College of Nursing: Chemical Class: Acetic Acid Derivative Therapeutic Class: Analgesic, Anti-Inflammatory

Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES

Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986
NAME OF DRUG INDICATIONS CONTRAINDICATIONS MECHANISM OF ACTION SIDE EFFECTS NURSING RESPONSIBILITIES
 Labor and
Generic Name: To treat moderate to delivery Blocks cyclooxygenase, an Common Side Effects:  Read ketorolac label
Ketorolac severe pain  Neuraxial enzyme needed to synthesize  abdominal pain carefully. Don’t use I.M.
(epidural or prostaglandins. Prostaglandins  gastrointestinal pain form for I.V. route. Know
intrathecal) mediate inflammatory response  dyspepsia that ketorolac isn’t for
Brand Name:
administratio and cause local vasodilation,  headache intrathecal or epidural use.
Toradol n due to its swelling, and pain. They also  increased liver  Give I.V. Injection over at
alcohol promote pain transmission from enzymes least 15 seconds
Classification: content periphery to spinal cord. By  increased serum  Notify prescriber if pain
Chemical Class: Acetic Acid  Hypersensitivi blocking cyclooxygenase and alanine relief is inadequate or if
derivative ty to this drug inhibiting prostaglandins, this aminotransferase breakthrough pain occurs
Therapeutic Class:
or any NSAID reduces inflammation and  increased serum between doses because
product relieves pain. aspartate supplemental doses of an
Analgesic, anti-
excipients aminotransferase opioid analgesic may be
inflammatory  recent  nausea required.
gastrointestin  Monitor CBC for decreased
Dosage: al (GI) bleed Other Side Effects: hemoglobin and hematocrit
30mg/amp or  diarrhea because drug may worsen
perforation,  dizziness anemia if the patient is
Frequency:
or history of  drowsiness anemic.
peptic ulcer  edema  Assess patient’s skin
1amp every 8 hours disease or GI routinely for rash or other
bleeding evidence of hypersensitivity
Route:  Suspected or reactions because ketorolac
I.V. confirmed is an NSAID and may cause
cerebrovascul serious skin reactions
ar bleeding, without warning, even in
hemorrhagic patients with no history of
diathesis, NSAID hypersensitivity.
incomplete Stop the drug at first sign of
hemostasis, reaction and notify
and those at prescriber.
high risk of
bleeding
 Advanced
renal
impairment
or at risk for
renal failure
due to
volume
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
depletion
 Use as
prophylactic
analgesia
prior to any
major surgery
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
Generic Name: To manage  Mother who Binds with mu receptors and Common Side Effects:  Avoid giving tramadol to
Tramadol hypertension is inhibits the reuptake of  pruritus patients with acute
breastfeeding norepinephrine and serotonin,  agitation abdominal conditions
 Depression which may account for tramadol’s  anxiety because it may mask
Brand Name:
 Asthma analgesic effect.  constipation evidence and disrupt
ConZip, Ultram, UltramER   After patient receives first
 COPD diarrhea
 Seizures  hallucination tramadol dose, watch for
Classification:  nausea allergic reactions, including
Chemical Class:  tremor angioedema,
Cyclohexanol  vomiting bronchospasm, pruritus,
 diaphoresis steves-johnson syndrome,
Therapeutic Class:
 insomnia and urticarial. Also watch
Analgesic for any sign and symptoms
 dizziness
 fatigue of anaphylaxis such as
 depression dyspnea and hypotension.
Dosage:  nervousness
50mg/amp  restlessness
Frequency:  weakness
1amp every 6 hours
Route:
P.O
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
Generic Name: To relieve moderate  Hypersensitivi Binds with and stimulates mu and Rare:  Use Nalbuphine cautiously
Nalbuphine to severe pain ty to kappa opiate receptors in the Chest pain or discomfort, in patients taking other
nalbuphine or spinal cord and higher levels in difficult or labored breathing, drugs that can cause
As adjunct to its the CNS. In this way, nalbuphine difficulty with swallowing, respiratory depression.
Brand Name:
anesthesia components alters the perception of and fainting, false beliefs that  Keep resuscitation
Nubain
 Inability to emotional response to pain. cannot be changed by facts equipment and naloxone
empty fast, pounding, or irregular readily available to reverse
Classification: bladder heartbeat or pulse, puffiness or nalbuphine effects if
Analgesic and anesthesia  Dehydration swelling of the eyelids or needed.
adjunct  Constipation around the eyes, face, lips or  For direct I.V. injection
