitial
Classificatio nephritis, During:
:
n: nephrotic -if we have to check
nonsteroidal -Pt. with syndrome) the IV line patency.
anti- moderate or may occur in First we have to
inflammator severe renal pts with verify if we give it to
y drug. impairment. preexisting the right patient, we
renal have to check the
-pt.at risk of
impairment. right dose ,right
renal failure
Acute route, also check
hypersensitivit the right time and
y reaction frequency.
(fever, chills,
joint pain) After: After giving
occurs rarely. this medication,
advise d patient not
to lie down about
15 to 30mins. After
taking it because it
will help to prevent
irritation that may
lead to trouble in

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and
 Frequen indication
cy

Generic 900mg IV Temporarily Indication; allergic Before: First check

name; q6 4 relieve mild reaction, doctors order, if
doses to moderate This used to which can patient have liver
Paracetamo pain. relieve mild or cause a rash problems, kidney
l moderate pain, & swelling. - problems, if patient
such as flushing, low has problem in
Brand headaches &
name: reduce fevers
Panadol caused by
illnesses such blood drinking alcohol.
Classificatio pressure
n; as colds & flu.

Analgesic During:
Contraindication & a fast
Antipyretic heartbeat this
: - patient has
liver and kidney sometimes -first we have to
problem, - happen when check the IV line
hypersensitivity paracetamol is patency. -slow IV
to the drug given in a push First we have
hospital into a to verify if we have
vein. the right patient,
check if we give the
right dose, the right
route the right time
& frequency.

After:

Monitor for anemia

& decreased red &
white blood counts,
because
acetaminophen can
cause hematologic
reactions. -check if
tit begins to ease
the pain & lower
high temperature
30 minutes after a
 dose is taken its
effect usually last
for about 4 to 6

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 50mg. Needed for painful Drowsiness -Asses patient

Name: SW q8 biosynthesi procedure eyes; Redness
PRN for s analgesic swelling Tearing
Tramadol Tremors
severe anti and itching
Seizures
pain inflammator
y antipyretic -Provide safety
Hypertension
measures
Constipation
-Instruct pt. report
change in urine
Brand pattern.
name:
After;
Ultram
-Monitor for side
effects

Classificatio -Provide comfort

n: Opiate
(narcotic)
analgesics

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 50mg IV A Indication: CNS: Assessment

name: q8 while competitive headache,
on NPO inhibitor of Active duodenal malaise, 1. History
Ranitidine histamine or benign vertigo. allergy to
H2- gastric ulcer. ranitidine,
receptors. EENT: blurred impaired
vision renal or
Brand
name: Contraindication Hepatic: hepatic
: jaundice function,
Zantac lactation,
Contraindicated Other: pregnancy.
for patients anaphylaxis, 2. Physical skin
Classificatio known to have angioedema lesions,
n: hypersensitivity burning, and orientation
Histamine to the drug or itching at effect, liver
H2-receptor any of the injection site. evaluation,
antagonist. ingredients. abdominal
examination,
Antiulcer normal
agents output, CBC.
3. Administer
IM dose
included
deep into the
muscle
group.
4. Arrange for
regular
follow-up
including
blood test to
evaluate
effects.

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 10g IV q8 Inhibition of Indication: Drowsiness 1. Assess

name: PRN for presynaptic meal patient for
n/v and Nausea and confutation, nausea and
Metoclopra postsynapti vomiting in levodopa vomiting,
mide c D2 patients withdizziness abdominal
receptors, gatroesophagea (antagonism) distention,
stimulation reflux disease or allergic and bowel
Brand of diabetic reaction with sounds.
name: presynaptic gastroparesis by CNS, 2. Monitor vital
excitatory 5- increasing Neuroleptic signs
Reglan HT4 gastric motility. Malignant 3. Monitor for
receptors Syndrome, anxiety,
and depressants, restlessness,
antagonism Contraindication extrapyramidal extrapyramid
of : symptoms al symptoms
Classificatio presynaptic seizures (EPS))
n: prokinetic inhibition of Contraindicated (specially in during IV
agents. muscarinic in patients with epileptics). administratio
receptors. known n
hypersensitivity 4. Monitor
to tardive
metaclopromide dyskinesia
or excipients, usually occur
gastrointestinal after a year
bleeding, or more or
obstruction, continued
perforation/hem therapy.
orrhage

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 500g/tab Decrease Indication: Minimal GI Before:

name: q6x3 fever by a upset,
days hypothalami Reduce fever in hemolytic Check the body
Paracetamo c effect viral and anemia, temperature
l leading to bacterial neutropenia,
infections. Avoid using OTC
sweating thrombocytop drugs with
and Control of pain enia,
Brand vasodilation due to leukopenia, acetaminophen.
name: . headache, urticarial, CNS
dysmenorrhea, stimulation,
Biogesic Inhibits skeletal pain, hypoglycemic
pyrogen During:
arthritis, coma,
effect on immunizations. jaundice, Take the food or
Classificatio the drowsiness. milk to minimize GI
n: hypothalami As a substitute upset
c-heat for aspirin in
Antipyretic, regulating upper GI Avoid alcohol
non- centers. disease,
narcotic Report paleness,
bleeding
analgesic Inhibits weakness, and
disorders clients
CNS heartbeat skips.
in anticoagulant
prostaglandi therapy and Report abdominal
n synthesis gouty arthritis.
pain, jaundice, dark
with
urine, itchiness or
minimal
clay-colored stools.
effects on
peripheral Contraindication
prostaglandi :
n synthesis. Renal

Does not insufficiency,

cause anemia.
ulceration of
the GI tract
and causes
no
anticoagula
nt actions.

