Dose/

Mechanism of Nursing
Drug Frequenc Indication Contraindication Side Effects
Action Responsibilities
y/ Route
Generic Name: 600 mg/ The analgesic and In general, Contraindicated in  Dizziness,  Checked the
Paracetamol IV antipyretic effects of acetaminophen is known faintness, or patient’s health
Q6 x paracetamol are used for the hypersensitivity to lightheadednes history to
Classification: 4doses believed to be treatment of mild to paracetamol, in s when getting determine any
Analgesics and related to the moderate pain and hepatic and renal up suddenly contraindications
antipyretics inhibition of reduction of fever. failure. from a lying or and allergies.
prostaglandins sitting position  Checked the
Brand name: synthetase (a  Irregular Doctor’s Orders
Tylenol mechanism shared heartbeat and assured the
by ASA and related correct
drug. It is  Loss of preparation, the
postulated that the appetite correct dose,
analgesic effect is  Muscle pain or route, patient,
produced by cramps time.
elevating of the  Muscle spasm,  Informed the
pain threshold and especially of patient or the SO
the antipyretic the neck and about the
effect is produced back medication before
through action on administering it.
the hypothalamic  Nausea or
 Monitored daily
heat-regulating vomiting
pattern of bowel
center.  Nervousness activity, stool
 Numbness or consistency.
tingling in the  Monitored vital
hands, feet, or signs.
lips  Encouraged
patient and SO to
 Pain at the
report any unusual
injection site
effects of the
 Slow or fast medication.
heartbeat
 Sweating
  Tightness in
the chest
 Unusual
tiredness or
weakness

Dose/
 Frequen Mechanism of
Nursing
Drug cy/ Route Action Indication Contraindication Side Effects
Responsibilities
Generic Name: 30 mg/IV Inhibits Short term relief of Intracranial bleeding,  Headache  Monitored BP
Ketorolac Q6 x prostaglandin mild to moderate hemorrhagic  Dizziness upon
4doses synthesis, reduces pain. diathesis, high risk of  Nausea administration
Brand Name: prostaglandin levels bleeding, concomitant  Abdominal  Patients who
Toradol in aqueous humor. use of probenecid or  cramps/pain have asthma,
Reduces intensity pentoxifylline, dyspepsia aspirin
Classification: of pain stimulus. advance renal (heart burn) induced
Non-Steroidal impairment, active  Diarrhea allergy, and
anti- peptic ulcer disease, nasal polyps
 Nasal
inflammatory chronic inflammation are at
discomfort
drugs of GI tract/ GI increased risk
 Increased
bleeding, history of for developing
lacrimation
hypersensitivity to hypersensitivit
aspirin and NSAIDs.  Throat irritation
y reactions.
 Rhinitis
 Assessed for
rhinitis,
asthma, and
urticaria.
 Caution
patient to
avoid
concurrent use
of alcohol,
aspirin, or
NSAIDs

