DRUG STUDY FFG

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Saint Mary’s University

SCHOOL OF HEALTH and NATURAL SCIENCES


Nursing Department
Bayombong, Nueva Vizcaya
DRUG STUDY
Name of Student: MESSAKARAENG, RENEE DWI PERMATA L. Year Level and Group: BSN 2-C

Affiliating Agency/Area: Month/Year of Exposure:


DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

 Slow heart rate CV: INDEPENDENT


Pharmacologic Class: -Initial or improvement  Fast heart rate Hypertension,
Generic Name: increased heart
Posterior pituitary of uterine contractions
Oxytocin  Premature ventricula DEPENDENT
hormone to achieve early vaginal rate, systemic
r complexes andvenous return,
Brand Name: delivery for maternal or COLLABORATIVE
other irregular
cardiac output
Pintocin, Syntocinon fetal reasons (IV)
Therpeutic Class: -as adjunctive therapy heartbeats GI: Nausea,
Uterine-active agent in the management of (arrhythmias) vomiting Educate client about medications
Dosage: inevitable or RESPIRATORY:
incomplete abortion Anoxia, asphyxia Educate client on medication self-
10 units/ml in 1ml  Permanent central OTHERS:
(IV) nervous administration procedures
ampule, vial or Low APGAR
-stimulation of uterine
syringe in system (CNS) or  score at 5
contractions during Prepare and administer medications, using
compatible IV third stage of labor (IV) brain damage, and mins
solution. -control of postpartum death secondary to rights of medication administration
DOSAGE bleeding or hemorrhage suffocation
CONSIDERATIONS: (IV, IM)  Neonatal seizure Review pertinent data prior to medication
 Neonatal yellowing administration (e.g., contraindications, lab
MECHANISM OF CONTRAINDICATIONS of skin or eyes results, allergies, potential interactions)
ACTION
 a condition (jaundice)
Directly interferes The purpose of the medication
Pediatric with low  Fetal death
with the first step in thyroid  Low Apgar score (5
Initially, the daily thyroid hormone The dosage of the medication
hormone minutes)
dosage is 0.4 mg/kg biosynthesis in the levels.  Uteroplacental
of body weight thyroid gland. By The side effects of the medication
 a type of blood
divided into 3 doses acting as a substrate hypoperfusion and
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
for the catalyst disorder with a
thyroid peroxidase, decrease in all
methimazole types of blood
inhibits the cells called
incorporation of pancytopenia.
iodide into the  Anemia.
thyroid hormone  a decrease in
precursor, the blood
thyroglobulin. clotting protein
prothrombin.
 Decreased
blood platelets.
 Very low levels
of
granulocytes, a
and given at 8-hour type of white
variable deceleration
intervals. The blood cell.
of fetal heart rate The possible adverse effects of the medication
maintenance dosage
 Inadequate fetal
is approximately 1/2 How and where the medication should be
of the initial dose. oxygen levels
(hypoxia) safely stored, such as in the refrigerator or in a
Route:  Perinatal hepatic nec dark place, for example
Taken orally rosis
 Fetal hypercapnia The importance of and the method for
Frequency:
checking the medication's label for the name,
8-hours interval dose, and expiration date
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

Special instructions such as shaking the


medication, taking the medication with meals
or between meals and on an empty stomach,
for example

When to call the doctor about any side effects

The importance of taking the medication as


instructed

The need to continue the medication unless the


doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
for taking medications not intended for them

