GENERIC TRADE LABELED SIDE COMMON MAJOR

THERAPEUTIC
NAMES: NAMES: USE: EFFECTS: NURSING
DOSE:
CONSIDERATION
S:

Alteplase tPA, Thrombolytic - dyspnea 100 mg IV contraindicated

Cathflo - red or black, (adults) in active
Activase tarry stool bleeding
- red or dark - use caution
brown urine with patient
-hypotension
who have had
hypersensitivity
recent surgery
- bleeding - may cause
- dysrhythmias intracranial
-pulmonary hemorrhage
embolism - monitor
-cholesterol anaphylaxis
embolism -use caution
with
uncontrolled
hypertension

Atorvastatin Lipitor Lipid-lowering -diarrhea 10 mg, -any allergic

agents -heartburn 20 mg, reactions in the
-cold-like 40 mg, past
symptoms 80 mg -have liver or
-aches & pains
kidney
in back &
problems
joints
-chest pain -do not take if
-peripheral trying to get
edema pregnant,
-liver damage already
pregnant, or
breastfeeding

Acetaminophe Tylenol Analgesic -rash 325-650 -overdose can

n -nausea mg damage liver or
-headache cause death
hepatotoxicity -any allergic
reactions
-monitor AST,
ALT, & bilirubin
prior starting
therapy
 - do not use if
pregnant or
lactating

Acyclovir Sitavig, Antiviral -diarrhea 200 mg -(tab) do not

Zovirax -headache crush
-weakness medication
-seizures -do not take if
-Stevens- breastfeeding
Johnson -allergy warning
syndrome
(rare)

Albuterol Proventil Bronchodilato -nervousness (PO)2-4 -not safe for

HFA, r -shakiness mg pregnancy or
Ventolin -headache breastfeeding
-throat or (Inhaln) 1- -withhold if
HFA,
nasal irritation 2 wheezing
Accuneb, inhalations -notify health
-muscle aches
Vospire ER
-tachycardia care professional
-palpitations if no response to
-paradoxical the usual dose
bronchospasm -(PO) take with
meals to
minimize gastric
irritation

Alendronate Binosto, Bisphosphonat -stomach pain (PO) - do not take if

Fosamax e -constipation osteoporosi have problems
-gas s: 10 mg with esophagus
-headache daily or low levels of
- calcium in blood
prevention:
musculoskelet -do not take if
5 mg daily
al pain cannot sit
Paget’s upright or stand
disease: for at least 30
40 mg for 6 mins after taking
mo -avoid
breastfeeding
during or at least
1 wk following
therapy
Alprazolam Xanax, Anxiolytic -gas (PO) -Geri: risk for
Xanax XR -constipation anxiety: falls
-diarrhea 0.25-0.5 - do not confuse
-dizziness mg bid/tid Xanax with
-drowsiness Zantac, Fanapt,
-lethargy panic or Tenex
-joint pain attacks: - do not confuse
0.5 mg tid with clonazepam
or lorazepam
- contraindicated
to OB, Lactation

Amiodarone Nexterone, Antiarrhythmi -confusion (PO) -monitor ECG

Pacerone c -abdominal 800-1600 continuously
pain mg/day -monitor heart
- ARDS rate and
- pulmonary (IV) rhythm
fibrosis 150 mg -report
- pulmonary
toxicity bradycardia or
- HF worsening
-prolong QT arrhythmias
interval -assess for
-toxic pulmonary
epidermal toxicity
necrolysis (abnormal
breath sounds)
- assess signs &
symptoms of
ARDS
-monitor liver &
thyroid
functions
before & after 6
mo. during
therapy

Amitriptyline Elavil, Antidepressa -lethargy 75 mg -obtain weight

Endep nt -sedation & BMI
- drowsiness -monitor BP &
-hypotension pulse
-constipation
-monitor
-weight gain
mental status
-decrease
libido -assess pain
-suicidal periodically
 thoughts -take with
-arrhythmias meals
-torsade de -assess for
pointes suicidal
tendencies

