LI, CHRISTELLE JEAN G.

BSN 4B GROUP 2
DRUG STUDY
NAME OF DRUG DOSAGE,
INDICATION/ NURSING
(GENERIC & ROUTE, CONTRAINDICATION ADVERSE EFFECT
ACTION RESPONSIBILITY
BRAND NAME) FREQUENCY
Generic Name: 750 mg TIV q6 Active against Body Whole: Patient & Family
gram-positive Similar to those for Education
Ampicillin Sodium microorganisms such penicillin G. Note: Ampicillin rash is
as alpha- and Hypersensitivity believed to be
Brand Name: beta-Hemolytic (pruritus, urticaria, nonallergenic and
Ampicin, streptococci, eosinophilia, therefore its appearance
Omnipen-N, Diplococcus hemolytic anemia, is not an absolute
Penbritin, pneumoniae, interstitial nephritis, contraindication to future
Polycillin-N, non-penicillinase anaphylactoid therapy.
SK-Ampicillin-N, producing reaction);
Staphylococci, and superinfections. Report diarrhea to
Totacillin-N Listeria. Major CNS:Convulsive physician; do not
advantage over seizures with high self-medicate. Give a
penicillin G is doses. detailed report to the
Classifications: physician regarding
enhanced action GI:Diarrhea, nausea,
Anti-infective; against most strains of vomiting, onset, duration, character
antibiotic; Enterococci and pseudomembranous of stools, associated
aminopenicillin several gram-negative colitis. symptoms, temperature
strains including other:Severe pain and weight loss (if any)
Escherichia coli, (following IM); to help rule out the
Pregnancy possibility of
Neisseria gonorrhoeae, phlebitis (following
Category: B drug-induced, potentially
N. meningitidis, IV);
Haemophilus Skin:Rash. fatal pseudomembranous
influenzae, Proteus colitis .
mirabilis, Salmonella Report S&S of
(including typhosa), superinfection (onset of
and Shigella. Inactive black, hairy tongue; oral
against Mycoplasma, lesions or soreness; rectal
rickettsiae, fungi, and or vaginal itching;
viruses. vaginal discharge; loose,
foul-smelling stools; or
unusual odor to urine).
Notify physician if no
improvement is noted
within a few days after
therapy is started.
Do not breast feed while
taking this drug without
consulting physician
LI, CHRISTELLE JEAN G.
BSN 4B GROUP 2
DRUG STUDY
NAME OF DRUG DOSAGE,
INDICATION/ NURSING
(GENERIC & ROUTE, CONTRAINDICATION ADVERSE EFFECT
ACTION RESPONSIBILITY
BRAND NAME) FREQUENCY
Generic Name: 250 mg TIV q8 Suppresses protein Hypersensitivity Diarrhea Use parenteral form for
Clindamycin synthesis by anaerobic infections
hydrochloride microorganisms by Pseudomembranous
binding to ribosomes colitis
Use in treating minor
Brand Name: Prevents peptide bacterial infections Tinnitis Reduce dosage in severe
Dalacin-C, Cleocin formation renal impairment
Nausea and vomiting
Does not diffuse Use in clients with a Slin rashes
Classification: adequately to the CSF history of regional Give parenteral dosage
Antibiotic, enteritis, ulcerative Dry skin for hospitalized clients
lincosamide colitis, meningitis, Burning only
antibiotic-associated
colitis Itching
Skin erythema Administer IV over
20-60 minutes
Use for treating viral Peeling
infections Assess for diarrhea and
Oily skin possible colitis
Lactation Cardiopulmonary
arrest
Assess extent of
Anaphylaxis infections and if
Agranulocytosis improvement occurs

