Name of Drugs DOSAGE, MECHANISM OF INDICATION/ NURSING RESPONSIBILITIES Rationale
ROUTE, ACTION CONTRADICTION/ ADVERSE
FREQUENCY EFFECT
Generic Name: 40mg 1 tab Inhibits HMG-CoA Indication:
Atorvastatin ODHS reductase, an early
(and rate limiting)
Brand Name: step in cholesterol Consideration:
Lipitor biosynthesis. Contraindicated in
patients
Pharmacologic hypersensitive to
class: drug and in those
HMGO-CoA with active liver
reductase inhibitor disease or
unexplained
Therapeutic Class: persistent elevations
Antilipemics of transaminase
Date ordered: levels.
Date discontinued: Some dosage forms
contain polysorbate
Stock dose: 80, which can cause
40mg delayed
hypersensitivity re-
actions.
Withhold or stop
drug in patients at
risk for renal failure
caused by
rhabdomyolysis
resulting from
trauma; in serious,
acute conditions that
suggest myopathy;
and in major surgery,
severe acute
infection,
hypotension,
uncontrolled seizures,
or severe metabolic,
endocrine, or
electrolyte disorders.
Adverse Effects:
CNS:
insomnia
CV:
stroke
EENT:
na-sopharyngitis
pharyngolaryngeal
pain.
Gl:
abdominal pain
diarrhea
dyspepsia
flatu-lence
nausea
GU:
UTI
Metabolic:
diabetes mellitus.
Musculoskeletal
rhabdomyolysis
Arthralgia
Myalgia
extremity pain
muscle spasms
musculoskeletal pain
Skin:
rash
Generic Name: 600 mg IV Thought to Indication:
Paracetamol q8 produce analgesia
by inhibiting Considerations:
Brand Name: prostaglandin and
Tylenol other substances Adverse effects:
Acephen that sensitize pain CNS:
Pharmacologic receptors. Drugs agitation (IV)
class: may relieve fever anxiety
Para-aminophenol through central fatigue
action in the headache
Therapeutic Class: hypothalamic heat- insomnia
Analgesic regulating center. pyrexia
CV:
Date ordered: HTN
Hypotension
Date discontinued: peripheral edema
periorbital edema
Stock dose: tachycardia (IV)
600 mg Gl:
Nausea
Vomiting
abdominal pain
diarrhea
constipation (IV)
GU:
oliguria (IV)
Hematologic:
hemolytic anemia
leukopenia
neutropenia
pancytopenia
anemia
Hepatic:
jaundice.
Metabolic:
hypoalbuminemia (IV)
hypoglycemia
hypokalemia
hypervolemia
hypomagnesemia
hypophosphatemia
(IV)
Musculoskeletal:
muscle spasms
extremity pain (IV)
Respiratory:
abnormal breath
sounds
dyspnea
hypoxia
atelectasis
pleural effusion
pulmonary edema
stridor
wheezing (IV)
Skin:
Rash
Urticaria
infusion-site pain(IV)
pruritus.
Generic Name: 150mg IVq6 Increase osmotic Indication: Monitor vital signs, including
Mannitol pressure of central venous pressure and
glomerular filtrate, Contraindications: fluid intake and output hourly.
Brand Name: thus inhibiting Contraindicated in patients
Osmitrol tubular with myocardial damage, Report increasing oliguria.
reabsorption of heart block, or coma.
Pharmacologic water and Check weight, renal function,
class: electrolytes. Drug Adverse effects: fluid balance, and serum and
Osmotic diuretics elevates plasma urine sodium and potassium
osmolality and NS: levels daily.
Therapeutic Class: increase urine Seizures .
Diuretics output. Dizziness To relieve thirst, give frequent
Confusion mouth care or fluids.
Date ordered: Headache
Fever Don't give electrolyte-free
Date discontinued: solutions with blood. If blood is
CV:
given simultaneously, add at
Stock dose: Edema least 20 mEg of sodium chloride
150g thrombophlebitis to each liter of drug solution to
, hypotension avoid pseudo agglutination.
HTN
HF
Tachycardia
angina pectoris
vascular
overload
EENT:
blurred vision
rhinitis
Gi:
Thirst
dry
mouth
nausea
vomiting
diarrhea
GU:
urine retention
Metabolic:
Dehydration
fluid and
electrolyte
imbalance
Respiratory:
pulmonary
edema
Skin:
local pain
urticaria
injection-site
reaction
(infection,
phlebitis, venous
thrombosis)
Others chills.
Generic Name: 1g IV q8
Tranexamic acid
Brand Name:
Pharmacologic
class:
Therapeutic Class:
Date ordered:
Date discontinued:
Stock dose:
1g
Generic Name: 50 mg tab Inhibits Indication: Check the doctor order and To prevent medication
Losartan OD vasoconstrictive To lower blood pressure check ten rights error.
and aldosterone
Brand Name: secreting action of Contraindications: Assess for history of allergy To reduce the risk of
Cozaar angiotensin II by Contraindicated in patients to a proton pump inhibitor hypersensitivity
blocking hypersensitiveto drug. reactions
Pharmacologic angiotensin II
class: receptor on the Adverse effects: Identify patient. To ensure you are giving
ARBs surface of vascular CNS: the right drug to the
dizziness, asthenia, fatigue,
smooth muscle and headache, insomnia.
right patient
Therapeutic Class: other tissue cells.
