SR NAME OF BLOCK/ACTIO INDICATION CONTRAINDIATION SIDE EFFECT NURSING RESPONSIBILITY

DRUG N OF DRUG
N
O
1. Erythromyci antibiotics It is used in skin  Hypersensitivity  Rash. Assess:
n drug infection, minor burns,  Burns in large  Urticarea. Allergic reaction; burning,
wounds, skin grafts, area.  Scaling stinging, swelling and redness.
primary pyodermus,  Ulceration.  Redness For signs of nephrotoxicity or
and otitis externa.  Number of ototoxicity.
lesions.
Perform:
Storage at room temperature
or dry place.

Evaluate:
Therapeutic response:
decreased in size.

2.
tetracycline Broad It is used in syphilis,  Child less than  Paresthesias Assess:
spectrum clymydia tracomatis, 8 years  Pericarditis Sign of anemia: HcT, Hgb,
antibiotics gonorrhea,  Pregnancy  Dysphasia fatigue, input and output
limphogranuloma  Hypersensitivity  Glossitis ration.
venereum, uncommon .  Decreased Blood study; PT, CBC,
gram positive, gram  Hepatic disease. calcification ALT,AST,BUN,creatini
negative organism,  Oral Allergic reaction: rases,
recattial infection. candidiasis itching, pluritus.
Serious skin reaction:
angioedema.
SR NAME OF BLOCK/ACTI INDICATION CONTRAINDIATION SIDE EFFECT NURSING RESPONSIBILITY
N DRUG ON OF
O DRUG
3 CALCIUM Antacid/ Used in  Hypercalcemia,  Constipation. Assess:
CARBONATE calcium hyperphosphatemia,  hyperparathyro  Flatulence. Assess for calcium level,
supplement hypertension during idism,  Rebound constipation, confusion,
pregnancy, dehydration hyperacidity. twitching colic, Dysrhythmias,
osteoporosis,  Renal disease.  Calculi toxicity, abdominal pain.
hypocalcaemia, hypo  bone tumors hypercalciuri
parathyroidism, a.
duodenal ulcer, stress
gastritis.
4. Magnesium Antacid block/ It is used in Bowel  Rectal bleeding  Muscles Assess:
hydroxide electrolyte/an preparation before  Heart block weakness , Assess for causes of
ticonvulsant surgery, anticonvulsant  Myocardial sweating, constipation, lack of fluids,
Saline laxative. for pre eclampsia. damage depressed cramping, rectal bleeding,
 Abdominal pain reflexes nausea, vomiting.
 Circulatory
collapse.
 Respiratory
depression.
5. Diaclofenac Non steroid It is used in Acute and  Hypersensitivity  Drowsiness Assess:
sodium anti- chronic respiratory  Asthma  Nervousness Assess for pain,
inflammatory arrest.  Serious disease  Tachycardia Patient with asthma, aspirin
drug./non Osteoarthritis,  Cardiovascular  Fluid hypersensitivity.
opioids ankylosing spondilitis. disease retention Assessed for liver function test:
analgesic. Analgesia, primary  Pregnancy third  MI, stroke, uric acid, periodically assess for
dysmenorrheal trimester. jaundice, blood urea nitrogen, creatinis
nephro electrolytes.
 toxicity.

6.
Ibuprofen Rheumatoid arthritis,
osteoarthritis, Pregnancy in 3rd Insomnia
Non steroid Primary dysmenorrhea, trimester, asthma, Depression
anti- dental pain severe renal function Peripheral edema
inflammatory musculoskeletal bleeding disorders Palpitations
drug./non disorders, migraine. hyper sensitivity to Hearing loss
opioids other anti- Hepatitis
analgesic. inflammatory agents. GI bleeding
Antipyretic.

7. acetameno Antipyretics Acetaminophen is

pen used to treat many
condition like fever,
headache,muscleaches
, arthritis,cold,
toothache.

