Drug Name Classification Mechanism of Action Indication/s Contraindication Side Effects/ Adverse Nursing

Effects Responsibilities
Generic Name: Prostaglandin Stimulates the Improving the cervical Hypersensitivity to the drug Upset stomach, Before:
or components
Dinoprostone Gel myometrium of the inducibility (cervical vomiting, diarrhea, Store suppositories in
Pregnancy Category Risk: gravid uterus to contract "ripening") in pregnant Patients for whom oxytocic dizziness, flushing of freezer at temperature
Brand Name: C in a manner that is women at or near term drugs are contraindicated skin, headache, fever, not exceeding –20° C
Prepidil Gel similar to the with a medical or
History of cesarean section
unpleasant vaginal
contractions seen in the obstetrical need for
or major uterine surgery discharge, chills and Nurse determine
term uterus during labor induction, and the
shivering, increase of patient’s history of
Actual Dosage: labor, resulting in the management of Cephalopelvic disproportion
evacuation of the postpartum present
vaginal bleeding hypersensitivity
0.5 mg several days after reaction to
products of conception hemorrhage.
from the uterus. Cases of fetal distress treatment, chest pain, Dinoprostone gel and
Route where delivery not imminent
its contents.
hives, breathing
Endocervically
Drug-drug Interaction difficulty, and unusual
swelling of face Monitor uterine
frequency:  Other oxytocic contractions and
as ordered agents observe for and report
excessive vaginal
bleeding and cramping
pain.

Obtain vital signs for

baseline data.

During:
Place drug in the
vagina immediately
after removal from the
foil package

After:
Assess patient for
signs of
hypersensitivity to the
drug.

Monitor vital signs for

and assess for any
significant changes.
Drug Name Classification Mechanism of Action Indication/s Contraindication Side Effects/ Adverse Nursing
Effects Responsibilities
Generic Name: Antibiotic Inhibits protein Prophylactic Patients with a prior Dizziness, Before:
Metronidazole synthesis by antibiotics are usually history of headache, stomach Obtain neurologic
interacting with DNA given intravenously as hypersensitivity to upset, nausea, status prior to
Brand Name: Pregnancy Category and causing a loss of a bolus on induction of metronidazole or vomiting, loss of administration and
Flagyl and Protostat Risk: B helical DNA structure anesthesia to ensure other nitroimidazole appetite, diarrhea, input and output.
and strand breakage adequate tissue derivatives and in constipation, or
Actual Dosage, route, that causes cell death concentrations at the patients with metallic taste in the Assess patient’s
frequency: in susceptible time of surgical trichomoniasis. mouth may occur. history of CNS or
First Dose: organisms. incision.  hepatic disease;
500 mg IV drip as Drug-Drug Interaction: candidiasis
ordered  amprenavir (moniliasis), blood
Second and Third  anisindione dyscrasias.
Dose:  bcg
500 IV drip q 8 hours  cholera vaccine During:
Monitor neurologic
 dicumarol status during and after
 disulfiram IV infusions.
 typhoid vaccine
After:
 warfarin Instruct patient that
they may experience
dry mouth with
strange metallic taste,
nausea, vomiting,
diarrhea.

Advice pt. to report

any normal deviation.