ILOILO DOCTORS’ COLLEGE

College of Nursing
West Avenue, Molo, Iloilo City
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Avenue, Molo, Iloilo City

Drug Name Classification and Indication and Side Effects and Adverse Special Precautions Nursing
Drug Name Mechanism of and
Classification Indication and
Contraindication Special Precautions Nursing
Responsibilities
Side Effects and Adverse
Effects
Actions
Mechanism of Contraindication Responsibilities
Actions Effects
Classifications Indications: Side Effect: Enoxaparin may cause • Check the doctor’s order
Classifications: Indications: Side Effect Not recommended
bleeding problems. for Observe
• Check 10theRights of
doctor’s
Anticoagulant Treat or prevent a type of • Nausea thromboprophylaxis in • order
Medication
Generic Name: (DOACs) direct oral Prevention of stroke
blood clot called deep vein & • Diarrhea Do not use if the recently
medicine • Observe 10 Rights
administration.
Actions: • Nausea patients having
Generic Name: anticoagulants. thrombosis • Anemia
Rivaroxaban systemic(DVT).
embolism in Constipation
• • Confusion  Pain
has changedtranscatheter
undergone colors, or has of Medication
Sitting or lying down
Accelerating the rate of the particles in it.replacement
aortic valve • administration.
during the injection
Enoxaparin Actions: patients with nonvalvular
Contraindications: • • Bruising, redness, or
Diarrhea
Trade/ Brand Name: neutralization of certain (TAVR). • Educate
Monitor patientcount
platelet to
Trade/ Brand Name: activated coagulation factors atrial fibrillation (SPAF) and • irritation where the
Vomiting  Fever take daily with
closely.
Indirectly inhibits platelet Hypersensitivity medicine was injected
Xarelto by aggregation
antithrombin. blood clots (venous
• Teach patient
evening to monitor
meal.
induced by
(Not Specified) • Limit/
for and report
avoid
Dosage: thrombin. By inhibiting FXa, • thromboembolism).
Active major bleeding Adverse Effect: • immediately any sign or
alcoholic beverages.
Dosage: rivaroxaban decreases Adverse Effect
such as gastrointestinal
Contraindications  • Bleeding • Advice of
symptom unexplained
patient to use
20mgs thrombin generation. bleed Serious allergic
• • Thrombocytopenia bleeding.
soft toothbrush when
4,000 units/IU (0.40mgs) Rivaroxaban inhibits free Hypersensitivity
Route: • History of heparin induced • reaction
Elevation of serum Advice patient
brushing to not
teeth.
FXa, FXa within the Patients with clinically
• thrombocytopenia within Back pain
• aminotransferase • •
Route: take any OTC drugs
Educate patient to
Per Orem prothrombinase complex, and thesignificant active
past 100 days • Numbness or muscle
without
reportfirst
signsconsulting
and
clot bound FXa. • bleeding
Severe (eg, intracranial weakness in lower body. 
uncontrolled
Frequency and Timing: physician.
• symptoms of
& GI bleeding)
hypertension Loss of bladder or
Subcutaneously (abdomen) bleeding.
• Hepatic disease bowel control.
OD Remind patient to
Frequency and associated with
not discontinue this
8 coagulopathy leading to
Timing: medication without
clinically relevant
1 tab daily at 4pm doctor's order.
OD 8 bleeding risk.
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Avenue, Molo, Iloilo City

Drug Name Classification and Indication and Side Effects and Special Precautions Nursing
Mechanism of Contraindication Adverse Effects Responsibilities
Actions
Generic name: Classification: Indications: Side effects: ● Do not get up suddenly • Check doctor’s order
from a lying or sitting • Observe 10 rights of
Furosemide Diuretic • Heart failure ● nausea position to avoid dizziness, medication
• Hypertension ● vomiting
Trade/Brand Name: lightheadedness, or • Assess patients for
• Edema ● dizziness
● weakness fainting. signs and symptoms of
Lasix Actions: edema and
Contraindications: ● Do not expose to light to • hypertension.
Dosage: Inhibits reabsorption of Adverse effects: avoid discoloration of • Check patient's allergy
sodium and chloride from • Contraindicated to patient tablets or solution.
20mgs/ 1 amp. status. Educate the
proximal and distal tubules with allergy to furosemide. ● anorexia
patient about action,
and ascending limb of the loop • Using higher than ● gastric irritation
Route: ● anemia indication and common
of Henle, leading to a sodium- recommended dose •
● muscle cramps side effects of taking
IVTT rich dieresis. • Severe renal failure ● mood changes • furosemide.
• Hepatic coma
Frequency and Timing: Monitor for
manifestations of
OD hypokalemia.
Assess fluid volume
8
status (urine, amount,
color and specific
gravity).
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Avenue, Molo, Iloilo City

