Date and Drug DRUG STUDY

Classifications and Indication/ Adverse Reactions Nursing Actions

Time Name/Dosage/F Mechanism of Actions Contradictions
Ordered requency/Rout
e/Timing
 Mefenamic acid Indication: CNS: Dx:
Generic: binds the The analgesic efficacy
Mefenamic Acid prostaglandin of mefenamic acid is Drowsiness, insomnia, a. Check doctors
synthetase receptors documented for dizziness, nervousness, order b. Assess
Brand: COX-1 and COX-2 inflammatory and non- confusion, headache. pain score c.
Mefenax inhibiting the action inflammatory pain. Its Assess history of
of prostaglandin use for acute pain is EENT: allergies
Dosage: synthase. As these well known: pain after
500mg receptors have a role dental interventions or Blurred vision, eye irritation Tx:
as a major mediator after traumas are
Frequency: of inflammation significantly reduced CV: Edema a. Give drug with
3 times a day for 5 and /or a role for with mefenamic acid. food, milk or
days prostaglandin Mefenamic acid is GI: GI: antacids
signaling in activity- one of the drugs of Severe diarrhea, ulceration
Route: dependent plasticity, choice for and bleeding; nausea. b. Do not increase
Oral route the symptoms of pain dysmenorrhea vomiting. Abdominal cramps, or double dose;
are temporarily (alongside fenamaten, flatus, constipation, hepatic follow exactly as
Timing: reduced ibuprofen and toxicity prescribed and
naproxen). indicated
 Produces anti- GU:
inflammatory, Contraindication: Dysuria, hematuria, c. Discontinue
analgesic and anti- Inflammatory intestinal nephrotoxicity drug promptly if
pyretic effects, disease. Active peptic diarrhea. Dark
possibly through ulcers. DERM: stools.
inhabitation of Hypersensitivity to Hematemesis,
prostaglandin aspirin (acetylsalicylic Urticaria, rash ecchymosis,
synthesis acid) or other non- You sent epistaxis or rash
steroidal anti- Hematologic: occur and do not
inflammatory agents. use again. Contact
Renal failure. Prolonged prothrombin time, physician
severe autoimmune
hemolytic anemia (long term Edx:
 use), leukopenia,
eosinophilia, a. Document
agranulocytosis, accordingly b.
thrombocytopenicporpura, Monitor for
megaloblastic anemia, adverse effect
pancytopenia, bone marrow
hypoplasia c. Instruct
discontinuation of
Urogenital: medication if
You sent adverse effect
Nephrotoxicity, dysuria, occurs
albuminuria, hematuria,
elevation of BUN

Date and Drug DRUG STUDY

Classifications and Indication/ Adverse Reactions Nursing Actions
Time Name/Dosage/F Mechanism of Actions Contradictions
Ordered requency/Rout
e/Timing
  Interferes with Indication: CNS: Dx:
Generic: bacterial cell wall
Cefuroxime synthesis by  Treatment if the Chills, fever, headache, a. Obtain a history
inhibiting the final following infections seizures to determine
Brand: step-in cross-linking caused by previous use of
Ceftin / Zinacef peptidoglycan susceptible CV: Edema and reaction to
strands. organisms: penicillin or
Dosage: Peptidoglycans Respiratory tract EENT: cephalosporins
makes the cell infection, Urinary
membrane rigid and tract infections, Hearing loss, oral candidiasis b. Assessed for
Frequency: protective. Without it. Skin to skin signs and
2 times a day for 1 bacterial cells rupture structure GI: symptoms of
week and die. infections. infection c. Check
Abdominal cramps, diarrhea, doctor's order
Route: Contraindication: elevated liver enzymes,
Oral route hepatic failure, Tx:
 Contraindicated hepatomegaly, nausea,
Timing: with allergy to pseudomembranous colitis, a. Give drug with
Cephalosporins or vomiting food, to decrease
Penicillin. Use Gl upset and
cautiously with GU: enhance
renal failure, absorption
lactation and Elevated BUN level,
pregnancy. nephrotoxicity, renal failure, b. Discontinue if
 Hypersensitivity to vaginal candidiasis hypersensitivity
cefuroxime, other reaction occurs c.
cephalosporins, or HEME: Observe if patient
their components took in medication
Eosinophilia, hemolytic
anemia, Edx:
hypoprothrombinemia,
neutropenia, a. Educated that
thrombocytopenia, unusual this drug is
bleeding specific for this
infection and
MS: should not be
used to self- treat
Arthralgia other problems.
RESP: b. Instructed the
client to swallow
Dyspnea tablets whole, do
not crush them,
SKIN: take the drug with
food
Ecchymosis and erythema.
c. Educated the
client that they
may experience
these side effects:
stomach upset or
diarrhea