Name of Drug Name Mechanism Adverse Special Nursing Rationale

of Action reactions Consideratio Responsibili

n ties
Generic Route: Thought to Leucopenia, Use cautiously In children, High doses or
Name: P.O. produce neutropenia, in patients don’t exceed unsupervised
Acetaminophen P.R. analgesia by pancytopenia, with long term five doses in long-term use
(Paracetamol) blocking pain hypoglycemia alcohol use 24 hours. can cause
Timing: impulses by because liver damage.
Brand Name: 12-4-8-12 inhibiting Side Effects: therapeutic
Abenol, synthesis of Rash doses cause Tell parents OTC drugs
acephen Dosage: prostaglandin hepatoxicity into consult contain
500mg in the CNS or these patients prescriber acetaminophe
Classification: of other before giving n and should
Nonopoid Frequency: substances Contraindica drug to be counted
analgesics and Q4 that sensitize tions: children when
antipyretics pain receptors Contraindicate younger than calculating
to stimulation. d in patients age 2 total daily
Available The drug may hypersensitive dose.
forms: relieve fever to drug.
Caplets through
Capsules central action
Elixir in the
Oral liquid hypothalamic
Oral solution heart-
Oral suspension regulating
Oral syrup center.
Sprinkles
Suppositories Indications:
Tablets Mild pain or Adverse
fever reactions:
Route: Nursing Rationale
Name of Drug P.O. Seizures, Special Responsibili Withdrawal
respiratory Consideratio ties symptoms
Generic Timing: depression ns: Don’t stop may occur.
Name: 8-4-12 Mechanism Use cautiously drug
Tramadol of Action Side Effects: in patients at abruptly. Drug can
Hydrochloride Dosage: A centrally Dizziness, risk for produce
50mg acting headache, seizures and dependence
Brand Name: synthetic nausea, rash respiratory Monitor similar to that
Ultram Frequency: analgesic depression; in patient for of codeine
Q8 compound not patients with drug and has
Classification: chemically increased dependence. potential for
Opioid related to intracranial abuse.
analgesic opioids. pressure or
Thought to head injury, Drug may
Available bind to opioid acute reduce
forms: receptors and abdominal seizure
Tablets inhibit condition, or Monitor threshold.
reuptake of renal or patients at
norepinephrin hepatic risk for
e and impairments; seizures.
serotonin. or in patients
with physical
Indication: dependence
on opioids.
Moderate to
moderately Contraindica
severe pain tions:
Contraindicate
d in patients
hypersensitive
to drugs, in
breastfeeding
women, and in
those with
acute
intoxication
from alcohol,
hypnotics,
centrally
acting
analgesics,
opioids, or
psychotropic
drugs. Serious
hypersensitivit
y reactions
can occur,
usually after
the first dose.
Patients with
history of
anaphylactic
reaction to
 Route: codeine and
P.O. Adverse other opioids
I.V. Reaction: may be at Rationale
increased risk.
Name of Drug Timing: Anaphylaxis, Nursing Absorption
8-6 angioedema Responsibili isn’t affected
Generic ties by food.
Name: Dosage: Side Effects: Instruct
Ranitidine 50mg Mechanism Headache, patient to
hydrochloride of Action burning and take without
Frequency: Competitively itching at regards to This may
Brand Name: BID inhibits action injection site. Special meals. increase
Zantac of histamine in consideratio gastric acid
the H2 at ns: Urge patient secretion and
Classification: receptor sites Use cautiously to avoid worsen
Antiulcer Drugs of parietal in patients cigarette disease.
cells, with hepatic smoking.
Available decreasing dysfunction.
forms: gastric acid Adjust dosage
Granules secretion. in patients
Infusion with impaired
Injection Indications: renal function.
Syrup Erosive
Tablets esophagitis Contraindica
tions:
Heart Burn Contraindicate
d in patients
Route: Gastroesopha hypersensitive
 P.O. geal reflux to drugs and
disease those with
Timing: Adverse acute
8 Reactions: porphyria. Rationale
Palpitations
Name of Drug Dosage: Some
5mg patients,
Generic Side Effects: Nursing especially
Name: Frequency: Headache, Responsibili those with
Amlodipine OD edema, nausea, ties severe
besylate Mechanism dyspnea, rash. Monitor obstructive
of Action patients coronary
Inhibits carefully. heart disease,
Brand Name: calcium ion Special have
Norvasc influx across Consideratio developed
cardiac and ns: increased
Classification: smooth- Use cautiously frequency,
Antianginals muscle cells, in patients duration or
dilates receiving other severity of
Available coronary peripheral angina or
forms: arteries and vasodilators, acute MI after
Tablets arterioles, especially initiation of
decrease those with calcium
blood pressure severe aortic channel
and stenosis, and blocker
myocardial in those with therapy or at
Route: oxygen heart failure. time of
P.O. demand. Because drug dosage
 I.V. is metabolized increase.
Inhalation Indications: by the liver, Avoid abrupt May increase
Chronic stable Adverse use cautiously withdrawal of frequency
Timing: angina, Reactions: in patients drug. and duration
4-4 vasospastic with severe of chest pain.
angina tremor, hepatic
Name of Drug Dosage: bronchospasm disease.
1 neb Hypertension
Generic Side Effects: Contraindica Nursing Rationale
Name: Frequency: Dizziness, tions: Responsibili May cause
