Generic

Name, Nursing
Date Mechanism Adverse
Trade Name Classification Dose/Frequency Indications Contraindications Responsi-
Ordered of Action Reactions
& Form of bilities
Drug

Tramadol + 12/28/11 Analgesic 1 tab Tramadol Moderate to Acute intoxication CNS & GI 1 .Assess onset,
Paracetamol TID binds to µ- severe pain with alcohol, disturban- type, location,
(Dolcet) 6-12-6 opiate hypnotics, ces. and duration of
receptors and narcotics, centrally- Nausea, pain.
inhibits acting dizziness, 2. Effect of
reuptake of analgesics,opioids somno- medication is
norepinephrin or psychotropic lence. reduced if full
e and drugs. Asthenia, pain recurs
serotonin. It Hypersensitivity fatigue, before next
reduces hot dose.
intensity of flushes, 3. Review past
pain stimuli constipa- medical history,
incoming tion, especially
from sensory diarrhea, epilepsy or
nerve endings, flatulence, seizures.
altering pain dry 4. Give without
perception mouth, regards to
and emotional pruritus, meals.
response to increased 5. Monitor
pain. sweating, pulse and blood
tinnitus pressure.
6. Assist with
ambulation if
dizziness or
vertigo occurs.
7. Dry crackers
or cola may
relieve nausea.
8. Assess for
clinical
 improvement
and record
onset of relief
from pain.

Generic
Name, Date Classification Dose/Frequency Mechanism Indications Contraindications Adverse Nursing
Trade Name Ordered of Action Reactions Responsi-
& Form of bilities
Drug

Moxifloxacin 12/28/11 Macrolides 400mg Moxifloxacin Treatment Hypersensitivity to Nausea Observe 10

Anti-infectives 1 tab has in of upper & quinolones. Vomiting rights in giving
(Avelox) vitro activity
OD against a wide lower Abdomina medications.
range of Gram- respiratory l Pain
positive and tract Headache
Gram-negative infections
microorganisms.
The bactericidal
e.g.
action of community
moxifloxacin acquired
results from pneumonia
inhibition of the
topoisomerase
II (DNA gyrase)
and
topoisomerase
IV required for
bacterial DNA
replication,
transcription,
repair, and
recombination.
It appears that
the C8-methoxy
moiety
contributes to
enhanced
 activity and
lower selection
of resistant
mutants of
Gram-positive
bacteria
compared to the
C8-H moiety.
The presence of
the bulky
bicycloamine
substituent at
the C-7 position
prevents active
efflux,
associated with
the NorA or
pmrA genes
seen in certain
Gram-positive
bacteria.

Generic
Name, Nursing
Date Mechanism Adverse
Trade Name Classification Dose/Frequency Indications Contraindications Responsi-
Ordered of Action Reactions
& Form of bilities
Drug

Clindamycin 12/29/11 Antibiotic 300 mg - inhibits Infections Contraindicated in CNS: 1. be alert for
(Indamix) 1 capsule every 6 bacterial caused by patients headache adverse
hrs. protein sensitive hypersensitive to CV: reactions and
synthesis by staphylococ drug or lincomycin Thrombop drug
binding to 50S ci, hlebitis interactions
unit of strepcocci, - use cautiously EENT:
ribosome pneumococc in patients with pharyngiti
- hinders or i, s
renal or hepatic
kill bacteroides, GI:
disease, asthma,
susceptible fusibacteriu abdominal
bacteria m, history of GI pain,
clostridium disease, Anorexia,
perfringens, or significant bloody or
and other allergies tarry
sensitive stools,
aerobic and constipati
anaerobic on,
organisms, diarrhea,
pneumocysti dysphagia,
s pneumonia esophagiti
s,
flatulence,
nausea, ps
eudomem
branuscoli
tis,
unpleasant
or bitter
taste,vomi
ting.
GU: UTI
HEMATO
LOGIC:
Eosinophil
ia,
thrombocy
topenia,
transient
leukopeni
a
SKIN:
maculopa
pular rash,
urticaria
 Generic
Name, Nursing
Date Mechanism Adverse
Trade Name Classification Dose/Frequency Indications Contraindications Responsi-
Ordered of Action Reactions
& Form of bilities
Drug