8. aspirin Antipyuretics/ Mild to moderate Hypersensitivity to Seizures. Assess:

anti fever, osteoarthritis, salicyclic. Coma. Pain, temperature, hepatic
platelet/non thromboembolic GI bledding. Hallucination studies, renal studies, allergic
opioids disorders, rhymatic Vitamin-K deficiency. Pulmonary edema. reaction,
analgesics. fever,prophylaxis of Peptic ulcer. Hearing loss. Ototoxicity,
MI. Acute broncho spasam. Salicylate level.
9. acyclovir Antiviral drug. Mucocuteneous herpix Hypersensitivity Encephalopathic Assess:
simplexvirus. Pregnancy changes Signs of infection
Herpic Breast feeding Gingival hyperplacia Anemia
genitalis,vericella renal diseases Abdominal pain Blood studies
infection, herpis electrolyte imbalance Glossitis Bowel pattern
zoster,herpis simplex dehydration Oliguria Skin eruptions
an cephalitis Acute renal failure Allergies
Heamolytic uremic Neurologic status
syndrome
10. amantadine Antiviral, Prophylaxis or Hypersensitivity, Dizziness Assess:
antiparkinsoni treatment of influenza Epilepsy, orthostatic Insomnia Input and output
an agent type A, parkinsonism, hypotension Blurred vision ratio,hematologic status
parkinson’s disease Renal disease Dry mouth Bowel pattern before,during
Peripheral edema Leucopenia treatment
Photosensitivity Respiratory status
dermatitis Allergies before treatment
Sign’s og infection
11. clonazepam anticonvulsant Akinetic,myoclonic Pregnancy, Drowsiness Assess:
seizures, panic Hypersensitivity to Suicidal tendencies Seizures: duration, type,
disorders benzodiazepines Slurred speech intensity.
Anxiety, insomnia, Acute close angle Xerostomia Blood studies
restless leg syndrome glaucoma Dysuria Hepatic studies
Psychosis Thrombocytopenia Signs of physical withdrawal if
Severe hepatic disease Alopecia medication suddenly
Respiratory discontinued.
depression Eye problems
Allergic reaction

12. diazepam Anticonvulsant Anxiety, acute alcohol Hypersensitivity to Depression, Assess:

, antianxiety, withdrawal, seizures benzodiazepines, Ataxia Vital studies, blood studies,
 skeletal muscle disorders, agitation, Closed angle glaucoma, Orthostatic degree of anxiety, alcohol
relaxant insomnia Coma, hypotension withdrawal symptoms, mental
Myasthenia gravis, Blurred vision status, physical dependency,
Ethanol intoxication, Nausea weakness after long term use
Sleep apnea Vomiting
Neutropenia
dermatitis
13. insulin Antidiabetic, Type 1 diabete Hypersensitivity to Blurred vision, Assess:
pancreatic mellitus, type 2 protamine, Dry mouth Fasting blood glucose
hormone diabetes mellitus, pregnancy, Flushing Urine ketones during illness
gestational diabetes, Lipohypertrophy Hypoglycemic reaction that
Hypoglycemia occurs during peak time,
Peripheral edema polyuria, flushed, dry skin,
urticaria lethargy.

14. Metformin Antidiabetic Type 2 diabetes Alcoholism, cardio Headache Assess:

drug mellitus pulmonary disease, Agitation Hypoglycemic reaction, CBC
acute MI, shock, Heart failure during treatment.
diabetes kitoacdosis Lactic acidosis Check liver function test
metabolic acidosis. Metallic test Renal studies, creatinine during
Decreased vitamin treatment.
b12 level.
15. amlodipine Antianginal Cronic stable angina Severe aortic stenosis Depression Assess for cardiac status, input
/antihypertens pectoris, hypertention, Severe obstructive Somnolence output , weight, angina, jugular
ive/ calcium variant angina CAD. Peripheral edema vein distention.
channel Geriatric patient. Palpitation
blockers. Hypotension. Chest pain
Hepatic injury. Constipation
Hyperplasia
Dyspepsia
16 nifedipine Calcium Chronic stable angina Cardiogenic shock Anxiety. Assess for:
channel pectoris, vasospastic Hypotension. Insomnia. Angina pain, cardiac status,
blockes/ qnti angina, hypertensions, Sick sinus syndrome Paresthesias. potassium, renal, hepatic
angina/ anti migrains, diabetic Second degree heat Tinnitus. studies.
hypertensive nephropathy, protein block. Dysrrhythmias. Serious skin disorders.
uria, hiccups. Renal disease. Tachycardia
Acute MI