The proper and safe disposal of any


Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

biohazardous equipment such as used needles


that the client uses for insulin and other
medications
 

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Thyroid Hypersensitivity to  Chest pain  shortness of
Hormone/Thyroid thyroid hormone or (angina breath, Educate client on medication self-
Levothyroxine pectoris)
Product; other ingredients  wheezing, administration procedures
sodium
Thyro-tabs  Joint pain  hives,
capsules (Rx) Acute MI,  Congestive  itching,
thyrotoxicosis, Prepare and administer medications, using
heart failure  rash,
untreated adrenal  Flushing rights of medication administration
 flushing,
insufficiency
Brand Name:  Increased stomach pain,
Synthetic thyroid pulse  nausea, Review pertinent data prior to medication
Levo-T,
hormone should not  Heart attack  swelling of administration (e.g., contraindications, lab
Levothroid,
Levoxyl, be used in the  Palpitations hands, feet, results, allergies, potential interactions)
Synthroid, Thyro- treatment of obesity  Irregular ankles, or
Tabs, Tirosint, or infertility heartbeat lower legs The purpose of the medication
Tirosint-Sol,  Cramps
No contraindications
Unithroid reported by  Diarrhea The dosage of the medication
manufacturer for  Anxiety
myxedema coma  Choking
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
when treated with sensation
Dosage: injections.  Mood changes The side effects of the medication
MECHANISM OF CONTRAINDICATIONS  Headache
Capsule:
ACTION  Heat The possible adverse effects of the medication
 100 mcg,  Acute intolerance
T4 and T3 bind to myocardial
112 mcg,  Insomnia How and where the medication should be
thyroid receptor infarction.
125 mcg,  Muscle
proteins in the cell  Uncorrected safely stored, such as in the refrigerator or in a
137 mcg, weakness
nucleus and cause adrenal dark place, for example
150 mcg  Pseudomotor
metabolic effects insufficiency.
through the control of cerebri
 Acute  Hair loss The importance of and the method for
Tablet: DNA transcription myocarditis,  Weight loss checking the medication's label for the name,
and protein synthesis. pancarditis.
 25 mcg, 137  Infertility dose, and expiration date
Like its naturally
mcg, 150  Active cardiac
secreted counterpart,  Shortness of
mcg, 175 arrhythmias.
levothyroxine is a breath Special instructions such as shaking the
mcg, 200  Thyrotoxicosis.
chiral compound in  Fever medication, taking the medication with meals
mcg, 300  Hyperthyroidis
the L-form.  Fast heart rate or between meals and on an empty stomach,
mcg m
 Tremor for example
 Decreased
Route: bone mineral
When to call the doctor about any side effects
density
Capsule and tablet
forms The importance of taking the medication as
instructed
Frequency:
The need to continue the medication unless the
4-hours interval doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

medications and preparations, that can


interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
for taking medications not intended for them

