Name: Attending Physician: Ward/Bed Number:

Age: Impression/Diagnosis:

Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reaction Special Precaution Nursing Intervention
Timing, Frequency
Enters the bloodstream and MTV + FeSO4 is prescribed for anaphylaxis, sweating Use cautiously in peptic ulcer, Monitor blood studies of patient
Generic: Dosage: is transported to the organs postoperative patients to ulcerative colitis or regional
Multivitamin + Iron 1 tab/ tab of the reticuloendothelial prevent the occurrence of enteritis, alcoholism, severe Observe proper dosage of
system (liver, spleen, bone postoperative anemia and to medication
hepatic impairment, severe
marrow), where it is keep her nutritionally balanced.
Brand: separated out and becomes renal impairment Administer 1 or 2 hrs before meal
part of iron stores.
Route: Take with a full glass of
water/juice
Classification PO Contraindications Side Effects
Do not crush/chew enteric-coated
Hemochromatosis, nausea, constipation, dark
tablets and do not open capsules
Functional: hemosiderosis, or other stools, staining of teeth
Frequency:
Vitamins & minerals, evidence of iron overload. Encourage patient to avoid using
antianemics
OD antacids, coffee, tea, dairy
products within 1 hour after

Inform patient about dark, green

Timing: or black stools to avoid panic
Chemical:
Water-soluble vitamin,
8 Inform patient about what
iron supplement
possible adverse effects that may
occur

Assess bowel function for

constipation/diarrhea
 Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Freq., Timing
For treatment of hypertension Bradycardia Use cautiously in patients Always check patient’s vital signs
A selective beta blocker that Heart failure with heart failure, diabetes, before giving drug. Withhold drug
Generic: Dosage: selectively blocks beta1 AV Block or respiratory or hepatic if not normal and notify prescriber
metoprolol 50mg/tab receptors; decreases cardiac Edema disease. immediately.
1 tab output, peripheral resistance, Heart burn
and cardiac oxygen Wheezing Administer drug exactly as
Brand: Route: consumption; and depresses Dyspnea prescribed with meals.
PO renin secretion.
Monitor for shortness of breath.

May cause drowsiness. Caution

Frequency: patient to avoid driving or other
BID activities that require alertness
until response to the drug is
Classification Contraindications Side Effects known.
Hypersensitive to drug and Fatigue
Functional: Timing: other beta blockers. Dizziness Advise patient to change positions
Antihypertensive Nausea slowly to minimize orthostatic
8 6 Diarrhea hypotension.
Rash
Caution patient that this
Chemical: medication may increase
Selective beta blocker sensitivity to cold.

Instruct not to abruptly stop the

drug but taper dose as
prescribed.
 Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Freq., Timing
Inhibit prostaglandin For relief of acute pain Peripheral edema Use cautiously in patients Assess any allergy to medication.
Generic: Dosage: synthesis, impending COX-2, GI bleeding with history of ulcers
celecoxib to produce anti-inflammatory, Monitor patient’s vital signs to
200mg/cap analgesics, and antipyretic check any abnormalities in its
1 cap effects. health.
Brand:
Celebrex Encourage to take bland biscuits,
Route: and ice chips if nausea and
PO vomiting occurs.

Encourage to have adequate rest

to relieve dizziness and
Frequency: headache.
Classification BID x 5 days Contraindications Side Effects
Advise patient to
Hypersensitive to drug. Headache immediately report bloody stools
Functional: Severe hepatic impairment Dizziness and bloody vomit.
NSAID Timing: Nausea
8 6 Flatulence
Rash Tell patient that drug may harm
Chemical: the liver. Advise patient to stop
COX-2 inhibitor drug and notify healthcare
provider immediately if she is
experiencing signs and symptoms
of liver toxicity (fatigue, yellowing
of skin and eyes, right upper
quadrant tenderness, flu-like
symptoms).

Tell patients that using OTC

NSAIDs with celecoxib may
increase the risk of GI toxicity.
 Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Freq., Timing
Generic: Dosage: Treatment of hypertension Rash, angioneurotic Use cautiously with severe
75mcg/tab Stimulates CNS alpha2- edema, tachycardia, coronary insufficiency, Take drug as prescribed.
clonidine hydrochloride 1 tab adrenergic receptors, inhibits heart failure, ECG recent MI, cerebrovascular
sympathetic cardio- abnormalities, rash, disease; chronic renal
Brand: Route: accelerator and impotence failure. Encourage patient about lifestyle
Clonigen vasoconstrictor centers, and changes that will reduce blood
decreases sympathetic pressure(e.g.cessation of
outflow from the CNS. smoking, restrict intake of salt,
Frequency: exercise regularly).