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 200mg May Indication: CNS: Dx:

name: BID x 3 selectively
days inhibit COX- Management of Aseptic 1. Check the
Celecoxib 2, acute pain meningitis, Doctors
cerebral
 decreasing Relief signs and hemorrhage, order
prostaglandi symptoms of depression, 2. Assess pain
n synthesis ankylosing dizziness, score
Brand spondylitis fever, 3. Assess of
name: headache, history of
Contraindication insomnia, allergies
Celebrex : ischemic
Tx:
Patients with stroke,
hypersensitivity suicidal 4. Give drug
Classificatio to celecoxib, ideation, with food,
n: who have syncope, milk or
experience transient antacids
NSAIDS ischemic
asthma, 5. Do not
( COX-2 attack, vertigo.
urticaria. increase or
inhibitors)
CV: double dose,
follow
Aortic valve exactly as
incompetence, prescribed
chest pain, and
congestive indicated.
heart failure, 6. Discontinue
deep vein drug
thrombosis, promptly if
fluid retention, diarrhea,
MI, palpitation, dark stools,
peripheral hematemesi
edema or s, and do not
gangrene, use it again,
sinus contact
bradycardia, physician.
tachycardia,
thrombosis, Ex:
unstable 7. Document
angina, accordingly.
vasculitis, 8. Monitor for
hypertrophy. adverse
effect.
9. Instruct
discontinuati
on of
medication if
adverse
effect
 occurs.

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 500mg/ Increases Indication: Headaches, - Secure

name: cap OD protection flushing, doctor’s
mechanism -Dietary nausea and order
Ascorbic of the supplement. vomiting, - Do hand
acid
 immune - to prevent dizziness washing
system, that vitamin C in - Assess
Brand supporting patients with patient’s
name: wound poor nutritional condition.
Vital C healing. habits. - Give
medication
Classificatio - to acidify urine on right
n: timing.
- Instruct the
Vitamins Contraindication patient to be
: cautious of
the
Use of sodium
contraindicati
ascorbate in
ons of the
patients on
drug.
sodium
restriction.

Drug name Dosage Mechanism Indication and Adverse Nursing

Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic FeSO4 Replaces Indication: Backache, - May cause

name: cap BID iron stores groin, muscle seizures,
needed for - Prophyla pain, fever hypotension,
Ferrous the xis in: with increased constipation,
sulfate developmen malabsor sweating, epigastric
t of red ption; flushing, pain,
Brand menorrha
name: blood cells gia; headache, diarrhea,
(erythrocyte - Pregnanc metallic taste, skin staining,
Femiron s) y; after nausea and anaphylaxis.
Iron subtotal vomiting, - Assess
or total numbness. nutritional
Classificatio gastrecto status, bowel
n: my; function.
- Hemodial - Monitor
Hematinics
ysis hemoglobin,
patients; hematocrit,
and the iron levels.
manage
ment of
low
birthweig
ht infants
such as
preterm
neonates
.

Contraindication
:

Hypertensive to
the drug and it’s
ingredients. Any
serious
underlying
cause for
anemia such as
gastric erosion
or
gastrointestinal
cancer.
Drug name Dosage Mechanism Indication and Adverse Nursing
Route of action Contra Effect Responsibilities
and indication
Frequen
cy

Generic 500mg/ Inhibition of Indication: Severe - Assess any

name: cap BID bacterial diarrhea, allergy of the
x 7 days cell wall acute bacterial bleeding, drug.
Cefuroxime synthesis. otitis media, lethargy, - Give oral
several upper anorexia, drug with
Brand respiratory tract
name: decreased food to
infections, skin platelets decrease GI
Zinacef infections, upset and
urinary tract enhance
infections, absorption.
gonorrhea, early - Instruct the
Classificatio
 n: Lyme disease, patient to
and impetigo. avoid alcohol
cephalospor while taking
in Contraindication this drug and
antibiotics. : for 3 days
contraindicated after,
in patients with because
known allergy to severe
the reaction
cephalosporin often occur.
group of - Monitor vital
antibiotics signs.
- Explain the
side effects
of the drug.

Drug Dosage Mechanis Indication Adverse Nursing

name Route m of and Contra Effect Responsibilities
and action indication
Frequenc
y

Generic 2 gram IV inhibition of Indication: Difficulty - It is

name: ANST (-) bacterial in important
for PO cell wall to treat a wide breathing, that
Cefazolin synthesis. variety ofheadache, medication
bacterial dizziness, should be
Brand infections.
name: overactive given
Contraindicati reflexes, exactly as
Kefzol and on: Stevens- directed.
Ancef. Johnson - Before
contraindicate syndrome, administeri
d in patients and pain ng
Classificati who have a or swelling cefazolin,
on: history of of face, look at the
cephalosp immediate lips, solution
orin hypersensitivit tongue, or closely. It
antibiotics. y reactions throat. should be
(e.g., clear and
anaphylaxis, free of
serious skin floating
reactions) to materials:
cefazolin or
the
cephalosporin
antibacterial
drugs,
penicillins, or
other beta-
lactams