Amlodipine Norvasc Antihypertensi -dizziness 2.5 mg -monitor BP &

ve -fatigue 5 mg pulse
-hypotension 10 mg -monitor I&O
-bradycardia -do not confuse
photosensitivity with amiloride
-peripheral - caution patient
edema to change
positions slowly
- caution patient
to wear
protective
clothing &
sunscreen
-caution patient
to discuss
exercise
restrictions

Amoxicillin Amoxil, Penicillin -rash 250 mg -assess for

Moxatag, antibiotic -urticaria 500 mg infection
Trimox -blood -obtain history
dyscrasias prior therapy
-seizures -obtain specimen
-CDAD for C&S prior
hypersensitivity therapy
-serum -observe S&S of
sickness anaphylaxis
-monitor bowel
function

Aspirin (ASA) Acuprin, NSAID -rash 75-150 -assess pain

Bayer -urticaria mg after
-tinnitus administration
-abdominal -assess fever
pain
monitor serum
-dyspepsia
salicylate levels
-GI bleeding
hypersensitivity -toxicity &
overdose
-monitor
hematocrit
 -prolongs
bleeding time
for 4-7 days

Atenolol Tenormin Antiaginal, -anxiety 50 mg -monitor BP,

Antihypertensi -depression ECG, & pulse
ve -dizziness frequently
-drowsiness -monitor I&O
-insomnia
and daily
-bradycardia
weights
-HF
-pulmonary -advise to
edema change
positions slowly

Atropine Atropen Antiarrhythmic -drowsiness 2 mg -assess vital signs

-dry eyes and ECG
-constipation frequently
-tachycardia -monitor I&O in
-urinary elderly and
retention surgical patients
-blurred vision -assess routinely
for abdominal
distention
-auscultate
bowel sounds
-if overdose,
physostigmine is
the antidote

Azithromycin Zithromax Antibiotic -stomach 500 mg -assess for

upset infection (VS,
diarrhea/loose appearance of
stools wound, sputum,
-abdominal urine, & stool,
pain WBC)
-torsade de -obtain
pointes specimens for
- C&S prior
hypersensitivit therapy
y -observe S&S of
-CDAD anaphylaxis
-irregular -assess patient
heartbeats for skin rash
frequently
may cause
increase serum
 bilirubin, AST,
ALT, LDH, and
alkaline
phosphatase

Benztropine Cogentin Antiparkinson -confusion 1-4 mg -assess

-depression parkinsonian &
-dizziness extrapyramidal
-hallucinations symptoms
-hypotension -assess bowel
-blurred vision function daily
-constipation -monitor I&O
-dry mouth -patients with
-dry eyes mental illness
are at risk for
developing
exaggerated
symptoms
-advise patients
to change
positions slowly

Bisacodyl Bisac-Evac, Laxative -abdominal 5-15 mg - use cautiously

Dulcolax cramping in: severe CVD,
-diarrhea anal or rectal
-rectal burning fissures
or bleeding -assess for
-electrolyte & abdominal
fluid distention,
imbalance presence of
bowel sounds, &
usual pattern of
bowel function
- do not confuse
Dulcolax
(bisacodyl) with
Dulcolax
(docusate
sodium)
-take on empty
stomach
-do not crush or
chew enteric-
coated tablets

Bismuth Pepto-bismol, Antidiarrheal -constipation 2 tab (262 -monitor bowel

subsalicylate Maalox -dark colored mg/tab) function
 stools or - note that
-changes in 30 mL stools may
behavior with darken &
nausea & tongue may
vomiting
appear black
-hearing loss
- H. pylori
or ringing in
ears breath test
-diarrhea when used for
lasting longer peptic ulcers
than 2 days -avoid if
-black or allergic to
“hairy” tongue salicylates
(including
aspirin)

