Drug Name

Insulin Lispro
(Humalog
Kwikspen Mix
50)

Warfarin
Sodium
(Coumadin
1mg)

Dosage,
Route,
Frequency
60 units
breakfast
once a day
subcutaneo
us

0.5 per tab

once a day

Mechanism of
Action

Contraindicati
ons

Adverse &
Side Effects

Nursing
Responsibilities

To control
hyperglycemia
incidence in
patients with
Diabetes
Mellitus Type II

Increase
glucose
transport
across muscle
and fat cell
membranes to
reduce glucose
level; helps
convert glucose
to glycogen

Allergic to drug
Hypoglycemic
patients

Blurred vision
Hypoglycemia,
anaphylaxis
lipoatrophy at
the site

-Dont rub site,

just press it upon
administration.
Rotate injection
site every
administration.
-Monitor blood
glucose level
frequently.
-Monitor for
hypoglycemic
episodes such as
dizziness, cold
clammy skin,
blurred vision on
both eyes,
sweating.

Serves as

Inhibits Vitamin
K-dependent
activation of
clotting factors
II, VII, IX an X,
formed in the
liver.

Hypersensitivity

Hemorrhage,
Hepatitis

-Monitor PT, INR.

-Regularly inspect
patient for
bleeding gums,
bruises on arms
or legs,
petechiae,
nosebleeds,
melena, black
tarry stools,
hematuria

Indication

Meropenem
(Meromax 1g
IV vial)
(-)ANST

500mg IV
vial every
24 hours IV

Silver
Sulfadiazine
(Flammazine
cream
10mg/g 20 g)

Apply to
wound 3x
per day

Patients with
gangrenous
wound.

Human
Albumin
(Alburel vial

1 vial to run
for 4 hours
every 6

Hyperbilirubin
emia

Inhibits cellwall synthesis

in bacteria.
Readily
penetrates cellwall of most
grampositive
and negative
bacteria to
reach
penicillin,binding protein
targets.
To help prevent
infections in
patients with
wound.
It works with
stopping the
bacteria
spreading to
surrounding
skin.
Provides
intravascular
oncotic

hematemesis.
Instruct patient to
use soft
toothbrush.
Provide safety
Page | 16
environment.
Monitor Input and
Output.
Monitor for
hypersensitive
reaction.

Hypersensitive
to drugs.

Pseudomembr
anous colitis
Apnea
Anaphylaxis
Seizures

Hypersensitive
to drug.

Pain, burning,
or itching of
the treated
skin may occur

Clean the wound

before applying
the medication.
Place bandage
after medication
applied.

Hypersentivity.

Vascular
Overload.

Monitor albumin
level.
Watch for

20% 5ml)

hours post
furosemide
IVTT

Clonidine
HCL
(Catapres
tab)

150mg BID
per tab

pressure in a
ratio of 5:1;
shifting fluids
from interstitial
spaces to the
circulation and
slightly
increase
plasma protein
level.

Essential for
hypertension.

May inhibit
central
vasomotor
centers,
decreasing
sympathetic
outflow to
heart, kidneys
and peripheral
vasculature,
resulting in
decreased
peripheral
vascular

Hypersensitive
to drug.

Bradycardia
Hypotension
Severe
rebound
hypertension

hemorrhage
(rapid pressure
may cause
bleeding from
sites that are not
apparent at lower
pressures).
Monitor vital
signs.
Watch for signs of
Page | 17
vascular overload
such as
Monitor input and
output, protein,
electrolyte,
hemoglobin and
hematocrit level.
Assess blood
pressure before
and after giving
drug.
Instruct or assist
patient to rise
slowly.
Avoid sudden
position changes
to reduce
orthostatic
hypotension.

Page | 18

Erythropoieti
n Alpha
(Eposin)

4000 per IU
subcutaneo
us 2x per
week post
Hemodialysi
s

For decreased
production of
erythropoietin
and the
shortened life
span of RBCs
secondary to
the
mechanical
effects of
hemodialysis,
resulting in
anemia.

