DRUG NAME CLASSIFICATION INDICATION AND SIDE EFFECTS SPECIAL NURSING

AND MECHANISM CONTRAINDICATION AND ADVERSE PRECAUTION RESPONSIBILITIES

OF ACTION EFFECT

Generic Name: Classification: Indication: CNS: depression,  Check physician’s order

Therapeutic: anti- It relieves inflammation headache, euphoria, -Drug may cause  Observe 10 rights of
Methylprednisolone inflammatory (swelling, heat, redness and intracranial pressure suppression of medications.
(steroidal), pain) and is used to treat certain (children only), HPA axis which
Brand Name: immunosuppressants forms of arthritis; skin, blood, personality changes, can lead to adrenal  Withdrawal from
Medrol Pharmacologic: kidney, eye, thyroid, and psychoses, crisis. corticosteroid should be done
Corticosteroids intestinal disorders (e.g.,colitis), restlessness. slowly and with careful
Dosage: severe allergiesand asthma. -Use cautiously in patient monitoring.
  16mgs. (1 tab) x Methylprednisolone is also used EENT: cataracts, patient with GI
7 days Mechanism of Action: to treat certain types of cancer increased intraocular ulceration or renal  Most adverse reaction to
Its decrease your pressure. disease, corticosteroids are those
 Route: immune system Contraindication: hypertension, duration-dependent. For better
reposnse to various  active, untreated CV: hypertension diabetes mellitus, result and less toxicity give 1
Oral/ P.O disease to reduce tuberculosis. recent intestinal dose in the morning.
symptoms such as GI: Peptic ulceration, anastomoses.
 Frequency and swelling, pain and  inactive tuberculosis. anorexia, nausea,  Monitor patients weight, BP,
Timing: allergic- type reaction.  herpes simplex infection vomiting. -Prolonged use electrolyte level and sleep
By reversing capillary of the eye. may increase risk pattern. Monitor patient for
After breakfast permeability, Derm: acne, decreased of infection, mask cushingoid effects including
suppressing the  an infection due to a wound healing, sign of infection moon face, supraclavicular fat
migration of fibroblast fungus. ecchymoses, fragility, and activate latent pad, central obesity, thinning
and polymorphonuclear hirsutism, petechiae. infection. hair, hypetesion and increase
leukocytes, controlling  intestinal infection susceptibility to infection.
the rate of protein caused by the Endo: hyperglycemia,
synthesis and roundworm adrenal suppresison,  Watch for depression or
stabilizing lysosomes at Strongyloides. hyperglycemia. psychotic episode especially
the cellular level, F and E: fluid in high dose therapy.
 a condition with low
methylprednisolone retention(long-term
thyroid hormone levels.
may conrol or prevent high does),  Monitor glucose level for
inflammation through  diabetes. hypokalemia, diabetic patient.
these actions as well. hypokalemic alkalosis.
 DRUG NAME CLASSIFICATION
AND MECHANISM OF
ACTION
Generic Name: Classifications:
Pantoprazole + pantoprazole;Belongs to
Domperidone the class of proton pump
inhibitors. Used in the
Brand Name: treatment of peptic ulcer
Pantoplus and gastro-oesophageal
reflux disease (GERD)
Dosage: 1 tab
Mechanism of actions:
Route: Oral Domperidone is a
prokinetic which works on
Frequency and
the upper digestive tract to
Timing: increase the movement of
the stomach and intestines,
OD
allowing the food to move
more easily through the
8 irregularities (spotting or delayed
stomach. Pantoprazole is a
proton pump inhibitor
(pre-breakfast)
(PPI) which works by
reducing the amount of
acid in the stomach which
helps in the relief of acid-
related indigestion and
heartburn.
INDICATION AND
CONTRAINDICATION
Indications:
Management of
gastrointestinal reflux
disease, non-ulcer
dyspepsia, gastric or
duodenal ulcer, dyspepsia,
bloating, fullness,
belching, non-steroidal
anti-inflammatory drug-
induced dyspepsia.
Contraindications:
Pantoprazole is
contraindicated in patients
with impairment;
hypersensitivity.
Pantoprazole +
domperidone is
contraindicated in patients
with history of
hypersensitivity to
dimenhydrinate or related
compounds.
SIDE EFFECTS SPECIAL NURSING RESPONSIBILITIES
AND ADVERSE PRECAUTION
EFFECT
● Diarrhea Pantoprazole: Long- ● Check the doctor’s order
term therapy may
● Stomach pain lead to bacterial over ● Observe 10 Rights of Medication
growth in GI.
● Flatulence Patient Teaching:
Domperidone:
● Dryness in the Galactorrhoea ● Instruct patient to take as directed.
mouth, dizziness (females) Advise patient to avoid grapefruit
juice during therapy.
● Headache
● Advise patient to notify health care
● Nausea, professional if galactorrhea
(excessive or spontaneous flow of
● drowsiness, breast milk), gynecomastia
(excessive development of male
● flatulence,
mammary gland), menstrual
● dry mouth.
periods), palpitations, irregular
heartbeat (arrhythmia), dizziness, or
fainting occur.
● Advise patient to avoid alcohol and
foods that may cause an increase in
GI irritation.
● Instruct patient to report
bothersome or prolonged side
effects, including headache or GI
effects (diarrhea, flatulence,
belching, abdominal pain)
 DRUG NAME CLASSIFICATION AND INDICATION AND SIDE EFFECTS AND SPECIAL PRECAUTION NURSING RESPONSIBILITIES
MECHANISM OF ACTION CONTRAINDICATION ADVERSE EFFECT