Bupropion Aplenzin, Antidepressant -headache 100 mg - assess mental

Fortivo XL, & Smoking -weight loss status & mood
WellbutrinS cessation aid -dry mouth changes
R, -insomnia -restrict drug if
Wellbutrin -homicidal/
increase in
XL suicidal
signs of
thoughts/
behavior depression
-seizures -monitor
hepatic & renal
function
- may cause
false-positive
urine test for
amphetamines

Buspirone Buspar, Anxiolytic -dizziness 15- -assess heart rate,

Buspar -restlessness 30 ECG, & heart
Dividose, -trouble mg sounds
Vanspar sleeping -report symptoms
-drowsiness
of arrhythmias
-palpitations
- monitor bone
-tachycardia
-mental marrow
depression depression
-monitor for
increased fatigue,
dyspnea, &
orthostatic
hypotension
 -assess
pulmonary
fibrosis
-monitor CBC

Butorphanol Stadol Narcotic -dizziness 1-2 -change positions

analgesic -drowsiness mg slowly
-hallucinations -use caution with
-sedation concurrent use of
-constipation MAOIs
-confusion -contraindication in
-syncope patient with
-chest pain respiratory
-tachycardia depression
-edema -avoid driving
-monitor CNS
depression
-assess BP, pulse, &
respirations
-administer slowly
through IV line
-Narcan (naloxone)
is the antidote for
overdose

Calcium Tums Antacids -little or no 500 -avoid if have or

urinating have ever had
carbonate mg
-swelling, rapid
kidney disease or
weight gain
-hyperkalemia stomach conditions
-GI distress -tell MD first if
-confusion pregnant, plan to
constipation/ become pregnant,
diarrhea or breastfeeding
-assess for any
allergy to antacids
-inspect the
abdomen

Captopril Capoten Ace Inhibitors -hypotension - 25 - Monitor BP

Angioedema mg -Teach patient to
-cough
-elevated
change positions
potassium slowly
-rash
Carbamazepi Carbatrol, Anticonvulsant -dizziness 200 -monitor changes in
ne Carnexiv, -drowsiness mg skin condition in
Epitol, -ataxia early therapy
Equetro, -suicidal -screen patient for
thoughts
Teril Asian ancestry for
-Steven-
Johnson the HLA-B* 1502
Syndrome allele prior
-pancreatitis treatment
-agranulo- -monitor symptoms
cytosis of DRESS syndrome
-aplastic anemia -monitor closely for
changes in behavior
-monitor CBC

Carbidopa Lodosyn Antiparkinson -orthostatic 25 -assess BP & pulse

hypotension mg frequently
- GI obstruction -may cause false-
/ hemorrhage positive urine test
-hepatotoxicity for Coomb’s test
-monitor toxicity &
overdose
- monitor for S&S of
GI complications

Cefaclor Ceclor Antibiotic -diarrhea 250 -monitor signs of

-vaginal itching mg pseudomembranou
or discharge 500 s colitis
-severe mg -obtain cultures
abdominal prior to therapy
pain & -contraindicated in
vomiting cephalosporin and
possibly penicillin
allergies
-may lead to
seizures, diarrhea,
phlebitis at IV site,
& anaphylaxis
-monitor bowel
function
-assess infection &
allergies

Cefdinir Omnicef Antibiotic -stomach pain 300 -contraindicated in

-persistent mg cephalosporin and
nausea/ possibly penicillin
vomiting allergies
-jaundice -may lead to
 -dark urine seizures,
-hives pseudomembranous
-diarrhea colitis, diarrhea,
-vaginal itching phlebitis at IV site,
or discharge & anaphylaxis
-headache -assess infection &
rash allergies
-obtain cultures
prior to therapy
-monitor bowel
function
-monitor for
bleeding

Celecoxib Celebrex NSAID/ -GI bleeding 200 -use caution with

Antirheumatic -abdominal mg CVD
pain -increases risk for
-black stool MI, CVA, &
-headache thrombosis
-dizziness -may cause GI
insomnia bleeding, Stevens-
-diarrhea Johnson syndrome,
& dermatitis
-notify MD for new
onset abdominal
pain or black stool

