DRUG ORDER MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

ACTION RESPONSIBILITIES/
PRECAUTIONS

Generic Name: Anti-inflammatory and Short-term Contraindicated with CNS: Renal impairment,
Ketorolac analgesic activity; management of pain significant renal headache, Impaired hearing,
inhibits prostaglandins (up to 5 days) impairment, aspirin dizziness, allergies, hepatic,
Brand Name: and leukotriene allergy, recent GI bleed or somnolence,
Toradol synthesis perforation Use cautiously insomnia, Skin color and lesions,
with impaired hearing; fatigue, orientation, reflexes,
Classification: allergies; hepatic dizziness peripheral sensation,
Anti-pyretic conditions tinnitus, clotting times, CBC,
NSAIDs ophthalmologic effects adventitious sounds

Be aware that patient

Dosage/Frequency/Route: may be at risk for CV
30mg(4 doses)/ q6h/ IVTT events, GI bleeding,
renal toxicity, monitor
accordingly
.
Keep emergency
equipment readily
available at time of initial
dose, in case of severe
hypersensitivity reaction.

Protect drug vials from

light.

Administer every 6 hrs

to maintain serum levels
and control pain.
 DRUG ORDER MECHANISMS SPECIFIC CONTRAINDICATIONS SIDE EFFECTS NURSING
OF ACTION INDICATION RESPONSIBILITIES/
PRECAUTIONS
Generic name: Gastric acid-pump inhibitor: Short-term treatment of Contraindicated with Headache, Assess Vital Signs
Omeprazole Suppresses gastric acid active duodenal ulcer; hypersensitivity to dizziness, Rash,
secretion by specific inhibition Treatment of heartburn omeprazole or its dry skin, -Check for abdominal
Brand name: of the hydrogen-potassium or s/s of GERD components; alopecia, Pain, emesis, Diarrhea or
Prilosec ATPase enzyme system at Diarrhea, constipation.
the secretory surface of the abdominal pain,
Classification: gastric parietal cells; blocks nausea -Evaluate fluid and intake
proton pumpinhibitors (PPI) the final step of acid Back pain, fever
production -Tell patient to take 30-60
Dose/Frequency/Route: minutes before a meal,
40g tab/ OD/ IVTT preferably in morning.
 DRUG ORDER MECANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS NURSING RESPONSIBILITIES/
ACTION PRECAUTIONS

Interferes with Severe infections Concentrations CNS: Lethargy, Before

Generic Name: bacterial cell wall caused by sensitive - Allergies to penicillins, hallucinations, - Observe 15 rights of drug
synthesis during organisms cephalosporins, or other seizures administration.
Penicillin G active (streptococci) allergens - Reduce dosage with hepatic or renal
Benzathine multiplication, - URTI caused by GI: Glossitis, failure.
causing cell wall sensitive streptococci Precaution stomatitis, gastritis, - Assess for hypersensitivity to drug.
death and - Treatment of - Renal disorders sore mouth, furry - Assess for any contraindications to
Brand Name: resultant syphilis, bejel, - Pregnancy tongue, black “hairy” the drug.
bactericidal activity congenital syphilis, - Lactation tongue, nausea, - Educate about side effects of drug.
(Penadur) against pinta, yaws vomiting, diarrhea, During
susceptible - Prophylaxis of Drug interaction abdominal pain, - Drug is not for IV use. Do not inject or
Clasification: bacteria. rheumatic fever and Drug to drug bloody diarrhea, mix with other IV solutions.
chorea - Decreased effectiveness enterocolitis, - Give IM injection in upper outer
Anti-infective, with tetracyclines pseudomembranous quadrant of the buttock.
Antibiotic - Inactivation of parenteral colitis, nonspecific - Avoid contact with the needle.
aminoglycosides (amikacin, hepatitis - Withdraw needle as quickly as
Dosage/Frequency/ gentamicin, kanamycin, GU: Nephritis possible to avoid discomfort.
Route: neomycin, tobramycin) Hematologic: - Stay with patient throughout whole
Anemia, duration of administration.
5 million IU/ q6h/ Drug to food thrombocytopenia, After
IVTT - none reported leukopenia, - Monitor client for at least 30 minutes.
neutropenia, - Arrange for regular follow-up,
prolonged bleeding including blood tests, to evaluate
itme effects.
Hypersensitivity: - Instruct to report difficulty breathing,
Rash, fever, rashes, severe pain at injection site,
wheezing, anaphylaxis mouth sores, unusual bleeding or
Local: Pain, phlebitis, bruising.
thrombosis at injection - Instruct to take medication as
site, Jarisch- directed for the full course of therapy,
Herxheimer reaction even if feeling better.
when used to treat
syphilis