The proper and safe disposal of any


Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Tricyclic For the relief of  Jaundice  Dry mouth
antidepressant; symptoms of (simulating  blurred vision Educate client on medication self-
Imipramine (Rx) obstructive)
Tertiary amine depression.  headache, administration procedures
Endogenous  altered liver drowsiness
depression is more function  dizziness
 weight gain or Prepare and administer medications, using
likely to be alleviated  constipation
Brand Name:
than other depressive loss  nausea rights of medication administration
Toranil states. One to three  perspiration  vomiting
weeks of treatment flushing  loss of appetite Review pertinent data prior to medication
may be needed before  urinary  diarrhea administration (e.g., contraindications, lab
Dosage: optimal therapeutic  frequency stomach
 results, allergies, potential interactions)
effects are evident.  drowsiness cramps
Hospitalized
 dizziness weight
Patients 
The purpose of the medication
 weakness and gain/loss
Initially, 100 fatigue; increased
Childhood Enuresis 
The dosage of the medication
mg/day in divided  headache sweating may
doses gradually May be useful as  parotid occur.
increased to 200 temporary adjunctive swelling; The side effects of the medication
mg/day as therapy in reducing  alopecia
required. If no enuresis in children  proneness to The possible adverse effects of the medication
response after two aged 6 years and falling.
weeks, increase to older, after possible How and where the medication should be
250 to 300 mg/day. organic causes have
safely stored, such as in the refrigerator or in a
been excluded by
appropriate tests. In dark place, for example
Outpatients patients having
daytime symptoms of The importance of and the method for
Initially, 75 frequency and
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
mg/day increased urgency, examination
to 150 mg/day. should include voiding checking the medication's label for the name,
Dosages over 200 cystourethrography dose, and expiration date
mg/day are not and cystoscopy, as
recommended. necessary. The
Special instructions such as shaking the
Maintenance, 50 to effectiveness of
150 mg/day. treatment may medication, taking the medication with meals
decrease with or between meals and on an empty stomach,
continued drug for example
Adolescent And administration.
Geriatric Patients MECHANISM OF CONTRAINDICATIONS When to call the doctor about any side effects
ACTION
Initially, 30 to 40 The concomitant use
mg/day; it is
The mechanism of The importance of taking the medication as
of monoamine oxidase
generally notaction of Tofranil is inhibiting compounds instructed
necessary tonot definitely known. is contraindicated.
exceed 100 mg/day. However, it does not Hyperpyretic crises or The need to continue the medication unless the
act primarily by severe convulsive doctor discontinues it
stimulation of the seizures may occur in
Route:
central nervous patients receiving Information about foods, supplements and
Tablet and a system. The clinical such combinations.
other medications, including over the counter
capsule to take by effect is hypothesized The potentiation of
mouth as being due to adverse effects can be medications and preparations, that can
potentiation of serious, or even fatal. interact with the ordered medication
Frequency:
adrenergic synapses When it is desired to
Once a day by blocking uptake of substitute Tofranil in The safe disposal of unused and expired
norepinephrine at patients receiving a medications
nerve endings. monoamine oxidase
inhibitor, as long an The importance of keeping medications in a
interval should elapse
secure place that would not place a curious
as the clinical
situation will allow, child or a cognitively impaired adult at risk
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
with a minimum of 14
days. Initial dosage for taking medications not intended for them
should be low and
increases should be The proper and safe disposal of any
gradual and biohazardous equipment such as used needles
cautiously prescribed. that the client uses for insulin and other
medications
The drug is
contraindicated
during the acute
recovery period after
a myocardial
infarction. Patients
with a known
hypersensitivity to
this compound should
not be given the drug.
The possibility of
cross sensitivity to
other dibenzoazepine
compounds should be
kept in mind.
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Uricosuric agents;  Chronic gouty  gastrointestinal  Heartburn
Antigout agents arthritis disturbances  Nausea Educate client on medication self-
Sulfinpyrazone   Rash
(Rx)  Intermittent  Upset stomach administration procedures
 Blood
gouty arthritis
Dyscarsia
Prepare and administer medications, using
Brand Name: rights of medication administration

Anturane Review pertinent data prior to medication


administration (e.g., contraindications, lab
Dosage:
MECHANISM OF CONTRAINDICATIONS results, allergies, potential interactions)
Tablet: ACTION
 Hypersensitivy The purpose of the medication
 200-400 mg Sulfinpyrazone and to
lesinurad phenylbutazoe
competitively inhibit The dosage of the medication
Route: orother
the urate anion pyrazoles
Taken orally transporter (URAT1) The side effects of the medication
 Blood
responsible for dyacrasias.
reabsorption of uric The possible adverse effects of the medication
Frequency:
acid in the proximal
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
Once a day tubule. They increase
urate excretion in How and where the medication should be
urine and reduce the safely stored, such as in the refrigerator or in a
concentration in
plasma. dark place, for example

The importance of and the method for


checking the medication's label for the name,
dose, and expiration date

Special instructions such as shaking the


medication, taking the medication with meals
or between meals and on an empty stomach,
for example

When to call the doctor about any side effects

The importance of taking the medication as


instructed

The need to continue the medication unless the


doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
for taking medications not intended for them