Cephalexin Keflex Antibiotic -seizures 250, -may lead to

-pseudo- 500, seizures,
membranous 750 pseudomembranou
colitis mg s colitis, diarrhea,
-diarrhea phlebitis at IV site,
-rectal or & anaphylaxis
genital itching -assess infection &
-stomach pain allergies
-obtain cultures
prior to therapy
-monitor bowel
function
-contraindicated in
cephalosporin and
possibly penicillin
allergies

Chlorpromazi Thorazine Antipsychotic -orthostatic 10- -monitor BP

ne , hypotension 25 -change positions
Largactil -weight gain mg slowly
 -constipation -remain supine for
-insomnia 30 mins after IM
-blank facial injection
expression -observe for signs
-uncontrollable
of adverse effects
movements

Cimetidine Tagamet Antihistamine, -confusion 300 -increase serum

Antacid -impotence mg level warfarin
-breast -can lead to
swelling/ respiratory infection
tenderness (green sputum)
-constipation -monitor for
-changes in arrhythmias
mood, anxiety, -may cause
agitation agranulocytosis,
aplastic anemia
-monitor CBC
during therapy
-take medication as
directed
-increase fluid and
fiber intake

Ciprofloxacin Cipro Antibiotic -diarrhea 250 -contraindicated in

-dizziness - allergies
-insomnia - 500 -may cause QT
hearing loss mg prolongation, avoid
-hives use with other
-seizures drugs that can
-vision cause QT
changes prolongation
-may lead to
seizures,
pseudomembranou
s colitis,
arrhythmias,
Steven-Johnson
syndrome, &
anaphylaxis
-may decrease
effects of phenytoin
-monitor renal
panel
-assess for
infection, obtain
cultures prior to
 therapy
-monitor liver
function tests

Clindamycin Cleocin Antibiotic -GI distress 150 -observe for signs of

-hives - arrhythmias,
-mild skin 450 pseudomembranou
rash mg s colitis,diarrhea,
phlebitis
-vaginal
-monitor bowel
itching or
function
discharge -assess infection,
obtain cultures
prior to therapy
-monitor liver
function tests
-monitor CBC

Clopidogrel Plavix Blood thinners -easy 300 -Long-term use

bleeding/bruis mg can increase risk
ing of heart attack or
-stomach stroke
upset/pain
-may cause GI
-diarrhea
bleeding,
-bloating
-anxiety neutropenia,
-loosening of hypercholesterole
the skin mia
-may increase risk
for bleeding with
garlic, ginkgo,
ginger
-monitor signs of
bleeding
-monitor CBC and
platelet count
-discontinue use
5-7 days before
surgery

Codeine Paveral Narcotic -constipation 15- -assess for allergic

analgesia -abdominal 60 reaction
pain mg -may cause
-drowsiness alterations in
mentation,
-dizziness
hypotension,
-sedation
constipation,
 -SOB nausea, vomiting
-assess BP, pulse, &
respiratory rate
prior to
administration and
frequently
-use caution if using
MAOIs
-Narcan (naloxone)
is the antidote for
opioid agonists

Cortisone Cortone Glucocorticoid- -CNS 25- -excreted by the

steroid alterations 300 liver - monitor
-osteoporosis mg liver profile
-peptic ulcers
-Cushingoid
-avoid in active
appearance untreated
-rapid weight infections
gain -Daily weights,
-SOB monitor I&O
decrease -
wound healing
-elevated
glucose
-increase
cholesterol &
lipid values

Cyclosporine Sandimmu Immunosuppress -seizures 14- -monitor serum

ne ant, -tremors 18 creatinine level,
Antirheumatic -HTN mg I&O, daily weight,
(DMARD) -hepatotoxicity & BP during
-diarrhea therapy
- gingival - increases immune
hyperplasia suppression with
corticosteroid
- avoid grapefruit
juice
-assess for signs of
organ rejection
-monitor renal
panel, liver
enzymes
-take medication as
directed
-lifelong therapy
required for
 transplant patients

