DRUG NAME MECHANISM OF INDICATION / ADVERSE EFFECT NURSING

ACTION CONTRAINDICATION RESPONSIBILITIES

GENERIC: The B-complex vitamins CNS: Headache, BEFORE:

Vitamin B complex act as coenzyme and are CONTRAINDICATION: dizziness, insomnia,  Verified patient
BRAND: essential for the fatigue, tiredness Identity
ADUVIT metabolism of proteins, Derma: Rash, pruritus,  Explained the
CLASS: carbohydrates and fatty DRUG TO DRUG sweating, dry MM, purpose of the
THERAPEUTIC acids INTERACTION: stomatitis medication to be
antiemetics, Food  Large amounts of GI: dyspepsia, GI taken to the patient
supplements vitamin B6 may pain, diarrhea,  Assessed for
PHARMACOLOGIC: SOURCE: interfere with the vomiting, constipation Patients who have
MULTIVITAMINS Scribd beneficial effect of GU: Dysuria, renal asthma, allergies
DOSAGE: levodopa. impairment
Tablets: 325 mg DRUG TO FOOD MS: arthralgia, back, DURING:
Elixir: 220mg/5mL INTERACTION: limp or neck pain
Liquid: 300mg/5mL  Alcohol and  Assisted the
ROUTE: ORAL Caffeinated drinks  Provided the
patient with
sufficient
information about
the side effects
when overdosed or
taken

AFTER:

 Discussed to the
patient that her
stools may be
green or dark due
to the intake of Vit
B

 Educated the
patient about the
 side effects of the
drug.

 Encouraged the
patient to take the
drug after meal, 1
tablet for one day
 Instructed the
patient to report to
the physician any
intercurrent
disease or
infection.
Increased dosage
may be required.

DRUG NAME MECHANISM OF ACTION INDICATION / ADVERSE NURSING

CONTRAINDICATION EFFECT RESPONSIBILITIES

GENERIC Olanzapine Mechanism of action not fully  Treatment BEFORE:

BRAND: Zyprexa understood; blocks dopamine ofschizophrenia. •CNS:  Explained the
CLASS: receptors in the brain, depresses  Treatment of acute Somnolence, purpose of the
THERAPEUTIC: the RAS; blocks serotonin mixed or manic dizziness, medication to be
Dopaminergic Blocker receptor sites; anticholinergic, episodes associated nervousness, taken to the
PHARMACOLOGIC: antihistaminic (H1), and alpha- with bipolar 1 headache, patient
Antipsychotic adrenergic blocking activity may disorder and akathisia,  • Checked the
contribute to some of its maintenance of personality vital signs of the
DOSAGE: therapeutic (and adverse) actions; bipolar 1 disorder as disorders, tardive patient to check
10mg produces monotherapy, or dyskinesia, for elevation of
fewer extrapyramidal effects than combined with neuroleptic temperature and
ROUTE: most antipsychotics. lithium or valproate. malignant
ORAL  Treatment of syndrome blood pressure
SOURCE: SCRIBD agitation associated •CV: Orthostatic  Monitored for the
with schizophrenia hypotension, many possible
and bipolar 1 mania peripheral edema, drug interaction
(injection) tachycardia before beginning
CONTRAINDICATION: •GI: therapy.
 Contraindicated with Constipation,
allergy to olanzapine, abdominal pain DURING:
myeloproliferative •Respiratory:
disorders, severe Cough,
CNS depression, pharyngitis  Provided
comatose states, Other: Fever, supervised
lactation. development of ambulation until
diabetes mellitus stabilized on
DRUG TO DRUG medication.
INTERACTION:
__________________  Provided
decreased stimuli
DRUG TO FOOD by dimming light,
INTERACTION: avoiding loud
Alcohol and Caffeinated noises.
drinks
 Assisted the
patient for the
intake of the drug
accompanied with
water

AFTER:

 Encouraged
patient to void
before taking the
drug to help
decrease
 anticholinergic
effects of urinary
retention.

 Emphasized the
importance to take
the drug as
prescribed

 Advised patient to
avoid hot tubs.
 DRUG NAME MECHANISM OF INDICATION / ADVERSE NURSING
ACTION CONTRAINDICATION EFFECT RESPONSIBILITIES

GENERIC: Increases protection Prophylaxis and treatment of scurvy GI: BEFORE:

ASCORBIC ACID mechanism of the and as a dietary supplement. Nausea, vomiting,  Verified the patient
BRAND: immune system, heartburn, diarrhea Identity
VITAL C thus supporting Increases protection mechanism of  Explained the
CLASS: wound healing. the immune system, thus supporting Hematologic: purpose of the
THERAPEUTIC wound healing. Necessary for Acute hemolytic medication to be
is used to prevent or treat SOURCE: Rxlist & wound healing and resistance to anemia taken to the patient
low levels of vitamin C in NANDA 14th edition infection.  Assessed for
people who do not get CNS: Patients who have
enough of the vitamin Head ache (high allergies
CONTRAINDICATIONS:
from their diets doses)
PHARMACOLOGIC: DURING:
Use of sodium ascorbate in patients
Vitamins on sodium restriction; use of calcium Urogenital:
DOSAGE: Urethritis, dysuria,  Assisted the
ascorbate in patients receiving
70 to 150 mg daily crystalluria patient to take her
digitalis. Safety during pregnancy
medication
(category C) or lactation is not
ROUTE: ORAL Others: alongside a cup of
established.
Mild soreness, water/juice
dizziness, faintness
with rapid IV  Administered the
administration drug after meals
DRUG TO DRUG
INTERACTION:
 Provided
 amlodipine additional
 aspirin assistance to the
 Aspirin Low Strength patient as needed
(aspirin)
 atorvastatin
  biotin
 CoQ10 (ubiquinone) AFTER:
 Fish Oil (omega-3  Instructed patient to be
polyunsaturated fatty cautious of the
acids) contraindications of the
 folic acid drugs
 multivitamin  Advised patients
with ascorbic acid
 omeprazole deficiency to
 Tylenol decrease or stop
(acetaminophen) smoking.
 Vitamin B12 Replacement
(cyanocobalamin) ascorbic acid
dosages are greater
 Vitamin D3 for the smoker.
(cholecalciferol)  Advised patient to
 vitamin e avoid high doses of
ascorbic acid if he is
prone to renal
calculi, has diabetes,
is undergoing tests
for occult blood in
DRUG TO FOOD stools, follows a
INTERACTION: sodium-restricted
Alcohol diet, or takes an
anticoagulant.