Route /

Brand Drug Adverse Precaution Nursing

Date / Time Action Indication Dosage /
Name Interaction Effect Contraindications Responsibilities
Interval
11/11/16 Lasix Inhibits Edema due to 20 mg NSAIDs  Hyponatrem  Severe sodium  Assess fluid
@ 8:00 am reabsorptio cardiac , IVTT Lithium ia, and water status , monitor
n of Na and hepatic and Q12 Digoxin hypokalemi depletion, intake and
chloride renal disease , (defer if Some a, hypersensitivity output ratios
mainly in burns ; mild BP antibiotics. hypomagnes to  Monitor BP and
the to moderate ≤90/60) ACE aemia. sulphonamides pulse before and
medullary HTN , inhibitors.  Hypochlora and furosemide, after
portion of reduced emic hypokalaemia, administration
the urinary output alkalosis. hyponatraemia,  Assess patient
ascending due to  Increased precomatose for any side
Loop of gestoses . calcium states associated effects of drug
Henle. excretion. with liver
Generic Excretion Half Life  Hypotensio cirrhosis, anuria
Name of n. or renal failure.
Furosemide potassium Approxi  Hypotension ,
 Nausea.
and mately 2 particular risk
hours  Dizziness.
ammonia is from a
also pronounced fall
Classificatio increased Absorpti Excretion in BP
n while uric on
acid
Diuretics excretion is GI tract Urine
reduced. It
also
reduces
pulmonary
edema
before
diuresis has
set in.

45
 Route /
Drug Adverse Precaution Nursing
Date / Time Brand Name Action Indication Dosage /
Interaction Effect Contraindications Responsibilities
Interval

11/18/16 Procardia Nifedipi For the 5mg, 1cap quinidine,  headache Unstable angina  Monitor BP of
ne is in management tacrolimus.  nausea pectoris(intermedia patient
@ 8am a group of SL PRN for dizziness or ry syndrome) and
  Be aware that
of drugs vasospastic BP ≥ light the first six months withdrawal
called angina, 140/100 headedness after a myocardial symptoms may
calcium chronic mmHg flushing infarction. Left
 occur with abrupt
channel stable angina  heartburn ventricular failure. discontinuation of
blockers and  tachycardia the drug(chest
. It hypertension.  muscle pain,increase in
works cramps angina episodes,
by  constipation MI,dysrhythmias)
relaxing  cough  Inspect gums
the  decreased visually every
muscles sexual day. Changes in
of your ability gingivae may be
Generic Name heart Half Life gradual, and
and bleeding may be
Nifedipine 2 hrs
blood exhibited only
vessels. with probing.
Classification Absorption Excretion

Cardiovascular GI tract Urine, feces

Agent

46
 Route / Precaution
Date / Drug Nursing
Brand Name Action Indication Dosage / Adverse Effect Contraindi
Time Interaction Responsibilities
Interval cations

11/17/16 Bromux May Acute & PO  Doxorubicin  Nausea There are  Assess cough,
@ 8:00 increase the chronic  Diltiazem  Vomiting no absolute type, frequency
am output of disorders of 150mg or 5ml contraindica
 Acetylecyst  Fatigue character including
fluid from respiratory TID eine  Tachycardia tion but in sputum
the tract  Salbutamol  GI discomfort patients  Provide adequate
respiratory associated with gastric hydration to
 headache
tract by with ulceration 2L/day to decrease
reducing the bronchial relative viscosity of
Generic Name viscosity & secretions Half Life caution secretions
surface should be  Monitor for
Ambroxol tension of 10 hrs observed. possible adverse
respiratory reaction.
secretions,  Suggest sugarless
thereby lozenges to
Classification removing Absorption Excretion decrease throat
accumulated irritation & cough
secretions GI tract Breastmilk, hard candy can be
Expectorant from upper urine
used to prevent dry
& lower mouth.
airway.