Dexamethaso Decadron Antiasthmatic, -CNS 0.75 -monitor liver

ne Corticosteroid alterations -9 profile
-peptic ulcers mg -avoid in active
-Cushingoid untreated
appearance
infections
-weight gain
-do not stop
-osteoporosis
-decrease taking oral drug
wound healing without consulting
-increase MD
cholesterol & -report unusual
lipid values weight gain
-elevated
glucose

Diazepam Valium Anxiolytic, -dizziness 2- -contraindicated in

Sedative -drowsiness 10 hepatic dysfunction
-lethargy mg -use caution with
-hypotension renal impairment
-instruct patient to
-physical
take as directed
dependence
-caution to avoid
-tolerance alcohol use
-Flumazenil
(romazicon) is the
reversal agent

Digoxin Lanoxin Anti- - 0.75-1.5 -assess patient

arrhythmic hypokalemi mg for
& a hypersensitivity
Blood - -contraindicated
pressure
hypercalce with
support
mia uncontrolled
-electrolyte ventricular
abnormaliti arrhythmias
es -use caution with
-vision diuretic
changes -monitor signs of
- toxicity
arrhythmias -monitor pulse
rate for 1 full
minute prior to
dosing patient
 (hold for pulse
less than 60)

Diltiazem Cardize Calcium -bradycardia 30-120 -No grapefruit

m Channel -hypotension mg juice -Monitor
Blocker - BP and HR
dysrhythmias carefully
-constipation
-peripheral
edema

Diphenhydram Benadry Anti- -drowsiness 25-50 mg -assess purpose

ine l histamine -anorexia of medication
-dry mouth prior to giving it
-nausea -assess allergies,
-chest
sleep patterns,
tightness
cough & lung
-thick
secretions sounds
-hypotension -patient should
-blurred avoid other OTC
vision & cold remedies
-sedation

Diphenoxylate Lomotil Anti- - 20 mg -contraindicated

diarrheal constipation with angle-
-tachycardia closure
-dizziness glaucoma,
-ileus dehydration
-structurally
related to
opioid, so use
caution with
patients that
have allergies to
opioids
-monitor liver
function
-do not double
dose

Divalproex Depakot Anti- -suicidal 250 mg -increase risk for

convulsant thoughts
e bleeding with
-agitation
-dizziness Warfarin
-insomnia -use caution with
-hepatotoxicity
 -pancreatitis MAOIs
-monitor liver
function test

Dobutamine Dobutre Beta1- -skin (IV) -monitor

x adrenergic reactions 2.5-15 hemodynamics:
agonist may occur mcg/kg/m HTN, increase HR,
with in PVCs
hypersensitivi -beta blockers
ty may negate
-premature therapeutic effects
ventricular of dobutamine
contractions -monitor cardiac
- output
hypertension -monitor
-increased peripheral pulses
HR before, during, &
after therapy
-do not confuse
with dopamine

Dopamine Intropin Vasopressor -dyspnea (IV) -monitor

-headache 2-10 hemodynamics
- mcg/kg/m closely: BP, HR,
arrhythmias in EKG, CVP, & PAOP
if available
-
-obtain
hypotensio
parameters for
n hemodynamic
-mydriasis values
(high dose) -titrate to obtain
appropriate
BP(more potent
vasoconstrictors
may be required)
-irritation may
occur at IV site
-beta blockers
may counteract
therapeutic effects

Enalapril Vasotec ACE inhibitor - 0.08 - check WBCs

neutropenia mg/kg/da regularly
-dry cough y -use cautiously
- with potassium &
lightheadedne potassium sparing
 ss diuretics
-breathing - administer 1
problems hour before meals
- -monitor BP often
hyperkalemi -monitor weight &
a fluid status
-diarrhea -monitor renal
profile
-monitor CBC
frequently

