Name of Drug Classification and Indication and Side Effects or Adverse Nursing Resposibilities

(Dosage, Route, Mechanism of Action Contraindication Reaction

Frequency/Timing)
Generic Name: Classification Indication:
Hepatitis B Vaccine Immunization against
Functional: infection from all known
Brand Name: subtypes of hepatitis B
Recombivax HB, Engerix- virus (HBV), primary
B preexposure prophylaxis
Chemical: against HBV, post
Dosage: 0.5 mL exposure prophylaxis
when given with hepatitis
Route: IM B immune globulin
Mechanism of Action: (HBIG)
Frequency/Timing: Promotes active immunity
to hepatitis B Contraindication:
Contraindicated in patients
hypersensitive to yeast or
components of vaccine;
recombinant vaccines are
derived from yeast
cultures.
*CNS- dizziness, fever, -Check the physicians
headache, insomnia, order
neuropathy, paresthesia, -Follow the 14 rights of
transient, malaise. medications
-assess/monitor vital signs
*EENT- pharyngitis
*GI- anorexia, diarrhea,
nausea, vomiting,
*Muscoloskeletal-
anthralgia, myalgia, neck
stiffness
*Skin- soreness at
injection site, local
inflammation, pruritus
*Other- anaphylaxis,
slight flulike syndrome

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Resposibilities
(Dosage, Route, Mechanism of Action Contraindication Reaction
Frequency/Timing)
Generic Name: Classification Indication: -dizziness -Check the physicians
Vitamin K For the treatment of -transient hypotension order
Brand Name: Functional: Synthetic haemorrhagic conditions after IV administration -Follow the 14 rights of
Mephyton vitamin;antidote in infants, antidote for -rapid and weak pulse medications
Konakion coumarin anticoagulants in -diaphoresis -assess/monitor vital signs
Phytonadione, Chemical: Phylloquinone hypoprothrobinaemia. -flushing
Phylloquinone -erythema
Contraindication: -pain
Dosage: 1mL Mechanism of Action: Hypersensitivity to -swelling and hematoma at
An antihemorrhagic actor Vitamin K injection site.
Route: IM that promotes hepatic
formation of active
Frequency/Timing: 6-8 prothrombin.
hrs. if necessary

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Resposibilities
(Dosage, Route, Mechanism of Action Contraindication Reaction
Frequency/Timing)
Generic Name: Classification Indication: *CNS- dizziness, -Check the physicians
Cephalexin Respiratory tract, GI tract,headache, fatigue, agitation, order
Functional: skin, soft-tissue, bone, andconfusion, hallucinations. -Follow the 14 rights of
Brand Name: joint infections and otitis *GI- anorexia, diarrhea, medications
Keflex media caused by nausea, pseudomembranous -assess/monitor vital signs
Escherichia coli and other colitis, vomiting, gastritis,
Dosage: 1 cap Chemical: coliform bacteria, group A glossitis, dyspepsia,
beta-hemolytic abdominal pain, anal
Route: P.O streptococci, Klebsiella pruritus, tenesmus, oral
species, Proteus mirabilis, candidiasis
Frequency/Timing: Streptococcus pneumonia, *GU- genital pruritus,
Q8H x 1wk Mechanism of Action: and Staphylococci candidiasis, vaginitis,
First generation interstitial nephritis.
cephalosporin that inhibits Contraindication: *HEMATOLOGIC-
cell-wall synthesis, Contraindicated in patients neutropenia,
promoting osmotic hypersensitive to thrombocytopenia,
instability; usually cephalosporins. eosinophilia, anemia.
bactericidal *MUSCULOSKELETAL-
arthritis, arthralgia, joint
pain.
*SKIN- maculopapular and
erythematous rashes,
urticarial
*OTHER- anaphylaxis,
hypersensitivity reactions,
serum sickness

