Drug

Study
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Inhibits cell-wall Post exposure > Contraindicated CNS: seizure Before therapy ask
amoxicillin synthesis during prophylaxis for in patients GI: nausea, patient about
trihydrate bacterial penicillin hypersensitive to vomiting, diarrhea allergy reaction to
multiplication susceptible anthrax. drug or other the drug and other
Brand name: Hematologic:
which can kill penicillins. anemia, form of penicillin.
Alphamox susceptible bacteria. > Use cautiously thrombocytopenia, Be alert for adverse
Classification: in patients with reactions and drug
thrombocytopenic
Aminopenicillin, other drug allergies, purpura, interactions.
antibiotic especially to eosinophilia, Assess patient’s and
Dosage: cephalosporins leucopenia, family’s knowledge
500mg (possible cross- agranulocytosis. of drug therapy.
sensitivity).
Route: Give amoxicillin at
> In lactating least 1 hour before
Oral
women use bacteriostatic
Frequency: cautiously. antibiotics.
May be taken with
t.i.d or without food.
Don’t confuse
amoxicillin with
amoxapine
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

If drug allergy
develops, advise
patient to wear or
carry medical
identification
stating penicillin
allergy.
Warn patient never
to use leftover
amoxicillin for a
new illness or to
share it with others.
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Increases Chronic Contraindicated in GI: burning Obtain patient

peristalsis, probably constipation; patients sensation in rectum, history of any
Bisacodyl by acting directly Preparation for hypersensitive to laxative dependence known drug
on smooth muscle childbirth drug and in those (with long term or allergies.Be alert
of intestine. May with rectal excessive use). for adverse
Brand name: initiate bleeding, Metabolic: reactions and drug
musculature, gastointeristis, alkalosis, interactions.Assess
Dulcolax stimulate colonic intestinal hypokalemia, fluid patient's and
intramural plexus, obstruction, or and electrolyte family’s knowledge
and promote fluid symptoms of imbalance. of the drug.
Classification: accumulation in appendicitis or Musculoskeletal:
colon and small acute surgical muscle weakness
Diphenylmethane intestine which abdomen such as (with excessive
derivative, relieves abdominal pain,
use), titanic.
stimulant laxative constipation. nausea or vomiting.

Dosage:
1 suppository

Route:
Rectum

Frequency:
Given once
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Directly acts on Constipation, Nausea, vomiting or CNS: dizziness, Obtain patient
senna intestinal mucosa irritable bowel other symptoms of fainting history including
Brand name: by altering water syndrome, appendicitis, acute CV: Palpitations drug history and
and electrolyte diverticulosisPreop surgical abdomen, GI: Excessive any known
Senokot secretion, inducing erative and fecal impaction, allergies.Assess for
bowel activity (e.g.,
Classification: peristalsis and preradiograpic intestinal presence of
griping, diarrhea,
Laxative defecation. bowel evacuation obstruction, abdominal pain,
nausea, vomiting;
Dosage: for procedure undiagnosed perianal irritation, nausea, vomitingBe
involving GI tract. abdominal pain. bloating; flatulence, alert on adverse
2 tablets
abdominal reaction and drug
Route: interaction.Adminis
cramping
Oral ter at bedtime on
Other: Sweating , empty stomachGive
Frequency:
weakness oral dosages with
q.6pm at night
full glass of water
or juice
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Anthranilic acid Pain reliever Hypersensitivity to CNS: Drowsiness, Be alert for adverse
mefenamic acid derivative. Like drug; GI insomnia, dizziness, reaction and drug
Brand name: ibuprofen inhibits inflammation, or nervousness, interaction.
prostaglandin ulceration. Safety in confusion, Assess patient’s and
Ponstan synthesis and children <14y, headache. family’s knowledge
Classification: affects platelet during pregnancy GI: Severe of drug therapy.
Central nervous function. No (category C), or diarrhea, ulceration, Lab test: with long
system agent; evidence that it is lactation is not and bleeding; term therapy (not
analgesic; NSAID; superior to aspirin. established.Cautiou nausea, vomiting, recommended)
antipyretic s use; history of abdominal cramps, obtain periodic
Dosage: kidney. Or liver flatus, constipation, complete blood
disease; blood hepatic toxicity. count, hematocrit
500mg Route:
dyscrasias; asthma; Hematologic: and hemogloblin
Oral diabetes mellitus; prolonged and kidney function
Frequency: hypersensitivity to
prothrombin time, test.
t.i.d aspirin. Long term
severe autoimmune Do not drive or
use increases risk of hemolytic anemia
serious adverse engage potential
( long-term use), hazard dose
events. glucopenia, activities until
eosoniphilia, response to drug is
agranulocytosis, known. It may
thrombocytopenic cause drowsiness
purpura, and dizziness
megaloblastic
Do not breastfeed
anemia, while taking this
pancytopenia, bone drug without
marrow hypoplexia consulting
physician.
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Urogenital:
Nephrotoxicity,
dysuria,
albumenorrhea,
hematuria, elevation
of BUN.Skin:
Urticaria, rash,
facial edema.
Special senses: eye
irritation, lost of
color vision
(reversible), blurred
vision, ear pain.
Body as a whole:
perspiration.
CV: palpitation
Respiration:
Dyspnea, acute
exacerbation of
asthma,
bronchoconstriction
(in patient sensitive
to aspirin)
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Acts as a laxative Prevention of Myocardial Body as a whole: > Monitor
Magnesium sulfate by osmotic seizures damage; heart block Flushing, sweating, respiratory rate
Brand name: retention of fluid, cardiac arrest extreme thirst, closely. Report
which distends; except for certain sedation, confusion, immediately if rate
Epsom Salt increases water arythmias; IV depress reflexes or falls below 12 cpm.
Classification: content of feces, in administration no reflexes, muscle Check urinary
Gastrointestinal causes mechanical during the 2 hours weakness, flaccid output, especially
agent; saline stimulation of preceding delivery; paralysis, patients with
cathartic; bowel activity. P.O use in patients hypothermia. impaired kidney
replacement agent; with abdominal CV: hypotension, function. Therapy is
anti convulsant pain, nausea, depress cardiac generally not
Route: vomiting, fecal function, complete continued if urinary
impaction or heart block, output is less than
Oral
intestinal irritation, circulatory collapse. 100ml during the 4
obstruction, or Respiratory: h preceding dose
perforation respiratory paralysis .Observe patients