The proper and safe disposal of any

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Urinary analgesic;  Pyridium is  Headache  Swelling
Analgesic indicated for  Rash  rapid weight Educate client on medication self-
Phenazopyridine   Pruritus
(Rx) the gain administration procedures
symptomatic  Occasional  confusion
relief of pain, gastrointestinal  loss of appetite
disturbance. Prepare and administer medications, using
burning,  pain in your
 An side or lower rights of medication administration
urgency,
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
Brand Name: frequency, and anaphylactoid- back
Pyridium other like reaction  fever Review pertinent data prior to medication
discomforts has been  pale or administration (e.g., contraindications, lab
arising from described. yellowed skin
irritation of the Methemoglobi  stomach pain results, allergies, potential interactions)
Dosage:
lower urinary nemia  nausea
Tablet:
tract mucosa  Hemolytic  vomiting The purpose of the medication
 100 mg caused by  Anemia  blue or purple
 200 mg
infection,  Renal appearance of The dosage of the medication
trauma,  Hepatic your skin
Route: surgery, toxicity have The side effects of the medication
Taken orally endoscopic been reported,
procedures, or usually at The possible adverse effects of the medication
the passage of overdosage
Frequency: sounds or levels How and where the medication should be
catheters. The
100 mg Tablets: safely stored, such as in the refrigerator or in a
use of
Average adult dark place, for example
Phenazopyridi
dosage is two
ne HCl for
tablets 3 times a
relief of The importance of and the method for
day after meals.
symptoms checking the medication's label for the name,
should not dose, and expiration date
delay definitive
200 mg Tablets: diagnosis and
Average adult Special instructions such as shaking the
treatment of
dosage is one tablet causative medication, taking the medication with meals
3 times a day after or between meals and on an empty stomach,
conditions.
meals. Because it for example
provides only
symptomatic
relief, prompt
appropriate
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
treatment of
the cause of The importance of taking the medication as
pain must be instructed
instituted and
Phenazopyridi
The need to continue the medication unless the
ne HCl should
be doctor discontinues it
discontinued
when Information about foods, supplements and
symptoms are other medications, including over the counter
controlled. medications and preparations, that can
MECHANISM OF CONTRAINDICATIONS interact with the ordered medication
ACTION
Phenazopyridine HCl
Phenazopyridine is an should not be used in The safe disposal of unused and expired
azo dye that is patients who have medications
excreted in the urine previously exhibited
and exerts a topical hypersensitivity to it. The importance of keeping medications in a
analgesic or local The use of secure place that would not place a curious
anesthetic effect on Phenazopyridine HCl
the mucosa of the child or a cognitively impaired adult at risk
is contraindicated in
urinary tract. It patients with renal for taking medications not intended for them
possesses no insufficiency.
antibacterial actions. The proper and safe disposal of any
biohazardous equipment such as used needles
that the client uses for insulin and other
medications
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Urinary  For the  Black, tarry  Diarrhea
antimicrobials; treatment of stools.  Nausea Educate client on medication self-
Trimethoprim
Cephalosporin initial episodes  blood in urine  Vomiting
tablet (Rx) administration procedures
antibiotics of or stools.  Stomach upset,
uncomplicated  bluish  loss of appetite Prepare and administer medications, using
urinary tract fingernails,  Changes in
lips, or skin. taste rights of medication administration
Brand Name: infections due
to susceptible  changes in  Headache may
Trimethoprim Review pertinent data prior to medication
strains of the facial skin occur
following color. administration (e.g., contraindications, lab
Dosage: organisms:  difficult results, allergies, potential interactions)
Escherichiacol, breathing or
Tablet:
Proteus shortness of The purpose of the medication
 100 mg mirabilis, breath.
 200 mg
Klebsiella  fever with or
pneumoniae,
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
Route: Enterobacter without chills.
Taken orally species and  general feeling The dosage of the medication
coagulase- of discomfort
negative or illness. The side effects of the medication
Frequency: Staphylococcus  neck stiffness.
species,
100 mg Tablets: The possible adverse effects of the medication
including S.
Every 12 hours saprophyticus.
Cultures and How and where the medication should be
200 mg Tablets: susceptibility safely stored, such as in the refrigerator or in a
Every 24 hours tests should be dark place, for example
performed to
determine the The importance of and the method for
susceptibility
checking the medication's label for the name,
of the bacteria
to dose, and expiration date
trimethoprim
(trimethoprim Special instructions such as shaking the
(trimethoprim medication, taking the medication with meals
tablet) tablet) . or between meals and on an empty stomach,
Therapy may for example
be initiated
prior to
When to call the doctor about any side effects
obtaining the
results of these
tests. The importance of taking the medication as
instructed
MECHANISM OF CONTRAINDICATIONS
ACTION
Trimethoprim The need to continue the medication unless the
Trimethoprim exerts (trimethoprim
doctor discontinues it
antimicrobial activity (trimethoprim tablet)
by blocking the tablet) tablets are
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
reduction of contraindicated in
dihydrofolate to individuals
tetrahydrofolate, the hypersensitive to
active form of folic trimethoprim
acid, by susceptible (trimethoprim
organisms. It has (trimethoprim tablet)
inhibitory activity for tablet) and in those
most gram-positive with documented
aerobic cocci and megaloblastic anemia
some gram-negative due to folate
aerobic bacilli. deficiency.

