DRUG STUDY

DRUG DRUG MECHANISM INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

NAME CLASSIFICATION OF ACTION RESPONSIBILITIES

Naproxen nonopioid Inhibits Mild to Hypersensitivity; CNS: dizziness, Patients who have
(Aleve, analgesics, prostaglandin moderate Cross-sensitivity may drowsiness, headache. asthma, aspirin-induced
Anaprox, nonsteroidal anti- synthesis. pain. occur with other EENT: tinnitus, visual allergy, and nasal
Anaprox inflammatory Dysmenorrh NSAIDs, including disturbances. Resp: polyps are at increased
DS, agents (NSAIDs), ea. Fever. aspirin; Active GI dyspnea. CV: HF, risk for developing
Maxidol, antipyretics Inflammatory bleeding; Ulcer MYOCARDIAL hypersensitivity
EC- disorders, disease; Coronary INFARCTION, reactions. Assess for
Naprosyn, including: artery bypass graft STROKE, edema, rhinitis, asthma, and
Naprelan, Rheumatoid (CABG) surgery; hypertension, urticaria.
Naprosyn) arthritis Lactation: Passes into palpitations,
(adults and breast milk and should tachycardia. F and E: Monitor BP during
children), not be used by nursing hyperkalemia. GI: initiation and
Osteoarthriti mothers DRUG-INDUCED periodically during
s. HEPATITIS, GI therapy.
BLEEDING,
constipation, Assess for rash
dyspepsia, nausea, periodically during
anorexia, diarrhea, therapy. May cause
discomfort, flatulence, Stevens-Johnson
vomiting. GU: cystitis, syndrome. Discontinue
hematuria, renal therapy if severe or if
failure. accompanied with
fever, general malaise,
Derm: photosensitivity, fatigue, muscle or joint
rashes, sweating, aches, blisters, oral
pseudoporphyria (12% lesions, conjunctivitis,
incidence in children hepatitis and/or
 with juvenile eosinophilia
rheumatoid arthritis—
discontinue therapy if Assess pain (note type,
this occurs). location, and intensity)
prior to and 1– 2 hr
Hemat: blood following administration.
dyscrasias, prolonged
bleeding time. Assess pain and range
of motion prior to and
Misc: allergic reactions 1– 2 hr following
including administration
ANAPHYLAXIS and
STEVENS-JOHNSON Monitor temperature;
SYNDROME. note signs associated
with fever (diaphoresis,
tachycardia, malaise).

ethinyl contraceptive Ovulation is Prevention Hypersensitivity; OB: CNS: depression, Assess BP before and
estradiol/no hormones inhibited by of Pregnancy; History of headache. EENT: periodically during
rgestimate suppression pregnancy. cigarette smoking or contact lens therapy.
(Ortho Tri- of FSH and Regulation age 35 yr (q risk of intolerance, optic
Cyclen, LH. May alter of menstrual cardiovascular or neuritis, retinal Exclude the possibility
Ortho Tri- cervical cycle. thromboembolic thrombosis. CV: of pregnancy on the
Cyclen Lo, mucus and Treatment of phenomenon); History THROMBOEMBOLIS basis or history and/or
the heavy of thromboembolic M (risk is greatest physical exam or a
Tri- endometrial menstrual disease (e.g., DVT, during first 6 mo of pregnancy test before
Estarylla, environment, bleeding in PE, MI, stroke); Protein therapy or after administering
Tri-Linyah, preventing women who C, protein S, or restarting the same or emergency
Tri-Lo- penetration choose to antithrombin deficiency different therapy), contraceptives.
Estarylla, by sperm and use or other thrombophilic edema, hypertension,
Tri-Lo-Mili, implantation intrauterine disorder; Valvular heart Raynaud’s Assess skin lesion
Tri- of the egg. contraceptio disease; Major surgery phenomenon, before and periodically
Previfem,
TriSprintec, Varying n as their with extended periods thrombophlebitis. GI: during therapy.
TriNessa) doses of method of of immobility; Diabetes PANCREATITIS,
estrogen/prog contraceptio with vascular abdominal cramps, Menopausal
estin may n. involvement; bloating, cholestatic Symptoms: Assess
more closely Headache with focal jaundice, gallbladder vasomotor symptoms or
mimic natural neurological disease, liver tumors, symptoms of vulvar and
hormonal symptoms; nausea, vomiting. GU: vaginal atrophy due to
fluctuations. Uncontrolled amenorrhea, menopause prior to and
hypertension; History breakthrough bleeding, periodically during
of breast, endometrial, dysmenorrhea, therapy.
or estrogen-dependent spotting, Intrauterine
cancer; Abnormal Derm: melasma, rash.
genital bleeding; Liver Endo: hyperglycemia.
disease; MS: Injectable
Hypersensitivity to medroxyprogesterone
parabens only—bone loss. Misc:
weight change.

