Drug Name/Tra de Name/Gen eric Name/ Classificat ion Acetamino phen(Parac etamol) Classificatio n:n

Dosage/ Route and Frequency

Action

Indication

Contraindication

Side Effects

Nursing Responsibilities

antipyretics, nonopioid analgesics

Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS

Mild to Moderate pain Fever

Previous hypersensitivity Products containing alcohol,asparat ane,sugar, tartrazine.

Hema: hemolytic anemia, neutropenia, leukopenia, pancytopenia. Hepa: jaundice Metabolic: hypoG GI: HEPATIC FAILURE, HEPATOTOXICITY (overdose)GU: renal failure (high doses/chronic use). Derm: rash, urticaria.

BEFORE: ~ Advise parents or caregivers to check concentrations of liquid preparations. Errors have resulted in serious liver damage. ~ Assess fever; note presence of associated signs (diaphoresis, tachycardia, and malaise). ~ Advise mother or caregiver to take medication exactly as directed and not to take more than the recommended amount. AFTER: ~ Advise mother to consult health care professional if discomfort or fever is not relieved by routine doses of this drug or if fever is greater than 39.5C (103F) .

Ferrous Sulfate (Feosol, Feratab) Classificati on: Antianemi c, nutritional Suppleme nt

50mg/capsule & tablet Route: Oral

Acts to normalize RBC production by binding with hemoglobin or by being oxidized and stored as hemosiderin or aggregated ferritin in reticuloendothelia l cells of the liver, spleen and bone marrow. Iron is an essential component of hemoglobin, myoglobin and several enzymes including cytochromes, catalase and perioxidase. Iron is needed for catecholamine metabolism and normal neutrophil function.

To prevent itron deficiency. To replace iron in deficiency states To providfe an iron supplementa tion during pregnancy

Contraindicate d to patients who have hemochromato sis, hemolytic anemia, hemosiderosis, hypersensitivit y to iron salts or their components, other anemic conditions unless accompanied by iron deficiency.

Dizziness Fever Headache Chest pain Tachycardia Abdominal cramps Dyspnea Nausea Stool discoloration vomiting

Give iron tablet and capsules with a full glass of water or juice. Dont crush entericcoated tablets or open capsules. Dilute and administer with a straw or place drops in back of patients throat. Mix the elixir form in water. Protect liquid form from freezing. Monitor patient for signs of overdose which may include abdominal pain, diarrhea, nausea, severe vomiting and sharp abdominal cramps. In

Senekot Classificati on: Laxatives

suppository( 312.5 mg) after meals Route: Rectal

Active components of of senna (sennadosides) alter water and electrolyte transport in the large intestine, resulting in the accumulation of water and increased peristalsis.

Treatment of constipation, particularly when associated with: slow transmit time,constip ating drugs,spastic bowel movement,n eurologic constipation.

Contraindicate d in hypertension,a bdominal pain of unknown cause,especiall y with fever, rectal fissures ,ulcerated hemorrhoids,k nown alcohol intolerance. Use cautiously in chronic use(may lead to laxative dependence),p ossible intestinal obstruction, pregnancy or lactation)safet

Diarrhea Cramping Nausea Electrolyte imbalance Pink-red or brown-black Laxative discoloration of urine. Laxative dependence

case of iron toxicity, give deferoxami ne. Dont give tea, antacid or milk because it will decrease iron absorption. Remember that unabsorbed iron turns stool green or black and can mask blood in stool. Assess patient for abdominal disrtention, presence of bowel sounds and usual pattern of bowel function. Assess for color, consistency and amount produced.

Riopan Classificati on: Antacid

Generally 530ml or 1-2 tablets are given 1-3 hr after meal and at bedtime. Route:Oral

Neutralized gastric acid following dissolution in gastric contentspepsin is inactivated if ph is raised to 4 or greater. Aluminum hydroxide combines with phosphates in the GI tract to form a non absorbable compound.

Adjunctive therapy in the treatment of peptic ulcer pain to promote healing of duodenal and gastric ulcers. Useful in variety of GI complaints including hyperacidity, indigestion, gastroesoph geal reflux disease and heartburn.

Mefenami c Acid Classificati on: NSAID

250 mg tablet Twice a day Route: Oral Onset:Varies Peak: 2-3 hours Duration: 6hours

Antiinflammatory,ana lgesic andantipyretic activitiesrelated to inhibitionof prostaglandinsynt hesis Exact mechanisms of action are not known

Relief of moderate pain when in therapy that will not exceed 1 week. Treatment of primary dysmenorrhe a

y not established: may be used safely during breastfeeding. Contraindicate d in severe abdominal pain of unknown cause .especially if accompanied by fever . Magnesium in anuria ,products containing tartrazine or sugar in patients with known intolerance. Use cautiously in antacids containing magnesium in patients with any degree of renal insufficiency. Contraindicated with hypersensitivit y to mefenamic acid, aspirin allergy, and as treatment of perioperative pain with coronary artery bypass. Use cautiously with asthma, renal or hepatic

Constipation Diarrhea Hypermagnesemi a hypophosphatemi a

Assess for heartburn and indigestion as well s location, duration, character,a nd precipitatin g factors of gastric pain. Monitor serum phosphate , potassium and calcium levels periodically during chronic use.

Headache Dizziness Insomnia Fatigue Rash Pruritis Sweating Nausea Faltulence Constipation Decreased Hgb or Hct Dyspnea Anaphylactoid

Assess patients who develop severe diarrhea and vomiting for dehydration and electrolyte imbalance. Discontinue drug promptly if diarrhea, dark stools, hematemesis, ecchymoses, epistaxis, or rash occur and do not use again. Contact physician.

impairment,pe ptic disease, GI bleeding,hypert ension, heartf ailure, pregnancy,lacta tion.

reaction to anaphylactic reaction

Monitor blood glucose for loss of glycemic control if diabetic.