Antihypertensive CV: edema, chest pain. Check possible drug interactions. To prevent potential
interactions
EENT: nasal congestion,
Date ordered: sinusitis, pharyngitis, sinus that may affect
disorder. omeprazole
Date discontinued: absorption or
Gl: abdominal pain, nausea,
diarrhea, dyspepsia. metabolism
Stock dose:
50 mg Musculoskeletal: muscle May administer drug with To reduce GI upset
cramps, myalgia, back or leg
pain.
regards to meal
Respiratory: cough, URI.
Other: angioedema.
Patients with nephropathy
Know the expected actions, side For you to be
CNS: asthenia, fatigue, fever, effect, and adverse knowledgeable about
hypoesthe-sia.
effect of the drug. the possible side or
CV: chest pain, hypotension, adverse effect
orthostatic hypotension. of the drug and in order
EENT: cataract, sinusitis. to correctly monitor the
Gl: diarrhea, dyspepsia, gastritis,
patient.
nausea.
To ensure patient’s
GU: UTI. safety incase dizziness
Hematologic: anemia. Keep side rails up. occurs.
Metabolic: hyperkalemia, To monitor the
hypoglycemia, hyponatremia,
weight gain. effectiveness of
Monitor the patient’s BP. theraphy.
Musculoskeletal: back pain, leg
or knee pain, muscle weakness.
Respiratory:
These products may
cough, bronchitis. contain potassium, which
Tell the patient to avoid salt can cause high potassium
Skin: cellulitis. substitutes level in patients taking
Other: flulike syndrome, diabetic losartan.
vascular disease, angioedema,
infection, trauma, diabetic
neuropathy.
Generic Name: 5mg tab Indication:
Amlodipine ODHS
Contraindication:
Brand Name:
Norvasc Adverse effects:
CNS: headache, somnolence,
fatigue, dizzi-ness. CV: edema,
Pharmacologic flushing, palpitations. Gl: nausea,
class: abdominal pain. Respiratory:
Calcium channel pulmonary edema, dyspnea.
blocker Skin: pruritus, rash.
Therapeutic Class:
Anti hypertensive
Date ordered:
Date discontinued:
Stock dose:
5 mg
Generic Name: 1g IV OD
Citicoline
Brand Name:
Pharmacologic
class:
Therapeutic Class:
Date ordered:
Date discontinued:
Stock dose:
1g
Generic Name: 50g q8 PRN
Tramadol for pain
Brand Name:
Pharmacologic
class:
Therapeutic Class:
Date ordered:
Date discontinued:
Stock dose:
Generic Name:
Brand Name:
Pharmacologic
class:
Therapeutic Class:
Date ordered:
Date discontinued:
Stock dose:
Generic Name: Inhibits proton Indication: Check the doctor order and To prevent medication
Omeprazole pump activity by This medication was given check ten rights error.
binding to to our patient to treat
Brand Name: hydrogen stomach acid production Assess for history of allergy To reduce the risk of
Losec potassium to a proton pump inhibitor hypersensitivity
adenosine Contraindication: reactions
Pharmacologic triphosphatase, Contraindicated in
class: located patients hypersensitive to Identify patient. To ensure you are giving
PPIs at secretory drug or its components the right drug to the
surface of gastric and in patients receiving right patient
Therapeutic parietal cells, to rilpivirine-containing
Classification: suppress gastric products. Use cautiously Check possible drug interactions. To prevent potential
Antiulcer drugs acid in patients with interactions
hypokalemia and that may affect
Date Ordered: respiratory alkalosis and omeprazole
in patients on a low absorption or
Date discontinued: sodium diet. Risk of metabolism
Jan. 07, 2024 fundic gland polyps
increases with long-term May administer drug with To reduce GI upset
Stocked Dose use, especially beyond 1 regards to meal
40mg year. Long-term
administration of Monitor improvements in To help determine if drug
bicarbonate with calcium GI symptoms therapy is successful
or milk can cause milk
alkali syndrome. Evaluating electrolyte levels. Long term use of proton
pump inhibitors may
Adverse effect affect magnesium levels.
CNS:
asthenia Monitor patient’s urine output. Omeprazole may cause
dizziness acute interstitial
headache nephritis
Gl:
abdominal pain For you to be
constipation Know the expected actions, side knowledgeable about
diarrhea effect, and adverse the possible side or
flatulence effect of the drug. adverse effect
nausea of the drug and in order
vomiting to correctly monitor the
acid regurgitation. patient.
Musculoskeletal: To ensure patient’s
back pain Keep side rails up. safety incase dizziness
weakness occurs.
Respiratory:
Cough
URI
Skin:
rash
