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DRUG STUDY

Date ordered: February 27,2018

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication
Indication: CNS: Fever,  Monitor BP for
Generic name: Amlodipine Binds to headache
To control therapeutic
Amlodipine 10mg 1 tab OD dihydropyridine and
hypertension. CV: Phlebitis or effectiveness
nondihydropyridine
besylate thrombosis extending
cell membrane from  Monitor BP with
Route: receptor sites on injection site postural changes,
Brand name: P.O myocardial and
vascular smooth- Contraindication: GI: Indigestion, Report postural
Norvasc muscle nausea, severe hypotension,
Hypersensitivity to
cells and inhibits hepatic dysfunction,
Onset: Monitor more
amlodipine or its vomiting
influx of
Classification Unknown components frequently when
extracellular calcium RESP:
Antihypertensive ions across slow Hyperventilation additional
agent Peak: calcium channels. antihypertensives
SKIN:
6-12 hr Extravasation or diuretics added.
Date ordered:  Monitor heart rate, dose-
related palpitations
02/27/2018 Duration:
24 hr

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DRUG STUDY

Date ordered: February 27, 2018

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication
Generic name: Indication: CNS:  In some patients,
Dizziness, fatigue,
Losartan Losartan Blocks binding To treat headache, insomnia, losartan is more
Potassium 100mg 1tab of angiotensin nephropathy in malaise effective when
OD II to receptor patients with CV: Hypotension given in two
Brand name: sites in many hypertension divided doses daily;
EENT: Nasal
Cozaar Route: tissues, congestion it may be used with

P.O including other anti-


GI: Diarrhea,
vascular Contraindication: indigestion, nausea, hypertensives.
Classification:
smooth muscle vomiting Know that patients
Antihypertensive Peak: Hypersensitivity to
and adrenal losartan or its of African descent
6 hr HEME:
glands. Thrombocytopenia with hypertension
Ordered at: components
MS: Back pain, leg and left ventricular
Onset:
pain, muscle spasms hypertrophy may
02/27/2018 Unknown
RESP: Cough, upper not benefit from
respiratory tract losartan to reduce
Duration: infection
stroke risk
24 hr
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DRUG STUDY

Date ordered: February 27, 2018

Name of Drug Dosage, Mode of Action Indication/ Adverse Effect Nursing Responsibility
Route and Contraindication
Frequency
Generic Ferrous Indication:  Peptic ulcer  Store all
name: Fe So4 Sulfate is an The prevention or  Enteritis forms at
Ferrous Sulfate 1 tab essential treatment of iron  Ulcerative colitis room
OD component in deficiency anemia  Vomiting temperature

Brand name: the formation due to inadequate  Severe abdominal  Give

Ferrous Sulfate of diet, pain between


hemoglobin, malabsorption  Diarrhea meals with
myoglobin pregnancy, blood water if
Classification:  Dehydration
and enzymes. loss gastrointestin
Enzymatic  Hyperventilation
It is necessary al discomfort
mineral and  Pallor or cyanosis
for effective Contraindication: occurs
Iron  Cardiovascular
preparation.
erythropoiesis Patients receiving  Transient
collapse
and repeated blood staining of
transportation transfusions; mucous
Ordered at:
or utilization anemia not due to membranes
02/27/2018
of oxygen. iron deficiency. and teeth

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DRUG STUDY

will occur
with liquid
iron
preparation.
To avoid,
place liquid
on the back
of the tongue
with dropper
or use straw.
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DRUG STUDY

Date ordered: February 27, 2018

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility
and Frequency Contraindication
Generic name: Increases plasma Indication:  Obtain
Sodium Na HCO3 bicarbonate, Treatment of Hypernatremia patient
Bicarbonate 650 mg 1tab neutralizes metabolic acidosis, and serum history
TID gastric acid promotion of osmolarity, including
Brand name: which forms gastric, systemic paravenous drug history
Sodium water, sodium and urine administrations and any
Bicarbonate chloride, carbon alkalinization in may lead to hypersensiti
dioxide and the case of tissue necrosis. vity.

Classification:
raises blood pH. intoxication with  Assess
weak organic respiratory
Fluids,
acids. and pulse
electrolyte
blood products rate, rhythm,

and Contraindication: depth, lung

Hematological Hypoventilation, sounds and

drugs. hypocalcemia, notify the


increase serum physician.
osmolarity, further  Assess for
Ordered at:

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DRUG STUDY

in all situations carbon


02/27/2018 where sodium dioxide in
intake must be GI tract,
restricted like may lead to
cardiac perforation
insufficiency, if ulcer is
edema, severe.
hypertension,  Test and
eclampsia, severe monitor
kidney urine pH,
insufficiency. urinary
output,
during
beginning
treatment.

