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Generic/
Brand Name
&
Classification
(10%)
Dose,
Strength &
Fornulation
(10%)
Generic:
Paracetamol
Ordered:
(250
MG/5mL)
2.5 mL
Brand:
Tylenol
Classification:
Analgesics
(nonopoid)
Antypyretic
Timing:
q6
8am
1pm
7pm
Duration:
4-6 hours
Other forms:
-Caplets
Indication/Mechanis
m of Drug Action
(15%)
Indication:
-Temporary reduction
of fever.
-Temporary relief of
minor aches, and pain
cause by common cold
or influenza.
Mechanism of Action:
Reduces fever by
acting directly on the
hypothalamic heatregulating center to
cause vasodilation and
sweating , which help
dissipate heat.
Adverse/Side
Effects Drug
Interaction
(15%)
Nursing
Responsibilities
(20%)
Rationale
(10%)
Client
Teaching
(20%)
*CNS: headache
Before:
*Assess
patients pain or
temperature
before therapy
and regulatory.
*To indicate
baseline data
and monitor
drugs
effectiveness.
(Nursing Drug
Handbook
2010: p.71-72)
-Tell patient
not to use
drug for fever
thats higher
than 39.5C
lasts longer
than 3 days
or recurs.
*Avoid using
multiple
preparations
containing
paracetamol.
*To avoid
over dosage or
multiple
administration
of medication.
(Nursing Drug
Handbook
2010: p.71-72)
-Warn patient
that high
doses or
unsupervised
long-term use
can cause
liver damage.
*Hematologic:
Methemoglobinemi
a cyanosis;
hemolytic anemia,
hematuria, anuria,
During:
-Tell patient
to keep track
53
-Suppositories
-Chewable
tablets
Disintegrating
tablets
-Capsules
-Solution
neutropenia
(Nursing Drug
Handbook 2010: p.7172)
*Hypersensitivity:
Rash, fever
*To minimize
complication.
(Nursing Drug
Handbook
2010: p.71-72)
*Give Drug
with food.
*To prevent
GI upset.
(Nursing Drug
Handbook
2010: p.71-72)
After:
*Monitor serum
level regularly
-Advice the
*Treatment of patient that
overdose.
drug only for
(Nursing Drug short term
Handbook
use and to
2010: p.71-72) consult the
physician if
*Lead to
giving to
complication
children
or
longer than 5
anaphylactic
days.
reaction.
*Discontinue
drug if
hypersensitivity
occurs.
(Nursing Drug
(Nursing Drug
Handbook 2010: Handbook
of daily drug
intake,
including
OTC and
prescription
to maintain
the
effectiveness
of the
therapy.
54
p.71-72)
Generic/
Brand Name
&
Classification
(10%)
Generic:
Ibuprofen
Brand:
Advil
Dose,
Strength &
Fornulation
(10%)
Indication/Mechanis
m of Drug Action
(15%)
Adverse/Side
Effects Drug
Interaction
(15%)
Ordered:
(200
MG/2mL)
Indication:
-Relief mild to
moderate pain.
Timing:
q8
-Fever reduction
*CNS:
Headache,
dizziness,
somnolence,
fatigue,
tiredness,
tinnitus,
ophthalmologic
effects.
Duration:
4-6 hours
Classification:
Analgesics
(nonopoid)
NSAID
Other forms:
-Prevention and
treatment of migraine
headache.
*CV:
Hypertension,
palpitations,
arrhythmia,
Nursing
Responsibilities
(20%)
2010: p.71-72)
Rationale
(10%)
Before:
*Check 10
rights of
medication
administration.
*Assess patient
condition before
giving the
medication.
*To gain
cooperation and
success of
therapy.
(Nursing Drug
Handbook 2010:
p. 609)
Client
Teaching
(20%)
- Instruct to
use drug only
as prescribed.
-Tell to eat
first before
taking the
medication to
avoid GI
upset.
-Avoid OTC
drugs. Many
of these drugs
55
Propionic acid
Derivative
-Tablets
-Chewable
tablets
-Suspension
-Oral drops
Mechanism of Action:
Inhibits prostaglandins
synthesis by decreasing
enzyme needed for
biosynthesis.
heart failure.
*Dermatologic:
Rash, pruritus,
sweating, dry
mucous
membranes,
stomatitis.
(Nursing Drug
*GI: Nausea,
Handbook 2010: p.609) dyspepsia, GI
pain, diarrhea,
vomiting,
constipation,
flatulence, GI
bleeding.
*GU: Dysuria,
renal
impairment,
menorrhagia.
*Hematologic:
Bleeding,
platelet
inhibition with
higher doses,
During:
*Maintain
Aseptic
Technique
during
administration.
*To minimize
transmission of
microorganisms.
(Nursing Drug
Handbook 2010:
p. 609)
*To assess
effectiveness.
(Nursing Drug
Handbook 2010:
p.609)
contain similar
medication,
serious
overdose.
-Informed that
he may
experience
side effects
such nausea,
GI upset ,
dyspepsia,
diarrhea or
constipation.
56
neutropenia,
leukemia, bone
marrow
depression.
*Respiratory:
Dyspnea,
hemoptysis,
pharyngitis,
bronchospasm,
rhinitis.
