Drug Dosage Classification Action Indication Contraindications Side Effect Nursing

Consideration

Metoclopramide 10g IV now q8 Prokinetic inhibition of -To treat -Gastrointestinal -Drowsiness -Educate the
agents presynaptic and nausea and bleeding patient not to
-Excessive
postsynaptic D2 vomiting take
-Obstruction tiredness
receptors, anticholinergics
-GERD
stimulation of -Perforation -Diarrhea or other narcotic
presynaptic -Gastroparesis analgesic
-Pheochromocytoma -Difficulty
excitatory 5- medications at
falling
HT4 receptors -Seizures the same time
asleep
and antagonism -Depression because these
of presynaptic -Frequent drugs decrease
inhibition of -Parkinson Disease urination the rate of
muscarinic -History of tardive -Nausea gastric
receptors. dyskinesia emptying.

Paracetamol 600g IV q6 Analgesic and Activate -Fever -Acute liver failure Drug -Dilute in 10mL
Antipyretic descending allergy; PNSS and give
-Mild to -Hypersensitvity to
serotonergic thru slow IV
moderate pain Paracetamol -Swelling
inhibitory push
on face,
pathways in the -Muscular
eyes, lips -Monitor IV
CNS and other strain
and toungue patency
nociceptive
 pathways -Dyspnea -Educate patient
not to take other
-Low BP
medication
containing
Paracetamol or
acetaminophen
at the same time.

Betahistine 24mg/tab Histamine Act as a both a -Anti vertigo - - -This drug

analogue partial Phaeochromocytoma Hypotensio should be taken
-Nausea
histamine H1- n with food
-Active or history of
receptor agonist -Hearing loss
peptic ulcer - -Advise
and histamine
Tachycardia relatives to
H3-receptor
support patient’s
antagonist in -
ambulation
neuronal tissue, Gastrointest
with negligible inal pain -Protect
histamine H2- medication from
-
receptor moisture
Hypersensit
activity. It
ivity -Never double
inhibits
reactions the dose when
presynaptic
missed.
histamine H3- -Headache
receptor
 downregulation -Skin rash
, thus
increasing the
histamine
turnover and
release.

Omeprazole 40g IV Proton pump Inhibits the -Ulcer Hypersensitivity to -Headache -Assess for
inhibitor parietal cell the drug or dosage possible
-GERD -Diarrhea
H+/k+ ATP form. contraindication
(Hydrogen -Esophagitis -Vomiting s and cautions.
Potassium
-Pyrosis -Abdominal -Inspect and
Adenosine
pain palpate the
Triphosphate -Dyspepsia
abdomen
pump), the final
step of acid -Administered
production. It before meals in
supresses the morning at
gastric basal 6:00 am or
and stimulated before breakfast
acid secretion.

Citicoline 1g/tab Pyrimidine Promotes brain - -Hypersensitivity -Chest pain -Monitor blood
ribonucleoside metabolism by Cerebrovascul pressure, pulse
-Patient with -Headache
diphosphates restoring ar diseases rate and heart
phospholipid -Parkinson’s hypertonic of the - rate
content in the disease parasymphatetic Hypotensio
-Monitor for
brain and n
- adverse effects
regulation of
-Tingling in
neuronal
mouth and
membrane
throat
excitability. It
also influences -Blurred
the vision
mitochondria or
-Diarrhea
energy factories
of the brain
cells and found
to improve
memory
function. After
several clinical
trials, Citicoline
has been shown
to raise the
amount of
acetylcholine in
the brain.
Nicardipine drip 10g nicardipine Calcium Inhibits the -Used to treat -Patient with -Headache -Monitor blood
+ 90cc PNSS/ channel influx of extra hypertension advanced aortic pressure and
-Weakness
soluset blockers cellular calcium stenosis heart rate
-Control
across the -Difficulty
angina -Unstable angina -Nicardipine
myocardial and of breathing
injection is
vascular -Cardiogenic shock
given as an
smooth muscle
infusion into a
cell membranes
vein
possibly by
deforming the
channel,
inhibiting ion-
control gating
mechanisms,
and/or
interfering with
the release of
calcium from
the
sarcoplasmic
reticulum.