DRUG NAME DOSAGE, MECHANISM OF INDICATIONS CONTRAINDICATIO SIDE EFFECTS/ ADVERSE NURSING INTERVENTION

ROUTE ACTION NS EFFECTS

AND
FREQUENC
Y
Generic Name: Bactericidal: For treatment of Contraindicated CNS: Headache, dizziness, Assess any history of allergy with this
Cefuroxime Inhibits synthesis many different with allergy lethargy, paresthesia’s drug.
of bacterial cell types of cephalosporin or GI: Nausea, vomiting, diarrhea,
Brand Name: wall, causing cell bacterial penicillin’s. anorexia, abdominal pain, Culture infection and arrange for
Ceftin death. infections such flatulence, pseudomembranous sensitivity tests before and during
Inhibits as bronchitis, Use cautiously colitis, hepatotoxicity therapy if expected response is not
Classification: reabsorption of sinusitis, with renal failure, GU: Nephrotoxicity seen.
Antibiotic sodium and tonsillitis, ear lactation, Hematologic: Bone marrow
Cephalosporin chloride from the infection, skin pregnancy. depression (decreased WBC, Give oral drug with food to decrease
proximal and infections, decreased platelets, decreased GI upset and enhance absorption.
distal tubules and gonorrhea, and Hct)
ascending limb of urinary tract Hypersensitivity: Ranging from Have vit. K available in case
the loop of Henle, infection. rash to fever to anaphylaxis; hypoprothrombinemia occurs.
Leading to a serum sickness reaction Local:
sodium. pain, abscess at injection site, Instruct the patient to report any
phlebitis, inflammation at IV site unusuality.
Other: Superinfection’s
disulfiram-like reaction with
alcohol

