Name of Classification Complete Action Indication Contraindications Side Effects/Adverse Nursing

Medication Doctor’s Order s Effects Consideration

Generic Antimetabolit METHOTREXAT Competitively Diagnose  Evidence of  Flatulence,  Do not

Name: e E 50MG Single binds to the d ectopic immunodeficienc bloating administer
dose enzyme pregnanc y  Hepatotoxicity any other
Methotrexat medication
Dihydrofolic y  Anemia  Renal toxicity
e s
acid reductase  Hypersensitivity  Bone marrow
containing
Brand Name: to methotrexate aplasia
alcohol,
 Intrauterine  Ulcerative
Trexall NSAID’s
pregnancy stomatitis  Advise the
Date Given:  Hepatic  Leukopenia patient to
Prevent
dysfunction  Thrombocytopeni avoid
June 18,2021 conversion of
 Renal a vaginal
dihydrofolate to
dysfunction  Alopecia intercourse
tetrahydrofolat
 Breastfeeding  Abdominal and new
e
 Ruptured ectopic cramping conception
 Hemodynamic  Vaginal bleeding  Advise the
unstable or spotting patient to
Without Avoid folic
 Bloody  Nausea, vomiting
tetrahydrofolat acid
 Unable to  Skin sensitivity to
e, DNA  Arrange for
comply with sunlight an
synthesis and
medical  Sore mouth antiemetic
repair and
management if nausea
cellular
replication will follow up and
be impaired  Alcoholism vomiting
 non-steroidal are severe.
anti-
inflammatory
drugs
 Sexual
 intercourse
 breast feeding Health Teaching
 coffee
 Maintain
fluid intake

 Avoid
exposure
to sunlight

 Avoid
alcohol
and
vitamin
folic acid

 Avoid
aspirin
drugs such
as
ibuprofen
Name of Classification Complete Action Indications Contraindications Side Effects/Adverse Nursing
Medication Doctor’s Effects Consideration
Order

Generic Name: Antianemia Ferrous Facilitates O2 This drug is  Iron  Nausea  Advise the
sulfate transport via used to treat hypersensitivity  Vomiting patient to
Ferrous sulfate  Constipation take iron
PO:200mg hemoglobin low
Brand Name: once a day hemoglobin  Hemochromatosis  Black stool with
 Anorexia Vitamin C
 Calcium or a glass
carbonate of orange
Used as iron
juice
source as it
Date Given: replaces iron  Milk, coffee, egg
and tea  Use
found in
June 17, 2021 cautiously
hemoglobin,
on long
Date myoglobin and
term basis
Discontinued: other enzymes
 Warn the
patient
that stool
may be
dark

 Advise the
patient to
eat food
reach in
 iron

 Keep this
drug out
of reach of
children

Name of Classification Complete Action Indications Contraindications Side Effects/Adverse Nursing Consideration
Medication Doctor’s Effects
Order

Generic Name: Opoid 50 mg PO Intracellular This drug is  Hypersensitivity  Dizziness  Assess the
analgesic inhibition of used for to  Acute  Nausea patient level of
Tramadol intoxication  Drowsiness pain at least 30
adenylate cyclase relief of
Brand Name: moderate to with alcohol  Dry mouth minutes after
moderately  CNS Depressant  Constipation administration
Ultram severe pain  GI obstruction  Headache
and paralytic  Sweating  Instruct the
Closing of ileus  Vomiting patient to
Date Given: 
calcium channel Acute bronchial  Itching increase fluid
June 17, 2021 asthma  Rash intake to
prevent the dry
Date mouth
Hyperporalization
Discontinued:
of cell membrane  Monitor
potential seizure

 Discontinue
Suppression of drug if
action potential hypersensitivity
transmission of accur
ascending pain
pathway