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Uterine relaxants;  This  Fast heart rate  Tachycardia
Oxytocic hormones medication is a  Palpitation  Palpitation Educate client on medication self-
Ritodrine (Rx)
tocolytic agent, administration procedures
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
prescribed for  Headache  Headache
Brand Name: uncomplicated  Nervousness  Nervousness Prepare and administer medications, using
premature  Anxiety  Anxiety rights of medication administration
Yutopar labour.  Nausea  Nausea
Dosage:  Vomiting  Vomiting
MECHANISM OF CONTRAINDICATIONS Review pertinent data prior to medication
Oral ACTION  Potentially administration (e.g., contraindications, lab
Antepartum Potentially Fatal:
Ritodrine is beta-2 Fatal- Lung
Uncomplicated haemorrhage, results, allergies, potential interactions)
premature labour adrenergic agonist. It swelling and  Rarely
eclampsia and severe
binds to beta-2 severe allergic anaphylaxis
Adult: Start oral preeclampsia, The purpose of the medication
therapy 30-60 adrenergic receptors reactions.  Arrhythmia
intrauterine foetal
mins before on outer membrane of death, cardiac disease.  Pulmonary
termination of IV
oedema The dosage of the medication
infusion at 10 mg
myometrial cell, Threatened
every 2 hr for 24 activates adenyl miscarriage, placenta  Hypokalaemia.
hr. Subsequently, cyclase to increase the The side effects of the medication
praevia and cord
10-20 mg every 4- level of cAMP which
6 hr according to
compression.
decreases The possible adverse effects of the medication
patient's response.
Max oral dose 120 intracellular calcium
mg daily. and leads to a How and where the medication should be
Parenteral decrease of uterine safely stored, such as in the refrigerator or in a
contractions.
Uncomplicated dark place, for example
premature labour

Adult: Given as IV The importance of and the method for


infusion, initially checking the medication's label for the name,
0.05 mg/min.
Increase by 0.05 dose, and expiration date
mg/min every 10
min until patient
responds. Usual
Special instructions such as shaking the
rate: 0.15-0.35 medication, taking the medication with meals
mg/min. As IM inj:
10 mg every 3-8
or between meals and on an empty stomach,
hr. Maintain for 12-
48 hr after the
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
contractions have
stopped
for example

Route: When to call the doctor about any side effects


Taken orally,
parenteral/ given The importance of taking the medication as
through IV instructed

The need to continue the medication unless the


Frequency: doctor discontinues it
Oral

Uncomplicated Information about foods, supplements and


premature labour other medications, including over the counter
Adult: Start oral medications and preparations, that can
therapy 30-60
mins before
interact with the ordered medication
termination of IV
infusion at 10 mg The safe disposal of unused and expired
every 2 hr for 24
hr. Subsequently, medications
10-20 mg every 4-
6 hr according to
patient's response.
The importance of keeping medications in a
Max oral dose 120 secure place that would not place a curious
mg daily.
child or a cognitively impaired adult at risk
Parenteral for taking medications not intended for them
Uncomplicated
premature labour The proper and safe disposal of any
Adult: As IM inj: 10
biohazardous equipment such as used needles
mg every 3-8 hr. that the client uses for insulin and other
Maintain for 12-48 medications
hr after the
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

