DRUG NAME MECHANIS ADMINISTRATIO INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

M OF N RESPONSIBILITIES
ACTION
Generic Name: - second - Tablets 125mg, - Treatment of it is -Hypersensitivity to - GI -Before
Cefuroxime generation 250mg, 500mg effective for the cephalosporins and Diarrhea, nausea, antibiotics -determine history of
cephalosporin -Powder for injection treatment of related antibiotics, associated colitis. hypersensitivity reactions to
Brand name: that inhibits the 750mg, 1.5g, 7.5g penicillinasae pregnancy (category B) Skin cephalosporins, penicillins and
Ceftin cell wall -Premixed containers producing neisseria lactation, Rash, pruritus, urticaria. history of allergies, particularly to
synthesis, 750mg/50mg, gonorrhoea (PPNG). Urogenital drug, before therapy is initiated.
promoting 1.5g/50ml effectively treats bone Increased serum creatinine and - Lab test: perform culture and
Classification: osmotic and joint infections, BUN, decreased creatinine sensitivity test before initiation of
Anti infectives intability bronchitis, meningitis, clearance. therapy and periodically during
antibiotic second usually gonorrhoea, otitis Hemal therapy if indicated. Therapy may
generation bactericidal. media, pharyngitis, Hemolytic anemia be instituted pending test results.
cephalosporin sinusitis, lower MISC Monitor periodically BUN and
respiratory tract Anapylaxis creatinine clearance.
infections, skin and soft During
tissue infections,
-Inspect IM and IV injection
urinary tract infections,
and Is used for surgical sites frequently for signs of
prophylaxis, reducing
phlebitis.
or eliminating
infection. -Monitor for
manifestation of
hypersensitivity.
 DRUG NAME MECHANIS ADMINISTRATIO INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
M OF N RESPONSIBILITIES
ACTION
Generic Name: - Synthetic - Adults induction of - Antepatum o initiate - Significant - CV cardiac arryhtmias - Before
Oxytocin form an labor initial dose not or improve uterine cephalopelvic PVCs, HPN, subarachnoid Assess for significant
endogenous more than 0.5-2 contractions to achieve disproportion unfavorable hemorrhage cephalopelvic disproportion
Brand name: hormone milliunits/min by IV early vaginal delivery fetal position or -Fetal effects fetal unfavorable fetal position or
Pitocin produced in the infusion. Increase the stimulation or presentations, obstetric bradycardia, neonatal presentations severe toxemia,
hypothalamus dose of no more than reinforcement of labor emergencies that favor jaundice, low apgar score uterine inertia, hypertonic uterine
and stored in 1-2 milliunits/at 30-60 in selected cases of surgical interventions -GI nausea, vomiting patterns, previous cesarean
Classification: the posterior min intervals control uterine inertia, prolonged use in severe -GU postpartum hemorrhage, section.
Pharmacologic pituitary of postpartum management of toxemia, uterine, inertia, uterine rapture of the uterus Assess fetal heart rate, uterine
class hormone stimulates the bleeding inevitable or hypertonic, uterine with excessive dosage, or tone
Therapeutic class uterus, IV add 10-40 units to incomplete abortion patterns, induction or hypersensitivity. Ensure fetal position and size and
Oxytocin especially the 1000ml of non second trimester ougmentation of labor -Hypersensitivity absence of complications.
Pregnancy gravid uterus hydrating diluent abortion. when vaginal delivery is anaphylactic action. -During
category just before the infuse at a rate to -Postpartum to produce contraindicated, previous Infuse via constant infusion pump
X parturition and control uterine atony. uterine contractions cesarean section, to ensure accurate control of rate
causes IM adminiter 10 units during the third stage pregnancy determined buy uterine response
myoepithelium after delivery of of labor and to control begin with 1-2ml/min and increase
of the lacteal placenta treatment of postpartum bleeding or at 16-60 min intervals
glands to incomplete abortion hemorrhage. Do not combine in solution with
contract which IV infusion of 10 -lactation deficiency fibrinolysin or heparin.
results in milk units oxytocin with -unlabeled use to Monitor maternal BP
ejection in 500ml physiologic evaluate fetal distress Monitor neonate for jaundice
lactating saline solution @ 10- treatment of breast Discontinue drug and notify
mothers. 20 milliunits/min engorgement physician at any sign of
Injection- 10 units/ml hypertensive emergency.
-After
Educate client on the side effects
of the medication and what to
 expect
Document that drug has given.

