Drug Mechanism of Action Indication Side/Adverse Effects Contraindication Nursing Considerations

Name: Citicoline Promotes brain Indicated in  Insomnia  Hypersensitivity to the  Monitor patients
metabolism by restoring CVD in acute  Headache drug neurologic status
Classification: phospholipid content in recovery phase  Diarrhea  Patients with  Note if there are signs of
CNS Stimulant, the brain and regulation of in severe s/sx  Hypotension or hypertonic of the slurring of speech
Cerebral neuronal membrane of hypertension parasympathetic.  Note for adverse reactions
Activators, excitability. It also cerebrovascular  Nausea  Titer medication when
Nootropics influences the insufficiency  Blurred vision discontinuing
mitochondria or energy and in-cranial  Chest pain  Arrange for regular
Complete factories of the brain cells traumatism and  Fleeting and follow-ups
Doctor’s Order: and found to improve their sequellae. discrete
Citicoline 1gm memory function. After Citicoline in hypotension
IV q 8hours several clinical trials, CVA, effect, increased
Citicoline has been shown stimulates parasympathetic
Date Started: to raise the amount of brain function. effects, low
January 15, 2017 acetylcholine in the brain. blood pressure
 Itching or hives,
Date Ended: Therapeutic Action: swelling in face
January 19, 2017 increases blood flow and or hands, chest
O2 consumption in the tightness,
brain. It is also involved tingling in
in the biosynthesis action. mouth and
throat

 Drug Mechanism of Indication Side/Adverse Effects Contraindication Nursing Considerations
Action
Name: Inhibits Treatment of mild  Dizziness  Hypersensitivity to  Give drug with food or
Acetylsalicylic Acid prostaglandin  Tinnitus. salicylates or
to moderate pain after meals if GI upset
(ASA ) aka Aspirin synthesis, resulting  Bleeding NSAIDs;
in analgesia  Dyspepsia  Hemophilia occurs.
Classification:  Heartburn  bleeding ulcers, or  Give drug with full glass
Analgesia  Nausea. hemorrhagic states.
of water to reduce risk of
 Anemia; decreased
Complete Doctor’s tablet or capsule lodging
iron concentration;
Order: in the esophagus.
increased bleeding
ASA 80g tab OD times.  Do not crush, and ensure
 Hypersensitivity that patient does not
Date Started:
reactions may
January 15, 2017 chew SR preparations.
include urticaria,
hives, rashes,  Do not use aspirin that
Date Ended: January
angioedema, and has a strong vinegar-like
24, 2017
anaphylactic shock.
odor.
 WARNING: Institute
emergency procedures if
overdose occurs: Gastric
lavage, induction of
emesis, activated
charcoal, supportive
therapy.
 Drug Mechanism of Indication Side/Adverse Effects Contraindication Nursing Considerations
Action
Name: Doxofylline Inhibition of Treatment of pulmonary  .Nausea/Vomiting  Acute MI  Assess lung sounds,
phosphodiesterase disease w/ spastic  epigastric pain,  Hypotension pulse and blood
Classification: activities, resulting in bronchial component.  cephalalgia  pressure before
Anti-asthmatic bronchodilating  irritability Special Precaution: administration
effects  insomnia Liver disease, CHF, andduring peak of
Complete Doctor’s  tachycardia chronic obstructive lung medication. Not
Order:  extrasystole, disease, concomitant amount, color, and
Doxofylline ½ tab  tachypnea infections. character of
BID  hyperglycemia, sputum produced.
albuminuria
Date Started: January  Monitor pulmonary
19, 2017 function tests before
initiating therapy and
Date Ended: January periodicallyduring therapy
24, 2017 to determine effectiveness of
medication.

 Observe for paradoxi

cal bronchospasm (w
heezing). If condition
s occur,withhold
medication and notify
physician of other health
care professional
immediately
 Drug Mechanism of Indication Side/Adverse Effects Contraindication Nursing Considerations
Action
Name: Enoxaparine  Potentiates the Prevention of deep  Hemorrhage  Hypersensitivity to  Give only by deep SC
venous thrombosis
actions of an  Anemia heparin and while lying down
Classification: Anti-
coagulant endogenous  Injection site hematoma enoxaparin  Do not give IM
inhibitor of  Nausea  Hypersensitivity to  Continue treatment until
Complete Doctor’s
blood  Thrombocytopenia pork products risk of DVT decreases
Order:
Enoxaparin 0.4 sc q coagulation  Fever  Do not mix with other
12hours known as  Headache injections/infusions
antithrombin  Edema  Discard any unused
Date Started:
January 15, 2017 III  Spinal hematoma solution
 Increases  Assess for Heparin or
Date Ended: antithrombin pork product
January 19, 2017
III–mediated hypersensitivity
inhibition of  Document baseline
the formation hematologic parameters,
and activity of liver function, and
factor Xa, coagulation studies
resulting to  Monitor VS and assess for
reduced signs of bleeding
thrombin  Alternate administration
generation between the left and right
anterolateral and
posterolateral abdominal
wall
 Do not rub injection site
 Orient the patient he
might experience mild
discomfort, irritation,
hematoma at injection site
 Report unusual bleeding,
or weakness
 Drug Mechanism of Indication Side/Adverse Effects Contraindication Nursing Considerations
Action
Name: N-acetyl Decreases thickness Adjuvant therapy  Nausea  Sensitivity to  Increased secretion
cysteine of mucous secretions for patients with  Diarrhea acetylcysteine volume may occur.
abnormal, viscid, or  Vomiting When cough is
Classification: inspissated mucous  Constipation  Bleeding disorders inadequate, open airway
Mucolytic secretions may need to be
maintained by
Complete mechanical suction.
Doctor’s Order: When there is a
NAC 600mg 1 tab mechanical block
TID dissolve in ½ caused by a foreign
glass of water body or local
accumulation, clear the
Date Started: airway via endotracheal
January 15, 2017 aspiration, with or
without bronchoscopy.
Date Ended:  Advise patient or
January 21, 2017 caregiver to notify
health care provider if
any of the following
occur: rash or other
signs of allergic
reaction, new or
worsening wheezing,
chest tightness or
difficulty breathing,
persistent nausea or
vomiting, coughing up
blood, fever, other signs
of respiratory infection.