DRUG NAME HYOSCINE HYDROBROMIDE 10mg IV every 6 hrs.

ACTION

CONTRAINDICATION Hypersensitivity to alkaloids or barbiturates. Acute hemorrhage ulcerative Colitis hepatic/renal impairment chronic lung disease.

ADVERSE EFFECT

NURSING RESPONSIBILITIES 1. assess vital signs and neurologic, cardiovascular, and respiratory status. 2. monitor patient for urinary hesitancy/ retention 3. caution patient to avoid alcohol because it may increase central nervous depression.

Acts as competitive inhibitor at post ganglions muscarinic BRAND: receptor sites of BUSCOPAN parasympathetic nervous system CLASSIFICATION: and on smooth ANTIEMETIC mucus that respond to acetylcholine but lack of cholinergic innervations.

CNS: drowsiness, dizziness, confusion, restlessness, fatigue, CV: tachycardia, palpitation, hypotension. GI: constipation, dry mouth, GU: urinary hesitancy or retention. SKIN: decreased sweating, rush

DRUG NAME Ranitidine 50mg IV q6 BRAND: Zantac CLASS: Therapeutic: Anti-ulcer agents Pharmacologic: Histamine H2 antagonists

ACTION Inhibits the action of histamine at the H2 receptor site located primarily in gastric parietal cells, resulting in inhibition of gastric acid secretion.

CONTRAINDICATION ADVERSE EFFECT Hypersensitivity, Cross-sensitivity may occur; some oral liquids contain alcohol in patients with known intolerance. CNS: Confusion, dizziness, drowsiness, hallucinations, headache GI: Altered taste, black tongue, constipation, dark stools, diarrhea, druginduced hepatitis, nausea GU: Decreased sperm count, impotence ENDO: Gynecomastia HEMAT: Agranulocytosis, Aplastic Anemia, neutropenia, thrombocytopenia LOCAL: Pain at IM site

and should be avoided CV: Arrhythmias

NURSING RESPOSIBILITIES Assess patient for epigastric or abdominal pain and frank or occult blood in the stool, emesis, or gastric aspirate. Nurse should know that it may cause false-positive results for urine protein; test with sulfosalicylic acid. Inform patient that it may cause drowsiness or dizziness. Inform patient that increased fluid and fiber intake may minimize constipation. Advise patient to report onset of black, tarry stools; fever, sore throat; diarrhea; dizziness; rash; confusion; or hallucinations to health care professional promptly.

 MISC: Hypersensitivity reactions, vasculitis

DRUG NAME Aluminum Hydroxide, Magnesium Hydroxide 30c q6 BRAND: Maalox CLASS: Antacids

ACTION Neutralize acidity, increasing the pH, or reversibly reduce or block the secretion of acid by gastric cells to reduce acidity in the stomach. When gastric hydrochloric acid reaches the nerves in the gastrointestinal mucosa, they signal pain to the central nervous system. This happens when these nerves are exposed.

CONTRAINDICATION Hemorrhoids, Impacted Stool, Stomach or Intestine Blockage, Incomplete or Infrequent Bowel Movements, Kidney Disease, Diarrhea, Aluminum Poisoning, Chronic Diarrhea, Low Amount of Phosphate in the Blood

ADVERSE EFFECT Diarrhea Nausea Regurgitation Vomiting

NURSING RESPOSIBILITIES Assess for allergies and preexisting conditions that may restrict the use of antacids, such as: Fluid imbalances, Renal disease, Congestive Heart Failure, Pregnancy, and GI obstruction Observe 10 rights in drug administration to avoid medication errors. Monitor and record pain scales to serve as baseline

data and to determine the effectiveness of the drug. Give drug 20 min1 hour after meal to counteract the hydrochloric acid production by neutralizing the acidity. Administer with at least 8 ounces of water to enhance absorption Monitor stool consistency to prevent diarrhea and constipation. Instruct patient to avoid caffeine, alcohol, harsh

spices, and black pepper because it may aggravate the underlying GI condition. Instruct patient to increase fiber and fluid intake and regular physical activity to help ease constipation. Instruct patient to eat banana if diarrhea occurred.

DRUG NAME Multivitamins OD CLASS: Multivitamins and minerals

ACTION Vigor-ACE provides the synergistic actions of protective biologic antioxidants: Vitamins C and E, and selenium. Vitamin E protects the cell membranes against damage by preventing the formation of lipid hydroperoxides. Vitamin C and the selenium-containing enzyme, glutathione peroxidase, inactivate these oxidizing agents, thus maintaining the

CONTRAINDICATION Malabsorption syndrome

ADVERSE EFFECT Hypervitaminosis

NURSING RESPOSIBILITIES Inform client that he/she may take the drug with food if GI upset occurs Inform client that the drug may color the urine yellow and that this is normal

integrity and stability of the cell membrane structures.