DRUG NAME MECHANIS ADMINISTRATIO INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

M OF N RESPONSIBILITIES
ACTION
Generic Name: - Reversibly -Adult seriuous -Infections caused by -Contraindicated in -CNS headache -Assess patients infection before
Clindamycin binds to 50S infections 2400- sensitive staphylococci, patients hypersensitivity CV thrombophlebitis and regularly throughout therapy.
Brand name: ribosomal 2700mg in 3-4 equal streptococci, to drug or lincomycin EENT: pharyngitis -Before giving first dose, obtain
Dalacin C subunits dose , less pneumococci, -Use cautiously in GI: abdominal pain, anorexia, specimen for culture and
preventing complicated infections bacteroids, patients with renal or bloody or tarry stools, sensitivity test begin therapy
peptide bond 1200-1800mg/day in fusibacterium, hepatic disease,asthma, constipation, diarrhea, pending results.
Classification: formation thus 3-4 equal doses. clotridium, history of GI disease or dysphagia, esophagitis, -Monitor renal, hepatic, and
Antibiotics inhibiting Pelvic inflammatory perfringens,and other significant allergies. flatulence, nausea hematopoetic functions during
bacterail disease clindamycin sensitive aerobic and GU: UTI prolonged therapy
protein phosphate 900mg IV anaerobic organisms HEMATOLOGI: -Be alert for adverse reactions and
synthesis 8hourly + an - Endocarditis eosinophilia,thrombocytopeni drug interactions
bacteriostatic or antibiotic w/ an prophylaxis for dental a transient leukopenia -If adverse GI reactions occurs,
bactericidal appropriate gmaerobic procedures in patients SKIN: musculopapular rash, monitor patients hydration
depending on spectrum IV continue allergic to penicillin urticaria -Teach patient how to store oral
drug w/ oral clindamycin -Acne vulgaris solutions
concentration, HCI 450mg 6 hourly -Bacterial vaginosis -Tell patient to take entire amount
infection site to complete 10-14days -Pneumocystitis prescribe even after he feels
and oragnism total therapy jiroveci better.
-toxoplasmosis -Warn patient that IM injection
may be painful
-Instruct patient to report diarrhea
and to avoid self threatening
psudomembranus colitis.
-Tell patient receiving drug IV to
report discomfort at infusion site.
 DRUG NAME MECHANIS ADMINISTRATIO INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
M OF N RESPONSIBILITIES
ACTION
Generic Name: -Ferrous sulfate - Dose 2-3mg/kg -The prevention pr -Patients receiving -Large doses may aggravate -Store all forms at room
Ferrous sulfate is an essential -Frequency once a day treatment of iron repeated blood peptic ulcer, regional enteritis temperature
Brand name: component in -Route PO deficiency anemia due transfusion anemia not and ulcerative colitis. -Give between meals with water
Ferrous sulfate the formation to inadequate diet, due to iron deficiency. -Severe iron poisoning but may give with meals if
of hemoglobin, malabsorption -Vomiting gastrointestinal discomfort occurs.
Classification: myogloblin and pregnancy, and -Severe abdominal pain -Transient staining of mucous
Enzymatic mineral enzymes. It is bloodloss. -Diarrhea membranes and teeth will occur
and iron necessary for -Dehydration with liquid iron preparation. To
preparation effective -Hyperventilation avoid place liquid on the back of
erythropoiesis -Pallor or cyanosis the tongue with dropper or use
and transport or -Cardiovascular collapse straw.
utiization of -Avoid simultaneous
oxygen. administration of antacids or
tetracycline.
-Do not crush sustained release
preparations
-Eggs and milk inhibit absorption.
-Monitor serum iron, total iron
binding capacity, reticulocyte
count, hemoglobin, and ferritin.
-Monitor daily pattern of bowel
activity and stool consistency.
-Assess for clinical improvement,
record of relief of symptoms
(fatigue, irritability,pallor,
paresthesia, and headache)