Co- Broad-spectrum An antibiotic Infections Hypersensitivity to Hypersensitivity Assess bowel pattern

amoxiclav penicillin. that due to β- penicillins. Cross- reactions & GI before and during
(Augmentin) combines lactamase- sensitivity w/ other β- disturbances. treatment as
amoxicillin producing lactam antibiotics eg, Reversible leukopenia pseudomembranous
and strains cephalosporins. & thrombocytopenia, colitis may occur.
clavulanic (where Previous history of thrombocytopenic
acid. It amoxicillin jaundice/liver purpura, Report haematuria or
destroys alone is not impairment associated agranulocytosis, oliguria as high doses
bacteria by appropriate) w/ penicillins. anemia, slight can be nephrotoxic.
disrupting including Glandular fever or thrombocytosis,
their ability to resp tract, lymphatic lymphoma. eosinophilia, abnormal Assess respiratory
form cell genitourinary platelet aggregation, status.
walls. & abdominal prolonged bleeding &
Clavulanic infections; prothrombin time. Observe for
acid blocks cellulitis, Dizziness, headache, anaphylaxis.
the chemical animal bites, reversible hyperactivity
defence, severe & convulsions, Ensure that the patient
known as dental agitation, anxiety, has adequate fluid
beta infection w/ behavioral changes, intake during any
lactamase spreading confusion, insomnia. diarrhoea attack.
that some cellulitis. Increased AST & ALT,
bacteria have serum bilirubin & Patient teaching:
against alkaline phosphatase;
penicillins. hepatitis, cholestatic If the patient develops a
Co-amoxiclav jaundice, acute hepatic rash, wheezing, itching,
is active dysfunction. Acute fever or swelling in the
against interstitial nephritis, joints, this could
bacterial crystalluria, vag indicate an allergy and
infections that itching, soreness & should be reported.
have become discharge. Superficial
Patients must ensure
resistant to tooth discoloration.
they take the full course
amoxicillin.
of the medicine.

The medicine must be

taken in equal doses
around the clock to
maintain level in the
blood.

If oral contraceptives
are used, use
alternative
contraception.

Report diarrhoea,
cramping and blood in
 stools as
pseudomembranous
colitis may occur.

magaldrate antacids Neutralize Useful in a Severe abdominal pain GI: aluminum salts— Assess for heartburn
with gastric acid variety of GI of unknown cause, constipation; and indigestion as well
simethicone following complaints, especially if magnesium salts, as location, duration,
(Riopan dissolution in including: accompanied by fever; diarrhea. F and E: character, and
Plus) gastric Hyperacidity, Renal failure (CrCl 30 magnesium salts— precipitating factors of
contents. Indigestion, mL/min); Products hypermagnesemia; gastric pain
Inactivate GERD, containing tartrazine or aluminum salts,
pepsin if pH Heartburn. sugar in patients with hypophosphatemia.
is raised to 4. known intolerance.
Therapeutic
Effects:
Neutralization
of gastric acid
with healing
of ulcers and
decrease in
associated
pain.
Medical Card
1. Low-dose OC: Norgestimate 0.25mg/ethinyl estradiol 35mcg 1 tablet PO daily for 28 days q.d.

456 Patient X

10 am
Norgestimate 0.25mg/ethinyl estradiol 35mcg
1 tablet QD
 QMC
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.

2. Naproxen 550 mg 1 tablet PO for pain.

Patient X
456
10 am Naproxen 550 mg
QMCprn
1 tablet
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.
3. Co-amoxiclav 625 mg 1 tablet PO BD for 7 days

456
8 am –
1pm
Patient X

Co-amoxiclav 625 mg
1 tablet bd

QMC
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.
4. Antacid with Simeticone 1 tablet PO TDS for gastric discomfort

456 Patient X

8 am –
1pm – 6 Antacid with Simeticone
pm
1 tablet tds
 QMC
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.

5. IVF of D5LR 1 liter to run for 8 hrs.

Patient X
456
8 am – IVF of D5LR 1 liter
4pm 1 iv q8h

QMC
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.
6. 2 “u” PRBC (Packed Red Blood Cells ) properly type and crossmatched

Patient X

456 2 “u” PRBC (Packed Red Blood Cells ) properly type

and crossmatched
1 iv q8h

QMC
Obstetrics and Gynecology Dept
Talia G. Hamed
BSN II -SLSU
Jan 28, 2022/1:00 p.m.