DRUG NAME ME CHANISM IDICATION& ADVERSE EFFECT NURSING

OF ACTION CONTRAINDICATION RESPONSIBILITIES

GENERIC Anti- INDICATION CNS BEFORE

ibuprofenS inflammatory, .Relief of mild to . Headache, DX.
analgesic,and moderate pain. dizziness,nervousness, . secure doctors order
antipyretic .fever reduction aseptic . Assess patient’s
activities . post surgery condition
largely .headache and CV . Check for an
related to musculoskeletal .Peripheral allergies
inhibition of edema,fluid
prostaglandin retention,edema TX
synthesis CONTRAINDICATION . Perform a physical
C/I with allergy to EENT assessment before
ibuprofen,salicylates, . Tinnitus drug administration
or otherNSAID(more . periodically check
commonin patient GI for dosage
with . Epigatric distress, . do hand waahing
rhinitis,asthma,chronic nausea, occult blood
urticarial,nasal polyps) losss, bloating, EDX
heartburn, decreased . Instruct patient to be
Advanced Kidney and appetite, abdominal cautious of the
liver disease pain, constipation. contraindication of
the drug
Asthma GU . inform client of
.Acute renal failure, possible drug effect
azotemia, hematuria. . eensure that the
patient takes the
medication as
ordered.

DURING
DX
. Assess mental status
. Monitor for adverse
effects
. monitor i&o rates
and patterns

Tx
. check for drug or
food interaction
. give medication on
the right time
. assist patient in
taking medication

EDX
 . Instruct patient or
significant others
. instruct patient to
verbalize feeling and
concern

AFTER
DX
.Assess effectiveness
of the drug
. monitor for side
effects after taking it
. Assess level
knowledge of the
patient regarding the
drug

TX
. Do the charting or
documentation
. take safety
precaution in taking
drugs
EDX
.Advise patoent to
avoid alchol intake
. Advised to eat foods
rich in vitamin
. instruct patient to
verbalize feelings and
concerns.

DRUG NAME MECHANISM OF INDIATION AND ADVERSE EFFECT NURSING

ACTION CONTRAINDICATION RESPONSIBILITIES

GENERIC Antipyretic Temporary reduction CNS BEFORE

NAME:Paracetamo reduces fever by of fever, temporary Headache DX.
l acting directly on relief of minor aches CV; chest pain Observe proper
the hypothalamic and pains caused by dyspnea dosage of
BRAND NAME: heat-regulating common cold and myocardial medication
Tylenol center to cause influenza, headache, damage when . identify patient
vasodilation and sore throat, dose of 8g/day identity
CLASSIFICATION:: sweating to cause toothache, backache, are ingested daily .Assess vital signs
Analgesic vasodilation and menstrual pain etc for several week
(nonopioid) sweating, which TX.
Antipyretic help dissipate CONTRAINDICATION Perform a physical
heat. . contraindicated with assessment to
DOSAGE allergy to establish baseline
acetaminophen. data before drug
. Use cautiously with administration
impaired hepathic . do proper
function,chronic preparation of the
alcoholism drug.
GI: hepatic toxicity Periodically assess
and failure, jaundice dose

GU: acute renal EDX.

failure, renal tubular Caution patient of
necrosis the different side
effect
Hematologic:
Hemolytic anemia- DURING
hematuria , anuria , Dx
neutropenia , Verify patients
leukopenia. identity
. monitor vital
.Hypersensitivity:rash, signs
fever . Assess onset
type, onset, type,
location and
duration of pain.
TX
Monitor pulse and
blood pressure
-assisted with
ambulation
EDX
Tell patient or
significant others
to report drug side
effect.

AFTER
DX
Assess
effectiveness of
drug
. Monitor for side
effect after taking
it
.assess level of
knowledge of the
 patient regarding
the drug
TX
. Do the charting
or documentation
. Take safety
precautions in
taking drugs
EDX
.Instruct patient to
verbalize feelings
and concerns

DRUG NAME MECHANISM OF INDICATION/CONTRAINDI SIDE EFFECT NURSING

ACTION CATION RESPONSIBILITIES

GENERIC Principal opium INDICATION; Flushing, BEFORE

NAME: alkaloids acts as Relief moderate to severe tachycardia, DX
Morphine agonist at acute and chronic pain bradycardia, .Observe proper
sulphate specific oploid Analgesics adjust during arrhythmia, dosage of
BRAND NAME: receptors in the anesthesia. palpitation, medication
Astramorph cns to produce Intaspinal use with hypertention . Note others drugs
daramorph analgesis, microfusion devices for patient is taking to
ieuphoria, the relief of intractable avoid possible
sedation pain. interaction.
.verify the patients
CONTRAINDICATION; identity
Contraindicated to
patients with TX
hypersensitivity to opoids. .Perform a physical
Use cautiously with acute assessment to
acute asthma, establish baseline
corpulmonale,hypoxia,hy data before
percapnia administration
.periodically assess
does

EDX
Advise patient to
avoid alchol
.Instruct to take it
before meal

DURING
DX
m.Monitor blood
pressure
. Monitor for
adverse effect

TX
Inform to take
medication adhere
to their prescribe
diet
.Take a glass of
water

EDX
Encourage patient
to avoid using
coffee,tea and
dietary product.

AFTER
DX
.Assess
effectiveness of the
drug
. monitor for side
effects after taking
it
. Assess level
knowledge of the
patient regarding
the drug

TX
. Do the charting or
documentation.
.Dilute administer
sloly iv to minimize
adverse effects.
. take safety
precaution in taking
drugs
EDX
.Advise patoent to
avoid alchol intake
. Advised to eat
foods rich in vitamin
. instruct patient to
 verbalize feelings
and concerns.

DRUG NAME MECHANISM OF INDICATION/CONTRAINDIC SIDE EFFECT NURSING

ACTION ATION RESPONSIBI
LITY
GENERIC NAME: A penicillinase INDICATION: Fever,sore BEFORE
Oxacillin Resistance Ysecinfections caused by throat,and DX
peniccllin that penicillinas producing headache with .Note for
BRAND NAME: inhibits cell-wall staphylocococci specifically a severe any
synthesis durng eye infection. bilostering,peel hypersensiti
CLASIFICATION:Pen microorganism in, and red vity reaction
icillin multiplication;bac CONTRAINDICATION: rash;diarrhea .Monitor
teria resists Contraindicated to that is watery hepatic and
penicillins by patients hypersensitive to or bloody renal
producing drugs and its content fever,chills,bod function.
penicillins y aches,flu
enzymes that systoms,unusu TX
convert penicillins al .Use
to inactivate weakness,urina cautiously in
penecillc acids. ting less than elderly
Oxacillin resists usul or not at patients
these enzymes all .Start the
therapy
before
culture ad
sensitivity
results

EDX.
.Advise the
patient’s
family to
take the
mediation
with meals
for better
absorption.

DURING
DX
. Clients
with GFR
of10-
30ml/min
should
receive 250-
50mgq12h.
.Medication
is taken with
food
.Take the
medication
exactly
asprescribed
by the
doctor
EDX
.Advise to
tae
medication
with food.
Advise to
take the
drug around
the clock.

AFTER:
DX
.Closly
monitor
diarrhea
.Monitor for
signs and
symptoms
of rash

TX
.Document
administrati
on of drug

EDX
.Instruct
clients that
therapeutic
regmen
must be
completed
even if
symptoms
subside.
.Antibiotic
resistance
may occur f
used
without
practitioner
consultation
as duration
of therapy
may not be
complete