contractions have
stopped

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Uterine stimulant;  CERVIDIL is  Fast heart rate  Tachycardia
Oxytocic hormones indicated for  Palpitation  Palpitation Educate client on medication self-
Dinoprostone (Rx)
the initiation  Headache  Headache administration procedures
and/or  Nervousness  Nervousness
continuation of  Anxiety  Anxiety Prepare and administer medications, using
Brand Name: cervical  Nausea  Nausea rights of medication administration
Cervidil ripening in  Vomiting  Vomiting
pregnant  Potentially
women at or Fatal- Lung Potentially Fatal: Review pertinent data prior to medication
Dosage: near term in swelling and administration (e.g., contraindications, lab
 Rarely
whom there is severe allergic results, allergies, potential interactions)
Pill: anaphylaxis
a medical or reactions.
 10 mg obstetrical  Arrhythmia
The purpose of the medication
indication for  Pulmonary
the induction oedema
Route:  Hypokalaemia. The dosage of the medication
of labor.
Cervidil must be MECHANISM OF CONTRAINDICATIONS The side effects of the medication
kept frozen until ACTION
use, and is  Known
Dinoprostone adminis The possible adverse effects of the medication
administered by hypersensitivit
tered intravaginally
placing one unit y to
stimulates the How and where the medication should be
transversely in the prostaglandins
myometrium of the safely stored, such as in the refrigerator or in a
posterior fornix of  Evidence or
gravid uterus to clinical
the vagina
contract in a manner
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
immediately after similar to the suspicion of
removal from its contractions seen in fetal distress dark place, for example
foil package. The the term uterus where delivery
insertion of the during labor. It also is not
The importance of and the method for
vaginal insert does appears to produce imminent
 Unexplained checking the medication's label for the name,
not require sterile local cervical effects
conditions. The including softening, vaginal dose, and expiration date
vaginal insert must effacement, and bleeding in the
not be used dilation. The exact current Special instructions such as shaking the
without its mechanism of action pregnancy
medication, taking the medication with meals
 Evidence or
retrieval system. for this effect is or between meals and on an empty stomach,
clinical
unknown but has
suspicion of for example
been suggested that it marked
Frequency: may be associated cephalopelvic
with collagen When to call the doctor about any side effects
12 hours prior to disproportion
onset active phase degradation caused by  Conditions for
of labor secretion of the which The importance of taking the medication as
enzyme collagenase. induction of instructed
labor is
contraindicate The need to continue the medication unless the
d doctor discontinues it
 Conditions for
which oxytocic
drugs are Information about foods, supplements and
contraindicate other medications, including over the counter
d medications and preparations, that can
 Previous interact with the ordered medication
cesarean
section or
other uterine The safe disposal of unused and expired
surgery medications
expected to
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
affect uterine
integrity (such
as
myomectomy)
 Conditions
under which
prolonged
contraction of
the uterus may
be detrimental
to fetal safety
 Concurrent
use with The importance of keeping medications in a
intravenous secure place that would not place a curious
oxytocic agents child or a cognitively impaired adult at risk
 Six or more for taking medications not intended for them
previous term
pregnancies The proper and safe disposal of any
biohazardous equipment such as used needles
that the client uses for insulin and other
medications

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Vaccines; Vaccine doses should  injection site
reactions  Pain, redness,
Attenuated not be reduced for
diphtheria and (redness, or swelling Educate client on medication self-
& inactivated preterm infants.
tetanus toxoids warmth, where the shot administration procedures
and pertussis was given.
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
vaccine adsorbed Persons recovering swelling,  Mild fever.
usp (Rx) from confirmed tenderness,  Headache. Prepare and administer medications, using
pertussis do not need itching, pain,  Feeling tired. rights of medication administration
additional doses of hives, and  Nausea,
DTP (diphtheria and rash), vomiting,
Brand Name: Review pertinent data prior to medication
tetanus toxoids and  fever, diarrhea,
DTP pertussis vaccine  drowsiness, stomach ache. administration (e.g., contraindications, lab
adsorbed usp) but  fretfulness, results, allergies, potential interactions)
should receive  vomiting,
Dosage: additional doses of DT  weight loss The purpose of the medication
Injection: to complete the series. (anorexia),
 0.5 mL MECHANISM OF CONTRAINDICATIONS  persistent The dosage of the medication
ACTION crying, and.
It is a
Route: The vaccine produces  rarely, The side effects of the medication
contraindication to
an active immune convulsions.
Intramuscular administer this
response of the body vaccine in the The possible adverse effects of the medication
by developing presence of any
Frequency: antibodies and evolving neurological How and where the medication should be
antitoxins against the condition. safely stored, such as in the refrigerator or in a
First 6 months old toxoids and acellular
Encephalopathy after dark place, for example
up to 7th birthday pertussis antigens. a previous dose is a
contraindication to The importance of and the method for
further use.
checking the medication's label for the name,
Immunization should
be deferred during dose, and expiration date
the course of an acute
illness. Vaccination of Special instructions such as shaking the
infants and children medication, taking the medication with meals
with severe, febrile or between meals and on an empty stomach,
illness should
generally be deferred
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
until these persons
have recovered. for example
However, the
presence of minor When to call the doctor about any side effects
illnesses such as mild
upper respiratory
The importance of taking the medication as
infections with or
without low-grade instructed
fever are not
contraindications to The need to continue the medication unless the
further use. doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
for taking medications not intended for them

The proper and safe disposal of any


biohazardous equipment such as used needles
that the client uses for insulin and other
medications
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Vasodilators; Vaccine doses should  hives,  Dizziness
Angiotensin not be reduced for  severe stomach  Lightheadedness Educate client on medication self-
Benazepril (Rx)
-converting enzyme preterm infants. pain,  Drowsiness administration procedures
(ACE)  difficulty  headache may
Persons recovering breathing, occur as your
from confirmed Prepare and administer medications, using
Brand Name:  swelling in body adjusts to
pertussis do not need your face or the medication. rights of medication administration
Lotensin additional doses of throat,  Dry cough may
DTP (diphtheria and also occur Review pertinent data prior to medication
 fever,
tetanus toxoids and administration (e.g., contraindications, lab
Dosage:  sore throat,
pertussis vaccine
 burning in results, allergies, potential interactions)
Tablet: adsorbed usp) but
your eyes,
 10 mg, 20 should receive
additional doses of DT  skin pain, The purpose of the medication
mg, and 40
mg to complete the series.  red or purple
skin rash that The dosage of the medication
Route: MECHANISM OF CONTRAINDICATIONS spreads and
ACTION
Taken orally  who are causes The side effects of the medication
Benazepril and hypersensitive blistering and
Benazeprilat inhibit to benazepril peeling,
Frequency: The possible adverse effects of the medication
angiotensin- or to any other  lightheadednes
Once a day converting enzyme ACE inhibitor s,
(ACE) in human  little or no How and where the medication should be
 with a history
subjects and animals of angioedema urinating, safely stored, such as in the refrigerator or in a
5,1. ACE is a peptidyl with or without  nausea, dark place, for example
dipeptidase that previous ACE  weakness,
catalyzes the inhibitor  tingly feeling, The importance of and the method for
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
conversion of treatment  chest pain,
angiotensin I to the  irregular checking the medication's label for the name,
vasoconstrictor heartbeats, dose, and expiration date
substance, angiotensin  loss of
II. movement, Special instructions such as shaking the
 stomach pain
medication, taking the medication with meals
(upper right
side), or between meals and on an empty stomach,
 loss of appetite, for example
 dark urine,
and When to call the doctor about any side effects
 yellowing of
the skin or eyes The importance of taking the medication as
(jaundice) instructed

The need to continue the medication unless the


doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

for taking medications not intended for them

The proper and safe disposal of any


biohazardous equipment such as used needles
that the client uses for insulin and other
medications

