Ateneo de Naga University

COLLEGE OF NURSING
4400 Naga City, Philippines

DRUG STUDY

Generic Name/Brand Name/Form Indication, Action, Dosage and Adverse Effects, Contraindications Nursing Considerations
(Drug Classification/Description) Administration

Tramadol Hydrochloride Analgesic CNS: Anxiety, asthenia, CNS Stimulation, Assess patient’s pain before starting
confusion, coordination disturbance, therapy
Ultram, Ultram ER Used to treat moderate to moderately dizziness, euphoria, headache, malaise,
severe pain nervousness, seizures, sleep disorder, Regularly monitor drug’s effectiveness
Tablet somnolence, vertigo
Chemical Effect CV: Vasodilation Monitor CV and respiratory status
Analgesic Unknown; centrally acting synthetic EENT: Visual disturbances
analgesic compound not chemically GI: Abdominal pain, anorexia, Be alert for adverse reactions and drug
related to opioids that is thought to bind to constipation, diarrhea, dry mouth, interactions
opioid receptors and inhibit reuptake of dyspepsia, flatulence, nausea, vomiting
norepinephrine and serotonin GU: Menopausal symptoms, urinary Monitor patient for possible drug
frequency, urine retention dependence
Therapeutic Effect MUSCULOSKELETAL: Hypertonia
Relieves pain RESPIRATORY: Respiratory depression
SKIN: Pruritus, rash, swelling
50mg/q8 x 2 doses

IV

Ketorolac
Acular, Acular LS, Acular PF
Tablet
Analgesic, Anti-inflammatory
Omeprazole
Prisolec, Prisolec OTC, Zegerid
Analgesic, Anti-inflammatory
Used to treat short-term management of
pain and post-operative inflammation
Chemical Effect
May inhibit prostaglandin synthesis
Therapeutic Effect
Relieves pain and inflammation
20mg/q6 x 21 doses
IV
Proton Pump Inhibitor
CONTRAINDICATIONS
Contraindicated in patients hypersensitive
to the drug or any of its components, and
in those with acute intoxication from
alcohol, hypnotics, centrally-acting
analgesics, opioids, or psychotropic drugs
CNS: Dizziness, drowsiness, headache, Assess patient’s pain before starting
insomnia, syncope therapy
CV: Edema, hypertension, palpitations
EENT: Corneal edema, keratitis, ocular
Be alert for adverse reactions and drug
irritation, transient stinging and burning
GI: Diarrhea, dyspepsia, GI pain, nausea interactions
GU: Hematuria, polyuria, renal failure
Hematologic: Anemia, eosinophilia, Assess patient’s and family’s knowledge
purpura of drug therapy
Skin: Sweating
Other: Pain at injection site
CONTRAINDICATION
Contraindicated in patients hypersensitive
to the drug or any of its components; in
those with a history of nasal polyps,
angioedema, bronchospastic reactivity, or
allergic reactions to aspirin or other
NSAIDS; in patients receiving NSAIDS
or aspirin
CNS: Dizziness, headache Assess patient’s infection before drug
therapy
 Used to treat erosive esophagitis,
Proton Pump Inhibitor symptomatic, poorly responsive GERD,
ulcers
Tablet
Chemical Effect:
Inhibits acid (proton) pump and binds to
hydrogen-potassium adenosine
triphosphatase on secretory surface of
gastric parietal cells to block formation of
gastric acid
Therapeutic Effect:
Relieves symptoms caused by excessive
gastric acid
GI: Abdominal pain, constipation, Monitor drug’s effectiveness
diarrhea, flatulence, nausea, vomiting
If adverse GI reaction occurs, monitor
Musculoskeletal: Back pain patient’s hydration
Respiratory: Cough
Skin: Rash
CONTRAINDICATION
Contraindicated in patients hypersensitive
to drug

40mg/cap q24

IV

Gentamicin Sulfate Antibiotic CNS: Headache, lethargy, numbness, Assess patient’s infection and hearing
paresthesias, peripheral neuropathy, before starting therapy and regular
IV Infusion Used to treat infections neurotoxicity, seizures, twitching thereafter
EENT: Ototoxicity
GU: Nephrotoxicity
Antibiotic Chemical Effect Hematologic: Agranulocytosis, Obtain specimen for culture and
Inhibits protein synthesis by binding to leukopenia, thrombocytopenia sensitivity tests before giving the first
ribosomes Other: Hypersensitivity reaction dose.
Therapeutic Effect
Kills susceptible bacteria. Drug may act CONTRAINDICATION Be alert for adverse reactions and drug
against some aminoglycoside-resistant Contraindicated in patients hypersensitive interactions
to drug or other aminoglycosides
bacteria
Assess patient’s and family’s knowledge
240mg OD of drug therapy

IV
 Clindamycin Hydrochloride Antibiotic CV: Thrombophlebitis Assess patient’s infection before and
EENT: Pharyngitis regularly throughout therapy
Cleocin, Dalacin C Used to treat infections GI: Abdominal pain, anorexia, bloody or
tarry stools, constipation, diarrhea, Before giving first dose, obtain specimen
IV Infusion Chemical Effect dysphagia, esophagitis, flatulence, nausea, for culture and sensitivity tests. Begin
Inhibits bacterial protein synthesis by pseudomembranous colitis, unpleasant or therapy pending results
Antibiotic binding to 50S subunit of ribosomes bitter taste, vomiting
Therapeutic Effect GU: UTI, vaginal discharge Monitor renal, hepatic and hematopoietic
Hinders or kills susceptible bacteria Hematologic: Eosinophilia, functions during prolonged therapy
thrombocytopenia, transient leukopenia
410mg/q8 x 3 doses Skin: Maculopapular rash, urticaria Be alert for adverse reactions and drug
Other: Anaphylaxis; erythema, pain (IV interactions
IV use); induration, pain, sterile abscess (IM
use) If adverse GI reaction occurs, monitor
patient’s hydration
CONTRAINDICATION
Contraindicated to patients hypersensitive
to drug or lincomycin

Name of Patient: Azusano, Rosa Submitted By: EVANGELISTA, Gabrielle Angela B. Submitted To: Claire Izzamae Intia, RN, MN
Clinical Diagnosis: G2P2 Lateral-Transverse Cesarean Section Rotation/Area/Date: 5th/OB Annex-BMC/02/21-22/2020 Date Received: