NAME ACTION CLASSIFICATION ADVERSE/SIDE EFFECT INDICATION/CONTRAINDICATION NURSNG RESPONSIBILITIES

Paracetamol
500mg/tab.1tabnow then
q 4 then for fever
Inhibit the synthesis of
prostaglandin that may
serve as medication of
pain and fever, primarily
in CNS. Has no significant
anti-inflammatory
properties or GI toxicity
antipyretic; non
opioid analgesic
GI: hepatic failure,
hepatotoxicity(overdose)
GU: renal failure(high
doses/chronic use)
HEMATOLOGIC:
neutropenia, pancytopenia,
leukopenia
DERM: rash, urticaria
Mild pain, fever
Previous hypersensitivity;
products containing
alcohol,aspartame,sugar or
tartrazine.

CONTRAINDICATION
should be avoided in patient
who have hypersensitivity or
intolerance to these
compounds
Verified doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Assessed overall health
status and alcohol usage
before administering the
drug
Assessed type, location and
intensity of pain 30 minutes
prior to administration
Assessed for fever; note
presence of associated signs
like diaphoresis and
tachycardia
Make sure
antidote(acetylcysteine)avail
able at the bedside
















NAME ACTION CLASSIFICATION ADVERSE/SIDE EFFECT INDICATION/CONTAINDICATION NURSING RESPONSIBILITY


Amlodipine 5mg/tab OD in
am.
inhibit the transport of
calcium into myocardial
and vascular smooth
muscle cells, resulting into
inhibition of excitation-
contraction coupling and
subsequent contraction


















antihypertensive;
calcium channel
blocker
CNS: headache, dizziness,
fatigue
CV: peripheral edema,
angina, bradycardia,
hypotention, palpitation
GI: gingivalhyerplasia,
nausea
DERM: flushing
Alone or with other agent in
the management of
hypertention, angina
pectoris and vasospastic
angina.

CONTRAINDICATION
Hypersensitivity; blood
pressure<90 mmHg
Verified doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Monitored blood pressure
and pulse rate before
administration of the drugs
Monitored input and output
ratio`s and daily weight
Assessed location, duration,
intensity and precipitating
factor of patient`s angina
pain
Cautioned patient to change
position slowly to minimize
orthostatic hypotension
Informed patient that the
drug may cause drowsiness
or dizziness
Instructed patient to avoid
alcohol in taking the drug







NAME

ACTION

CLASSIFICATION

ADVERSE/SIDE EFFECT

INDICATION/CONTRAINDICATION

NURSING RESPONSIBILITY
LEVOFLOXACIN
50mg/tab 1tab. OD for 5
days.
inhibit bacterial DNA
synthesis by inhibiting
DNA gyrase
anti-infective;
fluoroquinolones
CNS: seizure, dizziness,
headache, insomnia,
agitation,
confusion,drowsiness
CV: arrhythmias, QT
prolongation, vasodilation
GI: pseudomembranous
colitis, diarrhea, nausea,
abdominal pain
GU: vaginitis
DERM: photosensitivity,
rash
ENDO: hyperglycemia,
hypoglycemia
LOCAL: phlebitis at IV site
MS: tendinitis, tendon
rupture
MISC: hypersensitivity
reaction including
anaphylaxis









Treatment for UTI including
cystitis and prostatitis
Treatment for skin to skin
structure infection
Post exposure treatment of
inhalational anthrax
Contraindicated in
hypersensitivity























Verified doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Encouraged patient to
maintain a fluid intake of at
least 1500-2000ml/day to
prevent crystalluria
Advised patient that antacid
containing iron or zinc will
decrease absorption
Instructed patient to report
immediately of rash,
jaundice, signs of
hypersensitivity occur.
Informed patient that the
drug may cause dizziness and
drowsiness
Advised patient to report
signs of super infection( loose
or foul smelling stools)