Aplastic anemia
Monitor liver and renal
function

With IV, keep in bed for

30 min. following
infusion to prevent
hypotension

Take orally with a full

glass of water to prevent
stomach distress

If diarrhea occurs, do not

use antiperistaltic agents

If using vaginal cream, it

weakens latex-containing
condoms due to the
mineral oil content

Do not use peeling agents

on affected acne areas
LI, CHRISTELLE JEAN G.
BSN 4B GROUP 2
DRUG STUDY
NAME OF DRUG DOSAGE,
INDICATION/ NURSING
(GENERIC & ROUTE, CONTRAINDICATION ADVERSE EFFECT
ACTION RESPONSIBILITY
BRAND NAME) FREQUENCY
GENERIC NAME: 0.52.2mg/hr Inhibits the transport of Hypersensitivity; CNS: abnormal 1. Advise patient to take
continuous calcium into myocardial Sick sinus syndrome; 2nd- dreams, anxiety, medication exactly
Nicardipine infusion >130/90 and vascular smooth or 3rd-degree AV confusion, dizziness, as directed, even if
muscle cells, resulting block (unless an artificial drowsiness, headache, feeling well. Take
in inhibition of pacemaker is in place); jitteriness, missed doses as soon as
Brand Names: excitation-contraction BP <90mmHg; Advanced nervousness, possible unless almost
Cardene, Cardene coupling and aortic stenosis. Use psychiatric time for next dose; do not
SR, Cardene IV, subsequent contraction. Cautiously in: Severe disturbances, double doses. May
Perdipine Therapeutic Effects: hepatic impairment (dose weakness. need to be discontinued
Systemic vasodilation reduction recommended); gradually.
resulting in decreased Geri: Geriatric patients EENT: blurred
Classification:Thera vision, disturbed
peutic: antianginals, blood pressure. (dose reduction/slower IV 2. Instruct patient on
Coronary infusion rates equilibrium, epistaxis, technique for
antihypertensives; tinnitus.
vasodilation resulting in recommended formost monitoring pulse.
Pharmacologic: decreased frequency agents; increased risk of Resp: cough, Instruct patient to contact
calcium channel and severity of attacks hypotension); Severe dyspnea, shortness of health care professional
blockers. of angina. renal impairment (dose breath. if heart rate is <50 bpm.
reduction may be
necessary); History CV: 3. Advise patient to avoid
of serious ventricular ARRHYTHMIAS, grapefruit and grapefruit
arrhythmias or CHF; CHF, peripheral juice during therapy.
OB, Lactation, Pedi: edema, bradycardia,
Pregnancy, lactation, or chest pain, 4. Caution patient to
children (safety not hypotension, change positions slowly
established). palpitations, syncope, to minimize orthostatic
tachycardia. GI: hypotension.
abnormal results in
liver function 5. May cause drowsiness
studies, anorexia, or dizziness.
constipation, diarrhea, Advise patient to avoid
dry mouth, dysgeusia, driving or other activities
dyspepsia, nausea, requiring alertness until
vomiting. response to the
GU: dysuria, nocturia, medication is known.
polyuria, sexual
dysfunction, urinary 6. Instruct patient to
frequency. avoid concurrent use of
alcohol or OTC
Derm: dermatitis, medications, especially
erythemamultiforme, cold preparations,
flushing, increased without consulting health
sweating, care professional.
photosensitivity,
pruritus/urticaria, 7. Advise patient to
rash. notify health care
Endo: professional if irregular
gynecomastia, hypergl heartbeat, dyspnea,
ycemia. swelling of hands and
feet, pronounced
Hemat: dizziness nausea,
anemia, leukopenia, constipation, or
thrombocytopenia. hypotension occurs or if
Metab: weight gain. headache is severe or
MS: joint stiffness, persistent.
muscle cramps.
Neuro: paresthesia, 8. Caution patient to
tremor. wear protective
Misc: clothing and to use
STEVENS-JOHNSO sunscreen to prevent
N SYNDROME, photosensitivity
gingival hyperplasia. reactions.
9. Angina: Instruct
patient on concurrent
nitrate or beta-blocker
therapy to continue
taking both medications
as directed and to
use SL nitroglycerin as
needed for
anginal attacks.