Furosemide
(Lasix)

40mg/tab
0.5 tablet
once a day

Hypertension
Edema

resistance,
decreased
systolic and
diastolic blood
pressure, and
decreased
heart rate.
Lowers blood
pressure and
decreases
neurogenic
pain.
Mimics effects
of
erythropoietin,
a naturally
occurring
hormone
produced by
the kidneys. It
functions as
both growth ad
differentiating
factors,
enhancing the
rate of RBC
production.
Lowers blood
pressure.
Inhibits sodium
and chloride
reabsorption at

Uncontrolled
hypertension.
Hypersensitive
to drug.

Hypertension
Seizures
Hyperkalemia

Assess patients
CBC and blood
pressure before
starting therapy.
Monitor blood
pressure for
hypotension.

Hypersensitivity
Anuria

Pancreatitis
Leukopenia
Thrombocytop

Monitor weight,
BP, PR, BUN and
input and output.

the proximal
and distal
tubules and the
ascending loop
of henle.

And
10mg/mL
2mL ampule
2ampules
on the 3rd
hour of
albumin
drip

Ketoanalogue
s & Essential
Amino Acids
(Ketobest)

600mg 2
tablets
three times
a day

Amlodipine
Besilate
(Vasalat)

10mg tablet
1 tablet
once a day

Protein-energy
malnutrition
caused by
modified or
protein
metabolism
Hypertension

enia

To minimize
uremic toxicity
and to prevent
wasting and
malnutrition.

Hypersensitive
with the drug.

Hypercalcemia
may develop.

Inhibits calcium
ion influx
across cardiac
and smoothmuscle cells,
thus decreasing
myocardial
contractility
and oxygen
demand. Also
dilates
coronary

Hypersensitive
to drugs.

Edema
Headache
Hypotension
Palpitations

Watch for signs of

hypokalemia such
as muscle
weakness and
cramps.
Monitor glucose
level.
Take drug with
food to prevent
G.I. upset.
Take drug at
morning to
prevent urination
at night.
Monitor protein
level.
Page | 19

Monitor blood
pressure before
and after giving
drug.
Monitor
hypotension.

Isosorbide
mononitrate
(Imdur)

Sodium
bicarbonate
(Supracid)

60mg tablet
twice a day

50mg tablet
2 tablet
three times
a day

Hypertension

Metabolic
acidosis

arteries and
arterioles.
Vasodilator.
May reduce
cardiac oxygen
demand by
decreasing left
ventricular end
diastolic
pressure
(preload) and,
to a lesser
extent,
systemic
vascular
resistance
(afterload). May
increase blood
flow.

Restores
normal acidbase balance
through
restoring
bodys
buffering
capacity and

Hypersensitive.
Severe
hypotension.

Headache
Dizziness
Hypotension
Flushing
G.I. upset

Monitor blood
pressure and
other vital signs
such as pulse
rate.
Monitor
hypotension.
Give drug on an
empty stomach,
either 30 minutes
before or 1 to 2
hours after meals.
Tell patient to
minimize
orthostatic
hypotension by
Page
changing
to | 20
upright position
and with
assistance.

Patients with
metabolic or
respiratory
alkalosis.
Hypersensitive
to drug.

Flatulence
Hypernatremia
Metabolic
alkalosis

Obtain and
monitor blood
ABG levels to
avoid risk of
alkalosis.

neutralizes
excess acid.
Hemodialysis
-

For patients who require short-term dialysis & for patients with Chronic Kidney Disease who require longterm or permanent therapy.
Objective: to extract toxic nitrogenous substances from the blood and to remove excess water.

Internal Jugular Catheterization

-

A double-lumen large-bore catheter inserted from internal jugular vein.

Can be used for no longer than 3 weeks and removed if no longer needed eg, patients condition has
improved or another type of access has been established.

Arteriovenous Fistula
-

Preferred method of permanent access that is created surgically (usually in the forearm) by joining
(anastomosing) an artery to a vein, either side-to-side or end-to-side.
Fistula should be allowed at least 14 days to mature (gives time for healing and for the venous segment of
the fistula to dilate to accommodate to large-bore needles.

Page | 21