17 betamethas glucocorticoste Psoriasis, contact Hypersensitivity, viral Acne. Assess for:

one roids dermatitis, pruritus, infections, fungal Atrophy. Temperature, systemic
infection. Epidermal thinning. absorption, inflammation,
Purpura. irritation.
Stria.
18 prednisolon Corticosteroid/ Severe inflammation Acute glomerulo Mood changes Assess for;
e synthetic. Immunosupression, nephritis, psychosis, Cieculatory collps Potassium , blood glucose,
Neoplasam. Amebiasis ambolisam urine glucose, input output
Fungal infection Increased ration, plasma cortisone level,
Meales intraoccularpressure infection, potassium
Causing syndrome. Blurred vision displacement, adrenal
Thrombocytopena insufficiency.
Osteoporosis.

19 Clorothiazid diauretics Hyperteniton Hepatic coma Parasthesia Assess for;

e Dieresis Anuria Irregular pulse Weight, input output,
Edema Renal decomposition Volume depletion electrolytes, sign of metabolic
Nephroticc sundrome Diabetes mellitus Blurred vision alkalosis, rashes,
Conhestive heart Hyperlipidemia Hypomagnesaemia
failure Gout Pancreatitis
Hypercalciuria hepatitis
20 furosemide Loop diauretics Pulmonary edema Breast feeding Parasthesia Assess for;
Hepatic diasease Anuria Orthostatic Congestive heart failure
Nephotic sundrome Hypolomemia, hypotention Hypertention
Ascites Electrolytes depletion Hearing loss Hypocalemia
hypertention Dehydration Hypokalemia Hearing
Severe renal diasese Hypocacemia Electrolytes, glucose in urine,
Vomitimg allergies.
Glucosuria
stiffness
21 Cimetidine H2 histamine Short term treatment Hypersensitivity Seizures Assess for;
receptor of duodenal and gastric Organic brain Dysrrhthmias, Gastric PH, epigestric pain,
antagonist. ulcer. syndrome jaundis, inout output ration, creatinine,
GERD, prevention of Hepatic diasease Gynecomastia liver function test, CBC.
upper GI bleeding, Agranulocytosis
relieve heart burn, Pneumonia
stress ulcer, angio
edema, vereuca
vulgaris
22 femotidine H2 histamine Short term treatment Hypersensitivity Somnolence Assess for;
receptor of active duodenal Severe renal disease Taste change Ulcers, intragestric PH, blood
antagonist. ulcer, endocrine Gastric patient Tinnitus found during therapy, blood
adenomas’, gastric Abnormal hepatic dyscrasias.
ulcer enzymes
GERD, heart burn, thrombocytopenia
Urticarea myalgia
pneumonitis pneumonia
23 Methylcellul Laxatives bulk Chronic constipation GI obstruction Obstruction. Assess for;
ose forming hepatitis Abdominal
distention. Blood urine, electrolytes.
Imput output chart
Causes of constipation,
Cramping, rectal bleeding.
24 bisacodyl Laxatives / Short term treatment Rectal fissures. Muscles weakness Assess for;
stimulant constipation. Abdominal pain, anorexia Blood urine, electrolytes.
Bowel and rectal appendicitis, cramps Imput output chart
preparation for acute hepatitis rectal burning Causes of constipation,
surgery. intestinal tract Protein losing Cramping, rectal bleeding
obstruction enteropathy.

25 bosenton vasodilator Pulmonary arterial Cardio vascular Palpitation Assess for;

hypertension, accidents Dyspepsia Serious skin toxicity, blood
Septic shock Coronary artery Abnormal hepatic studies.
disease. function
Anaphylaxis
Oligospermia.
Secondary
malignancy