Salbutamol Q12 headache, Contraindicate ties toxicity.
sulfate nausea d in patients Instruct the
hypersensitive patient not to
Brand Name: to drug. take in
AccuNeb, Mechanism capsules and
Airomir, Volmax of Action aerosols
Relaxes together. To prevent
Classification: bronchial, Special further
Bronchodilator uterine and consideratio Warn patient complications
vascular ns: about risk of .
Available smooth Use cautiously paradoxical
Forms: muscle by in patients bronchospas
Capsules for stimulating with CV m and to stop
inhalation Beta2 disorders drug
Injection receptors. (including immediately
Solution for Route: coronary if it occurs. This lets the
inhalation P.O. Indications: insufficiency bronchodilato
Syrup I.V. To prevent or and If the patient r open the air
Tablets treat hypertension), is also using a passages for
Timing: bronchospasm hyperthyroidis corticosteroid maximum
8-6 in patients Adverse m or diabetes inhaler, effectiveness
with reversible Reactions: Mellitus and instruct him of the
Dosage: obstructive those who are to use the corticosteroid
500mg airway disease Psuedomembra unusually bronchodilato
Frequency: nous colitis, responsive to r first before
BID To prevent leucopenia, adrenergics. usig the
Name of Drug exercise- neutropenia, corticosteroid
Rationale
induced thrombocytopen Contraindica . Tendon
Generic bronchospasm ia, seizures tions: rupture may
Name: Contraindicate occur in
Ciprofloxacin Side Effects: d in patients Nursing patients
Headache, hypersensitive Responsibili receiving
Brand Name: fatigue, nausea, to drug or it’s ties quinolones.
Ciproxin diarrhea ingredients. Stop drug if
pain or To reduce risk
Classification: Mechanism inflammation of urine
Fluoroquinolone of Action occurs. crystals
s Inhibits
bacterial DNA
Available synthesis, Special Advice To decrease
Forms: mainly by consideratio patient to potential
Infusion blocking DNA ns: drink plenty caffeine
(premixed) Route: gyrase; Use cautiously of fluids. effects.
Injection P.O. bacteriidl. in patients
Suspension with CNS Instruct
(oral) Timing: Indications: disorders, such patient to
Tablets 8 Chronic as sever avoid caffeine
bacterial cerebral while taking
Dosage: prostitis arteriosclerosi the drug.
40mg s or seizure
Acute Adverse disorders, and
Frequency: uncomplicated Reactions: those who are
OD cystitis at risk of
Pharngitis, seizures. Drug
Uncomplicated upper may cause
UTI respiratory tract CNS
Empirical infection stimulation. Rationale
therapy in
febrile Side Effects: Contraindica To prevent
neutropenic Dizziness, tions: further
Generic patients fatigue, Contraindicate complications
Name: Inhalation headache d in patients Nursing .
Telmisartan anthrax sensitive to Responsibili
(postexposure fluoroquinolon ties
Brand Name: ) es. Monitor
Pritor patient for
hypotension
Classification: after starting
Antihypertensiv Mechanism drug. Place
e Route: of Action patient Drug may
I.V. Blocks supine if cause oliguria
Available SubQ vasoconstricti hypotension or
forms: ng and occurs, and progressive
Tablets Timing: aldosterone- give I.V. azothemia.
 secreting Special normal saline,
Dosage: effects of consideratio if needed.
2000U/mL angiotensin II ns:
by selectively Use cautiously Monitor
Frequency: blocking the in patients patients
3x a week binding of with biliary whose renal
angiotensin II Adverse obstruction function
to the Reactions: disorders or depends on
angiotensin I, renal and the activity of
or AT1, Seizures, hepatic the rennin-
receptor in hyperkalemia insufficiency angiotensin-
many tissues, and in those aldoterone Rationale
such as Side Effects: with an system.
vascular Dizziness, activated Patient should
Name of Drug smooth fatigue, rennin- receive
muscle and headache, angiotensin adequate iron
Generic the adrenal hypertension system, such supplementat
Name: gland. as volume- or ion beginning
Epoetin Alfa salt depleted no later than
Indications: patients. when epoetin
Brand Name: Hypertension Nursing alfa
Epogen, Procrit (used alone or Contraindica Responsibili treatment
with other tions: ties starts and
Classification: antihypertensi Contraindicate Before continuing to
Immunomodula ves) d in patients starting throughout
tors hypersensitive therapy, therapy.
to drug or it’s evaluate Patient also
Available components. patient’s iron may need
forms: Mechanism status. vitamin
Injection of Action B12and folic
Mimics effects acid.
of
erythropoietin. Most patients
Functions as with chronic
growth factor Special renal failure
and as a consideratio have
differentiating ns: hypertension.
factor, Use cautiously Blood
enhancing in breast- pressure may
RBC feeding increase
production. women, Monitor blood especially
pressure when
Indication: Contraindica before hematocrit
Anemia tions: therapy. increases in
caused by Contraindicate early part of
chronic renal d in patients the therapy.
failure hypersensitive There may be
to products a relationship
Anemia from derived from between too-
Route: zidovudine mammal cells rapid increase
P.O. therapy in HIV- or albumin in hematocrit
I.V. infected (human) and and seizures.
patients in those with
Timing: uncontrolled
8 Anemia from hypertension.
chemotherapy
 Dosage:
400mg