Generic Name: Classification Indication ● Dizziness -may cause you to lose ● Check the doctor’s order
Indicated to too much water and
Irbesartan Therapeutic class: nephropathy in ● Headaches may lead to low blood ● Observe 10 Rights of
Antihypertensive patients with type pressure. You can also Medication
Brand Name: Pharmacologic class: 2 diabetes. ● Nausea & Vomiting loose water by
Avapro Angiotensin II receptor sweating, so drink ●Monitor the patient response to
antagonist Contraindication ● Diarrhea plenty of water during therapy through blood pressure
Dosage: 150 mgs Contraindicated in exercise or hot weather. monitoring.
1 tab Mechanism of Action:: patients hypersensitive ● Chest pain
Reduces to drugs or its -Do not take other ●Monitor for adverse effects (skin
Route: Oral antihypertensive effect ● Abdominal pain reactions, headache, cough, etc.)
components. medicines unless they
by competitive have been discused with
Frequency and ● UTI ●Evaluate patient understanding
antagonist activity at the your doctor. This
Timing: Angiotensin II receptor on drug therapy by asking patient
● Edema especially includes over
the counter name the drug , its indications and
Daily adeverse effects to watch for.
● Tachycardia (nonprescription)
after breakfast medicines for appetite
●Monitor patient compliance to
● Hypokalemia control , asthma, colds,
drug therapy.
8 cough, fever, or sinus
● Impaired renal fuction problems, since they ●Monitor/enchamce
may tend to increase cardiovascular functioning.Prevent
your blood pressure. complications. Provide
information about disease
process/prognosis and treatment
regimen. Support active patient
control of condition.
 DRUG NAME CLASSIFICATION INDICATION AND SIDE EFFECTS AND SPECIAL NURSING RESPONSIBILITIES
AND MECHANISM CONTRAINDICATION ADVERSE EFFECT PRECAUTION
OF ACTION