47
 Precaution
Date / Route/ Drug Adverse Nursing
Brand Name Action Indication Contraindicati
Time Dosage/ Interaction Effect Responsibilities
Interval ons

11/18/16 Zyrtec Potent  Managem 5mg or 5 ml  Albuterol  Somnolence  Contraindicat  Give without
histamine ent of syrup  Aspirin , sedation ed with regard to meal
@ receptor seasonal  Benadryl  Palpitation, allergy to any  Provide syrup form
8:00am antagonist, PO
and  Cymbalta edema antihistamines or chewable tablets
inhibits perennial BID  Fish oil  Nausea, , hydroxyzine for pediatric use if
histamine allergic diarrhea,  Use to needed
 Flonase
release rhinitis abdominal cautiously  Arrange for use of
 Ibuprofen
and  Treatment with narrow-
 levothyrox pain, humidifier if
eosinophil of chronic, constipation angle thickening of
ine
chemotaxi idiopathic  Bronchospa glaucoma, secretions, nasal
s during urticarial sm, stenosing dryness become
inflammati  Treatment Pharyngitis peptic ulcer, bothersome;
Generic Name Half Life
on, of year-  Fever, symptomatic encourage adequate
leading to round photosensiti prostatic intake of meals
reduces allergic vity, rash, hypertrophy,  Report difficulty of
swelling 7-10 hrs
rhinitis angioedema asthmatic breathing,
Cetirizine and and attack, hallucinations,
decreased chronic bladder neck tremors, loss of
Classification inflammat idiopathic Absorption Excretion obstruction, coordination,
ory urtucaria pyloroduoden irregular heartbeat.
antihistamine
response in infants al obstruction;
> 6 mos. GI tract Urine & lactation
feces

48
 Route / Precaution
Date / Drug Adverse Nursing
Brand Name Action Indication Dosage / Contraindi
Time Interaction Effect Responsibilities
Interval cations

11/11/16 Tempra It isn’t a Relieve of 250g or 5ml Anticoagulants Skin Hypersensiti Check temperature
salicylate fever, PO Rashes , vity. Renal before and a after
@ 8:00 neither does it Headache, Q4 PRN other or hepatic taking drugs
am contains muscular allergic disease, CV Consult doctor if
Generic caffeine or aches and Half Life reactions. or side effects takes
Name phenacetin. pain, In hematologic place and create
Tempra Forte toothache, overdose, al disorders. problems
has no result colds, 1 – 4 hours hepatocellu Monitor Evaluate
Paracetamol on earache, ar necrosis patients if therapeutic
prothrombin fever due or less fever response.
point. It is to frequently persists >3 Alcohol increases
predominantl tonsillecto renal days (72 the risk of liver
y helpful for my, tubular hrs.) or pain damage that can
Classification administratio inoculation Absorption Excretion necrosis. continues occur if an
n in subjects s and Oral—Rapid and >5 days. overdose of
who do not vaccination almost complete; Pregnancy paracetamol is
endure aspirin s. may be decreased Urine and taken.
well since it if acetaminophen lactation.
Analgesic and
is less is taken following
Antipyretics
probable to a high-
induce carbohydrate
gastrointestin meal.
al disorders.

49
 Route /
Precaution
Brand Dosage / Drug Adverse Nursing
Date / Action Indication Contraindic
Time Name Time Interaction Effect Responsibilities
ations
Interval

11/18/1 Pfizerpen Inhibits  Mild moderately 1M Bacteriostatic  Pain  contraindicat  Do not administer
6@ cell wall severe infections antibacterials,  Redness ed with oral drug with
8:00 am synthesis caused by Q6 chloramphenicol, allergies to milk, fruit juices or
 Sweling
of sensitive erythromycin  Joint/ penicillins, soft drinks; a full
IVTT(AN
sensitive organisms muscle cepahlospori glass of water id
ST)
organism  Prophylaxis pain ns, or other preferred; this oral
s, causing against bacterial  Muscle allergens. penicillin is less
cell endocarditis in pt weaknes  Use affected by food
Generic death. with valvular heart Half Life Excretion cautiously than other
s
Name disease with renal penicillins.
1-2 hrs Urine  Dark/
undergoing dental cloudy disorders,  Report difficulty in
Penicillin or upper urine pregnancy, breathing, rashes,
respiratory tract  Irregular lactation severe diarrhea,
G
surgery heartbeat (may cause mouth sores,
Classificati  Prophylactic Absorptio diarrhea or unusual bleeding
 Numbne
on treatment of n candidiasis in or bruising.
ss
children with the infant)
IM,  Seizures
sickle cell anemia,
Antibiotic Subcutane  Diarrhea
mild to moderate
ous tissue  Stomach
anaerobic
pain
infections, Lyme
 anemia
disease

50