26 hydralazine Antihypertensi Severe essential Rheumatic heart Peripheral neuritis Assess:

ve/ directing hypertension, disease, Chills Cardiac status
peripheral Chronic heart failure Pregnancy, Shock Electrolytes
vasodilator. breast feeding, Urinary retention Blood studies
renal disease Leucopenia Input and output
hepatic disease Pruritus Mental status
Muscle cramps Edema in foot
27 Cilostazol Platelet Intermittent Active bleeding Dizziness, headache, Assess:
aggregation claudication, conditions, Tachycardia, For underlying cardiovascular
inhibitors Buerger’s disease, Hemostatic conditions, blindness, diplopia disease , for CV lesions with
Percutaneous coronary Low platelet count Colitis repeated oral administration,
intervention. Platelet dysfunction Anorexia sign of toxicity,
Vaginal hemorrhage Blood studies
pneumonia
28 dipyridamol Antipletelet Prevention of transient Hypersensitivity, Headache, Assess:
e agent/ ischemic attacks, Pregnancy, Syncope, Vital signs,
coronary inhibition of platelet Breast feeding, Cerebral ischemia, Cardiac status: chest pain,
vasodilator adhesion to prevent hypotension Postural ameliorates condition.
myocardial hypotension,
reinfarction, Bronchospasm,
thromboembolism, Flushing
prevention of coronary rush
bypass graft occlusion,
proteinuria
29 Methyldopa antihypertensi Hypertension, Active hepatic disease, Sedation, Assess:
ve Hypertensive crisis Cardiac disease, Psychosis Blood studies,
Auto immune disease, paresthesias, Direct coomb’s test,
Depression, Parkinsonism, Baseline of renal hepatic
Hemolytic anemia, Bell’s palsy, studies,
Parkinson’s disease, Nightmares, Allergic reactions,
Myocarditis, CNS symptoms,
angina Renal symptoms

30 ramipril antihypertensi Reduction in risk for Breast feeding, Headache, Assess:

ve MI, Children, Chest pain, Collegen vascular disease,
Stroke, Hypersensitivity to ACE Fatigue, Hypertension,
CHF, inhibitors, Syncope, Renal disease,
 Protenuria due to Hypovolemia, Hearing loss, Potassium level,
diabetic nephropathy Asthma, Hepatitis, Serious allergic reactions,
Renal artery stenosis Proteinuria, CHF
Agranulocytosis
arthralgia
31 Ondansatro antiemetic Prevention of nausea, Hypersensitivity, Dry mouth, Assess:
ne Vomiting associated Phenylketonuric Bronchospasm, Absence of nausea, vomiting
with cancer hypersensitivity, Musculoskeletal during chemotherapy,
chemotherapy, Pregnancy, pain, Hypersensitivity reaction,
Prevention of post Breast feeding, Shivering, Trmors,
operative nausea, Geriatric patient Fever, Shuffling gait,
Pruritus, Urinary retension rigidity
Hyperemesis
gravidarum
32 promethazi Antihistamine/ Motion sickness, Agranulocytosis, Poor coordination, Assess:
ne h1 receptor Rhinitis, Bone marrow Anxiety, Motion sickness,
antagonist/an Allergy symptoms, suppression, Euphoria, Input and output ratio,
tiemetic Sedation, Coma, Neuritis, Respiratory status,
Nausea Jaundice, Blurred vision, Cardiac status,
Hyperemesis Reye’s syndrome Dry nose, Neuroleptic malignant
gravidarum Astma, Photosensitivity, syndrome.
seizure Urinary retension
33 Cetirizine antihistamine Rhinitis, Breast feeding, Drowsiness, Assess:
Allergy symptoms, Newborn or premature Blurred vision, Allergic symptoms,
Chronic idiopathic infant, Tinnitus, Pruritus,
urticaria, Severe hepatic disease, Restlessness, Respiratory status,
Asthma, Respiratory disease, Dry mouth, Blood studies
Atopic dermatitis Close angle glaucoma, Increased LFTs,
Prostatic hypertrophy Constipation,
photosensitivity
34 chlorphenir antihistamine Allergy symptoms, Neonates, Dizziness, Assess:
amine Rhinitis, Pregnancy, Blurred vision, Be alert for urinary retention,
Conjunctivitis, Breast feeding, Dilated pupil, dysuria,
Nausea, Asthma, Tinnitus, Respiratory status,
Vomiting, Seizure disorders, Anorexia, Bronchial secretion,
Pruritus, Hyperthyroidism, Retention, wheezing,
urticaria Peptic ulcer, Dysuria, Chest tightness
Emphysema, Thrombocytopenia,
Hemolytic anemia,
Chest tightness