Drug Mechanism Indication Adverse reaction Side effects Contraindication Nursing

of action responsibilities
Generic: Inhibits Acute Pulmonary CNS: Dizziness, vertigo, Lightheadedn In patients • Administer
Furosemide sodium and Edema ess hypertensive to
paresthesias, xanthopsia, with food or
chloride drug or any of its
Brand: Lasix reabsorption at Edema weakness, headache, fast heartbeat; components and in milk to prevent
proximal and those with anuria.
drowsiness, fatigue, GI upset.
distal tubules Heart Failure flushing of Patients with
Classification: and ascending blurred vision, tinnitus, face and Hepatic cirrhosis. • Reduce dosage
loop diuretic loop of henle. Chronic renal neck; Patients with
irreversible hearing loss if given with
impairment allergy to
Available form: CV: Orthostatic headache; sulfonamides. other
20,40,80mg Hypertension
hypotension, volume antihypertensiv
tablets irritation at
10MG/ML Hypercalcemia depletion, cardiac site of patch es; readjust
ORAL SOLN Sore throat
arrhythmias, dosage
60ML
10MG/ML INJ thrombophlebitis Fever gradually as BP
4ML VIAL
Dermatologic: responds.
10MG/ML INJ
2ML VIALS Photosensitivity, rash, • Give early in
pruritus, urticaria, the day so that
Route:
IM,IV, Oral purpura, exfoliative increased
dermatitis, erythema urination will
multiforme not disturb
GI: Nausea, anorexia, sleep.
vomiting, oral and • Avoid IV use if
gastric irritation, oral use is at all
constipation, diarrhea, possible.
acute pancreatitis, • WARNING:
jaundice Do not mix
GU: Polyuria, nocturia, parenteral
glycosuria, urinary solution with
bladder spasm highly acidic
Hematologic: solutions with
Leukopenia, anemia, pH below 3.5.
thrombocytopenia, fluid • Do not expose
and electrolyte to light, may
imbalances, discolor tablets
hyperglycemia, or solution; do
hyperuricemia not use
Other: Muscle cramps discolored drug
and muscle spasms or solutions.
Edema: • Discard diluted
solution after
24 hr.
• Refrigerate oral
solution.
• Measure and
record weight
to monitor fluid
 changes.
• Arrange to
monitor serum
electrolytes,
hydration, liver
and renal
function.
• Arrange for
potassium-rich
diet or
supplemental
potassium as
needed.
• Weigh yourself
on a regular
basis, at the
same time and
in the same
clothing, and
record the
weight on your
calendar.
• Blood glucose
levels may
become
temporarily
elevated in
patients with
diabetes after
starting this
drug.
• You may
experience
these side
effects:
Increased
volume and
frequency of
urination;
dizziness,
feeling faint on
arising,
drowsiness
(avoid rapid
position
changes;
hazardous
activities, like
driving; and
consumption of
alcohol);
sensitivity to
sunlight (use
sunglasses,
wear protective
clothing, or use
a sunscreen);
increased thirst
(suck on
sugarless
lozenges; use
frequent mouth
care); loss of
body potassium
(a potassium-
rich diet or
potassium
 supplement
will be
needed).
• Report loss or
gain of more
than 3 pounds
in 1 day,
swelling in
your ankles or
fingers,
unusual
bleeding or
bruising,
dizziness,
trembling,
numbness,
fatigue, muscle
weakness or
cramps.

Drug Mechanism of Indication Adverse reaction Side effects Contraindication Nursing

action responsibilities
Generic: Citicoline A low Citicoline CVD in acute Gastrointestina Itching or Parasympatheti • Medication
Brand: Cognizin® activates the & recovery l disorders. hives, swelling c hypertonia should be
biosynthesis of phase, Allergic in your face or administered at
Classification: structural symptoms & reaction: hands, least 6 hours before
Neuroprotective phospholipids in signs of chest swelling or bed time to
CNS Drugs & the neuronal cerebral tightness, tingling in minimize sleep
Agents for ADHD membrane, insufficiency trouble your mouth or disturbances.
increases cerebral (dizziness, breathing, or throat, • Make sure that
metabolism and memory loss, rash, , Low the contents of
Available form: increases the level poor Slow or fast blood pressure other medication to
Oral drops, injections of various concentration heart beat, (faintness, be administered
Route: neurotransmitters, , Headache, dizziness) doesn’t contain
Oral, Intravenous including disorientation Nausea, meclofenoxate.
acetylcholine and , recent vomiting, or • Monitor the
dopamine. cranial diarrhea (loose adverse reaction.
Citicoline has trauma & BMs) • Instruct patient
shown their not to alter dose
neuroprotective sequelae.) without consulting
effects in Cerebrovascular a physician.
situations of disorder including • Inform patient
hypoxia and stroke that the physician
ischemia. may order holidays
from drug to assess
progress and
decrease
dependence.