Celecoxib 12/28/11 Nonsteroidal 200 mg Celecoxib Manage- Allergy to NSAIDs. GI 1. May give
(Celebrex) Anti- 1 cap inhibits cyclo- ment of Patients with discomfort without regard
inflammatory BID oxygenase-2, acute pain allergic reactions to , nausea & to food.
Drugs 8-8 an enzyme diarrhea 2. Assess onset,
NSAIDs
(NSAIDs) responsible for type, location,
producing and duration of
prostagladin pain or
which causes inflammation.
pain and 3. Do not crush
inflammation. or break
It produces capsules.
anti- 4. Evaluate for
inflammatory therapeutic
effect. response: relief
of pain,
decreased
stiffness,
swelling,
increased joint
mobility,
decreased
tenderness, and
improved grip
strength.

Generic Date Classification Dose/Frequency Mechanism Indications Contraindications Adverse Nursing

 Name,
Trade Name Responsi-
Ordered of Action Reactions
& Form of bilities
Drug

Myrin-P 1/1/2012 Anti-TB 3 tabs The Initial phase Alcoholism, optic Disorders of the Observe 10
Forte Agents OD mechanism of treatment & neuritis, impaired blood & rights of
action of re-treatment hepatic function, lymphatic giving
ethambutol is of all forms severe renal system, immune medications
not fully of TB in insufficiency, system,
known. It category I & hyperuricemia, metabolism &
diffuses into II patients gouty arthritis, nutrition, CNS,
caused by
mycobacteria susceptible jaundice, eye, GI,
and appears strains of retrobulbar hepatobiliary,
to suppress mycobacteri neuritis. skin tissues,
multiplication a Pregnancy and musculoskeletal,
by interfering Lactation. connective
with RNA tissue & bone,
synthesis. It renal/urinary,
is effective reproductive
only against system & breast.
mycobacteria Fever, malaise,
that are flu-like
actively syndrome,
dividing. dryness of
Rifampicin mouth.
inhibits
bacterial RNA
synthesis by
bonding
strongly to
the β-subunit
of DNA-
dependent
RNA
polymerase,
preventing
the
attachment of
the enzyme
to DNA and
thus, blocking
initiation of
RNA
transcription.
Isoniazid is a
bactericidal

antitubercular
agent, which
is active
against
actively
dividing
mycobacteria,
and its mode
of action may
relate to
inhibition of
mycolic acid
synthesis and
the disruption
of the cell
wall in
susceptible
organisms.
The
mechanism of
action of
pyrazinamide
is unknown.
 Pyrazinamide
may be
bacteriostatic
or bactericidal
depending on
its
concentration
and the
susceptibility
of the
organism.

Generic
Name, Nursing
Date Mechanism Adverse
Trade Name Classification Dose/Frequency Indications Contraindications Responsi-
Ordered of Action Reactions
& Form of bilities
Drug
Omeprazole
Omeprazole 1/1/2012 Antacid 40mg is converted It is used in Hypersensitivity to Headache 1. Give before
(Losec) 1 cap to active the omeprazole Diarrhea meals.
OD metabolites prevention Constipation
that and treatment Abdominal 2. Do not crush
irreversibly of NSAID- Pain or chew tablets,
bind and induced Nausea swallow whole.
inhibit H+-K+- ulcers. Vomiting
ATPase (an Flatulence 3. Evaluate for
enzyme on therapeutic
the surface of response like
gastric relief of
parietal cells). Gastrointestinal
It inhibits symptoms.
transport of
hydrogen ions 4. Question if
into the Gastrointestinal
gastric lumen. discomfort,
Omeprazole nausea, and
increases the diarrhea
gastric pH occurs.
and reduces
gastric acid
formation.