Name of Drug Classification and Indication and Side Effects or Adverse Nursing Resposibilities
(Dosage, Route, Mechanism of Action Contraindication Reaction
Frequency/Timing)
Generic Name: Classification Indication: *GI- nausea, epigastric -Check the physicians
Ferrous Sulfate Iron deficiency and as a pain, vomiting, order
Functional: supplement during constipation, black stools, -Follow the 14 rights of
Brand Name: pregnancy diarrhea, anorexia medications
Slow FE, Fer-In-Sol, -assess/monitor vital signs
Feratab, Iron, Mol-Iron, Contraindication: *OTHER- temporarily
Feosol, MyKidz Iron 10 Chemical: Contraindicated in patients stained teeth from liquid
with hemosiderosis, forms.
primary hemochromatosis,
Dosage: 1 cap haemolytic anemia (unless
patient also has iron
Route: P.O Mechanism of Action: deficiency anemia), peptic
Provides elemental iron, ulceration, ulcerative
Frequency/Timing: an essential component in colitis, or regional enteritis
OD x 2mos. the formation of and in those receiving
hemoglobin repeated blood
transfusions.
Name of Drug Classification and Indication and
(Dosage, Route, Mechanism of Action Contraindication
Frequency/Timing)
Generic Name: Classification Indication:
Mefenamic Acid For relief of mild to
Functional: moderate pain in patients
Brand Name: =14 years of age, when
Ponstel therapy will not exceed
one week (7 days).
Dosage: 1 cap Chemical:
Contraindication:
Route: PONSTEL (mefenamic
P.O acid) is contraindicated in
patients with known
Frequency/Timing: Mechanism of Action: hypersensitivity to
Q6H Inhibition of mefenamic acid.
cyclooxygenase (COX-1
and COX-2). Is a potent PONSTEL (mefenamic
inhibitor of prostaglandin acid) should not be given
synthesis in vitro. to patients who have
experienced asthma,
urticaria, or allergic-type
reactions after taking
aspirin or other NSAIDs.
Severe, rarely fatal,
anaphylactic-like reactions
to NSAIDs have been
reported in such patients
(see WARNINGS -
Anaphylactoid Reactions,
and PRECAUTIONS -
Side Effects or Adverse Nursing Resposibilities
Reaction
Gastrointestinal -Check the physicians
experiences order
including –  -Follow the 14 rights of
abdominal pain, medications
constipation,  -assess/monitor vital signs
diarrhea, dyspepsia,
 flatulence,
gross bleeding/perforation,
 heartburn,
 nausea, GI ulcers
(gastric/duodenal),
vomiting, 
abnormal renal 
function, anemia,
dizziness, edema,
elevated liver enzymes,
headaches, increased
bleeding time, pruritus,
rashes, tinnitus
Preexisting Asthma).

PONSTEL (mefenamic
acid) is contraindicated for
the treatment of peri-
operative pain in the
setting of coronary artery
bypass graft (CABG)
surgery (see
WARNINGS).

Ponstel (mefenamic acid)

is contraindicated in
patients with acute active
ulceration or chronic
inflammation of either the
upper or lower
gastrointestinal tract.

Ponstel (mefenamic acid)

should not be used in
patients with preexisting
renal disease.
Name of Drug Classification and Indication and
(Dosage, Route, Mechanism of Action Contraindication
Frequency/Timing)
Generic Name: Classification Indication:
Oxytocin injection To induce or stimulate
Functional: labor. To reduce
Brand Name: postpartum bleeding after
Pitocin expulsion of placenta.
Incomplete or inevitable
Dosage: 1 amp abortion.
Chemical:
Route: IM Contraindication:
Contraindicated in patients
Frequency/Timing: now hypersensitive to drug.
Contraindicated when
Mechanism of Action: vaginal delivery isn’t
causes potent and selective advised (placenta previa,
stimulation of uterine and vasa previa, invasive
mammary gland smooth cervical carcinoma, genital
muscle. herpes), when
cephalopelvic
disproportion is present, or
when delivery requires
conversion, as in
transverse lie.
Contraindicated in fetal
distress when delivery
isn’t imminent, in
prematurity, in other
obstetric emergencies, and
in patients with severe
toxaemia or hypertonic
Side Effects or Adverse Nursing Resposibilities
Reaction
Maternal -Check the physicians
CNS- subarachnoid order
haemorrhage, seizure, -Follow the 14 rights of
coma medications
CV- arrhythmias, -assess/monitor vital signs
hypertension, increased
heart rate, systemic venous
return, and cardiac output.
GI- nausea, vomiting
GU- abruption placentae,
tetanic uterine
contractions, postpartum
haemorrhage, uterine
rupture, impaired uterine
blood flow, pelvic
hematoma, increases
uterine motility.
HEMATOLOGIC-
afibrinogenemia, possible
related to postpartum
bleeding.
Other- anaphylaxis, death
from oxytocin-induced
water intoxication,
hypersensitivity reactions.
Fetal
CNS- infant brain damage
CV- bradycardia,
arrhythmias, PVCs
uterine patterns. EENT- neonatal retinal
haemorrhage
HEPATIC- neonatal
jaundice
RESPIRATORY- anoxia,
asphyxia
OTHER- low APGAR
scores at 5 minutes