X.

MEDICAL MANAGEMENT
DRUG STUDY
NAME OF ACTION/
GENERIC MECHANISM SIDE NURSING
DRUG WITH INDICATIONS CONTRAINDICATIONS
NAME CLASSIFICATION OF ACTION EFFECTS RESPONSIBILITIES
DOSAGE
Sodium Sodium Antacid; Increases Treatment of • Gastric • Contraindicated to • Have patient
Bicarbonate Bicarbonate Electrolyte plasma metabolic rupture patients allergy to chew oral
650 mg 2 tab bicarbonate; acidosis with following components of tablets
TID buffers excess measures to ingestion preparations. thoroughly
H+ control the • Systemic • Use cautiously with before
concentrations; cause of the swallowing, and
alkalosis, impaired renal
raises blood acidosis; follow them with
hypokalemi function, heart
pH; reverses Symptomatic a full glass of
a failure, edematous
the clinical relief of upset water.
secondary or Na- retaining
manisfestation stomach from • Do not give oral
to states; oilguria or
of Acidosis; hyperacidity intracellular anuria, potassium NaHCO3 with 1-
increases the associated shifting of depletion, 2 hr of other oral
excretion of with peptic potassium. pregnancy and drugs to reduce
free bases in ulcer. lactation. risk of drug
the urine.
• Indicated interactions.
for my pt.
to treat her
metabolic
acidosis.
NAME OF
ACTION/
DRUG GENERIC MECHANISM SIDE NURSING
CLASSIFICATION INDICATIONS CONTRAINDICATIONS
WITH NAME OF ACTION EFFECTS RESPONSIBILITIES
DOSAGE
Heraclene Dibencozide Appetite Stimulant It facilitates Premature • No side • No • May administer
Forte optimum babies, low birth
utilization of
effects contraindications drug with
weight, retarded reported were noted. regards to meal.
3 mg OD dietary protein growth, poor
intake; appetite in
contributes to infants, children
the formation and adults,
and repair of adjuvant to
body tissues treatment of
and stimulates tuberculosis and
appetite other chronic
ailments,
convalescence
from acute
infection or
surgery, faulty
nutrition in older
people.
NAME OF
DRUG GENERIC ACTION/ MECHANISM OF NURSING
INDICATIONS SIDE EFFECTS CONTRAINDICATIONS
WITH NAME ACTION RESPONSIBILITIES
CLASSIFICATION
DOSAGE
Norvasc Amlodipine Antihypertensive; Selectively blocks • Treatment • Headache • Contraindicated with • Administer drug
5 mg Angiotensin II the binding of of hypersensitivity to without regards to
• Dizziness
Angiotensin II to Hypertensi Amlodipine; meal
Receptor Blocker • Insomnia
specific tissue on pregnancy and • Ensure patient is
receptor, this • Syncope lactation
action blocks the nor pregnant
• Rash • Use cautiously with
vasoconstriction • Monitor patient
effect of the renin- • Urticaria hepatic or renal
impairment, closely in any
angiotensin • Pruritus situation that
system as well as hypovolemia.
• Alopecia may lead to a
the release of
decrease in BP
aldosterone • Dry skin
leading to secondary to
• Diarrhea reduction in fluid
decrease BP.
• Abdominal pain volume-
excessive
perspiration,
dehydration,
vomiting,
diarrhea-
excessive
hypotension can
occur.
 NAME OF
GENERIC ACTION/ MECHANISM SIDE NURSING
DRUG WITH INDICATIONS CONTRAINDICATIONS
NAME CLASSIFICATION OF ACTION EFFECTS RESPONSIBILITIES
DOSAGE
Ciprofloxacin Ciprofloxacin Antibacterial; Bactericidal Infections of • Headache • Contraindicated • . Ensure that the
500mg 1 tab Fluoroquinolone action against the respiratory • Dizziness with allergy to patient is
BID sensitive tract, middle ciprofloxacin or hydrated before
organisms, ear, sinuses, • Insomnia other administering
inhibits eyes, kidneys • Blurred fluoroquinolones, this drug.
synthesis of and urinary vision pregnancy and • Do not administer
bacterial cell tract, genital lactation.
• Fatigue ciprofloxacin with
wall, causing organs, • Use cautiously with dairy products
cell death. abdomen, skin • Ataxia such as milk or
renal impairment,
and soft • Arrhytmia yogurt, or with
seizures, tendonitis
tissues, bones s calcium-fortified
or tendon rupture
and joints. juice. May allow
• Hypotensio associated with
• Indicated pt. to eat or drink
n fluroquinolones use. dairy products or
to treat my • Angina calcium-fortified
patient’s juice with a
kidney • Abdomina
regular meal, but
infection. l pain do not use them
• Fever alone when taking
ciprofloxacin.
• Rush
They could make
• Nausea the medication
less effective.
 NAME OF ACTION/ MECHANIS
GENERIC NURSING
DRUG WITH CLASSIFICATIO M OF INDICATIONS SIDE EFFECTS CONTRAINDICATIONS RESPONSIBILITIES
NAME
DOSAGE N ACTION

Furosenamide Furosemide Loop Diuretics Furosemide Treatment of • low blood • Contraindicated with • Observe patients
60 mg IV works by excessive pressure allergy to receiving
blocking the accumulation of Furosemide and parenteral drug
absorption of fluid and/or • dehydration carefully;
other diuretics
sodium, swelling (edema) • electrolyte depleti closely monitor B
chloride, and of the body on (for example, • Use cautiously with P and vital signs.
water from caused by heart sodium, pregnancy and Sudden death
the filtered failure,cirrhosis, potassium) lactation from cardiac
fluid in the chronic kidney arrest has been
kidney • jaundice reported.
failure, and the
tubules, nephrotic • Tinnitus • Monitor BP during
causing a syndrome. periods of
• sensitivity to light
profound diuresis and
increase in • Indicated to • rash through period of
the output of treat my
• pancreatitis, dosage
urine patient with
adjustment.