Dose/
 Frequen Mechanism of
Nursing
Drug cy/ Route Action Indication Contraindication Side Effects
Responsibilities
Generic Name: 750 mg/IV Cefuroxime binds to For the treatment of Cefuroxime is  diarrhea  Assessed
Cefuroxime Q8 one or more of the many different types contraindicated in  dizziness patient for
penicillin-binding of bacterial infections patients  headache signs and
Classification: proteins(PBPs) such as bronchitis, with cephalosporin  drowsiness symptoms of
cephalosporin which inhibits the sinusitis, tonsillitis, hypersensitivity or  itching/swelling infection prior
antibiotics final transportation ear infections, skin cephamycin  rash to and
step infections, hypersensitivity. throughout
 nausea
Brand name: of peptidoglycan gonorrhea, and Cefuroxime should be therapy.
 vomiting
Ceftin synthesis in urinary tract used cautiously in  Before
bacterial cell wall, infections. patients with  abdominal pain
initiating
thus inhibiting hypersensitivity to  stomach upset
therapy, obtain
biosynthesis and penicillin. The  gas a history to
arresting cell wall structural similarity  headache determine
assembly resulting between cefuroxime  itching or rash previous use
in bacterial cell and penicillin means  hives of and
death. that cross-reactivity  cough reactions to
can occur.  stuffy nose penicillin or
 stiff or tight cephalosporin
muscles Persons with a
 muscle pain negative
 joint pain or history of
swelling penicillin
 restlessness sensitivity may
 irritability still have an
 hyperactivity allergic
 vaginal response.
itching or discha  Observed
rge patient for
 unusual or signs and
unpleasant taste symptoms of
in the mouth anaphylaxis
(rash, pruritus,
 white patches or
laryngeal
sores in the
edema,
mouth wheezing).
 Discontinue
the drug and
notify
physician or
other health
care
professional
immediately if
these
symptoms
occur. Keep
thromepinephri
ne, an
antihistamine,
and
resuscitation
equipment
close by in the
event of an
anaphylactic
reaction.
 Monitored vital
signs
 Instructed
patient to
report signs of
hypersensitivit
y.
 Instructed the
p.t that this
drug is specific
for infection
and should not
be used to
self-treat other
 problems.
 Encouraged
patient and SO
to report any
unusual
effects and
changes of the
patient’s
condition upon
administration.

Dose/
Frequen Mechanism of
Drug Indication Contraindication Side Effects Nursing
cy/ Route Action
 Responsibilities
Generic Name: 50 mg/ IV Inhibits the Tramadol is Contraindicated in  Nausea  Checked the
Tramadol Q6 reuptake of the approved for the patients who have   Vomiting patient’s health
natural management of had a hypersensitivity  Constipation history to
Classification: neurotransmitters moderate to severe reaction to any opioid  Lightheadedness determine any
Opioid norepinephrine pain in adults.  Dizziness contraindications
analgesics (noradrenaline) and and allergies.
 Drowsiness,
serotonin, and also  Checked the
Brand name: binds weakly to μ- or headache
Doctor’s Orders
Ultram opioid receptors, and assured the
blocking the correct
transmission of pain preparation, the
signals to the brain. correct dose,
route, patient,
time.
 Informed the
patient or the SO
about the
medication before
administering it.
 Monitored daily
pattern of bowel
activity, stool
consistency.
 Monitored vital
signs.
 Encouraged
adequate fluid
intake.
 Assessed bowel
sounds for
peristalsis.
 Monitored daily
pattern of bowel
activity, stool
 consistency.

Dose/
Frequen cy/ Mechanism of Nursing
Drug Route Action Indication Contraindication Side Effects
Responsibilities
Generic Name: 200 mg 1 The mechanism of Celecoxib is used to Contraindicated in  headache,  Took the patient’s
Celecoxib cap PO action of celecoxib relieve pain, patients with  abdominal pain, health history to
BID x is due to tenderness, swelling known  indigestion, determine any
Classificati on: hypersensitivity to
7days selective inhibition and stiffness caused  diarrhea, contraindications
NSAID celecoxib, in
of by osteoarthritis  nausea, and allergies
cyclooxygenase-2 (arthritis caused by a patients who have  upset stomach,  Checked the
Brand name:
(COX-2), which breakdown of the demonstrated  bloating, Doctor’s Orders
Celebrex
is lining of the joints), allergic- type  gas, and assure the
responsible rheumatoid arthritis reactions to  dizziness, correct
for (arthritis caused by sulfonamides preparation, the
 nervousness,
prostaglandin swelling of the lining correct dose,
 headache,
synthesis, of the joints), and route, patient,
 runny or stuffy
an ankylosing spondylitis nose, time (14 Rs of
integral part of the (arthritis that mainly Administering
 sore throat,
pain affects medications)
 skin rash, and
and the spine)  Informed the
 insomnia.
inflammation patient or the SO

pathway. about the
medication
before
administering.
Answer any
question about it
 Provided patient
privacy
 Assessed for
allergic reaction.
 Monitored BP