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DRUG STUDY

Name of Drug Dosage, Route and Mode of Action Indication/ Adverse Effect Nursing Responsibility
Frequency Contraindication
Generic name: The plasma Indication: Hypercalcemia  Assess
Ketoanalogue Ketoanalogue kinetics of Prevention and may develop. electrolyte
1 tab OD amino acid and therapy of levels
Brand name: their damages due to  Explain
Ketosterile integration in faulty or deficient therapeutic
metabolic protein value of the
pathways are metabolism in drug
Classification:
Supplements
well chronic renal  Assess allergy
established. It insufficiency in to the drug

Ordered at:
should be connection with  Caution
nevertheless be limited protein patient of the
noted that, in food. different side
02/27/2018
uremic effects
patients, the Contraindication:  Assess vital
plasma Hypercalcemia, signs
disturbances distributed amono  Proper
do not seem to acid metabolism. preparation of
depend on In case of the drug.

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DRUG STUDY

digested amino hereditary


acid intake and phenylketonuria. It
that post has to be taken
absorptive into account that
kinetics seems ketoanalogue
to be contains
distributed phenylalanine.
very early in Disturbed amino
the distribution acid metabolism.
of the disease.

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DRUG STUDY

Date ordered: February 27, 2018

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility
and Frequency Contraindication
Generic name: Essential for Indication: CNS:  Monitor VS
Calcium CaCO3 nervous, muscular, To treat electrolyte Syncope, especially BP and
Carbonate 500 mg and skeletal imbalance tingling PR
1tab TID systems. Maintains CV:  Obtain ECG
Brand name: cell membrane and Contraindication: Cardiac arrest, result
Caltrate 600 Route: cappillary Hypersensitivity to arrythmias,  Assess for
P.O permeability. Acts the drug and its bradycardia heartburn,
as an activator in components GI: indigestion,
Classification:
the transmission of Constipation, abdominal pain
Electrolyte
the nerve impulses nausea and  Monitor serum
implacement;
and contraction of vomiting calcium before
Antacid
cardiac, skeletal treatment
GU:
and smooth muscle  Assess for nausea
Ordered at: Calculi,
hypercalciuruia and vomiting
02/27/2018
Local:
phlebitis
Wolters Kluwer, 2016 Nursing Drug HandbooWolters Kluwer, 2016 Nursing Drug Handboo

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DRUG STUDY

Date ordered: February 28, 2018

Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing
and Frequency Contraindication Responsibility
Generic Mannitol Increases Indication: CNS:  If your
name: 200 cc q6 osmotic pressure Test dose for marked Dizziness, headache, symptoms do
Mannitol with BP of plasma in oliguria or suspected seizures not get
prec glomerular inadequate renal CV: better, call

Brand name: filtrate, function, prevent Chest pain, your doctor

Osmitrol inhibiting acute renal failure hypotension,  Do not share


Route: tubular during cardiovascular tachycardia, heart your drugs
IV reabsorption of and other surgeries failure with others
Classificatio
water and EENT: and do not
nn:
electrolytes. Contraindication: Blurred vision, take anyone
Osmotic
These actions Active intracranial rhinitis else’s drugs
diuretuic
enhance water bleeding, anuria  Keep all
GI:
flow from secondary to severe drugs in a
Ordered at: Nausea and vomiting,
various tissues renal disease, safe place
02/28/18 dirrhea, dry mouth
and ultimately progressive heart away from
GU:
decrease failure, pulmonary children
Polyuria, urinary

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DRUG STUDY

intracranial congestion retention, osmotic


pressures nephrosis

Date ordered: February 28, 2018


Name of Drug Dosage, Route Mode of Action Indication/ Adverse Effect Nursing Responsibility
and Frequency Contraindication
Generic name: Clonidine Stimulates Indication: CV:  Assess blood
Clonidine 750 mg 1 central alpha- Management of all Reflex pressure and
tab SL PRN adrenergic grades of tachycardia, apical pulse
Brand name: >160/90BP receptors to hypertension chest pain, heart before initial

Catapres inhibit failure, cardiac dose.


Route: symphatetic Contraindication: arrythmias  Check for edema
P.O cardio Hypersensitivity to GI: in feet, legs daily
Classificationn:
Sublingual accelerator clonidine, sick sinus Irritations, ulcer,  Monitor input-
Centrally acting
and syndrome constipation, output ratio:
drugs
vasocontrictor liver injury check for
Frequency:
centers GU: decreasing output
Ordered at: STAT
Renal  Note allergic
02/28/2018
reactions: fever,

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DRUG STUDY

insufficiency, rash, pruritis,


renal failure, urticaria, and
proteinuria ioedema

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