Drug Study
Drug Name and Classification Mechanism of Indication Adverse Reaction/ NSG responsibility
Dose Action Side Effects
Generic Name: Pharmacologic Exhibits anti- Prescribed to treat CNS: dizziness, - Assess pt’s
Celecoxib class: Nonsteroidal inflammatory, pain and swelling drowsiness, history of
cyclooxygenase-2 analgesic, which is signs of headache, allergic reaction
Brand Name: (COX-2) inhibitor, and antipyretic inflammation. In insomnia, fatigue to the drug
Celebrex anti-inflammatory action due to short used to treat CV: peripheral - Monitor complete
drug (NSAID) inhibition the inflammation edema blood count,
Drug Dose: Therapeutic class: of the enzyme due to bacterial EENT: ophthalmic electrolyte
400 mg OD. PO Antirheumatic COX-2 growth. effects, tinnitus, levels, creatinine
p.r.n for pain pharyngitis, rhinitis, clearance, and
sinusitis occult fecal blood
GI: nausea, test and liver
diarrhea, function
constipation, test results every
abdominal 6 to 12 months
pain, dyspepsia, - Instruct patient to
flatulence, take drug with
dry mouth, GI food or milk.
bleeding - Teach patient to
GU: menorrhagia avoid aspirin and
Hematologic: other NSAIDs
decreased (such as ibuprofen
hemoglobin and
or hematocrit, naproxen) during
eosinophilia, therapy.
epistaxis,
bruising. - Advise patient to
immediately report
bloody stools,
blood in vomit, or
signs or symptoms
of liver damage
(nausea, fatigue,
lethargy, pruritus,
yellowing
of eyes or skin,
tenderness on
upper right side of
abdomen, or flulike
symptoms).
Generic name: Analgesic (Non- Paracetamol may To relieve mild to Hematologic: -Assess patient’s
Paracetamol opioid) cause analgesia by moderate pain due hemolytic anemia, fever or pain: type
Antipyretic inhibiting CNS to inflammation in leukopenia, of pain, location,
Brand name: prostaglandin the affected area. neutropenia, intensity, duration,
Biogesic synthesis. The pancytopenia, temperature, and
mechanism of thrombocytopenia. diaphoresis.
Drug Dose: morphine is Hepatic:
500mg 1 tab, PO, believed to involve liver damage, -Assess allergic
Q4 decreased jaundice reactions: rash,
temp. greater that permeability of the Metabolic: urticaria; if these
37.9°C cell membrane to hypoglycemia occur, drug may
sodium, which Skin: rash, urticuria have to be
Dose: results in discontinued.
diminished
transmission of -Teach patient to
300mg IV Q4, pain impulses recognize signs of
temp. greater that therefore analgesia. chronic overdose:
37.9°C bleeding, bruising,
malaise, fever, sore
throat.
-Tell patient to
notify prescriber for
pain/ fever lasting
for more than 3
days.
Generic Name: Pharmacologic: Elevates the serum • Dietary • Dizziness • Advise patient to
Ferrous Sulfate + Iron Supplement iron concentration supplement for iron • Nausea & take medicine as
Folic Acid which then helps to deficiency. Vomiting prescribed.
Therapeutic: form High or Patients Hgb is • Nasal Congestion • Caution patient to
Brand Name: Antianemics trapped in the lower than normal • Dyspnea make position
Apo-Ferrous reticuloendothelial (Result:114 - • Hypotension changes slowly to
Sulafate, FeroGrad, cells for storage and Normal: 123-153) • CHF minimize
Novuferosult eventual conversion • MI orhtostatic
to a usable form of • Muscle cramps hypotension.
Drug Dose: iron. • Flushing • Instruct patient to
30mg 1tab, PO OD GI disturbances and avoid concurrent
hypersensitivity use of alcohol or
OTC medicine
without consulting
the physician.
• Advise patient to
consult physician if
irregular heartbeat,
dyspnea, swelling
of hands and feet
and hypotension
occurs.
• Inform patient
that angina attacks
may occur 30 min.
after administration
due reflex
tachycardia.
• Encourage patient
to comply with
additional
intervention for
hypertension like
proper diet, regular
exercise, lifestyle
changes and stress
management.
Generic Name: Anti-infective Inhibits the second Treatment of Common side Health Teaching:
Vancomycin stage of cell wall potentially life- effects ototoxicity; Report signs of
synthesis of threatening hypotension; hypersensitivity,
Trade Name: susceptible infections. nausea; vomiting; tinnitus, vertigo, or
Vancocin bacteria. There is Was given due to nephrotoxicity; hearing loss. Report
also evidence that presence of rashes; if there is no
Drug Dose: vancomycin alters eosinophilia; improvement in a
500 mg IV, Q6 the permeability of bacterial infection leukopenia; few days. Patients
the cell membrane in the patient phlebitis; back and need to be taught
and selectively (WBC result: neck importance of using
inhibits ribonucleic 10.61- Normal: 4.0- pain; antimicrobial
acid synthesis 10.5) hypersensitivity prophylaxis prior to
reactions including invasive dental or
anaphylaxis; chills; medical procedures.
fever;
red-man syndrome
(with rapid
infusion);
superinfection
Generic Name: Anti-infectives Inhibits bacterial Used to treat skin No common side Instruct patient on
Mupirocin protein synthesis infection of the effects the correct
patient (cellulitis) application of
mupirocin.
Trade Name: and prevents
Advise patient to
Bactroban bacterial growth apply medication
exactly as
Drug Dose: directed for the full
Topical, OD course of therapy.
If a dose is missed,
apply as soon as
possible unless
almost time for next
dose.
Avoid contact with
eyes.
Patient should
consult health care
professional if
symptoms have not
improved in 3-5
days.
