Drug Name Classification/ Mechanism of Dose/Route/Rate Contraindication Side effects Nursing

Indication Action /Frequency Responsibilities

Generic Name: Therapeautic Class: Sodium  Metabolic or Side effects 1.Assess the client’s fluid
NahCo3 antiulcer agents, Bicarbonate acts as respiratory balance throughout the
alkalinizing agent an alkalinizing alkalosis 1.Edema therapy. This assessment
agent by releasing  Hypocalcemia 2.Flatulence includes intake and
bicarbonate ions.  Excessive chloride 3.Gastric output, daily weight,
Brand Name: Indications: Following oral loss distention edema and lung sounds.
Bakin Soda,  Management administration of  It is not 4.Metabolic 2.Symptoms of fluid
Bell-Ans, of metabolic this medication, it recommended as alkalosis overload should be
reported such as
Citrocarbonate, acidosis releases an antidote 5.Hypernatremia
hypertension, edema,
Neut, Soda  Used to bicarbonate which following 6.Hypocalcemia
difficulty breathing or
Mint alkalinize is capable of ingestion of 7.Hypokalemia
dyspnea, rales or crackles
urine and neutralizing gastric strong mineral 8.Sodium and and frothy sputum.
promote acid acids water retention 3.Sigs of acidosis should
excretion of  Patients on 9.Irritation at IV be assessed such as
certain drugs sodium restricted site disorientation, headache,
in over diet 10.Tetany weakness, dyspnea and
dosage  Renal failure hyperventilation.
situations  Severe abdominal 4.Assess for alkalosis by
 Used as an pain of unknown monitoring the client for
antacid cause especially if confusion, irritability,
associated with paresthesia, tetany and
fever altered breathing pattern.
Precaution: 5.Hypernatremia clinical
1. Congenital heart failure manifestations should be
2. Concurrent assessed and monitored
corticosteroid therapy which includes: edema,
3. Children with diabetic weight gain,
ketoacidosis because hypertension,
taking sodium bicarbonate tachycardia, fever,
flushed skin and mental
may increase the risk of
irritability.
cerebral edema
4. Chronis use as an
antacid because it may
result to metabolic
alkalosis and possible
sodium overload
Drug Name Classification/ Mechanism of Dose/Route/Rate Contraindication Side effects Nursing
Indication Action /Frequency Responsibilities
Generic Therapeautic Class: These medications PREGNANCY/NURSING Side effects of 1. Monitor BP for
Name: cardiovascular block the transport of MOTHERS: amlodipine are therapeutic effectiveness.
Amlodipine agent; calcium calcium into the Generally, amlodipine is generally mild and BP reduction is greatest
10 mg tab channel blocker; smooth muscle cells avoided in pregnancy, and reversible. The after peak levels of
antihypertensive lining the coronary by nursing mothers since two most amlodipine are achieved
agent arteries and other it may cross the blood common side following oral doses.
Brand Name: arteries of the body. brain barrier and cause effects are
Norvasc Pregnancy Since calcium is headache and 2.Monitor for S&S of
edema dose-related peripheral
Category: C important in muscle
(swelling) of the or facial edema that may
Indications: contraction, blocking
lower not be accompanied by
Chest pain (angina) calcium transport
extremities. Less weight gain; rarely,
occurs because of relaxes artery muscles common side severe edema may cause
insufficient oxygen and dilates coronary effects include discontinuation of drug. y
delivered to the arteries and other dizziness, flushing,
heart muscles. arteries of the body. fatigue, nausea, 3.Monitor BP with
Insufficient oxygen By relaxing coronary and postural changes. Report
may be a result of arteries, amlodipine is palpitations postural hypotension.
coronary artery useful in preventing Monitor more frequently
blockage or spasm, chest pain (angina) when additional
or because of resulting from antihypertensives or
physical exertion coronary artery diuretics are added. y
which increases spasm. Relaxing the
heart oxygen muscles lining the 4.Monitor heart rate;
demand in a patient arteries of the rest of dose-related palpitations
with coronary artery the body lowers the (more common in
narrowing. blood pressure, which women) may occur
Amlodipine is used reduces the burden on
for the treatment the heart as it pumps
and prevention of blood to the body.
angina resulting
from coronary
spasm. Amlodipine
is also used in the
treatment of high
blood pressure
Drug Name Classification/ Mechanism of Dose/Route/Rate Contraindication Side effects Nursing
Indication Action /Frequency Responsibilities
Generic Therapeautic Class: Treatment of 500mg hypersensitivity, renal ototoxicity; Teach the patient to
Name: Anti infectives potentially life- 1g impairment;less toxic anti- hypotension; Report signs of
Vancomycin threatening infections infectives are nausea; vomiting; hypersensitivity, tinnitus,
when IV contraindicated. nephrotoxicity; vertigo, or hearing loss.
Brand Name: Indications: Contraindications/war IV Particularly hearing rashes; Report is there is not
Vancocin teatment of nings/interactions impairment; intestinal eosinophilia; improvement in a few
potentially life hypersensitivity, renal every 6 hours obstruction or leukopenia; days. Heart patients need
threatening impairment ;less toxic every 12 hr (up to inflammation; pregnancy phlebitis; back to be taught importance
and neck pain; of using antimicrobial
infections when less anti-infectives are 4g/day) anduseful in
hypersensitivity prophylaxis prior to
toxic antiinfectives contraindicated. staphylococcal infections,
reactions invasive dental or medical
are contraindicated. Particularly hearing including: lactation
including procedures..
Particularly useful in impairment; intestinal anaphylaxis; chills;
staphylococcal obstruction or fever;red-man
infections including inflammation; syndrome (with
endocarditis, pregnancy anduseful rapid infusion);
meningitis, in staphylococcal super infection
osteomyelitis, infections, including:
pneumonia lactation.Endocarditis,
septicicemia, soft meningitis,
tissue infections in osteomyelitis,
patients who have pneumoniasepticemia
allergies to penicillin , soft-tissue infections
or its derivatives in patients who
haveallergies to
penicillin or its
dirivatives or when
sensitivity
Common side effects
ototoxicity;
hypotension; nausea;
vomiting;testing
demonstrates
resistance to
methicillin..