Educate patient to report urinary

retention, changes in vision,
blanching of fingers, rash to
Timing: medical health providers.
Classification Contraindications Side Effects
Drowsiness, sedation,
Functional: Hypersensitiviy to Clonidine dizziness, headache,
Antihypertensive or any adhesive layer fatigue, nightmares,
components of the insomnia, nervousness,
Chemical: transdermal system nausea, vomiting, weight
Centrally acting alpha gain, dry mouth,
agonist constipation
 Name of Drugs Dosage, Route, Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Frequency, Timing
blocks the muscarinic receptors found relief of spasm of the  Anaphylactic Use cautiously in patients with  Take this drug 30 minutes to 1 hour
Generic: Dosage: on the smooth muscle walls which genito-urinary tract or reactions, Thyrotoxicosis, cardiac before meals
Hyosine N means its blocks the action of gastro- intestinal tract  increased ICP, insufficiency, pyrexia, fructose  Drug compatibility should be monitored
butylbromide acetylcholine on the receptors found and for the disorientation, hal intolerance. closely in patients requiring adjunctive
Brand: within the smooth muscle of the symptomatic relief of lucination, therapy
Buscopan Route: gastrointestinal and urinary tract and Irritable Bowel delirium,  Avoid driving & operating machinery
thus reduces the spasms and Syndrome impaired memory after parenteral administration.
contractions. This relaxes the muscle  dyshidrosis  Avoid strict heat
Frequency: and thus reduced the pain from the  dyspnea, bronchial  Raise side rails as a precaution
cramps and spasms. plugging, because some patients become
depressed temporarily excited or disoriented and
Timing: respiration some develop amnesia or become
drowsy.
 Reorient patient, as needed, Tolerance
Classification Contraindications Side Effects may develop when therapy is
prolonged
Functional: Buscopan Tablets  Constipation  Atropine-like toxicity may cause dose
Antispasmodics should not be  Decreased related adverse reactions. Individual
administered to sweating tolerance varies greatly
Anticholinergic patients with  Mouth, skin, eye  Oerdose may cause curare-like effects,
myasthenia gravis, dryness such as respiratory paralysis. Keep
megacolon and narrow  Blurred feeling emergency equipment available.
angle glaucoma.  Bloating
Chemical:  Dysuria
 Nausea or
vomiting
 Lightheadedness
 Headache
 Weakness
 Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reaction Special Precaution Nursing Intervention
Timing, Frequency
Inhibits cell wall synthesis, Treatment of skin and skin Pseudomembranous colitis, Use cautiously in patient Give after culture and sensitivity
Generic: Dosage: promoting osmotic instability; structure infection. thrombocytopenia, transient hypersensitive to penicillin test before the administration of
cefuroxime 750 mg/ tab 1 tab usually bactericidal. neutropenia. because of possibility of drug
cross sensitivity with other
Anaphylaxis. Instruct proper compliance to
beta-lactam antibiotics; drug regimen.
Brand: breastfeeding women ad in
Route: patients with history of colitis Monitor signs and symptoms of
PO or renal insufficiency. superinfection.

Monitor for occurrence of

diarrhea.

Frequency: Observe for signs and

symptoms of anaphylaxis (rash,
Classification Contraindications Side Effects pruritus, laryngeal edema,
Hypersensitivity to drug or Diarrhea, nausea, anorexia, wheezing). Discontinue the drug
Functional: vomiting and notify the healthcare
other cephalosphorins.
provider immediately if these
Antibiotic Timing: symptoms occur.

Chemical:
Second generation
cephalosphorin
 Dosage, Route
Name of Drug Mechanism of Action Indication Adverse Reaction Special Precaution Nursing Intervention
Timing, Frequency
Decreases fever by inhibiting Relief of mild to moderate Rash Use cautiously in patients Warn patient that high doses or
Generic: Dosage: the effects of pyrogens on pain; fever Urticaria with long term alcohol use unsupervised long-term use can
paracetamol 500 mg/tab 1 tab the hypothalamus heat because therapeutic doses cause liver damage
regulating centers and by a
cause hepatotoxicity
hypothalamic action leading Assess patient’s fever or pain: type
the sweating and of pain, location, intensity,
Brand: vasodilation. duration, temperature, and
Route: diaphoresis.
PO Relieves pain by inhibiting
prostaglandin synthesis at
the CNS but does not have
anti-inflammatory action
because of its minimal effect
Frequency: on peripheral prostaglandin
Q4H synthesis
Classification Contraindications Side Effects
Hypersensitivity to drug.
Functional: Drowsiness
Abdominal Pain
Analgesic Timing:
Antipyretic
8 12 4
8 12 4
Chemical:

Para-aminophenol
derivative