Frequency:
OD

Adverse
Reactions:

Prolonged QT
interval,
psueomembran
ous colitis

Side Effects:
Name of Drug Dizziness,
headache Rationale
Generic
Name: To avoid
Mixifloxacin further
hydrochloride complications
.
Brand Name: Nursing
Avelox Responsibili
ties
Classfication: Instruct
Fluoroquinolone patient to
s contact
 prescriber
Available and stop drug
forms: if he
Injection Mechanism experiences
Tablets of Action allergic
Interferes with reactions, Drug may be
action of rash, heart give without
enzymes palpitations, regards to
needed for Special fainting or meals.
bacterial consideratio persistent
replication. ns: diarrhea.
Inhibits Use cautiously
topoisomerase in patients Give drug at
s I (DNA with ongoing same time
gyrase) and proarrythmic each day.
IV, impairing conditions
bacterial DNA such as
replication, clinically
transcription, significant
repair and bradycardia or
recombination acute
. myocardial
ischemia.
Indication:
Uncomplicated Contraindica
skin-structure tions:
or skin Contraindicate
infection d in patients
caused by S. hypersensitive
Aureus or S. to drug or
pyogenes other
fluoroquinolon
Acute es and in
bacterial those with
worsening of prolonged QT
chronic interval or
bronchitis uncorrected
caused by S. hypokalemia.
pneumonia, H.
influnzae, H.
parainfluenzae
, K.
Pneumoniae,
S. aureus, or
M. catarrhalis.