Name of drug Mefenamic acid

Mechanism of action Aspirin-like drug that has analgesic, antipyretic & anti inflammatory activities

Indication Relief of pain including muscular, rheumatic, traumatic, dental, post-op and postpartum pain, headache, migraine, fever, dysmenorrhea

Contraindication Pregnancy & lactation, hypersensitivity, active ulceration or chronic inflammation of either upper or lower GIT, blood disorders, poor platelet function, kidney or liver impairment, children below 14 years old

Side effects and Adverse Reaction GI discomfort, diarrhea or constipation, gas pain, nausea, vomiting, drowsiness

Nursing Intervention > Assess patients pain before therapy > Monitor for possible drug induced adverse reactions > Advice patient not to take drug for more than 7 days > Advice patient to report immediately persistence or failure to relieve pain

Name of drug Ferrous Sulfate

Mechanism of action Elevates the serum iron concentration which then helps to form High or trapped in the reticuloendotheli al cells for storage and eventual conversion to a usable form of iron

Indication > Prevention and treatment of iron deficiency anemia. > Dietary supplement for iron.

Contraindication > Hypersensitivity > Severe hypotension

Side effects and Adverse Reaction Dizziness, Nausea & Vomiting, Nasal Congestion, Dyspnea, Hypotension, Muscle cramps, Flushing

Nursing Intervention > Advise patient to take medicine as prescribed. > Caution patient to make position changes slowly to minimize orhtostatic hypotension. > Advise patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. > Encourage patient to comply with additional intervention for hypertension like

proper diet, regular exercise, lifestyle changes and stress management.

Name of drug Amoxicillin

Mechanism of action Inhibits synthesis of cell wall of sensitive organisms, causing cell death

Indication Post-exposure prophylaxis against Bacillus anthracis Unlabeled use: Chlamydia trachomatis in pregnancy

Contraindication Contraindicated with allergies to penicillins, cephalosporins, or other allergens

Side effects and Adverse Reaction CNS: Lethargy, hallucinations, seizures GI: Glossitis, stomatitis, gastritis, sore mouth, furry tongue, black "hairy" tongue, nausea, vomiting, diarrhea, abdominal pain, bloody diarrhea, enterocolitis, pseudomembranous colitis, nonspecific hepatitis

Nursing Intervention Culture infected area prior to treatment; reculture area if response is not as expected. Give in oral preparations only; absorption may be affected by presence of food;

GU:Nephrit is Hematologic: Anemia , thrombocytopenia, leukopenia, neutropenia, prolonged bleeding time Hypersensitivity: Ra sh, fever, wheezing, anap hylaxis Other:Superinfec tionsoral and rectal moniliasis, vaginitis

drug should be taken 1 hr before or 2 hr after meals. Continue therapy for at least 2 days after signs of infection have disappeared; continuation for 10 full days is recommended.

Name of drug Metropolol Drug Classification: Beta Blockers

Mechanism of action Metropolol selectively inhibits BetaAdrenergic receptors but has little or no effect on B2-receptors except in high doses. It has no membranestablishing nor

Indication - Hypertension - Angina pectoris - Cardiac Arryhtmias - Stable symptomatic heart failure

Contraindication - 2nd or 3rd degree AV block - sick sinus syndrome - decompensated heart failure - clinically relevant sinus bradycardia -severe peripheral

Side effects and Adverse Reaction - Bradycardia -Hypotension -Arterial insufficiency - Chest pain - CHF - Edema -palpitation - syncope - gangrene -dizziness

Nursing Intervention - Give oral administrat ion with meals to gastric irritation - Do not crush, break, or chew extended

intrinsic sympathomimeti c activity

arterial circulatory disorders -cardiogenic shock - asthma

- fatigue -headache - insomnia, shortterm memory

release tablets Monitor for evidence of allergic reaction.