Patient’s Name: Z Date of admission:October 17, 2020

Age:61y.o Chief Complaint: Abdominal Pain

Room:401 Attending Physician:

GENERIC NAME BRAND CLASSIFICATION MECHANISM INDICATION SIDE AND ADVERSE NURSING
NAME OF ACTION EFFECT CONSIDERATION
Cefazolin sodium Ancef Anti-infectives First-generation Preoperative CNS:confusion,  Instruct patient to
cephalosporin prevention in drowsiness, fainting, report adverse reactions
DOSAGE:2g that inhibits contaminated headache, seizure promptly.
FREQUENCY: cell-wall surgery.
ROUTE: IVTT synthesis, GI:nausea, vomiting,  Tell patient to report
promoting diarrhea, dyspepsia, discomfort at IV
osmotic abdominal cramps injection site
instability.
REPRODUCTIVE: vaginal  Watch for seizures;
itching or discharge notify physician
immediately if
SKIN: allergic reactions, patient develops or
hives, skin rash or increases seizure
itching activity.

 Monitor for signs of

Others: allergy reactions and
-tiredness anaphylaxis
-weakness including pulmonary
-drug fever symptoms (tightness
-injection site reactions in the throat and
(pain,swelling,skin rash, or chest, wheezing,
hard lamp) cough dyspnea) or
skin reactions
 (rash,pruritis,
SI urticaria).

Diphenhydramine Benadryl Anti-histamine Completely  Treatment CNS: drowsiness,  If pt is having a cute

blocks the for allergic sedation,dizziness, allergic reaction, obtain
DOSAGE: 25mg effects f reaction disturbed coordination, history of recently
FREQUENCY: histamine at fatigue, confusion, ingested foods,
ROUTE: IVTT H1-receptor  Prevent restlessness, drugs, environmental
sites, has and treat excitation,nervousness, exposure, emotional
atropine-like, nausea, tremor, headache, stress. Monitor B/P,
anti-pruritic, vomitting, blurred vission, diplopia rate,depth, rhythm, type
and sedative dizziness of respiration; quality,
effects caused by CV:hypotension, rate of pulse. Assess
motion palpitaion, lung sounds for
sickness. bradycardia,tachycardia rhonchi,wheezing, rales.
, extrasystoles
 Administer syrup
GI:anorexia, increased form if patient is unable
appetite and weight to take tablets.
gain, nausea, vomitting,
diarrhea or constipation.  Administer with food
if GI upset occurs
GU:Urinary
frequency,dysria,  Avoid alcohol;
urinary re-tention, early serious sedation could
menses, decreased occur.
libido, impotence
 Report difficulty of
breathing, hallucinations,
 tremors, loss of
coordination, unusual
bleeding or bruising,

Tramadol Ultram, Analgesics Binds to mu- Tramadol is CNS: dizziness,  Assess type,
Ultram ER (centrally acting opiod receptors. used in the headache, drowsiness, location, and
DOSAGE:50mg Inhibits reuptake management vertigo, asterixis, intensity of pain before
FREQUENCY:PR of serotonin and of moderate to weakness and 2-3 hr (peak)
N norepinephrine in moderately after administration.
ROUTE: IVTT the CNS severe pain. CV: orthostatic
Extended hypotension  Assess BP & RR
release tablets before and
are used EENT: visual periodically during
for moderate disturbances, administration.
to moderately Respiratory
severe chronic GI: nausea,constipation, depression has not
pain in adults vomitting, diarrhea, occurred with
who require anorexia recommended
continuous doses.
treatment GU: polyuria, nocturia
for an Hematologic:  Assess bowel
extended hypokalemia function
period routinely. Prevention
SKIN: itching, sweating, of constipation should be
rash, instituted with increased
intake of fluids and bulk
Others: and with laxatives to
-dry mouth minimize constipating
- effects.
  Assess previous
analgesic
history. Tramadol is not
recommended for
patients dependent on
opioids or who have
previously received
opioids for more than 1
week may cause opioid
withdrawal symptoms

 Encourage patient to
cough and breathe
deeply every 2hr to
prevent atelactasis
and pneumonia.

Patient’s Name: Z Date of admission:October 17, 2020

Age:61y.o Chief Complaint: Abdominal Pain
Room:401 Attending Physician:
GENERIC NAME BRAND CLASSIFICATION MECHANISM INDICATION SIDE AND ADVERSE NURSING CONSIDERATION
NAME OF ACTION EFFECT

Ampicillin/sulbacta Unasyn Antibiotic Destroys Treatment of a CNS: lethargy,  Assess patient

m bacteria by variety of skin hallucinations, anxiety, of previous sensitivity
inhibiting and skin confusion, agitation, reaction to penicillins or
bacterial cell- structure depression, fatigue, cephalosporins
wall synthesis infections, soft dizziness, seizure
during tissue  Assess patient for signs
microbial infections inclu EENT: blured vision, and symptoms
multiplication. ding: Otitis me itchy eyes of infection
Addition dia, Sinusitis, 
of sulbactam Respiratory tra GI: nausea, vomiting,  Complete C&S before
enhances ct infections, diarrhea, abdominal beginning product
drug’s Genitourinary pain, gastritis, stomatitis therapy to identify
resistance to tract if correct treatment has
beta- infections, GU: hematuria, hyaline been initiated
lactamase, an Meningitis, casts in urine, vaginitis,
enzyme that and Septicemi nephropathy, instertitial  Assess for allergic
can inactivate a nephritis reactions
ampicillin.  
RESPIRATORY:  Monitor blood studies
wheezing, dyspnea,
hypoxia, apnea  Monitor electrolytes

SKIN: rash, urticaria,  Assess bowel pattern

diaphoresis. daily
 Monitor for bleeding

 Instruct pt. To
immediately report signs
and symptoms
of hypersensitivity
reaction, such as
rash,fever,or chills.

  Tell pt. To report signs

and symptoms
 of infection or other
problems at injection
site.

Spironolactone  Aldactone, Therapeutic: Spironolactone  Diagnosis CNS: drowsiness,  History: Allergy to

Novospiro Potassium- acts on the and lethargy, headache, spironolactone;
Dosage: 1 tab ton sparing diuretic, distal renal maintenan mental confusion, hyperkalemia; renal
25mg Aldosterone tubules as a ce of dizziness disease; pregnancy,
Frequency: antagonist  competitive primary lactation
OD antagonist of hyper GI: abdominal cramping,
Route: P.O Pregnancy aldosterone. It aldosteroni diarrhea, Gastritis,  Give daily doses early s
Catergory D increases the sm nausea, vomiting that increased urination
excretion of does not interfere with
sodium  Adjunctive SKIN: rash, hives, sleep.
chloride and therapy in Itching  
water while edema  Make suspension as
conserving associated REPRODUCTIVE: follows: Tablets maybe
potassium and with CHF, enlarged breast tissue in pulverized and given in
hydrogen ions nephrotic males, impotence, cherry syrup for young
syndrome, menstrual disorders,bre children. This
hepatic ast pain suspension is stable for
cirrhosis 1 refrigerator
when OTHERS:  
other -electrolyte disturbances  Measure and record
therapies -leg cramps regular weight to monito
are in -hair loss mobilization of edema
adequate fluid
or in
appropriat
 e

 Treatment
of
hypokalem
ia or
prevention
of
hypokalem
ia
inpatients
who would
be at high
risk if
hypokalem
ia
occurred:
digitalized
patients,