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DRUG ORDER NURSING

TRADE / ADVERSE DESIRED


(Generic name, PHARMACOLOGIC INDICATIONS AND RESPONSIBILITI
BRAND EFFECTS OF ACTION ON
dosage, route, ACTION OF DRUG CONTRAINDICATIONS ES/
NAME THE DRUG YOUR CLIENT
frequency, etc.) PRECAUTIONS
A coenzyme that -Obtain a
stimulate Indication: sensitivity test
metabolic Manifesting a vitamin B Nausea, history before
Vit. B Complex function and is deficiency, chronic headache, administration
OD needed for cell alcohol abuse. itching, transient For treatment -provide comfort
replication, Diarrhea, of peripheral measures if
hematopoiesis, Contraindications: pulmonary neuropathy adverse effects
and nucleoprotein Hypersensitivity to any of edema takes place
and myelin the vitamins and arterial -monitor vitamin B
synthesis hypertension levels
-assess for
Indications: Constipation, appropriateness
Acute or chronic use in dysphagia, of pain therapy.
Celecoxib treatment of rheumatoid gastro -teach patient to
200mg/cap PRN x Non-opioid analgesic. arthritis and esophageal take with a full
pain Inhibits prostaglandin osteoarthritis. reflux, dry Reduce or glass of water to
synthesis by selectively mouth, vomiting, relieve pain enhance
inhibiting cyclo- Contraindications: abdominal pain, and/or absorption.
oxygenase-2 (COX-2). Known sulfonamide nausea, inflammation -provide comfort
Relieves pain and hypersensitivity, asthma, dizziness, measures if
inflammation. severe hepatic headache, adverse effects
impairment, severe heart insomnia, takes place.
failure, inflammatory peripheral -do not crush,
bowel disease. edema, pain, dissolve or chew
anemia. capsules.
Omeprazole Suppresses gastric Indication: Tachy/bradycard -assess other
20mg/cap OD secretion by inhibiting Short-term treatment of ia, palpitation, Absence of medications
hydrogen/potassium acive duodenal ulcer, headache, epigastric or patient may be
ATPase enzyme system GERD, short-term dizziness, abdominal pain taking for
in the gastric parietal treatment of active nausea, or fullness. effectiveness and
cell. benign gastric ulcer. vomiting, interactions.
abdominal pain, -teach client to
Contraindications: cough, back take as directed,
Hypersensitivity, pain, acid before eating and
combination therapy with regurgitation. do not crush or
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clarithromycin should not chew capsules.
be used in patients with -monitor hepatic
hepatic impairment. enzymes and GI
system
- provide comfort
measures if
adverse effects
Indication: takes place.
Treatment of respiratory -administer
Decreases viscosity of
affections characterized medication after
Acetylcysteine respiratory tract Absence of
by thick and viscous Nausea, patient clears
600mg/tab secretions and promote pulmonary
Fluimucil hypersecretions. vomiting, and airway by deep
dissolved in 120cc their removal by secretions and
other GI breathing or
water BID breaking disulfide clear breath
Contraindication: symptoms coughing.
bonds. sounds.
Hypersensitivity, -administer before
phenylketonuria meals 30mins-
1hour for better
absorption and
decrease nausea.
Erdosteine Ectrin
300mg/tab TID Indications:
Erdosteine contains
Treatment of
two sulfhydryl groups, acute bronchitis,
which are freed after chronic bronchitis and its
metabolic exacerbations.
Respiratory disorders
transformation in the characterized by
liver. The liberated abnormal bronchial
sulfhydryl groups secretions and impaired
break the disulphide mucus transport
bonds, which hold the Contraindications:
glycoprotein fibres of Known hypersensitivity to
mucus together. This erdosteine,
Phenylketonuria, due to
makes the bronchial
the presence of
secretions more fluid aspartame
and enhances

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elimination

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Indication:
Hyponatremia,
dehydration, -monitor
Edema,
hypochloraemic electrolyte levels
diarrhea, muscle -Normalize
Preventing or treating alkalosis, ECV depletion, -assess patient’s
twitching, patient’s
sodium loss due to fluid and electrolyte fluid status
hyperactivity, sodium and
NaCl tab excessive sweating or replacement. -monitor possible
confusion, chloride levels
1tab q6° dehydration. drug induced
hypertension, -Patient does
Contraindication: adverse reaction
tachycardia, not exhibit
allergic to any ingredient -monitor vital
convulsion, signs and
in Sodium Chloride, high signs especially
numbness, symptoms of
blood sodium levels, heart rate and
fluid retention
hypokalemia, acidosis, blood pressure
DM.
-Isoniazid is highly
active
against Mycobacterium
tuberculosis which it
inhibits in vitro at
concentrations of 0.02-
0.2 mcg/mL.
-Ethambutol is Cutaneous
bacteriostatic syndrome, flu
against Mycobacterium syndrome. GI
tuberculosis with an disturbances &
MIC of 0.5-0.8 mcg/mL ; Indication: bleeding, erosive
it is bactericidal at Treatment of pulmonary gastritis. -monitor possible
higher concentrations. & extra-pulmonary TB. Ulcerative, drug induced
Rifampicin 150 mg, adverse reaction
-Pyrazinamide has a Contraindication: eosinophilic & Treat
INH 75 mg,
bactericidal effect Rifampicin: Patients w/ pseudomembran pulmonary and -assess
pyrazinamide 400
Fixcom 4 on Mycobacterium jaundice. Pyrazinamide: ous colitis. extra patient’s GI
mg, ethambutol
tuberculosis but Liver damage, Headache, pulmonary complains
275 mg
appears to have no acute gout or drowsiness, tuberculosis -inform patient
activity against other hyperuricemia.Etham ataxia, about possible
mycobacteria or butol: Optic neuritis dizziness, side effects
microorganisms in vitro. numbness,
-Rifampicin is edema,
bactericidal against a myopathy,
wide range of muscular
microorganisms and weakness
interferes with their
synthesis of nucleic 35
acids by inhibiting DNA-
dependent RNA
polymerase. It has the
ability to kill intracellular
organisms
Infusion/Treatment Classification Indication Contraindication Nursing responsibility

-allow 1 hour between


any other antacids and
ranitidine
-Assess patient for
epigastric or abdominal
pain and frank or occult
blood in the stool,
Used in management of emesis, or gastric
Hypersensitivity, history aspirate.
Histamine H2-receptor various GI disorders
ranitidine of acute porphyria and -Inform patient that it may
Antagonist such as dyspepsia,
long-term therapy cause drowsiness or
GERD and peptic ulcer.
dizziness.
-Inform patient that
medication may
temporarily cause stools
and tongue to appear
gray black.

Pheochromocytoma,
epilepsy, patients -assess patient’s GI
GI motility disturbances, receiving drugs likely to complains
nausea and vomiting of cause extrapyramidal -monitor for possible drug
central and peripheral reactions, Patients in induced adverse reaction
Antidopaminergic, GI
metoclopamide origin, control of post- whom increase in GI -monitor occurrence of
stimulant operative vomiting and to extrapyramidal
assist in intestinal
motility could be symptoms
intubation harmful -assess mental status
during treatment

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