LORMA COLLEGES CON TEMPLATE

DRUG STUDY
RELATED LEARNING EXPERIENCE

CABADING, Twinkle Mae M. 3rd Rotation Obstetric Ward

BSN II Lewin March 7,8,9, 2022 Mrs. Mariflor Ocampo

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Iron Supplement Used to treat It is given to the Contraindicated with nausea or  Check doctor’s order
Name: and prevent patient because allergy to any vomiting, stomach  Verify the patient
Ferrous iron deficiency she is pregnant ingredient. pain or heartburn,  Assess patient history for
Sulfate anaemia. to prevent iron loss of appetite, allergy
Brand supply drop too constipation,  Educate the patient about
Name: low, leading to diarrhoea, black the drug.
Feosol, anaemia. stained teeth (from  Administer drug with food
Fer-In-Sol, the drops)  Do not increase or double
Ferrousal dose
Dosage
 Discontinue administration
and
if diarrhoea occurs
Frequenc
 Document properly
y: 1
capsule  Monitor for adverse
once a effects
day
Route:
Oral

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Class C Drugs It allows the Pregnant Pregnant woman or Erythema,  Check doctor’s order
Name: baby to get the women should teen who has swelling, pain, and  Verify the patient
Tdap greatest receive Tdap experienced a tenderness at the  Assess patient history for
Vaccine number of anytime during serious systemic or injection site. allergy
Brand protective pregnancy if it anaphylactic reaction Body-ache.
Name: antibodies and is indicated for to a prior dose of the Fatigue.  Educate the patient about
Boostrix best protection wound care or vaccine or to any of Fever. the vaccine.
Dosage possible. during a its components.  Clean the site for injection.
and community  Document properly
Frequenc pertussis  Monitor for adverse
y: outbreak. effects
One dose
Route:
Intramasc
ular

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Vitamins, Water- It helps Before you're Folic acid nausea, loss of  Assess the patient for
Name: Soluble. prevent birth pregnant and hypersensitivity. appetite; allergy.
Folic Acid defects of until you're 12 Pregnancy bloating, gas,  Instruct the patient to have
Brand baby's brain weeks pregnant Appropriate maternal stomach pain; a varied diet that contains
Name: and spinal folic acid intake is bitter or fresh fruit and vegetables
Folacin cord. essential to the fetus unpleasant taste in usually provide sufficient
Dosage during pregnancy, your mouth; folic acid.
and and no problems with confusion, trouble  Advice the patient to take
Frequenc maternal concentrating; Folic acid supplements
y: 400 supplementation to sleep problems; until the 12th week of
microgram achieve adequate depression; or. pregnancy.
s folic acid intake goals are feeling excited or
tablet known. irritable.
every day
Route:
Oral or
parenteral

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Loop diuretics To treat The potential Healthy pregnancy. Diarrhoea,  Check doctor’s order
Name: pulmonary benefit justifies Patients with constipation,  Verify the patient
Furosemid edema, severe the potential documented allergy cramping, ringing  Assess patient history for
e hypertension in risk to the fetus. to furosemide and in the ears, high allergy
Brand the presence patients with anuria. blood sugar levels,  Educate the patient about
Name: of chronic high sugar levels the drug.
Lasix kidney in the urine,  Monitor blood pressure.
Dosage disease, or weakness, rash.  Assess fluid status.
and congestive  Instruct patient to take
Frequenc heart failure furosemide as directed.
y: one despite the Take missed doses as
dose, potential risk of soon as possible; do not
20mg neonatal double doses.
Route: hyperbilirubine  Advise patients on
Intravenou mia antihypertensive regimen
sly to continue taking
medication even if feeling
better. Furosemide
controls but does not cure
hypertension.

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Analgesics and The patient is Headache. Hypersensitivity. Nausea, vomiting,  Assess patient’s fever or
Name: antipyretics given loss of appetite, pain: type of pain,
Paraceta paracetamol to stomach/abdomin location, Intensity,
mol control al pain duration, temperature, and
Brand headache. diaphoresis.
Name:  Assess allergic reactions:
Dosage rash, if these occur, drug
and may have to be
Frequenc discontinued.
y: 300mg  Teach patient to recognize
and signs of chronic overdose:
600mg bleeding, bruising,
Route: malaise, fever, sore
Intravenou throat.
s  Tell the patient to notify if
pain/fever lasting for 3
days.

