DRUG DOSAGE MECHANISM OF INDICATIONS & SIDE EFFECTS & NURSING

ACTION CONTRAINDICATI ADVERSE CONSIDERATIONS

ONS REACTIONS
Generic name: 10 mg if patient Gastric-acid pump Indication: Side effects: Assessment:
-Omeprazole weighs less than inhibitor: -Reduction of risk -Dizziness -History –
20 kg; 20 mg if 20 Suppresses of upper GI -Headache Hypersensitivity
Brand name: bleeding in -Nausea to omeprazole or
kg or more gastric acid
-Prilosec critically ill -Vomiting any of its
secretion by patients -Diarrhea components
Functional class: specific inhibition -Cough -Physical – Skin
-Antisecretory of the hydrogen- Contraindication: lesions; urinary
drug potassium ATPase -Contraindicated Adverse output, abdominal
enzyme system at with reactions: examination;
Chemical class: the secretory hypersensitivity -CNS: respiratory
-Proton pump to omeprazole or Paresthesias, auscultation
surface of the
inhibitor its components. anxiety, insomnia
gastric parietal -Dermatologic: Planning:
cells; blocks the Pruritus, alopecia,
final step of acid urticaria Implementation:
production. -GI: Tongue -Administer
atrophy before meals.
-Respiratory: Caution patient to
Epistaxis swallow capsules
whole – not to
open, chew , or
crush them. If
using oral
suspension,
empty packet into
a small cup
containing 2 tbsp
of water. Stir and
have patient drink
immediately; fill
cup with water
and have patient
drink this water.
Do not use any
DRUG DOSAGE MECHANISM OF INDICATIONS & SIDE EFFECTS & otherNURSING
diluents.
ACTION CONTRAINDICATI ADVERSE CONSIDERATIONS
ONS REACTIONS
Generic name: 250 mg PO every Bactericidal Indications: Side effects: Assessment:
-Ampicillin 6 hr action against Treatment of -Nausea -History –
sensitive infections caused -Vomiting Allergies to
Brand name: by susceptible -Diarrhea penicillins,
organisms;
-Rocephin strains of cephalosporins, or
inhibits synthesis Escherichia coli, Adverse other allergens;
Functional class: of bacterial cell Haemophilus Reactions: renal disorders
-Antibiotic wall, causing cell influenzae, -CNS: Lethargy, -Physical – Culture
death. Enterococci hallucinations, infected area;
Generic name:
Chemical class: 50-75 mg/kg/day Bactericidal: Indication: Side effects:
seizures Assessment:
skin color, bowel
-Ceftriaxone
-Cephalosporin IV or IM in divided Inhibits synthesis -Lower respiratory
Contraindications: -Diarrhea
-CV: Heart failure -History CBC,
sounds, – Hepatic
doses of every 12 of bacterial cell infections caused
-Contraindicated -GU: Nephritis and renal
LFTs, renal
Brand name: by Streptococcus
with allergies to Adverse
-Hematologic: impairment
function tests
hrs wall, causing cell
-Principen pneumonia,
penicillins, reactions:
Anemia, -Physical – Skin
death. Staphylococcus or -CNS: Lethargy, status, LFTs, renal
cephalosporins, prolonged Planning:
Functional class: aureus,
other allergens paresthesias,
bleeding time function tests,
-Antibiotic Haemophilus headache, culture of affected
Implementation:
influenzae, dizziness -area, sensitivity
Culture infected
Chemical class: Escherichia coli, -GI: tests
area before
-Penicillin Proteus mirabilis, pseudomembrano treatment;
Enterobacter us colitis Planning: area if
reculture
aerogenes -GU: response is not
Nephrotoxicity Implementation:
expected
Contraindication: -Hematologic: -CultureIVinfection,
-Check site
-Contraindicated Bone marrow and arrange
carefully for
for signs
with allergy to depression sensitivity tests
of thrombosis or
cephalosporins or -Hypersensitivity: before
drug and during
reaction
penicillins Anaphylaxis therapy if
- Do not give IM
-Use cautiously expected
injections in the
with renal failure response
same site;is not
seen.
atrophy can occur
-Reconstitute
-Administer for
oral
IM use with
drug on an empty sterile
water for
stomach
injection, 0.9%
DRUG DOSAGE MECHANISM OF INDICATIONS & SIDE EFFECTS & NaClNURSING
sol’n, 5%
dextrose sol’n or
ACTION CONTRAINDICATI ADVERSE CONSIDERATIONS
1% lidocaine sol’n
ONS REACTIONS (without
epinephrine) into
large deep muscle
mass.
-Protect drug from
light.
- Discontinue if
Generic name: 2 mg (1 tsp) tid- In low doses, acts Indication: Side effects: Assessment:
-Albuterol Sulfate qid relatively at -Relief and -Dizziness -History –
beta2-adrenergic prevention of -Drowsiness Hypersensitivity
Brand name: bronchospasm in - Fatigue to albuterol
receptors to
-Ventolin patients with -Headache -Physical –
cause reversible Weight, skin
Functional class: bronchodilation & obstructive airway Adverse color, turgor,
-Antiasthmatic vasodilation; at disease or COPD reactions: orientation,
higher doses, -CNS: reflexes, P, BP,
Chemical class: beta2 selectivity is Contraindication: Restlessness, RR, ECG
-Beta2-selective lost, and the drug -Contraindicated apprehension,
adrenergic with allergy to hyperkinesias, Planning:
acts at beta2
agonist albuterol tremor
receptors to -CV: Cardiac Implementation:
cause typical arrhythmias, -Use minimal
sympathomimetic angina pain doses for minimal
cardiac effects -Dermatologic: period
Sweating, pallor, - Maintain a beta-
flushing adrenergic
-GI: Nausea, blocker on
unusual or bad standby in case
taste in mouth cardiac
-GU: arrhythmia occur
Nephrotoxicity - Do not exceed
DRUG DOSAGE MECHANISM OF INDICATIONS & -Respiratory:
SIDE EFFECTS & recommended
NURSING
ACTION CONTRAINDICATI Bronchospasm,
ADVERSE dosage
CONSIDERATIONS
ONS pulmonary edema
REACTIONS
Generic name: 320 mg PO Antipyretic: Indications: Side effects: Assessment:
-Acetaminophen Reduces fever by -Temporary -Headache -History – Allergy
acting directly on reduction of fever; to
Brand name: temporary relief Adverse acetaminophen,
the hypothalamic
-Paracetamol of minor aches reactions: impaired hepatic
heat-regulating and pains caused -CV – Chest pain, function
Functional class: center to cause by common cold, myocardial -Physical – Skin
-Analgesic, vasodilation and headache, damage color, lesions,
Antipyretic sweating, which backache and -GI – Hepatic liver evaluation;
helps dissipate muscle aches toxicity and CBC, LFTs, renal
Chemical class: heat. failure function tests
-Uricosuric Contraindications: -GU – Acute renal
Analgesic: Site -Contraindicated failure Planning:
with allergy to -Hematologic –
and mechanism of
acetaminophen; Hemolytic Implementation:
action unclear impaired hepatic anemia, -Do not exceed
function neutropenia, the recommended
hypoglycemia dosage
-Give drug with
food if GI upset
occurs
-Discontinue drug
DRUG DOSAGE MECHANISM OF INDICATIONS & SIDE EFFECTS & if hypersensitivity
NURSING
ACTION CONTRAINDICATI ADVERSE reactions occur
CONSIDERATIONS
ONS REACTIONS