10. Advise patient to

contact health care
professional if chest pain
does not improve,
worsens
after therapy, or occurs
with
diaphoresis; if shortness
of breath; or if persistent
head ache occurs.
LI, CHRISTELLE JEAN G.
BSN 4B GROUP 2
DRUG STUDY
NAME OF DRUG DOSAGE,
INDICATION/ NURSING
(GENERIC & ROUTE, CONTRAINDICATION ADVERSE EFFECT
ACTION RESPONSIBILITY
BRAND NAME) FREQUENCY
Generic Name: 40 mg TIV OD An antisecretory Long-term use for CNS:Headache, Assessment & Drug
Omeprazole compound that is a gastroesophageal reflux dizziness, fatigue. Effects
gastric acid pump disease, duodenal ulcers; Lab tests: Monitor
inhibitor. Suppresses lactation. urinalysis for hematuria
Brand Name: gastric acid secretion GI:Diarrhea, and proteinuria. Periodic
Losec, Prilosec by inhibiting the H+, abdominal pain, liver function tests with
K+-ATPase enzyme nausea, mild prolonged use.
system [the acid transient increases in
Classifications: liver function tests.
(proton H+) pump] in
gastrointestinal the parietal cells. Patient & Family
agent; proton Urogenital:Hematuri Education
pump inhibitor a, proteinuria. Report any changes in
Suppresses gastric acid urinary elimination such
Pregnancy secretion relieving as pain or discomfort
gastrointestinal distress Skin:Rash. associated with urination,
Category: C
and promoting ulcer or blood in urine.
healing.

Report severe diarrhea;

drug may need to be
discontinued.

Do not breast feed while

taking this drug.
LI, CHRISTELLE JEAN G.
BSN 4B GROUP 2
DRUG STUDY
NAME OF DRUG DOSAGE,
INDICATION/ NURSING
(GENERIC & ROUTE, CONTRAINDICATION ADVERSE EFFECT
ACTION RESPONSIBILITY
BRAND NAME) FREQUENCY
GENERIC 50mg TIV PRN Centrally acting opiate Hypersensitivity to CNS: drowsiness, Assess for orthostatic
NAME: receptor agonist that tramadol or other opioid dizziness, vertigo, hypotension or signs of
inhibits the uptake of analgesics; patients on fatigue, headache, CNS depression
Tramadol
norephinephrine and MAO with alcohol, somnolence,
hydrochloride
serotonin, suggesting hypnotics, centrally restlessness, euphoria,
both opioid and acting analgesics, confusion, anxiety, Discontinue drug &
nonopioid mechanisms opioids, or psychotropic coordination notify doctor if S&S of
Brand Names: of pain relief drugs; substance abuse; disturbance, sleep hypersensitivity occur
Ultram, Zydol patients on obstetric disturbance, seizures
preoperative medication;
abrupt discontinuation; Assess bowel & bladder
Classifications: alcohol intoxication; CV: palpitations, function; report urinary
pregnancy (category C); vasodilation frequency or retention
Central nervous lactation; children less
system (cns) agent; than 16 years of age
Analgesic; GI: nausea, Use seizure precautions
constipation, for patients with history
Narcotic (opiate) vomiting, xerostomia, of seizures
agonist dyspepsia, diarrhea,
abdominal pain,
anorexia, flatulence Monitor ambulation &
Pregnancy take appropriate safety
Category: C precautions
BODY: sweating,
anaphylactic reaction,
withdrawal Control environment if
syndrome, with sweating or CNS effects
abrupt occur
discontinuation
Limit use in patient with
past or present history of
Skin: rashes
addiction to or
dependence on opioids.

Special Senses: visual

disturbances

Urogenital: urinary
retention/ frequency,
menopausal
symptoms