MARCOS, Arian May S.

EMERGENCY ROOM
BSN 3B-d Sir Gomer Ponso

DRUG NAME MECHANISM OF INDICATION / ADVERSE EFFECT NURSING RESPONSIBILITIES

ACTION CONTRAINDICATION
GENERIC: May inhibit INDICATIONs: CNS: BEFORE:
KETOROLAC prostaglandin Short-term Dizziness, Dx;
BRAND: synthesis to management of headache,
TORADOL produce anti- moderately severe, drowsiness, -Assess the patient's need for
inflammatory, acute sedation pain medication.
CLASS
analgesic, and pain CV: -Assess first the patient before
THERAPEUTIC CLASS:
antipyretic administering this drug: know
NON-STEROIDAL Arrhythmias,
effects. the history and physical
ANTI-INFLAMMATORY CONTRAINDICATION: edema,
hypertension, condition of the patient.
DRUGS Hypersensitivity
PHARMACOLOGIC: SOURCE: palpitations -Assess if the patient has
Comerford, K. C., GI: allergies to this medication
NON-STEROIDAL DRUG TO DRUG
& Dyspepsia, GI pain, Tx;
ANTI-INFLAMMATORY INTERACTION:
DRUGS Durkin, M. T. Salicylates; nausea, constipation,
(2020). Nursing Probenecid; ACE diarrhea, flatulence, -Observe 10 rights of drug
DOSAGE:
2020 drug inhibitors peptic ulceration, administration.
1ampule handbook (15th stomatitis, vomiting, -Review all other significant and
ROUTE: ed., Vol. 1). GI life-threatening adverse
IVP Philadelphia: DRUG TO HERB
hemorrhage reactions and interactions,
INTERACTION:
Wolters Kluwer. EENT: especially those related to the
White willow; drugs, herbs, and behaviors
Garlic; Ginger; Nasal discomfort,
mentioned above.
Horse chestnut; Red rhinalgia,
-Administered prepared drug
clover; rhinitis, throat
personally
Feverfew; Dong irritation
Quai GU:
Edx;
DRUG TO Renal failure.
LIFESTYLE HEMA:
-Educate the patient about the
INTERACTION: Decreased platelet name of the drugs, what the
Alcohol use; adhesion, prolonged drug is for, and the side effects.
smoking bleeding time,
-Instruct patient to move slowly
purpura
when sitting up or standing, to
DERM: avoid dizziness or light-
Rash, urticaria, headedness from sudden blood
diaphoresis pressure decrease.
MISC: -Educate that these adverse
Pain at the injection effects will be felt such as rash,
site hypertension, burning, and
pain on the injection site.
-Encourage the patient to
inform the health care provider
when pain persists or when
severe adverse effects occur.

DURING:

Dx;
-Monitor urine output.

-Monitor for S&S of GI distress

or bleeding.
-Monitored vital signs before
initiating therapy and
periodically throughout the
course to determine the
effectiveness of the
medication.

Tx;
-Observe for fluid retention and
edema in patients
-Verified patient's identity
-Discontinue drug if
hypersensitivity reactions
OCCUR.

Edx;
-Inform the patient to report any
signs of itching, swelling in the
ankles, sore throat, easy
bruising, etc.
-Do not double doses or increase
the dose or frequency of doses. -
Instructed S/O to take missed
doses as soon as remembered,
spacing remaining doses at
regular intervals.

AFTER:

Dx;
-Assess the patient's condition.
thereafter the therapy.
-Assessed for any abnormal
changes in vital signs.
-Monitor for the desired effect.

Tx;
-Promote comfort measures
-Observe for acute toxicity and
overdose.
-Determine the effectiveness of
the medication.

Edx;
-Teach the patient about the
drug's side effects.
-Advise patient, parents, or other
caregivers to contact prescriber
if other symptoms persist
despite taking the recommended
amount of drug.
-Teach patient warning signs
that need immediate attention
of the physician.