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Generic Name Indication Adverse Effect Contraindication Nursing Consideration

Paracetamol Mild fever and pain Hemolytic anemia, Contraindicated to Use liquid form for
neurotropenia, patients with children and patients
Brand name: leucopenia, hypersensitivity to who have difficulty
Biogesic pancytopenia, liver the drug swallowing. In
damage, jaundice, children, don’t
Classification: hypoglycemia, rash, exceed five doses in
Analgesic / and ulticaria 24 hours.
Antipyretic
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Digoxin Heart failure, Fatigue, generalized Contraindicated to Drug –induced
paroxysmal muschle weakness, patients arrhythmias may
Brand name: supraventricular agitation, hypersensitive to increase the severity
Lanoxin tachycardia, atirial hallucinations, drug and in those of heart failure and
fibrillation and flutter headache, malaise, with digitalis-induced hypotension.
Classification: dizziness, vertigo, toxicity In children, cardiac
Cardiac drugs stupor, paresthesia, arrhythmias,
arrhythmias, blurred including sinus
vision, photophobia, bradycardia, are
diplopia, anorexia, usually early signs of
nausea, vomiting, toxicity.
and diarrhea Before giving loading
dose, obtain baseline
data and ask patient
about use of cardiac
glycosides within the
previous 2 to 3
weeks.
Toxic effects on the
heart may be life
threatening and
require immediate
attention.
Monitor potassium
level carefully.
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Furosemide Acute pulmonary Vertigo, headache, Contraindicated to Monitor weight, bp,
edema, edema, dizziness, orthostatic patients with and pulse rate
Brand name: hypertension hypotension, hypersensitivity to routinely with long
Lasix thrombophlebitis, the drug and in those term use and during
transient deafness, with anuria rapid dieresis.
Classification: blurred vision, Monitor fluid intake
Diuretics abdominal and output and
discomfort, electrolyte, BUN, and
pancreatitis, CO2 levels frequently.
nocturia, polyuria, Watch for signs of
agranulocytosis, hypokalemia, such as
leucopenia, muscle weakness and
thrombocytopenia, cramps.
hepatic dysfunction,
anemia,
hyperuricemia,
muscle spasm,
dermatitis, purpura

Generic Name Indication Adverse Effect Contraindication Nursing Consideration


Sodium Bicarbonate Cardiac arrest, Tetany, edema, Contraindicated in To avoid alkalosis,
metabolic acidosis, hypokalemia, patients with obtain blood pH,
Brand name: systemic or urinary metabolic alkalosis, metabolic or partial pressure of
Soda mint alkalinization, antacid hypernatremia,pain respiratory alkalosis arterial oxygen,
and irritation at and in those with partial pressure of
Classification: injection site hypocalcemia in arterial CO2 and
Acidifiers and which alkalosis may electrolyte levels.
alkalinezers produce tetany, Keep prescriber
hypertension, informed of
seizures, or heart laboratory results.
failure
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Calcium gluconate Hypocalcemic Tingling sensation, Contraindicated in Use all calcium
emergency, syncope, mild drop in cancer patients with products with
Brand name: hypoclacemic tetany, bp, bradycardia, bone metastases and extreme caution.
Calcium gluconate adjunctive treatment arrhythmias, cardiac in patients with Monitor calcium
of cardiac arrest, arrest, irritation, ventricular levels frequently.
Classification: adjunctive treatment constipation, fibrillation, To avoid constipation
Electrolytes and of magnesium hemorrhage, hypercalcemia, and bloating and to
replacement intoxication, abdominal pain, hypophosphatemia, improve absorption,
solutions hyperphosphatemia, polyuria, renal or renal calculi give calcium
calculi, gluconate in divided
hypercalcemia, pain doses.
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Norepinephrine To restore blood Headache, anxiety, Contraindicated in During infusion,
bitartrate pressure in acute weakness, dizziness, patients with frequently monitor
hypotensive state, tremor, insomnia, mesenteric or ECG, cardiac output,
Brand name: Severe hypotension bradycardia, severe peripheral vascular CVP, pulmonary
Levophed during cardiac arrest hypotension, thrombosis, profound artery wedge
arrhythmias, hypoxia. pressure, pulse rate,
Classification: respiratory Contraindicated urine output, and
Andrenergics difficulties, asthma during cyclopropane color and
attacks and halothane temperature of limbs.
anesthesia. Notify prescriber
immediately of
decreased urine
output.
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Diphenhydramine Rhinitis, allergy Drowsiness, Contraindication in Stop drugs 4 days
hydrochloride symptoms, sedation, confusion, insomnia, patients before patient under
nonproductive cough headache, vertigo, hypersensitive to diagnostic skin tests
Brand name: sedation, sleepiness, drug, in newborns, in because
Benadryl dizziness, premature neonates, antihistamines can
incoordination, in breast-feeding prevent, reduce, or
Classification: fatigue, palpitations, women, and in mask positive skin
Antihistamines blurred vision, patients with angle- test response.
nausea, vomiting, closure glaucoma,
diarrhea, stenosing peptic
constipation, ulcer, bladder neck
epigastric distress, obstruction. Also
dry mouth, dysuria, contraindicated
urine retention, during acute
hemolytic anemia, asthmatic attacks.
urticaria
Generic Name Indication Adverse Effect Contraindication Nursing Consideration
Dextrose 50% Hypoglycemia Warmth, pain, There are no Draw blood sample
Altered level of burning from significant before administration
Brand name: consciousness medication infusion, contraindications for if possible.
D 50/50 Coma of unknown thrombophlebitis, IV administration of Use blood-glucose
etiology rhabdomyositis 50% dextrose in reagent strips
Classification: Seizure of unknown emergency care. (Dextrostix) or
Carbohydrate, etiology glucometer before
hypertonic solution Refractory cardiac administration if
arrest (controversial) possible.
Extravasation may
cause tissue necrosis;
use a large vein and
aspirate occasionally
to ensure route
patency.
D50 sometimes
precipitates severe
neurological
symptoms