(diuresis). renal • nausea,
dysfunction. • Observe older
• diarrhea adults closely
• abdominal pain during period of
brisk diuresis.
• Dizziness Sudden alteration
in fluid and
electrolyte balanc
e may precipitate
significant
adverse
reactions. Report
symptoms to
physician.
 NAME
ACTION/
OF
GENERIC CLASSIFICATION MECHANISM INDICATIONS NURSING
DRUG SIDE EFFECTS CONTRAINDICATIONS
NAME OF ACTION RESPONSIBILITIES
WITH
DOSAGE
Prosec Omeprazole Anti-secretory Suppresses Duodenal • Headache • Contraindicated • Administer
20 mg 1 drug; gastric acid ulcer, • Dizziness with hypersensitivity before meals.
tab OD Proton Pump secretion by treatment of to omeprazole or its • Caution pt. to
specific heartburn or • Diarrhea components
Inhibitor swallow whole-
inhibition of symptoms of • Abdominal pain • Use cautiously with not to open,
the hydrogen- GERD, active
• Nausea,vomitin pregnancy and chew or crush
potassium benign gastric
g lactation. them.
ATPase ulcer, GERD,
enzyme sever erosive • Constipation • If using the oral
system at the esophagitis. • Dry mouth suspension,
secretory empty packet
• Tongue atrophy into a small cup
surface of the
• Indicated • URI symptoms containing 2
gastric
parietal cells; for my pt. tbsp. of water.
since she • Cough
blocks the Stir and have pt.
final step of is suffering • Epistaxis drink
acid from chest • Vertigo immediately; fill
production. pain or cup with water
heartburn. and have this
water. Do not
use any other
diluent.
• Administer
antacid with, if
necessary.
NAME OF
DRUG GENERIC ACTION/ MECHANISM SIDE NURSING
INDICATIONS CONTRAINDICATIONS
WITH NAME CLASSIFICATION OF ACTION EFFECTS RESPONSIBILITIES
DOSAGE
Cozaar Losartan Angiotensin II Angiotensin II Hypertension • Headache • Contraindicated with • Monitor patient
50 mg 1 tab Receptor receptor (type hypersensitivity to closely, BP
• Dizziness
Antagonist; AT1) antagonist Losartan; pregnancy alterations due
OD • Insomnia
Antihypertensive acts as a potent and lactation to effect of drug
vasoconstrictor • Syncope • Use cautiously with
and primary • Monitor any
• Rash hepatic or renal
vasoactive
impairment,
allergic
hormone of the • Urticaria reactions
hypovolemia.
renin– • Pruritus
angiotensin–
aldosterone • Alopecia
system. • Dry skin
• Diarrhea
• Abdominal
pain
 NAME OF ACTION/ NURSING
GENERIC MECHANISM OF SIDE CONTRAINDICATION
DRUG WITH INDICATIONS RESPONSIBILITIE
NAME CLASSIFICATION ACTION EFFECTS S
DOSAGE S
Rowatinex 2 Natural Antiurolithic Promotes a Nephrolithiasis, • No side • No • Liquid intake
caps QID Terpene diuresis and Urolithiasis,Cys effects contraindications should be
relaxes urinary tisis, Renal have noted. increased
tract spasm, thus Colic, UTI, been during therapy
assisting the Post-op reported • Store at temp.
passage of prophylaxis of
not exceeding
stones. The calculi,
30oc.
therapeutic effects treatment of
of the balanced urinary tract
combination of spasm and
terpenes reduces inflammation.
urinary tract
inflammation,
• Indicated
stimulating renal
blood flow through for my pt.
the kidneys and since she
increasing the has
output of less dysfunction
concentrated al kidney.
urine. To promote
her
diuresis.
NAME OF
DRUG GENERIC ACTION/ MECHANISM SIDE NURSING
INDICATIONS CONTRAINDICATIONS
WITH NAME CLASSIFICATION OF ACTION EFFECTS RESPONSIBILITIES
DOSAGE
Nervilan 1 Vitamin B Vitamin B Vit.B acts as Neuritis, • No side • Use cautiously to pt. • May be taken
tab OD complex coenzyme in neulagia, effects with liver with meals to
metabolic polyneuritis, reported. dysfunction reduce GI
process; diabetic discomfort.
enzyme neuropathy,
activator- alcoholism,
involved in cervical and
many shoulder-arm
oxidation- syndrome and
reduction encephalopathy.
reactions.
 NAME
OF ACTION/
GENERIC MECHANISM NURSING
DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS CONTRAINDICATIONS
NAME OF ACTION RESPONSIBILITIES
WITH
DOSAGE
Iterax 25 Hydroxyzine Antiemetic; Competes with Treatment of • Drowsiness • Hypersensitivity to • Extravasation
mg 1 tab Antihistamine; histamine for anxiety; hydroxyzine or any can result in
• Headache
H1-receptor preoperative component of the sterile abscess
Antixiolytic • Fatigue
sites on sedative; formulation and marked
effector cells in antipruritic • Nervousness tissue
the Allergy induration;
gastrointestinal • Dizziness
provide safety
tract, blood measures (ie,
vessels, and side rails, night
respiratory light, and call
tract. button);
Possesses remove
skeletal muscle smoking
relaxing, materials from
bronchodilator, area; supervise
antihistamine, ambulation
antiemetic,
and analgesic
properties.