Generic Name: CNS: Dizziness, vertigo,

Furosemide paresthesia’s, Xanthopsia,
weakness
CV: Orthostatic hypertension,
thrombophlebitis
Dermatologic: Photosensitivity,
pruritus, urticaria, purpura
GI: nausea, anorexia, vomiting,
oral and gastric irritation.
 GU: nocturia, glycosuria, urinary
bladder spasm.
Hematologic: Leukopenia,
anemia, thrombocytopenia
Other: muscle cramps, and
muscle spasms.
Generic Name: 0.5ml It is used to Lidocaine is an Contraindicated in Side Effects: (common by Assess the patient’s condition before
Lidocaine provide local anesthetic of patients system) starting the intervention and
Brand Name: anesthesia by the amide group hypersensitive to GIT: Nausea and vomiting (with regularly thereafter to monitor drug’s
Xylocaine, nerve blockage at indicated for amide- type local topical use) effectiveness.
Lidocaine CV, various sites in the production of anesthetics, CNS: Anxiety, nervousness,
Curacaine body. It does so local or regional Strokes- Adams lethargy, somnolence, Monitor patients’ response especially
by stabilizing the anesthesia by syndrome, and paresthesia ECG, blood pressure and electrolytes,
neuronal infiltration severe degrees of Skin: Dermatologic reactions, BUN, and creatinine levels.
membrane by techniques such SA, AV, or sensitization, diaphoresis, rash
inhibiting the ionic percutaneous intraventricular EENT: tinnitus, blurred vision Be alert for adverse reactions and
fluxes required for injection and block in the drug interactions.
the initiation and intravenous absence of artificial
conduction of regional peacemaker. Also Adverse Reactions: Assess for renal and urinary status.
impulses, thereby anesthesia by contraindicated in (Serious life threatening) Monitor blood levels and report
effecting local peripheral nerve patients with >Seizures, bradycardia, cardiac abnormal results.
anesthetic action. block inflammation or arrest, respiratory arrest,
techniques such infection in anaphylaxis.
brachial plexus puncture region
and intercostal septicemia, severe
and by central hypertension,
neural spinal deformities,
techniques such and neurologic
as lumbar and disorders.
epidural blocks.
Generic Name: Drug acts directly Correction of Concentrations: CNS: Before
Dopamine HCl and by the release hemodynamic Pheochromocytom Headache, anxiety - Assess for contraindications.
of norepinephrine imbalances a CV: - Assess body weight, skin color,V/S,
from sympathetic present in the -Tachyarrhythmias Ectopic beats, tachycardia, urine output, serumelectrolytes, Hct,
Trade Name: nerve terminals; shock syndrome - Ventricular anginal pain, palpitations, ECG.
Intropin dopaminergic due to MI, fibrillation hypotension, vasoconstriction,
Content receptors mediate trauma, - Hypovolemia dyspnea, bradycardia, Before
Dopamine HCl dilation of vessels endotoxic - General hypertension, widened QRS - Exercise extreme caution in
Pharmacologic in the renal and septicemia, anesthesia with GI: calculating and preparing doses;
Class: splanchnic beds, open heart halogenated Nausea, vomiting dopamine is very potent.
Alpha- which maintains surgery, renal hydrocarbons or Other: - Use in acute emergency situations.
adrenergic renal perfusion failure, and cyclopropane, Piloerection, azotemia, - Observe the 15 rights of drug
antagonist and function; chronic cardiac which sensitize the gangrene with prolonged use. administration.
Beta alpha receptors, decompensatio myocardium with During
1 which are n in heart catecholamines - Reduce initial dosage to one-tenth
Selective activated by failure- Poor of usual dose in patients who have
adrenergic higher doses of perfusion of Precaution: been on MAOIs.
antagonist dopamine, vital organs- -Atherosclerosis - Administer into large veins of the
Therapeutic mediate Low cardiac - Arterial embolism antecubital fossa in preference to
Class: vasoconstriction, output- - Raynaud's disease veins in hand or ankle.
Dopaminergic which can Hypotension- - Cold injury - To prevent sloughing and necrosis
drug override the Unlabeled Uses: - Frostbite- after extravasation, infiltrate area
Sympatho- vasodilating COPD, heart Diabetic with 10-15 mL saline containing 5-10
mimetic effects; beta1 failure, DS in endarteritis mg phentolamine. Do ASAP.
receptors mediate infants - Buerger's disease - Monitor urine flow, cardiac output,
a positive - Pregnancy and BP closely during infusion.
inotropic effect on - Lactation After
the heart. - Monitor client for at least
30minutes.
- Educate client on the side effects of
the medication and what to expect.
- Instruct client to report pain at
injection site.
- Dispose of used materials properly.
- Document that drug has been given.
GENERIC 25mg/day Binds to mu- General: Contraindicated CNS: Asterixis, dizziness, Before
NAME: IVTT opioid receptors Relief of with allergy to weakness, headache, Check the doctor’s order.
Tramadol and inhibits the moderately tramadol or opioids drowsiness Assess for hypersensitivity to
BRAND NAME: reuptake of severe pain. or acute CV: orthostatic hypotension tramadol, pregnancy, lactation,
Ryzolt, Ultram norepinephrine Relief of intoxication with GI: nausea, anorexia, vomiting, seizures
Classifications: and serotonin. moderate to alcohol, opioids, or diarrhea Assess for skin color, texture, lesions,
Opioid severe chronic psychoactive drugs. GU: polyuria, nocturia mental status, take V/S
analgesic pain in adults Use cautiously with Hematologic: hypokalemia Check for the patency of the IV line.
Centrally who need pregnancy, Local: pain, phlebitis at injection Review the purpose and importance
acting- around the lactation, seizures, site of the drug.
analgesic clock treatment concomitant use of Other: muscle cramps and
for extended CNS depressants, muscle spasms, weakness, During
periods (ER MAOIs, SSRIs, arthistic pain. Administer with food or milk to
tablets) TCAs, renal prevent GI upset.
Unlabeled uses; impairment Measure and record regular weights
premature to monitor fluid changes.
ejaculation; Administer drug early in the day so
restless leg increased urination will disturb sleep.
syndrome Control environment (Temperature
Patient’s actual lighting) if sweating or CNS effects
Indication: occur.
Relief of
moderate to After
moderately Document and record.
severe pain. Monitor serum electrolytes,
hydration, and liver function during
long- term therapy.
Generic name: Unbound Arthritis
Methylprednis glucocorticoids Blood disorders
olone cross cell Severe allergic
Brand name: membranes and reactions
Solu-Medrol bind with high Certain cancers
Functional affinity to specific Immune system
Class: cytoplasmic disorders
Corticosteroid receptors, Shock
hormone modifying Contraindication
Chemical Class: transcription and Hypersensitivity
Anti- protein synthesis. Hypokalemia/
inflammatory By this hypocalcemia
steroid mechanism, Systemic fungal
glucocorticoids infections
can inhibit Latent or active
leukocyte TB
infiltration at the Herpes simplex
site of infection
inflammation, Latent or active
interfere with peptic ulcer
mediators of Osteoporosis
inflammatory Hypertension
response, and Avoid live virus
suppress humoral vaccines
immune
responses. The
anti-inflammatory
actions of
corticosteroids are
thought to involve
phospholipaseA2
inhibitory
proteins,
lipocortins, which
control the
biosynthesis of
potent mediators
of inflammation
such as
prostaglandins
and leukotrienes.