Generic/
Brand Name
&
Classification
(10%)
Dose,
Strength &
Fornulation
(10%)
Generic:
Penecillin G
Benzathine
Ordered:
575 MG, 100
units
Timing:
q6
Indication/Mechanis
m of Drug Action
(15%)
Indication:
-Severe infections
caused by sensitive
organisms
( Streptococci)
Adverse/Side
Effects Drug
Interaction
(15%)
*CNS: Lethargy,
hallucinations,
seizures.
*GI: Glossitis,
stomatitis,
gastritis, sore
*Observe the
patient
frequently.
(Nursing Drug
Handbook 2010:
p.609)
Nursing
Responsibilities
(20%)
Before:
*Check 10
rights of
medication
administration.
Rationale
(10%)
Client
Teaching
(20%)
- Instruct to
report
difficulty
breathing,
rashes, severe
pain, mouth
57
Brand:
Permapen
Classification:
Antibiotic
-URTI caused by
sensitive streptococci
Duration:
2.4 million
units IM
weekly for 3
weeks.
-Prophylaxis of
rheumatic fever and
chorea.
mouth, furry
tongue, nausea,
vomiting,
diarrhea,
abdominal pain,
bloody diarrhea.
*Educate about
side effects of
drug.
*GU: Nephrittis
Other forms:
-Powder for
injection
-Vial
Mechanism of Action:
Inhibits synthesis of
cell wall of sensitive
organisms, causing cell
death.
(Nursing Drug
Handbook 2010: p.
923)
*Hematologic:
Anemia,
leucopenia,
prolonged
bleeding time.
*Assess for
hypersensitivity
of drug.
*Local: Pain,
phlebitis,
thrombosis at
injection site
During:
*Do not mix
drug with IV
solutions.
*Prevent
anaphylactic
reaction.
(Nursing Drug
Handbook 2010:
p. 923)
*To minimize
complications..
(Nursing Drug
Handbook 2010:
p. 923)
*drug is not for
IV use.
(Nursing Drug
Handbook 2010:
p. 923)
sore, unusual
bleeding or
bruising.
-Instruct
patient to take
medication as
directed for
the full
course of
therapy, even
if feeling
better.
-Informed
that he may
experience
side effects
such nausea,
mouth sores,
diarrhea,
vomiting and
pain.
58
*Avoid contact
with the
instruments.
* To minimize
transmission of
microorganisms..
(Nursing Drug
Handbook 2010:
p. 923)
After:
*Monitor client.
*Arrange for
regular follow
up tests
59
*Do proper
documentation
(Nursing Drug
Handbook 2010:
p.923)
Generic/
Brand Name
Dose,
Strength &
Indication/Mechanis
Adverse/Side
Effects Drug
Nursing
Responsibilities
Rationale
(10%)
Client
Teaching
60
&
Classification
(10%)
Fornulation
(10%)
m of Drug Action
(15%)
Generic:
Amoxicillin
Trihydrate
Ordered:
250 MG/ 5Ml
Syrup P.O.
Indication:
-To treat ear, nose,
throat, GU tract, skin
and soft tissue
infections caused by
susceptible gram
positive and negative
organisms.
Timing:
T.I.D.
Brand:
Amoxil
Duration:
6-8 Hours
Classification:
Antibiotic
Other forms:
-Chewable
tablets
- Oral
Suspension
-Capsules
-ER tablets
-Tablets
Mechanism of Action:
Inhibits synthesis of
cell wall of sensitive
organisms, causing cell
death.
(Nursing Drug
Handbook 2010: p.
124)
Interaction
(15%)
*CNS: Lethargy,
hallucinations,
seizures.
*GI: Glossitis,
stomatitis,
gastritis, sore
mouth, furry
tongue, nausea,
vomiting,
diarrhea,
abdominal pain,
bloody diarrhea.
(20%)
(20%)
Before:
*Check 10
rights of
medication
administration.
*Know that
patient with
mononucleosis
shouldnt
receive
amoxicillin.
*This class of
drug may cause
erythematous
rash.
(Nursing Drug
Handbook 2010:
p. 125)
*Culture
infected area.
*prior to
treatment;
reculture area if
response is not
expected.
(Nursing Drug
Handbook 2010:
p. 125)
-Instruct
patient to take
medication as
directed for
the full
course of
therapy, even
if feeling
better.
-Tell to take
medication
round the
clock.
*GU: Nephrittis
*Hematologic:
Anemia,
leucopenia,
prolonged
bleeding time.
*Hypersensitivity
- Instruct to
report
difficulty
breathing,
rashes, severe
pain, mouth
sore, unusual
bleeding or
61
:
Rash, fever,
wheezing,
anaphylaxis
*Local: Pain,
phlebitis,
thrombosis at
injection site.
During:
*Maintain
Aseptic
Technique
during
administration.
*Give in oral
preparations
only.
After:
*Assess for any
unpleasant side
effects .
*Use
corticosteroid or
antihistamine.
bruising.
* To minimize
transmission of
microorganisms.
(Nursing Drug
Handbook 2010:
p. 125)
-Informed
that this
antibiotic is
specific for
this problem
and should
*Amoxicillin is not be used to
not affected with self-treat any
food.
infections.
(Nursing Drug
Handbook 2010:
p. 125)
* To prepare
intervention that
lessen
complications.
(Nursing Drug
Handbook 2010:
p. 125)
62
Handbook 2010:
p.125)
(Nursing Drug
Handbook 2010:
p.125)