Metabolic: receiving drug for

hypmagnesemia, hypomagnesemia
hypocalcemia, for improvement in
dehydration, this signs of
electrolyte deficiency:
imbalance including irritability,
hypocalcemia with choreiform
repeated laxative movements,
use tremors, tetany,
twitching, muscle
cramps,
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

tachycardia,
hypertension,
psychotic behavior.
Drink sufficient
water during the
day when drug is
administered orally
to prevent, net loss
of body water.
Recommended
daily allowances of
magnesium are
obtained in a
normal diet. Rich
sources are whole
grain cereals,
legumes, nuts,
meats, seafood,
milk, must green
leafy vegetables,
and bananas.
Do not breastfeed
while taking this
drug without
consulting
physician.
 DRUG ORDER
(Generic name, brand MECHANISM OF INDICATIONS CONTRA ADVERSE EFFECTS NURSING
name, classification, ACTION INDICATIONS RESPONSIBILITIES/
dosage, route, PRECAUTIONS
frequency OF THE DRUG

Generic name: Beta-adrenrgic Hypertension Cardiogeni shock, Body as a whole. Before giving the
metroprolol tartrate blocking agent with sinus bradycardia, Hypersensitivity medication check
Brand name: preferential effect heart block greater (erythematous) the Blood pressure
on beta1 than first degree, rash, fever, of the patient. Take
betaloc adrenoreceptors over cardiac failure, headache, muscle several BP readings
Classification: located primarily on right ventricular aches, sore throat, close to the end of a
autonomic nervous cardiac muscle. At failure secondary to respiratory distress. 12hrs dosing
system agent; beta- higher doses, pulmonary CNS: dizziness, interval to evaluate
andrenergic metoprolol also hypertension. fatigue, insomnia, adequacy of dosage
antagonist inhibits beta2 Safety during increased dreaming, of patients with
(sympatholytic); receptors located pregnancy, lactation metal depression. hypertension,
antihypertensive chiefly on bronchial or in children is not CV: Bradycardia, particularly in
Route: and vascular established palpation, cold patient on twice
musculature. daily doses. Some
Oral extremities
Antihypertensive intensificationof patients require
action may due to AV block. dose 3 times a day
catecholamines at to maintain
cardiac adrenergic satisfactory control.
neuron sites, drug- Observe
induced to the hypertensive patient
periphery, and to with CHF closely
suppression of renin for impending heart
activity. failure. Dyspnea in
exertion, orthopnea,
night cough,
edema.Monitor
intake and
output.Monitor for
any adverse
reaction to the
medication.