Enoxaparin Lovenox Anti- -anemia 40 mg -contraindicated in

coagulant -confusion pork
-pain, hypersensitivity
bruising, -monitor signs of
redness, bleeding
irritation -serious blood clot
where if undergo spinal
medicine was tap or receive
injected epidural
-serious -administer SQ
blood clot tissue
- do not eject air
bubble prior to
injection
-do not aspirate or
massage site

Epinephrine Adrenali Anti- -angina (IV) -use with MAOI

n, asthmatic, -tachycardia 0.1-0.25 may lead to
EpiPen Bronchodilato -HTN MG hypertensive crisis
r, -restlessness -do not use
Vasopressor -nervousness (SQ/IM) stimulants
- 0.3-0.5 (caffeine, guarana,
hyperglycem mg etc.)
ia - assess lung
-paradoxical (Inhaln) 1 sounds, pulse, BP,
& other
bronchospas inhalation
hemodynamic
m (excessive
parameters
use of
-monitor for chest
inhaler) pain
-insure adequate
fluid intake to
liquefy secretions
-rinse mouth after
inhalation
-beta blockers
 may negate
effects

Epoetin Epogen Erythropoiesis -HTN (SQ, IV) Do not agitate

Growth Factor (due to 50-100 vial. MOnitor BP
increase in units/kg during therapy.
HCT) - Monitor Hgb, Hct
increased risk
twice a week.
of
Ensure sufficient
DVT/stroke/
iron levels
MI

Erythromycin E-Mycin, Antibiotic, -diarrhea 250 mg -assess infection

Ery-Tab Gut motility -abdominal -monitor liver
stimulator pain function test
-prolong QT -instruct patient
-ventricular
to finish
arrhythmias
medication
-torsades de
pointes dosage even if
-ototoxicity they are feeling
-CDAD better
-medication
should not be
shared
-monitor bowel
function
-obtain
specimens for
C&S

Escitalopram Lexapro Anti- -suicidal 10-20 mg -contraindicated

depressant, thoughts with MAOI
SSRI -insomnia -assess for sexual
-drowsiness dysfunction
-diarrhea -monitor mood
-decrease changes & level of
libido anxiety
-serotonin -may take 4-6
syndrome weeks for full
-prolong QT effect to take
with certain place
medications -monitor for
serotonin
syndrome (mental
changes, NV,
tachycardia,
 hyperthermia)

Famotidine Pepcid Anti- -arrhythmias 20-40 mg -assess for

histamine, - abdominal pain &
Antacid agranulocytos occult blood
is -monitor CBC
-aplastic -increase fluid
anemia intake
-constipation

Fentanyl Sublima Narcotic -apnea (IM, IV) -use caution with

ze analgesia - 50-100 increased ICP,
laryngospas mcg head trauma,
m adrenal
-decreased insufficiency
respirations -avoid use with
-bradycardia MAOIs
- - do not
hypotension consume
-confusion grapefruit
-circulatory/ -monitor
respiratory hemodynamics
depression during
administration
-assess for pain
frequently

Ferrous Sulfate iron Iron Oral: GI 300-325 -Vit C increases

dextran supplements upset/ mg absorption. -Take
constipation, an empty
teeth staining stomach,1 hr
(drink w/ before meals.
straw!) Increase fluids/
- dark green/
fiber to prevent
black stools
(harmless); constipation. -If
IM/ IV: staining giving IM iron
at IV site, dextran, use the
hypotension , Z-track method.
flushing -Keep out of reach
of children due to
risk of fatal iron
toxicity.
-Encourage
increased intake
of foods high in
iron
Fluoxetine Prozac Anti- -suicidal 20 mg -do not use while
depressant thoughts taking MAOIs
SSRI -drowsiness -monitor closely
-anxiety for serotonin
-sexual syndrome
dysfunction -concurrent use
-insomnia with certain
-palpitation medications may
-elevated lead to QT
liver enzymes prolongation
-monitor mood
changes & assess
for suicidal
ideation
-maintain good
oral hygiene

