Generic General classification Dosage/ Mechanism of Indications/ Side effects Nursing

name/ Route action Responsibilities

Contraindica
Brand name tions
Cyclosporine Immunossupressants 10mg/kg Inhibit Indicated to CNS: 1. Observe 14
Q12 proliferation have Headache rights of drug
Sandimmune and function of received administration.
T lymphocytes immunosupr CV: 2. Encourage the
and inhibit essive patient to have
production and therapy. Hypotension complete bed rest.
release of 3. Evaluate clients
lymphokines. Contraindica EENT: report of evidence
ted in of extreme fatigue
patients Gum and intolerance for
hyperplasia
hypersensiti activity to
ve to drug determine
GI:
or causative factor.
polyoxyethyl 4. Advise patient to
Nausea
ated castor perform careful
oil (found in oral care and to see
Hematologic:
injectable a dentist regularly.
forms). Anemia 5. Advise patient to
take drug with
Thrombocytop meals if nausea
enia occurs.
6. Explain to the
Renal: patient the
importance of
Depression of frequent
renal function laboratory
monitoring while
receiving therapy.
7. Tell the patient
to avoid people
with infections
because drug
lowers resistance
to infection.
8. Monitor renal
enzymes.
Prednisone Corticosteroids 0.5mg/ Decreases Indicated as CNS: 1. Observe 14
kg/day inflammation, an rights of drug
Windpred mainly by immunosup Psychotic before
suppresses pressive behavior administration.
response and drug for 2. Watch out for
stimulating hematologic CV: depression or
bone marrow. condition psychotic episodes,
such as Hypotension especially during
 aplastic high dose therapy.
anemia. Metabolic: 3. Monitor
patient’s BP, sleep
Contraindica Weight gain patterns, and
ted in potassium level.
patient Musculoskelet 4. Weight patient
hypersensiti al: daily and report
ve to drug. sudden weight gain
Osteoporosis to prescriber.
5. Monitor bone
Others: density in patients
on long term
After abrupt
therapy and bone
withdrawal:
growth in children.
Hypoglecemia
Institute bone-loss
Susceptibility prevention
to infection measure if therapy
is expected to last
3 months or more.
6. Patient with
diabetes may need
increased insulin;
monitor glucose
level frequently.
7. Monitor patient
for signs and
symptoms of
infection. Drug may
mask or worsen
infections,
including latent
amebiasis.
Eltrombopag Thrombopoietin 150mg A small Indicated to CNS: 1. Remember 14
receptor agoinist molecule TPO- stimulate rights of drugs
Promacta PO receptor agonist platelet Headache before
that interacts production administration.
OD with the in the bone Fatigue 2. Lower the height
transmembrane marrow. of the bed and
domain of the GI: raise the side rails.
human TPO- Contraindica 3. Encourage
receptor. ted to to Nausea complete bed rest.
patient 4. Take the
hypersensiti Musculoskelet medication with
al:
ve to drug. meals.
5. Provide safety
Loss or lack of
environment.
strength
6. Frequently
Metabolic: measures weight of
 the patient and
Rapid weight report gain weight.
gain