 Severe tongue, redness of the face, through an I.V. line with a
abdominal neck, arms, and occasionally, compatible flushing
Dosage:
Pain upper chest solution, give drug slowly –
50mg/amp seeing, hearing, or feeling no more than 10mg over 3-
things that are not there, sense 5 mins. Inject into free-
Frequency: of detachment from self or flowing normal saline
½ amp for breakthrough body solution.
pain and slow or irregular heartbeat  During prolonged use,
expect to give a stool
Common: softener to minimize
Route:
 Dizziness or constipation
I.V. lightheadedness
 drowsiness
 feeling of constant
movement of self or
surroundings
 nausea
 relaxed and calm
 sensation of spinning
 sleepiness
 sweaty, clammy skin
 vomiting
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
Generic Name: Natural health  hypersensitivi Malunggay leaves, which come  hypotension  Take the patient’s vital
Natalac supplement for ty reaction from selected high-quality,  bradycardia signs before administering
nursing mothers healthy, organically grown and the drug
especially those with chemical-free malunggay trees. It  ask the patient if she has
Brand Name: inadequate lactation. is rich in iron, calcium, any allergies or review the
Moringa Oleifera Lam phosphorus, Vitamins A and C, patient’s health history
and proteins. It has been clinically  If any allergic reactions
Classification: proven to increase the secretion occur, stop the medication
Suplements of breastmilk, which contains immediately.
antibodies that protect the infant
from infections.
Dosage:
2capsules With antibodies that protect
infants from infections
Frequency:
Three times a day
Route:
Oral
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
Generic Name: Used to treat or Hypersensitivity Iberet-Folic 500 is a hematinic  Constipation,  Before administering the
Iberet Folic prevent vitamin reactions containing iron in a sustained- diarrhea, or upset vitamin ask the patient if
deficiency due to release system, vitamin C for stomach may occur. she has any allergies
Brand Name: poor diet, certain enhancement of iron absorption,  Iron content may  Check the patients health
Ferrous Sulf-FA-Bcomp illnesses, or during and the vitamin B complex cause tool to turn history for any alcohol
with C pregnancy including folic acid. black abuse, liver, stomach or
Iron: Iron is required for intestinal problems
Classification: Prevention and hemoglobin (Hb) production so
Iron and multivitamins treatment of Fe- that iron deficiency will cause
deficiency anemia & production of smaller red cells,
Dosage: prevention of folate which contain lower level of Hb
1 tab deficiency and can cause microcytic
hypochromic anemia.
Frequency: Vitamin C: Vitamin C supports the
Three times a day body's metabolism and helps
absorption of iron from the
Route: duodenal level.
Oral Folic Acid: Folic acid is influencing
hematopoietic system like
vitamin B12 deficiency does.
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986
Generic Name: Uncomplicated  Cefuroxime is Cefuroxime acts by inhibiting Common:  Assess for:
Cefuroxime urinary-tract contraindicat bacterial cell wall synthesis. Lack  Chills History: Hepatic and renal
infections ed in patients of bacterial cell wall results in  diarrhea impairment, lactation,
Brand Name: with known death due to lysis of bacteria.  fever pregnancy
Ceftin, Kefurox, Zinacef, Respiratory-tract hypersensitivi  general feeling of Physical: Skin status, LFTs,
Zinacef ADD-Vantage, infections ty to illness or discomfort renal function tests, culture
Zinacef TwistVial cephalosporin  headache of affected area, sensitivity
Pneumonia or with s and  itching of the vagina tests
Classification: acute exacerbations penicillins or genital area
Antibiotic of  pain during sexual
chronic bronchitis intercourse
Dosage:  rigidity
500mg cap  sweating
 thick, white vaginal
Frequency: discharge with no
Three times a day odor or with a mild
odor
Route:
Oral Less common:
 Black, tarry stools
 chest pain
 cough
 loose stools
 painful or difficult
urination
 shortness of breath
 sore throat
 sores, ulcers, or white
spots on the lips or in
the mouth
 swollen glands
 unusual bleeding or
bruising
 unusual tiredness or
weakness
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
CP# 09177148749, 09175785986

College of Nursing: Chemical Class: Acetic Acid Derivative Therapeutic Class: Analgesic, Anti-Inflammatory

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Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES

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