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Beta-blockers Works by High blood Contraindicated in Rarely, babies  Monitor BP and pulse
Name: slowing the pressure. patients with overt born to mothers during dosage adjustment
Labetalol heart rate and heart failure, greater who took labetalol period.
Brand opening up than first-degree AV during pregnancy  Assess pulse for quality,
Name: blood vessels block, cardiogenic may have irregular rate,
Trandate to improve shock, severe symptoms of low bradych.ardia.
Dosage blood flow and bradycardia, or other blood pressure,  Monitor ECG for cardiac
and lower blood conditions associated slow heartbeat, arrhythmias.
Frequenc pressure. with severe and slow breathing,  Monitor patient for
y: 20mg prolonged and low blood adverse effects.
IV x 1 hypotension. sugar (such as
dose; if no shaking, unusual
response sweating) for a few
increase days after delivery.
to 40 mg
then 80
mg at 10
mins
intervals
until target
BP is
achieved
(max dose
of 220 mg)
Route:
IV
DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES
NAME ON OF ACTION N
Generic Therapeutic: Use for Severe Hypersensitivity, Dizziness,  Assess blood pressure
Name: antihypertensive relaxation of hypertensive compensatory excessive, (BP), and determine if BP
Sodium s vascular disease of Hypertension. sweating, muscle is maintained in the
Nitroprussi smooth muscle pregnancy. twitching, a skin normal range. Be alert for
de Pharmacologic: and rash, temporary any residual hypotension
Brand vasodilators consequent redness of face following surgery.
Name: dilatation of and neck,  Monitor any cardiac
Dosage peripheral headache, heart palpitations or difficult,
and arteries and throbbing or labored breathing. Report
Frequenc veins. pounding, nausea. prolonged or severe
y: 25 cardiac or pulmonary
mg/2ml 1 symptoms.
dose for  Monitor signs of acidosis,
BP > including headache,
220/150 lethargy, confusion, and
mmhg rapid breathing. Notify
Route: physician or nursing staff
IV immediately if these signs
occur.
 Assess IV site during and
after IV administration,
and report signs of
phlebitis (local pain,
swelling, inflammation).
 Counsel patients about
additional interventions to
help with the long-term
control of BP and cardiac
dysfunction, including
regular exercise, weight
loss, sodium restriction,
stress reduction,
moderation of alcohol
consumption, and
smoking cessation.

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic Anticonvulsants / To prevent The patient is Hypersensitivity nausea, vomiting,  Check the dose and route.
Name: Electrolytes / seizures in diagnose with Myocardial damage, headaches,  Administer drug as
Magnessi Laxatives, preeclampsia preeclampsia diabetic coma, heart muscle weakness, ordered.
um So4 Purgatives thus seizures block blurred vision, and  Educate the patient about
Brand might occur. Hypermagnesemia intravenous (IV) the drug as well as the
Name: Hypercalcemia site pain significant others.
Magnesiu Administration during  Monitor the client vital
m Sulfate 2 hours preceding signs.
Dosage delivery for mothers  Monitor the client for
and with toxemia of seizures.
Frequenc pregnancy  Communicate with rapid
y: 4g responders in case
diluted in seizure occur.
100 ml
normal
saline IV
over 15-20
minutes
Route:
IV
DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES
NAME ON OF ACTION N
Generic Prokinetic To treat The client has Gastrointestinal headache  Check the dose and route.
Name: agents nausea and nausea and bleeding  Administer drug as
metoclopr vomiting in vomitting. Obstruction ordered.
amide pregnant Perforation  Educate the patient about
Brand women. Seizures the drug as well as the
Name: significant others.
Dosage  Monitor renal function,
and B/P, heart rate.
Frequenc  Assessfor dehydration
y: 1 amp (poorskin turgor, dry
Route: Mucous membranes,
IV longitudinal furrows in
tongue).
 Assess for nausea,
vomiting, abdominal
distention, and bowel
sounds.
 Assess for other adverse
effects.

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic corticosteroid To moderate 31 to 34 weeks Known reduction in fetal Observe for signs of adverse
Name: , the of gestation. hypersensitivity to body movements, reactions.
Dexameth progression of corticosteroids and/or fetal breathing
asone pre-eclampsia, dexamethasone and movements and Monitor blood pressure 2 - 3
Brand reducing the prolonged use of heart rate variation times daily.
Name: blood pressure corticosteroids
Decadron and leading to Test for glycosuria daily. If urine
Dosage significant gain is positive for sugar, check each
and in gestational urine.
Frequenc age.
y: 6 mg x I Observe gastric aspirates and
dose then stools for bleeding.
repeat
every 12 Observe closely for signs of
hours for 3 infection.
doses
Route:
IM

DRUG CLASSIFICATI MECHANISM INDICATION CONTRAINDICATIO SIDE EFFECTS NURSING RESPONSIBILITIES

NAME ON OF ACTION N
Generic benzodiazepines to have a There is The available  Assess history for allergy
Name: stabilizing possible literature suggests and physical history.
Diazepam effect on occurrence of that it is safe to take  Do not administer intra-
Brand hypertension seizure. diazepam during arterially; may produce
Name: and pulse rate pregnancy but not arteriospasm, gangrene.
Valium, and it help during lactation  Change from IV therapy to
Diastat, control seizure. because it can cause oral therapy as soon as
and lethargy, sedation, possible.
Diastat and weight loss in  Carefully monitor P, BP,
AcuDial. infants. respiration during IV
Dosage administration.
and  Caregiver should learn to
Frequenc assess seizures,
y: 10 mg administer rectal form,
per IV and monitor patient.
Route: 
IV Instruct the patient to:
 Take this drug exactly as
prescribed..
 Report severe dizziness,
weakness, drowsiness
that persists, rash or skin
lesions, palpitations,
swelling of the ankles,
visual or hearing
disturbances, difficulty
voiding.