Name of Drug Dosage/ Mechanism of Indication Contraindication Side/Adverse Nursing

and Route/ Action Effects Responsibilities
Classification Frequen
 cy
Classification: 500 mg/ Diffuses into the Metronidazole is -Meningitis not due Frequent Systemic: Before Administration
Anti-infective, IV Q8 organism, inhibits indicated for the to an infection. Anorexia, nausea, dry  Obtained
antiprotozoal protein synthesis treatment of -Low levels of a type mouth, metallic taste. specimens for
by interacting with confirmed of white blood cell Vaginal: Symptomatic skin testing as
Generic Name: DNA and causing a trichomoniasis called neutrophils. cervicitis/vaginitis, necessary before
Metronidazole loss of helical DNA caused by -Alcoholism. abdominal cramps, starting therapy
structure and Trichomonas -Alcohol intoxication. uterine pain.  Checked the
Brand Name: strand breakage. vaginalis (except for -A low seizure patient’s
Nitroimidazole Therefore, it in the first trimester threshold. Occasional health history
derivative causes cell death of pregnancy) and -A painful condition Systemic: to determine
in susceptible the patient's sexual that affects the Diarrhea, any
organisms. partners, bacterial nerves in the legs constipation, contraindicatio
vaginosis, certain and arms called vomiting, ns and
types of amoebiasis, peripheral - dizziness, allergies.
and various neuropathy. erythematous  Checked the
anaerobic functions -Prolonged QT rash, urticaria, Doctor’s Orders
interval on EKG. reddish-brown and assured the
-Seizures. urine. correct
Topical: Transient preparation, the
erythema, mild correct dose,
dryness, burning, route, patient,
irritation, stinging, time.
tearing when applied
too close to eyes. Patient Monitoring
Vaginal: Vaginal,  Monitored vital
perineal, vulvar signs.
 Monitor I.V.
site. Avoid
prolonged use
of indwelling
catheter.
 Evaluate
hematologic
studies,
especially in
 patients with
history of blood
dyscrasias.

Patient/Family
Teaching
 Advise patient to
take
drug with
food if it
causes GI
upset.

Dosage/
Name of Drug
Route/ Mechanism of Side/Adverse Nursing
and Indication Contraindication
Frequen Action Effects Responsibilities
Classification
cy
Classification: 1 tab Q8 Methylergometrin Following delivery of Methylergonovine use  Nausea,  Checked the
Ergot Alkaloids e acts directly on placenta, for routine is contraindicated in  Vomiting, patient’s
the smooth management of patients with  Stomach pain, health history
Generic Name: muscle of the uterine atony, hypertension. to determine
 Diarrhea,
Methylergometrin uterus and hemorrhage and Intravenous any
e increases the subinvolution of the  Leg cramps, contraindicatio
administration of  Increased
tone, rate, and uterus. For control of ns and
methylergonovine sweating,
Brand Name: amplitude of uterine hemorrhage allergies.
should not be used
Methergine rhythmic in the second stage  Skin rash,  Checked the
contractions of labor following routinely because of
 Headache, Doctor’s Orders
through binding delivery of the possibility of
 Dizziness, and assure the
and the resultant the anterior shoulder. inducing sudden
hypertensive crisis and  Ringing in your correct
antagonism of
the dopamine D1 cerebrovascular ears, preparation, the
receptor. Thus, it accidents (stroke).  Stuffy nose, or correct dose,
induces a rapid  Unpleasant taste route, patient,
and sustained in your mouth. time (14 Rs of
tetanic uterotonic Administering
effect which medications)
shortens the third
 Informed the
stage of labor
and reduces patient or the
blood loss. SO about the
medication
before
administering.
Answer any
question about it
 Provided patient
privacy
 Assessed for
allergic reaction.