DRUG DOS ROUT INDICATION CONTRAINDICATION ACTION SIDE NURSING

E E S EFFECT CONSIDERATION
S
Generic 50 mg IV Short-term Contraindicated with Competitively CNS: Assessment:
Name: q8 treatment of allergy to ranitidine, inhibits the headache, 1. History: allergy to
Ranitidine hrs active duodenal lactation action of malaise, ranitidine, impaired
Hydrochlorid ulcer histamine at dizziness, renal or hepatic
e Use cautiously with the H2 somnolence, function, lactation,
Short-term impaired renal or hepatic receptors of insomnia, pregnancy.
Brand Name: treatment of function, pregnancy the parietal vertigo 2. Physical: skin
Zantac active, benign cells of the lesions, orientation,
gastric ulcer stomach, CV: affect, liver
Class: inhibiting tachycardia, evaluation,
Histamine2 Maintenance basal gastric bradycardia abdominal
antagonists therapy for acid secretion examination, normal
duodenal ulcer and gastric Dermatologic: output, renal
at reduced acid secretion rash, alopecia function tests, CBC
dosage. that is
stimulated by GI: Interventions:
Short-term food, insulin, constipation, 1. Administer oral
treatment for histamine, diarrhea, drug with meals and
GERD. cholinergic nausea and at bedtime.
agonists, vomiting, 2. Decrease doses in
Pathologic gastrin and abdominal renal and liver
hypersecretory pentagastrin. pain, hepatitis failure.
conditions 3. Provide
(Zollinger- GU: concurrent antacid
Ellison impotence or therapy to relieve
syndrome) decreased pain.
libido 4. Administer IM
 Treatment of dose undiluted, deep
erosive Hematologic: into large muscle
esophagitis leucopenia, group.
granulocytope 5. Arrange for
Treatment of nia, regular follow-up
heartburn, acid thrombocytop including blood test,
indigestion, enia, to evaluate effects.
sour stomach pancytopenia
 DRUG DOSE ROUTE INDICATIONS CONTRAINDICATIONS ACTION SIDE NURSING
EFFECT CONSIDERATIONS
Generic Name: 1 amp IV Disturbances of Contraindicated with Stimulates CNS: Assessment:
Metoclopramide q 8 hrs GI motility allergy to metoclopramide motility of restlessness, 1. History: allergy to
upper GI drowsiness, metoclopramide, GI
Brand Name: Relief of GI hemorrhage tract without fatigue, hemorrhage,
Maxolon symptoms of stimulating insomnia, mechanical
acute and Mechanical obstruction or gastric, dizziness, obstruction or
Class: recurrent perforation biliary, or anxiety perforation,
Antiemetic, GI diabetic pancreatic depression, epilepsy,
stimulant gastroparesis Epilepsy secretions; CV: lactation, previously
appears to transient detected breast cancer
Nausea and Use cautiously with sensitize hypertensio 2. Physical:
vomiting previously detected breast tissues to n orientation, reflexes,
cancer, lactation, action of affect, bowel sounds,
Metabolic pregnancy, fluid overload, acetylcholin GI: nausea normal output, EEG
diseases renal impairment e; relaxes and diarrhea
pyloric Interventions:
Short-term sphincter, 1. Monitor BP
therapy for which, carefully during IV
adults with when administration.
symptomatic combined 2. Monitor diabetic
gastroesophage with effects patients, arrange for
al reflux who on motility, alterations in insulin
fail to respond accelerates dose or timing if
to conventional gastric diabetic control is
therapy. emptying compromised by
 and alterations in timing
Prophylaxis of intestinal of food absorption.
postoperative transit; little
nausea and effect on
vomiting when gallbladder
nasogastric or colon
suction is motility;
undesirable. increases
lower
esophageal
sphincter
pressure;
has sedative
properties;
induces
release of
prolactin
 DRUG DOS ROUT INDICATION CONTRAINDICATION ACTION SIDE EFFECT NURSING
E E S S CONSIDERATION
S
Generic 1 IV Short-term Contraindicated with Anti- CNS: Assessment:
Name: AMP management of significant renal inflammatory headache, 1. History: renal
Ketorolac q6 pain (up to 5 impairment, during labor and analgesic dizziness, impairment,
Tromethamin hrs days) and delivery, lactation, activity; somnolence, impaired hearing,
e and aspirin allergy, recent GI inhibits insomnia, allergies, hepatic,
PRN Ophthalmic: bleed or perforation prostaglandin fatigue, lactation, pregnancy
Brand Name: for relief of ocular s and dizziness, 2. Physical: skin
Toradol pain itching due to Use cautiously with leukotriene tinnitus, color and lesions,
seasonal impaired hearing; synthesis ophthalmologi orientation, reflexes,
Class: conjunctivitis allergies; hepatic c effects peripheral sensation,
Antipyretic and relief of conditions clotting times, CBC,
NSAID post-operative adventitious sounds
inflammation
after cataract Interventions:
surgery. 1. Be aware that
patient may be at
risk for CV events,
GI bleeding, renal
toxicity, monitor
accordingly.
2. Do not use during
 labor, delivery, or
while nursing.
3. Keep emergency
equipment readily
available at time of
initial dose, in case
of severe
hypersensitivity
reaction.
4. Protect drug vials
from light.
5. Administer every
6 hrs to maintain
serum levels and
control pain.
 DRUG DOSE ROUTE INDICATIONS CONTRAINDICATIONS ACTION SIDE NURSING
EFFECT CONSIDERATIONS
Generic 20 mg Oral Short-term Contraindicated with Gastric-acid CNS; Assessment:
Name: 1 cap treatment of hypersensitivity to pump headache, 1. History
Omeprazole for active duodenal omeprazole or its inhibitor: dizziness, :hypersensitivity to
two cancer components. suppresses asthenia, omeprazole or any of
Brand Name: weeks gastric acid vertigo, its components;
Tansinel Short-term Use cautiously with secretion by insomnia, pregnancy, lactation
treatment of pregnancy, lactation. specific apathy, 2. Physical: skin
Class: active benign inhibition of anxiety, lesions; reflexes;
Antisecretory gastric ulcer the paresthesias, urinary output;
drug hydrogen- dream abdominal
Eradication of potassium abnormalities examination;
Helicobacter ATPase respiratory
Pylori enzyme Dermatologic: auscultation
system at rash,
First-line the inflammation, Interventions:
therapy for secretory urticaria, 1. Administer before
treatment of surface of pruritus, meals.
heartburn or the gastric alopecia, dry 2. Administer
symptoms of parietal skin antacids with, if
GERD. cells; blocks needed.
the final GI: diarrhea, 3. Have regular
step of acid abdominal medical follow-up
production. pain, nausea, visits.
vomiting, 4. Report severe
constipation, headache, worsening
dry mouth, of symptoms, fever,
tongue chills.
atrophy

Respiratory:
URI
symptoms,
cough,
epistaxis