Fluticasone Flovent Broncho- -headache (Inhaln) -use cautiously

dilator -insomnia 1 with untreated
- inhalation infections &
bronchospas suppressed
m immune function
-arrhythmias -monitor
- respiratory status
hypersensitivi -instruct patients
ty
using
-nasal
corticosteroids &
congestion
-adrenal
bronchodilators
suppression that they need to
-decrease use
bone density bronchodilators
first
-stop smoking

Furosemide Lasix Loop -Dehydration, 20, 40, -Administer during

Diuretics -electrolyte 80mg the day vs night
imbalances -Infuse IV at
(hyponatremi 20mg/min -Weigh
a, patients daily
hypokalemia, -Monitor I&Os
hypotension, -Monitor
hyperglycemi electrolytes -
a) Encourage foods
-ototoxicity in high in
potassium
Gabapentin Neuron Anti- -Suicidal 300 mg Hypersensitivity.
tin convulsant,Mo thoughts Use cautiously in
od stabilizers - confusion all patients may
-depression increase risk of
-drowsiness,
suicidal
-sedation
thoughts/behavi
-anxiety
-Multi-organ ors; Renal
hypersensitiv insufficiency
ity reactions,
facial edema

Gentamicin Cidomyci Antibiotic -tinnitus/ 40 -use caution in renal

n hearing loss mg/mL impairment
-increased -assess for infection
(injection)
thirst -obtain cultures
-skin rash prior to therapy
- -monitor liver
pseudotumor function test
cerebri -monitor blood
levels of drug
-
photosensitivi
ty

Glipizide Glucotrol Anti- -aplastic 2.5-5 mg -monitor CBC

diabetic anemia -assess for allergy
- to sulfonamides
hypoglycemi -beta blockers may
create signs of
a
hypoglycemia
-
-instruct patient on
photosensitivi how to check blood
ty sugar
-dizziness -instruct patient on
-drowsiness importance of
-headache carrying source of
-diarrhea sugar in case of
hypoglycemia

Glucagon GlucaGe Hormone -anaphylaxis (IV, IM, -assess for signs of

n -hypotension SQ) hypoglycemia,
- 1 mg neuro status
hypoglycemia - monitor serum
-itchy throat (Intranasal glucose levels
-nasal ) -teach patient
discomfort
3 mg in signs of
one hypoglycemia
nostril
Guaifenesin Mucinex Expectorant GI upset, 200-400 Increase fluid
drowsiness, mg intake to help
rash liquefy
secretions!

Haloperidol Haldol Anti- - 0.5-2 mg -use caution in QT

psychotic extrapyramid bid prolongation
al symptoms -assess
-tardive hallucinations
dyskinesia -monitor
-seizures hemodynamics
-constipation -monitor NMS
-dry mouth (fever, muscular
- rigidity, altered
agranulocyto mental status, &
sis autonomic
-neuroleptic dysfunction)
malignant -monitor CBC with
syndrome differential

Heparin Hep-Lock Anti- - (SQ) -monitor signs of

coagulant hyperkalemi 5000 bleeding
a units -monitor platelet
-bleeding count every 2-3
-heparin days
induced -report any signs
thrombo- of bleeding
cytopenia -Protamine
-pain at sulfate is the
injection site antidote

Hydralazine Apresoli Anti- - 10 mg -use caution with

hypertensive MAOIs
ne tachycardia
-sodium -monitor BP
retention -instruct patient
on how to take BP
-
-do not confuse
arrhythmia
hydralazine with
s hydroxyzine or
-angina hydrochlorothiazid
-orthostatic e
hypotensio
n
-diarrhea

Hydrochlorothia Hydrodiu Thiazide - 25 to -Administer during

zide ril Diuretics dehydration 100mg the day vs night
 - -Weigh patients
hypokalemi daily -Monitor
a- I&Os
hyperglycemi -Monitor
a electrolytes, -
Encourage foods
in high in
potassium