Generic Name: Classifications: Indications: CNS: anxiety, -Avoid use with ● Check the doctor’s order
Montelukast Prophylaxis, chronic depression, fatigue, aspirins and other
sodium Leukotriene treatment of asthma. headache, suicidal NSAIDs in patient ● Observe 10 Rights of Medication
Prevention of exercise- thoughts/behaviors, with known aspirin
Brand Name: Receptor ●Monitor for signs of eosinophilic conditions and
induced weakness. sensitivity allergic blood vessel reactions, including Churg-Strauss
Montiget bronchoconstriction.
Antagonists syndrome. Early signs include allergic rhinitis,
Relief of symptoms of EENT: otitis -Use cautiously and sinusitis, asthma, or hay fever-like reactions.
Dosage: 1 tab seasonal allergic (children), sinusitis with appropriate Symptoms can increase to include fever, skin rash,
rhinitis (hay fever), (children). monitoring in joint pain, severe pain and numbness (peripheral
Route: Oral perennial allergic patients whose neuropathy), shortness of breath, coughing up blood,
Mechanism of Resp: cough,
rhinitis. OFF-LABEL: dosages of bloody urine, chest pain, arrhythmias, and GI problems
Frequency and actions: rhinorrhea. systemic (diarrhea, nausea, vomiting, GI bleeding).
Urticaria.
Timing: corticosteroids are
Blocks action of GI: abdominal pain, Assess pulmonary function at rest and during exercise
leukotrienes, Contraindications: reduced.
Q. D diarrhea (children), to determine effectiveness of medication in controlling
decreasing smooth Patients who has
dyspepsia, nausea -Use cautiously in bronchoconstriction.
8 muscle contractions shown hypersensitivity
to montelukast sodium (children), increased patient with hepatic
and edema in liver enzymes. Monitor and report any changes in mood or behavior,
or any of its disease, jaundice,
bronchial airways including anxiety, depression, and suicidal thoughts.
components. or hepatitis
and preventing Neuro: tremor.
inflammation and Montelukast sodium is Monitor any muscle weakness or tremor. Report any
bronchospasm. not indicated for use in neuromuscular problems that affect gait or other
Derm: rash.
acute asthma attacks functional activities.
including status Misc: eosinophilic
asthmaticus. Instruct patient and family/caregivers to report other
conditions troublesome side effects, including severe or prolonged
(INCLUDING headache, fever, cough, ear pain, sinus inflammation,
CHURG-STRAUSS nasal discharge, skin rash, or GI problems (nausea,
SYNDROME), fever. diarrhea, indigestion, abdominal pain).
 DRUG NAME CLASSIFICATION INDICATION AND SIDE EFFECTS AND SPECIAL PRECAUTION NURSING RESPONSIBILITIES
AND MECHANISM CONTRAINDICATION ADVERSE EFFECT
OF ACTION

Generic Name: Classification Indication ● Tachycardia, Use with caution in ● Check physician’s order
methylxanthine patients with hypertension,
Doxofylline derivative Indicated for the ● extrasystoles, heart disease, hypoxemia, ● Follow the 10 rights of medication
treatment of chronic hyperthyroidism, chrome
Brand Name: obstructive pulmonary ● palpitations right ventricular failure, ● Assess lung sound, pulse and blood
Dilatair disease (COPD), congestive heart failure, pressure before administration and during
bronchial asthma and ● Nausea liver disease, renal peak of medication. Note the amount and
Dosage: 400 mgs pulmonary disease with disease, in those with color of sputum produced.
½ tab Mechanism of spastic bronchial ● Vomiting
history of peptic ulcer and
Action It inhibits component. in elderly. Frequently, ● Monitor pulmonary function test before
Route: Oral phosphodiesterase ● epigastric pain. initiating therapy and periodically during
patients with congestive
enzymes which Contraindication heart failure have therapy to determine effectiveness of
Frequency and increase cyclic ● Hyperglycaemia. medication
Timing: markedly prolonged drug
adenine -If you are allergic to serum levels following
● Headache ● Observe paradoxical bronchospasm
monophosphate doxofylline or similar discontinuation of the drug
2x a day (cAMP), thereby medicines (wheezing).
● Rarely, seizures.
causing bronchial
Q2H -If you are suffering ● Monitor vital signs, especially pulse rate
smooth muscle ● Irritability
relaxation leading from any heart
BID to consume
to bronchodilation. problems like heart ● insomnia.
8-4 attack, low blood
pressure, etc ● Albuminuria.