Drug Mechanism of Indication Adverse reaction Side effects Contraindication Nursing

action responsibilities
Generic: A low moleculer Prevent Hemorrhage. Bleeding Conditions with • Monitor
Enoxaparin sodium weight heparin pulmonary Thrombocytopenia. high risk of pregnant women
Brand: Clexane derivative that embolism and Local reactions Pain, bruising or uncontrolled using the drug
accelerates deep vein (Small local irritation; hard, hemorrhage • Instruct patient
Classification: formation of thrombosis after hematoma). including major and family to
Anticoagulants anti-thrombin hip or knee Exceptional cases of inflamed nodules bleeding disorders. watch for signs of
III-thrombin replacement skin necrosis. or an itchy red bleeding or
Available form: complex and surgery, Rarely cutaneous or rash at the abnormal bruising
Ampules 30mg/0.3 deactivates abdominal systemic allergic injection site and to notify
ml, Syringes thrombin, surgery, patients reaction. Increase prescriber
(prefilled) 30mg/0.3 preventing with acute illness liver enzymes. Symptoms similar immediately if any
ml, 40mg/0.4 ml, conversion of who are at to those of occur.
Vial 300mg/3ml fibrinogen to increased risk hayfever • Tell patient to
fibrin. Has because of avoid OTC drugs
Route: higher anti-factor decreased Abdominal/chest containing aspirin
Intravenous Xa to antifactor mobility. To pain or other salicylates
IIa activity ratio. prevent ischemic unless ordered by
complications of Headache physician.
unstable angina
and non-Q-wave
MI with oral
aspirin theraphy.

Drug Mechanism of Indication Adverse reaction Side effects Contraindicati Nursing responsibilities
action on
Brand: Levaquin Inhibits bacterial Community CNS:dizziness,encephalop Headache, Patients Assessment:
Generic: DNA gyrase and acquired athy, insomnia, pain, hypertensive to • Obtain specimen for
Levofloxacin prevents DNA Pneumonia paresthesia, seizures Abdominal the drug, any of culture and sensitivity
replication, caused by CV: abnormal ECG, chest pain its components, tests before starting
Classification: transcription, repair, S.pneumonia pain, palpitations, or other therapy and as needed
Fluorinated and recombination in e, mild to vasodilation Flatulence fluoroquinones. to detect bacterial
Carboxyl susceptible bacteria moderate GI:constipation, diarrhea, resistance. Therapy may
quinolone skin and skin dyspepsia, fltulence, Back pain begin pending results
Available form: structure nausea, pseudomembranous • Obtain history of
Infusion(premixe infections colitis, vomiting. Pruritus seizure disorders or
d) 250mg in 50 caused by S. GU: vaginitis other CNS diseases,
ml d5w,500mg in aureus. Hema:eosinophilia, Rash such as cerbral
100ml Mild to hemolytic anemia, arteriosclerosis before
D5W,750mg in moderate lymphocytopenia starting therapy.
150 ml UTI and Metabolic:hypoglycemia • Monitor glucose level
D5W(5mg/ml) acute Musculoskeletal: tendon and renal, heaptic, and
Oral pyelonephriti rupture hematopoetic blood
Soln.:25mg/ml s caused by Respiratory: allergic studies.
Vials:500,750mg Enterococcus Pneumonitis
(25mg/ml) faecalis, Skin: Erythema Interventions:
Tablets:250mg, E.Coli. multiforme,photosenstivity • Give oral drugs with
500mg, 750mg Travelers reactions plenty of fluids.
Diarrhea Other: hypersensitivity • Oral soln. should be
Route: Disseminated reactions taken 1 hr. before or 2
Oral and gonococcal hours after eating.
Intravenous infection • P.O. and IV dosages are
Nongonococc interchangeable.
al urethritis
• Oral soln. is as effective
Acute Pelvic
as tablet form and is
Inflammatory
flexible,which is helpful
disease
for patients with renal
impairment.
• If patient has symptoms
of excessive CNS
stimulation(restlessness,
tremor, confusion,
hallucinations), stop
drug and notify
prescriber.