Drugs Mechanism of action Indications and Adverse effects Nursing implications

contraindications

Generic Interferes with Indications: CNS: headache, Before

name: bacterial cell-wall hyperactivity, seizures
synthesis and Modrate to severe Dx:
Cefuroxime division by binding to infections, including those of
skin, bone, joints, urinary or  Before initiating therapy,
cell wall, causing cell
to die. Active against respiratory tract and GI: nausea, obtain a history to
gynecologic infections. vomiting,abdominal pain, determine previous use
Brand name: gram-negative dyspepsia, of and reactions to
bacteria and penicillins or
Zinacef
gram-positive cephalosporins.
bacteria, with Cotraindications:
DERM: erythema, Tx:
expanded activity
Class: Hypersensitivity to stevens-\johnson
against
cephalosporins or penicillin. syndrome  Monitor for
gram-negative
Second manifestations of
bacteria. Inhibits
generation hypersensitivity
minimal
cephalospori Drug to drug interactions: OTHER: allergic reactions, Edx:
immunosuppressant
n drug fever, superinfection,
activity.
Probenecid: dcreased anaphylaxis  Instruct patient to take
excretion and increased drug with food as
Therapeutic blood level of cefuroxime prescribed.
class:
Source:
Ant-infective Drug to food interactions:
 Schull, PD. Modeate or high fat meal: After
(2013).Nurses drug increased drug
Route: handbook (7 th ed). bio-availability. Dx:

Oral USA: McGraw Hill  Discontinue if

company Inc. hypersensitivity reaction
occurs
Dose: Tx:
500mg  Monitor temperature;
watch for signs and
symptoms of
superinfection

Edx:

 Adviise patient to report

CNS changes

Generic Interferes with Indications: CNS: drowsiness, Before

name: prostaglandin headache, dizziness
biosynthesis by Indicated for short term Dx:
Ketorolac inhibiting management (up to 5 days
in adults) of moderate  Assessed if patient is
cyclooxygenase CV: hypertension hypersensitive to that
pathway of severe acute pain that drug
arachidonic acid requires opioid-level
Brand name: metabolism; also analgesia.
acts as potent
Toradol inhibitor of platelet EENT: tinnitus Tx:
aggregation. Contraidications:  Monitor fluid intake and
hypersensitivity to drug, its output
Class: component aspirin GI: nausea, vomiting,
diarrhea constipation
Nonsteroidal Source: stomatitis
anti-inflamma Schull, PD.
tory drug (2013).Nurses drug Drug to drug interactions: DERM: rash, pruritus
(NSAID) Edx:
handbook (7th ed). Anticoagulants: prolong
USA: McGraw Hill prothrombin time.  Infrom patient that drug
company Inc. is meant for short term
Therapeutic Aspirin: altered ketorolac pain management.
class: distributio, metabolism and
excretion  Instruct patient to avoid
Analgesic, aspirin products durig
anti-inflamma therapy.
tory

After
Route:

Intramuscular
Dx:
Dose:
 Assessed IM injection
30mg site for hematoma and
bleeding

Tx:

 Monitor for adverse

reactions, especially
prolonged bleeding time
and CNS reactions

Edx:

 Tell patient to
immediately report
bleeding and adverse
CNS reactions.
Book sources:

Schull, PD. (2013).Nurses drug handbook (7th ed). USA: McGraw Hill Company Inc.

Suddarth, SD., & O'Connell Smeltzer, S. (2008). Brunner and Suddarth's textbook of medical-surgical nursing (6th ed). Philadelphia,
United States; Lippincott Williams and Wilkins

Online sources:

American pregnancy.(2016). Retrieved from https://americanpregnancy.org/index/

Cunha, J.(n.d). Tramadol for Pain: Side Effects, Dosages, Treatment. Retrieved from
https://www.rxlist.com/consumer_tramadol/drugs-condition.htm

Durbin,K. MD. (2018, December 3).naproxen uses, dosage, side effects & warnings. retrieved from
https://www.drugs.com/naproxen.html

Ectopic pregnancy - Diagnosis and treatment. (2018 May 22). Retrieved from
https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/diagnosis-treatment/drc-20372093

Multivitamin drug interactions.( 4 November 2019). Retrieved from https://www.drugs.com/drug-interactions/multivitamin.html

Sinha, S.MD.( 2018 December 5). Famotidine (pepcid) uses, dosage, side effects. Retrieved from
https://www.drugs.com/famotidine.html

What You Should Know If You’ve Been Prescribed an Antibiotic. (10 January 2017). Retrieved from
https://my.clevelandclinic.org/health/drugs/16407-what-you-should-know-if-youve-been-prescribed-an-antibiotic

Wilson, DR. PhD, MSN, RN. ( 2018 January 8). Ectopic pregnancy: Symptoms, causes, risks, and treatment. Retrieved from
https://www.healthline.com/health/pregnancy/ectopic-pregnancy

Wilson, DR. PhD.(2018 February 1). Salpingectomy: definition, side effects, recovery. Retrieved from www.healthline.com