Generic Dosage, Classification Indications Mechanism of Adverse Contraindication Nursing Consideration

Name & Date Timing & Action Effects

Ordered Route
Ampicillin 2 grams q6 Penicillin  Treatment of Beta-lactam  Diarrhea,  allergic to  Assess history of
(September IV severe antibiotics such nausea, and ampicillin, any allergies to
22, 2019) infections as ampicillin are vomiting penicillin penicillins,
including mainly  Hives or antibiotic, or cephalosporins,
bacteremia bactericidal. Like rash any other or other
 Surgical other penicillins,  Swelling of ingredient in allergens; renal
infection ampicillin inhibits the tongue the disorders;
prophylaxis the third and  Thrush or medication lactation
(patient final stage of yeast  caution  Watch for
undergoing bacterial cell wall infection should be seizures; notify
cesarean synthesis by  Black, hairy observed for physician
section) preferentially tongue patients who immediately if
 Prevention of binding to  High levels are pregnant patient develops
endometritis specific penicillin- of and or increases
infection binding proteins eosinophils, breastfeeding seizure activity
(PBPs) that are a type of since small  Administer drug
located inside the white blood amounts of as indicated
bacterial cell cell ampicillin are  Assess urine
wall.  seizures excreted in output of patient
urine
(category B)
 Use cautiously
with mother’s
renal
disorders
 Generic Dosage, Classification Indications Mechanism of Adverse Contraindication Nursing Consideration
Name & Timing & Action Effects
Date Route
Ordered
Ketorolac 30 mg q6 Non-  Management Inhibits  Diarrhea,  Hypersensitivity  Assess history of
(September IV Steroidal of short term prostaglandins nausea, and to op cardiovascular
23, 2019) Anti- management synthesis by vomiting  This drug is and hepatic
Inflammatory of post- decreasing the  Hives or contraindicated dysfunction and
Drug (NSAID) operative activity of the rash in the presence hypertension
pain (after enzyme,  Swelling of of allergy to  Assess for
cesarean cyclooxygenase, the tongue NSAIDs, hypersensitivity
delivery) which results in  Thrush or cardiovascular reactions by the
decreased yeast dysfunction or patient
formation of infection hypertension,  Administer drug
prostaglandins  Black, hairy GI bleeding dose as indicated
precursors tongue  The use of  Assess urine
 High levels ketorolac in output of patient
of labor and  Monitor blood
eosinophils, delivery is pressure (<90/80
a type of contraindicated do not
white blood because it may administer)
cell adversely affect  Avoid taking with
 seizures fetal circulation aspirin and other
and inhibit NSAIDs
uterine
contractions
 Use cautiously
with mother’s
renal disorders
 Generic Dosage, Classification Indications Mechanism of Adverse Effects Contraindication Nursing
Name & Date Timing & Action Consideration
Ordered Route
Ranitidine 50 mg x4 IV Antiulcerant  Used to Competitive  Constipation  Hypersensitivit  Instruct client to
(September prevent ulcer inhibition of  Diarrhea y to ranitidine report any
23, 2019) while patient histamine at H2-  Fatigue or any adverse
is NPO receptors of the  Headache component of reactions
(nothing per gastric parietal  Insomnia the experienced to
orem) cell, which inhibits  Muscle pain formulation the physician or
gastric secretions,  Easy Bruising nurse
gastric volume, and bleeding  Avoid antacid, it
and hydrogen ion  Anemia may reduce
concentration are  Nausea absorption of
reduced. Does not ranitidine
 Vomiting
affect pepsin  Administer as
secretions, and prescribed since
serum gastrin patients is NPO
 Inform patient
that the
medication may
affect CNS and
prevent form
driving
 Avoid alcohol
since ranitidine
affects
metabolism of
alcohol
Generic Name Dosage, Classification Indications Mechanism of Adverse Effects Contraindicati Nursing Consideration
& Date Timing & Action on
Ordered Route
Mefenamic 500 mg Analgesic  Given for the Anti-  Dizziness  Hypersensiti  Assess pain score
Acid capsule q8h relief of acute inflammatory,  Headache vity to  Assess history of
(September and analgesic and anti-  Insomnia mefenamic allergies of
24, 2019) moderately pyretic activities  Muscle pain acid, aspirin mefenamic acid
severe pain related to the  Rash or any  Give food and milk
inhibition of  Pruritis component before administering
prostaglandin  Bleeding of the drug
synthesis  Anaphylactic formulation  Avoid antacid, it may
shock  Use reduce absorption of
 Dyspnea cautiously ranitidine
with  Instruct not to
asthma, break, chew or crush
renal and capsule
hepatic  Monitor adverse
impairment, effects
pregnancy  Assess occurrence of
and GI ulcers after taking
lactation
 Generic Dosage, Classification Indications Mechanism of Adverse Effects Contraindication Nursing Consideration
Name & Timing Action
Date & Route
Ordered
Cefuroxime 500 mg Cephalosporine This drug is A second  Dizziness  Contraindicated with  Instruct client to refer if
(September q12h Antibiotics indicated for generation  Headache allergy of rashes is present
24, 2019) Capsule the cephalosporin  Lethargy cephalosporine and  Assess history of
Oral treatment of that binds  Nephrotoxicity penicillin hypersensitivity of
infections bacterial cell  Rash  Use cautiously with cephalosporine,
caused by membranes  Fever renal failure, penicillin
susceptible and inhibits  Anorexia pregnancy and  Provide food before
bacteria cell wall  Flatulence lactation administering the drugs
synthesis  Hematologic  Have a vit. K ready in
Given to bone marrow case of
postpartum Bactericidal: depression hypoprothrombinemia
mothers to inhibits  Instruct not to break,
prevent synthesis of chew or crush capsule
them post- bacterial cell  Monitor adverse
operational wall, causing effects
infections cell death  Teach full coarse of the
especially drugs
from
cesarean
mothers.
 Generic Dosage, Classification Indications Mechanism of Adverse Effects Contraindication Nursing Consideration
Name & Timing Action
Date & Route
Ordered
Tramadol + 1 tablet Analgesic Treatment of Tramadol binds  Dizziness  Contraindicated  Assess onset, type,
Paracetamol q8h Oral moderate to to -opiate  Headache with Acute location and duration of
(September severe pain receptors and  Lethargy intoxication w/ pain
24, 2019) effective in inhibits  Nephrotoxicity alcohol, hypnotics,  Assess history of
providing reuptake of  Rash centrally-acting hypersensitivity of
pain relief in norepinephrine  Fever analgesics, opioids, Tramadol and
adult patients and serotonin.  Anorexia or psychotropic Paracetamol or seizures
with It reduces  Flatulence drugs; uncontrolled  Can be administered
postoperative intensity of  Hematologic epilepsy. Severe without meal
pain after pain stimuli bone marrow hepatic impairment.  Monitor v/s especially
minor incoming from depression  Caution since it may pulse and blood pressure
surgery sensory nerve cause withdrawal  Instruct not to break,
endings, symptoms, chew or crush capsule
altering pain dependence and  Monitor adverse effects
perception and abuse  Teach full coarse of the
emotional  Caution with drugs
response to Pregnancy and  Prevent drugs w/ SSRIs,
pain lactation and with SNRIs, TCAs, and 5-HT
history of epilepsy agonists due to increased
or seizures risk of seizures and
serotonin syndrome