Drug Name Classification and Indication and Side Effects and Adverse Special Precautions Nursing Responsibilities
Mechanism of Contraindication Effects
Actions
Generic name: Classifications: Indications: Side effects: Do not increase dose or use ● Check doctor’s order
this drug more often or for ● Observe 10 rights of
Methylprednisolone Corticosteroid (Anti- Severe inflammation or ● headache longer than prescribed. medication administration.
inflammatory) immunosuppression ● edema ● Monitor intake and output;
Trade/Brand Name: ● tachycardia
daily weight; assess for
Actions: Contraindications: ● change in skin color
Medrol ● frequent urination edema.
Prolonged use may increase
Decreases inflammation ● Hypersensitive to drug or ● depression ● Check vital signs at least
Dosage: risk of infection, mask signs of
mainly by stabilizing its ingredients. twice a day.
infection and activate latent
leukocytes lysosomal ● Be alert for infection.
40mgs Adverse effects: infection.
membranes, and suppresses ● Those with systemic ● Assess emotional status,
16 mgs immune response. fungal infections. ability to sleep.
● severe arthralgia
● rebound inflammation ● Take oral dose with food or
● Patients receiving ● fatigue milk.
Route: immunosuppressive doses Notify the physician if
● weakness ●
together with live-virus ● lethargy fever, sore throat, muscle
Per orem
vaccines. ● dizziness aches, sudden weight gain
Frequency and Timing: ● orthostatic hypotension or loss, edema, loss of
appetite, fatigue.
Q8H for 7 days

8-4-12

1 tab after breakfast x 7 days

Drug Name Classification and Mechanism of Indications and Contraindications Side Effects and Adverse Effects Special Precautions Nursing Responsibilities
Action
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Avenue, Molo, Iloilo City

Generic Name: Classification: Indications: Side Effects Patient with acid-base alterations or ● Check physician’s order Follow
Potassium Chloride Electrolyte Supplement Indicated for the treatment and ● Nausea correction; CV disease (e.g. heart the 10 rights of medication
●
prophylaxis of hypokalemia in ● Vomiting failure, cardiac arrhythmias, administration Monitor
Brand Name: patients for whom dietary ● Diarrhea
atrioventricular block), cirrhosis. continuous ECG and electrolyte
K-lyte ● Gas ●
management with potassium rich Avoid extravasation (IV). Hepatic level during therapy
Action: ● Stomach pain
foods or diuretic dose reduction and mild to moderate renal Monitor renal function. Tell
Dosage: Potassium chloride is a major cation ● Appearance of potassium in
are insufficient. the stool impairment. Children and elderly. patient to take with or after
1 tablet of intracellular fluid. It is essential in ●
Pregnancy and lactation. meals with a full glass of water
physiological processes, including ●
Route: Adverse Effects: or fruit juice to lessen GI
conduction of nerve impulses in ● Severe throat irritation
Oral distress.
heart, brain, and skeletal muscle; ● Chest pain Educate the patient about the
Frequency and Timing: contraction of cardiac, skeletal and Contraindications: Hyperkalaemia, ● Trouble breathing
signs and symptoms of
N/A smooth muscles; maintenance of hyperchloraemia, predisposing ● Bruising
● hyperkalemia, and tell patient to
normal renal function, carbohydrate ● Weakness
conditions for hyperkalemia (e.g. notify physician if they occur
metabolism, acid-base balance, and ● Stomach bloating
acute dehydration, systemic Warn patient not to use salt
gastric secretion. acidosis, extensive burns or tissue substitutes concurrently, except
injury); adrenal insufficiency (e.g. with physician’s permission
Addison’s disease), heat cramps, ● Tell patient to not be concerned
renal failure, renal impairment with if wax matrix appears in stool
oliguria, anuria or azotaemia; because the drug has already
Severe renal impairment. been
Concomitant use with K-sparing ● absorbed
diuretics.

Drug Name Classification and Mechanism of Indications and Contraindications Side Effects and Adverse Effects Special Precautions Nursing Responsibilities
Action
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Avenue, Molo, Iloilo City

Generic Name: Classification: Indications: Side Effects Patients with reduced ● Check physician’s order Follow
Omeprazole Proton Pump Inhibitor ● Treatment of active duodenal ● Headache body store or risk factors the 10 rights of medication
●
ulcer in adults ● Nausea for reduced vitamin B12 administration Instruct patient to
Brand Name: ● Eradication of Helicobacter pylori ● Vomiting
absorption; risk of take 30-60 minutes prior to
N/A to reduce the risk of duodenal ● Diarrhea ●
osteoporosis. Hepatic eating Instruct patient to report
ulcer recurrence in adults ● Stomach pain
● Constipation impairment. Children, any changes in urinary
Dosage: Action: ● Treatment of active benign ●
N/A ● Flatulence elderly. Pregnancy and elimination such as pain or
A substituted benzimidazole gastric gastric ulcer in adults
● Treatment of symptomatic lactation. CYP2C19 discomfort Advise patient to
antisecretory agent and is also
Route: Adverse Effects ultrarapid metabolizers. avoid alcohol and foods that may
known as proton pump gastroesophageal reflux disease
Oral ● Jaundice ● cause an increase in GI irritation.
inhibitor (PPI). It blocks the final step (GERD) in patients 1 year of age ● Joint pain
and older Monitor improvements in GI
Frequency and Timing: in gastric acid secretion by specific ● Severe diarrhea
● Treatment of erosive esophagitis symptoms (gastritis, heartburn,
N/A inhibition of the adenosine ● Bleeding or crusting sores on
● and so forth) to help determine if
triphosphatase (ATPase) enzyme (EE) due to acid-mediated GERD in the lips
patients 1 month of age and older drug therapy is successful.
system present on the secretory ● Bruising
● Maintenance of healing of EE due Assess dizziness that might affect
surface of the gastric parietal cell.
to acid-mediated GERD in patients gait, balance, and other
Both basal and stimulated acid are
1 year of age and older functional activities
inhibited.
● Monitor any chest pain and
● Pathologic hypersecretory
conditions in adults attempt to determine if pain is
drug induced or caused by
● cardiovascular dysfunction

Contraindications:
Concomitant use with nelfinavir.