-If you are a ● Tachypnoea.

breastfeeding/lactating
mother
 DRUG NAME CLASSIFICATION AND
MECHANISM OF ACTION
Generic Name: Classification
Budesonide Glucocorticosteroid
Brand Name: Clinical: Anti-
Symbicort inflammatory, anti allergy
Turbohaler
Dosage: 1 Puff
Mechanism of action
Route: Inhalation Inhibits accumulation of
inflammatory cells;
Frequency and controls rate of protein
Timing: synthesis; decreases
migration of
BID polymorponuclear
leukocyctes (reverses
8-8 capillary permeability and
lysosomal stabilization at
cellular level.)
(Saunders Nursing Drug
Handbook 2021)
INDICATION AND
CONTRAINDICATION
Indication Rhinitis,
Bronchial Asthma, Cronh’s
disease and Ulcerative
colitis
Contraindications
Hypersensitivity to
budesonide
(nebulization/inhalation),
primary treatment of status
asthmaticus, acute espisode
of asthma.
SIDE EFFECTS AND SPECIAL PRECAUTION NURSING RESPONSIBILITIES
ADVERSE EFFECT
●Throat pain or irritation Taper maintenance ● Check physician’s order
dose when
● White patches in your discontinuing long- ● Follow the 10 rights of
mouth or throat; term treatment & do medication/prescription
not stop abruptly.
● Stomach discomfort ●Question for hypersentivity
Do not use to treat to any corticosteroids,
● vomiting severe exacerbations. components.
Sudden & progressive
● Back pain deterioration in control ●Auscultate lung sounds.
of asthma or COPD.
● Headache ●Monitor for relief of
Risk of impaired symptoms.
● Flu symptoms or Cold
adrenal function in
symptoms such as stuffy ●Observe proper use of
patients transferring
or runny nose, sneezing, medication delivery device to
from oral steroids;
sinus pain, sore throat. ensure correct technique.
those requiring high-
dose emergency
● Palpitations ●Report if no improvement in
corticosteroid therapy
symptoms or ifsneezing, nasal
● candida infections in or prolonged treatment
irritation occurs
oropharynx at the highest
recommended dose.
● Tremor Severe CV disorders
(including heart
● mild throat irritation rhythm abnormalities),
DM, untreated
● coughing hypokalemia or
thyrotoxicosis.
● hoarseness.
 DRUG NAME CLASSIFICATION AND INDICATION AND SIDE EFFECTS AND SPECIAL PRECAUTION NURSING
MECHANISM OF ACTION CONTRAINDICATION ADVERSE EFFECT RESPONSIBILITIES

Generic Name: Classifications Indications ●Nausea Avoid the regular use of ●Check the doctor’s order
Multivitamins Food supplement. Helps salt substitutes in your diet
Vitamins and Minerals enchance natural ●stomach upset if your multivitamin contains ● Observe 10 Rights of
Brand Name: resistance and potassium. If Medication
Ultima recuperative power of the ●diarrhea, you are on a low-salt diet,
body. ask your doctor before ● Never take more than the
Dosage: 1 tab Mechanism of action ●Dark stools taking a vitamin or mineral recommended dose of
supplement. Do not take multivitamins and minerals.
Route: Oral Ultima Tablet works by ●flushing and
multivitamins with milk,
metabolizing carbohydrate Contraindications unpleasant taste ● Read the label of any
other dairy products,
Frequency and thus maintains normal vitamin and mineral product
●Rashes calcium supplements, or
Timing: growth; inhibiting the Hypersensitivity to you take to make sure you
antacids that contain
herpes simplex virus Ultima Table are aware of what it
OD ●shortness of breath calcium.
growth; increasing contains.
absorption of calcium and
8 phosphorus required for ●severe joint or ● Take this medicine with a
strong bones; treating muscle pain full glass of water. Avoid
vitamin B12 deficiency; milk or other dairy products
●slurred speech and
curing weakening of bones
blood in the urine
and for better absorption.