Drug Study Mechanism of Action Indication/ Contraindication Adverse Effects Nursing Responsibilities

Drug Name:  Inhibits protein synthesis INDICATION:  CNS: Dizziness, Before Administration:
Clindamycin in susceptible bacteria at  Treatment of: Skin and skin Headache, Vertigo Assessment: The nurse should assess the
the level of the 50S structure infections, Respiratory patient's medical history, including
ribosomes Tract Infections, Gynecolocogic  CV: Arrythmias, allergies, previous adverse reactions to
Brand Name: Infections, Osteomyelitis, hypotension antibiotics, and current medications.
Cleocin Endocarditis prophylaxis.
CONTRAINDICATION:  GI: Informed Consent: Ensure that the patient
Therapeutic Class:  Hypersenxitivity; Previous Pseudomembranous understands the purpose, potential
Anti-Infectives oseudomembranous colitis, Severe colitis, Diarrhea, benefits, and risks associated with
liver impairment, Diarrhea Bitter taste(IV only), Clindamycin therapy, and obtain informed
DRUG TO DRUG INTERACTION: Nausea, Vomiting consent if required.
Dose:
 May decreae GI absorption. May
300mg TID enhance the Neuromuscular Allergy Screening: Confirm whether the
blocking action of other patient has any known allergies,
Route: neuromuscular blocking agents. particularly to Clindamycin or other
IV antibiotics in the same class (such as
lincomycin).

During Administration:
Preparation: Prepare the medication
according to the prescriber's orders,
ensuring the correct dosage and route of
administration.
Verification: Verify the patient's identity
using two patient identifiers (e.g., name
and date of birth) and compare with the
medication administration record (MAR)
to prevent medication errors.
Administration: Administer Clindamycin
via the prescribed route (e.g., oral,
intravenous) following appropriate aseptic
techniques.
After Administration:
Observation: Continuously monitor the
patient for a reasonable period after
administration, particularly if the
medication is administered intravenously,
to detect any immediate adverse reactions.

Documentation: Accurately document the

administration of Clindamycin in the
patient's medical record, including the
dosage, route, date, time, and any
observed adverse reactions or patient
responses.
Drug Study Mechanism of Action Indication/ Contraindication Adverse Effects Nursing Responsibilities
Drug Name:  Iron is required to INDICATION:  GI: nausea,  Before Administration:
Ferrous Sulfate maintain optimal health,  Ferrous sulfate is used for the vomiting,  Assessment: Conduct a thorough
particularly for helping prevention and treatment of iron constipation, assessment of the patient's
deficiency anemia in adults and diarrhea, abdominal medical history, including any
Brand Name: to form red blood cells
children. pain, and dark
Feretab (RBC) that carry oxygen history of gastrointestinal
stools.
around the body. A  Allergic Reactions: disorders, allergies, or previous
CONTRAINDICATION
Therapeutic Class: deficiency in iron rash, itching, hives, adverse reactions to iron
 have ever had an allergic reaction
Oral iron bivalent indicates that the body to ferrous sulfate or any other swelling, difficulty supplements. Assess the patient's
preparations cannot produce enough medicine breathing, or current symptoms and signs of
normal red blood  have a different type of anaemia anaphylaxis anemia, such as fatigue, pallor,
Dose: cells. Iron deficiency that is not caused by low levels of and shortness of breath.
1 cap anemia occurs when iron  During Administration:
 have any other conditions that  Preparation: Prepare the ferrous
body stores of iron
Route: decrease to very low affect your iron levels, such as
OD levels, and the stored haemochromatosis or
iron is insufficient to haemosiderosis
 have a condition that affects your
support normal red
red blood cells, such as sickle cell
blood cell (RBC) anaemia or thalassaemia
production. Insufficient
dietary iron, impaired DRUG TO DRUG:
iron absorption,  Antacids and Proton Pump
bleeding, pregnancy, or Inhibitors (PPIs): These
loss of iron through the medications decrease stomach acid,
urine can lead to iron which is necessary for the
deficiency. Symptoms of absorption of iron. Taking ferrous
sulfate concurrently with antacids
iron deficiency anemia
or PPIs can reduce the absorption
include fatigue, of iron.
breathlessness,  Tetracycline Antibiotics: Ferrous
palpitations, dizziness, sulfate can chelate with tetracycline
and headache. antibiotics in the gastrointestinal
tract, forming insoluble complexes
and reducing the absorption of both
medications. It's recommended to
separate the administration of
ferrous sulfate and tetracycline
antibiotics by at least 2 hours.
 Levothyroxine: Iron supplements,
including ferrous sulfate, may
interfere with the absorption of
levothyroxine, a thyroid hormone
replacement medication.
Administering these medications
together may reduce the
effectiveness of levothyroxine. It's
advisable to separate the
administration of ferrous sulfate
and levothyroxine by at least 4
hours.
 Quinolone Antibiotics: Similar to
sulfate solution or tablets
according to the prescribed
dosage and route of
administration. Ensure that the
dosage is calculated accurately
based on the patient's weight and
iron deficiency severity.
 Verification: Verify the patient's
identity using two patient
identifiers (e.g., name and date of
birth) and confirm the
prescription details with the
medication administration record
(MAR) to prevent errors.
 After Administration:
 Observation: Monitor the patient
for a short period after
administration to assess for any
immediate adverse reactions.
Instruct the patient to report any
new or worsening symptoms
experienced after taking ferrous
sulfate.
 Documentation: Document the
administration of ferrous sulfate
in the patient's medical record,
including the dosage, route, date,
time, and any observed adverse
reactions or patient responses.
tetracyclines, quinolone antibiotics
can form insoluble complexes with
iron supplements, impairing the
absorption of both medications.
Administering ferrous sulfate and
quinolone antibiotics should be
separated by at least 2 hours.