NAME


ACTION



CLASSIFICATION



ADVERSE/SIDE EFFECT


INDICATION/CONTRAINDICATION


NURSING RESPONSIBILITIES
IPRATROPIUM
+SALBUTAMOL
Neb. now then every 6
hours
Binds to beta-adrenergic
receptors in airway
smooth muscle, leading
captivation of adenyl
cyclise and increase levels
of cyclic-3, 5 adenosine
phosphate. Increases in
CAMP activate kinases,
which inhibit the
phosphorylation of
myosin and decrease
intracellular
calcium.decrease
intracellular calcium
relaxes smooth muscle
airways.relaxation of
airway smooth muscle
with subsequent
bronchodilation
bronchodilator;
adrenergic
CNS: nervousness,
restlessness, tremor,
headache, insomnia
CV: chest pain, palpitations,
angina, arrythmias,
hypertention
GI: nausea, vomiting,
ENDO: hyperglycemia
F and E: hypokalemia
NEURO: tremor
Use as bronchodilator to
control and prevent
reversible airway
obstruction caused by
asthma or COPD.
Used as quick-relief agent
for acute bronchospasm and
for prevention of exercise-
induce bronchospasm
Used as long-term control
agent in patients with
chronic/persistent
bronchospasm.
Contraindicated to
hypersensitivity to
adrenergic amines:
hyperensitivity to
fluorocarbons (some
inhalers )










Verified doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Assessed lung sounds, pulse
and blood pressure before
administration and during
peak of medication
Shaked inhaler well, and
allow 1 minute between
inhalations of aerosol
medication.
Performed chest
physiotherapy during and
after nebulization
Instructed patient to contact
health care professionals
ammediately if shortness of
breath is not relieve by
medication or is
accompanied by diaphoresis
,dizziness, palpitations or
chest pain
Advised patient to rinse
mouth with water after each
inhalation dose to minimize
drying of mouth.




NAME

ACTION

CLASSIFICATION

ADVERSE/SIDE EFFECT

INDICATION/CONTRANDICATION

NURSING RESPONSIBIITY
CEFTRIAXONE
1gm IV every 12 hours
(ANST)
bind to the bacterial cell
wall membrane, causing
cell death
anti-infective; third
generation
cephalosporin
CNS: seizure, headache
GI: diarrhea, nausea,
vomiting, cholelithiasis,
cramps
DERM: rashes, urticaria
HEMATOLOGY:
granulocytosis, bleeding,
eosinophilia, hemolyic
anemia, thrombocytosis
GU: hematuria,
LOCAL: pain at IM site,
phlebitis
MISC: allergic reactions
including anaphylaxis and
serum sickness and super-
infection
Treatment of the following
infections caused by
susceptible organism: skin
to skin structure infections,
urinary and gynecologic
infections, respiratory tract
infections,
Contraindicated to
hypersensitivity to
cephalosporins: serious
hypersensitivity to
penicillins:
hyperbilirubinemic neonates
: carnitin deficiency or
inborn errors of
metabolism:hypersensitivity
to milk protein













Verify doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Advised patient to report sign
of superinfection(loose or
foul smelling stools)and
allergy
Cautioned patient to avoid
alcoholic beverages because
abdominal cramps, nausea,
vomiting and headache
Instructed patient to notify
health care provider if fever
and diarrhea develop
especially if stool contains
blood, puss or mucus





NAME

ACTION

CLASSIFICATION

ADVERSE/SIDE EFFECT

INDICATION/CONTRANDICATION

NURSING RESPONSIBIITY
MEFENAMIC ACID
500mg/cap, 1cap now
then TID PC
Inhibit prostaglandin
synthesis. Decrease pain
and inflammation.
Reduction of fever
Antipyretics,
antirheumatics
nonopiod analgesic,
NSAIDS
CNS: headache, dizziness,
drowsiness
EENT: blurred vision,
tinnitus
GI :constipation, dyspepsia,
nausea, vomiting,
abdominal discomfort
Mild to moderate pain,
lowering fever
Contraindicated to active GI
bleeding or ulcer disease,
patient with
phenylketonuria
Verified doctors order
Observed 10 R`s of drug
administration
Explained the action of the
drug and why it is necessary
Advised patient to take the
drug with a full glass of water
and to remain in an upright
position for 15-30 after
administration
Informed patient that the
drug can cause drowsiness or
dizziness
Cautioned patient to avoid
use of alcohol
Advised patient to consult
health care provider if rash,
itching, visual disturbances,
tinnitus, weight gain, black
stools and persistent
headache occurs