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Vascular headache Vaccine doses should  hives,  Dizziness
suppressants; not be reduced for  severe stomach  Lightheadedness Educate client on medication self-
Propranolol (Rx)
Anilides preterm infants. pain,  Drowsiness administration procedures
 difficulty  headache may
Persons recovering breathing, occur as your
from confirmed Prepare and administer medications, using
Brand Name:  swelling in body adjusts to
pertussis do not need your face or the medication. rights of medication administration
Inderal additional doses of throat,  Dry cough may
DTP (diphtheria and also occur
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
tetanus toxoids and  fever,
pertussis vaccine  sore throat, Review pertinent data prior to medication
Dosage:
adsorbed usp) but  burning in administration (e.g., contraindications, lab
Hypertension should receive your eyes,
additional doses of DT results, allergies, potential interactions)
 skin pain,
 40 mg to complete the series.  red or purple
The purpose of the medication
Angina Pectoris MECHANISM OF CONTRAINDICATIONS skin rash that
ACTION spreads and
 80mg - 320  who are The dosage of the medication
Benazepril and causes
mg hypersensitive
Benazeprilat inhibit blistering and
to benazepril peeling, The side effects of the medication
Atrial Fibrillation angiotensin-
or to any other  lightheadednes
 10 mg – 30 converting enzyme ACE inhibitor s, The possible adverse effects of the medication
mg (ACE) in human  with a history
subjects and animals  little or no
of angioedema
Migraine 5,1. ACE is a peptidyl urinating, How and where the medication should be
with or without
dipeptidase that  nausea, safely stored, such as in the refrigerator or in a
 160 mg – previous ACE
catalyzes the  weakness, dark place, for example
240 mg inhibitor
conversion of treatment  tingly feeling,
Essential Tremor angiotensin I to the  chest pain, The importance of and the method for
vasoconstrictor  irregular
 40 mg checking the medication's label for the name,
substance, angiotensin heartbeats,
 120 mg II. dose, and expiration date
 loss of
Hypertrophic movement,
 stomach pain Special instructions such as shaking the
Subaortic Stenosis
(upper right medication, taking the medication with meals
 20 mg – 40 side), or between meals and on an empty stomach,
mg  loss of appetite, for example
Pheochromocytoma  dark urine,
and When to call the doctor about any side effects
 60 mg
 yellowing of
the skin or eyes
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
Route: (jaundice)
Taken orally The importance of taking the medication as
instructed

Frequency:
The need to continue the medication unless the
Once a day doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
child or a cognitively impaired adult at risk
for taking medications not intended for them

The proper and safe disposal of any


biohazardous equipment such as used needles
that the client uses for insulin and other
medications
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Educate client about medications


Generic Name: Vitamins;  Depression.  Itching,  Nausea.
Water-soluble and Adjunctive  feeling unwell,  Weight loss. Educate client on medication self-
l-methylfolate (Rx)
Fat-soluble vitamins treatment to  abdominal  Gass. administration procedures
antidepressant bloating,  Irritability.
medication. 7.5  confusion,  Overactivity. Prepare and administer medications, using
Brand Name: - 15 mg PO  decreased  Bloating. rights of medication administration
Deplin, qDay. appetite,
 Difficulty
 Megaloblastic  depression,
concentrating. Review pertinent data prior to medication
L-Methylfolate Anemia. 7.5 -  red or irritated
Formula 15 mg PO skin administration (e.g., contraindications, lab
qDay.  nausea, results, allergies, potential interactions)
 Renal &  difficulty
Dosage: Hepatic sleeping, The purpose of the medication
Tablet: Impairment.  irritability,
Moderate-to-  excitement, The dosage of the medication
 7.5 mg – 15 severe renal or and
mg hepatic  loss of sense of The side effects of the medication
impairment: taste
Not to exceed
Route:
40 mg/day. The possible adverse effects of the medication
Taken orally
MECHANISM OF CONTRAINDICATIONS
How and where the medication should be
ACTION
 DEPLIN® is safely stored, such as in the refrigerator or in a
Frequency: The active folate contraindicate dark place, for example
found in DEPLIN ®, d in patients
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya
Once a day L-methylfolate, with known
crosses the blood- hypersensitivit The importance of and the method for
brain barrier and is y to any of the checking the medication's label for the name,
thought to help components
enhance production of contained in dose, and expiration date
the neurotransmitters this product.
required by many Special instructions such as shaking the
patients to help medication, taking the medication with meals
achieve and maintain or between meals and on an empty stomach,
the benefits of for example
antidepressants.
When to call the doctor about any side effects

The importance of taking the medication as


instructed

The need to continue the medication unless the


doctor discontinues it

Information about foods, supplements and


other medications, including over the counter
medications and preparations, that can
interact with the ordered medication

The safe disposal of unused and expired


medications

The importance of keeping medications in a


secure place that would not place a curious
Saint Mary’s University
SCHOOL OF HEALTH and NATURAL SCIENCES
Nursing Department
Bayombong, Nueva Vizcaya

child or a cognitively impaired adult at risk


for taking medications not intended for them

The proper and safe disposal of any

Checked by: _________________________________ Date: __________________


Clinical Instructor’s Name and Signature

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