Hydrocodone Norco Narcotic -constipation 250 mg -use concurrent use

analgesic -dizziness of MAOIs (avoid use
-drowsiness within 14 days of
-respiratory each other)
-change positions
depression
slowly
-liver or -monitor
kidney hemodynamics &
disease respirations after
administering
-may increase ICP
use caution with
head trauma
-Narcan (naloxone)
is the antidote for
overdose
-do not exceed 4 g
of acetaminophen
per day

Hydromorphone Dilaudid Opioid -CNS 1 mg -assess BP,

analgesic depression respirations, &
- pulse before &
hypotension during
-dry mouth administration
-constipation -use caution with
-respiratory concurrent use of
depression MAOIs - avoid use
-urinary within 14 days of
retention each other
-may be used as
an antitussive
-advise to dilute
with NS prior to
administration &
administer slowly
-Narcan
(naloxone) is the
antidote for
 overdose

Ibuprofen Advil/ NSAID, - GI bleeding 400-800 -monitor

Motrin Anti- -Stroke mg headache, N/V,
pyretic, -MI
-HF
constipation
Anti- -therapy should
-Exfoliative
rheumatic
dermatitis be discontinued
-Toxic after first sign of
epidermal rash
necrolysis
-hepatitis
-monitor renal &
-Steven- liver lab
Johnson -avoid using
syndrome alcohol
-anaphylaxis
-rash

Indomethacin Indocin NSAID, -dizziness 25-50 mg -monitor for

anti- -drowsiness hepatitis & GI
bleeding
rheumatic -headache -monitor for
-hepatitis dizziness,
-GI bleeding drowsiness, and
- headache
Hepatotoxici -aspirin may
ty decrease
effectiveness
-
-assess for
photosensitivi
anaphylactic
ty
reaction
-monitor renal labs
-shake suspension
before
administration
-patient should wear
sunscreen &
protective clothing

Insulin Humulin Anti- - (SQ) -assess for

R/Novolin diabetic hypoglycemi 0.5-1 symptoms of
R a unit/kg/d hypoglycemia or
-decrease ay hyperglycemia
inorganic
-monitor body
phosphates,
weight over time
potassium, &
magnesium -monitor blood
sugars
-monitor A1C
every 3-6
months
 -rotate injection
sites

Iodine N/A Antithyroid -GI bleeding 150 -increase fluid

agent -diarrhea mcg/day intake
- -monitor for
hypothyroidis hypersensitivity
m
-goiter
-dry mouth

Isoniazid INH Anti- -jaundice 300 -avoid high

tubercular -peripheral mg/day amounts of
neuropathy tyramine (pickled
-seizures meats,
aged/smoked
-hepatitis
meats, alcohol,
-fever
exotic/aged
cheese)
-monitor liver
function test
-complete full
course of therapy
(6-12 months)
-often used in
combination with
Rifampin

Ketorolac Toradol NSAID, -GI bleeding 20 mg -should not

Nonopioid -Steven- exceed 5 days of
analgesic Johnson therapy
syndrome -bleeding risk
-anaphylaxis increased with
-drowsiness garlic, ginger, &
ginkgo
-may decrease
effectiveness of
hypertensive
medications &
diuretics

Lactulose Kristalos Laxative -GI upset 15-30 mg -use caution

e used for -electrolyte with DM
Hepatic imbalances - -assess mental
Encephalopa hyperglycem status, ammonia
thy ia-cramps levels, &
-abdominal abdominal
 distention distention
-patient should
average 203
bowel
movements per
day

Lamotrigine LaMICtal Anti- -aseptic 25-50 mg -monitor closely

convulsant meningitis for notable
-suicidal changes in
thoughts behavior
-Hepatic -assess for skin
failure rash
-rash -monitor for S&S
-behavior of multiorgan
changes hypersensitivity
-insomnia -assess seizure
-fever activity
-may cause false-
positive results for
phencyclidine
(PCP)

Levetiracetam Keppra Anti- Dizziness. 1000 Observe for signs

convulsant Headache. mg/day, of adverse
Irritability. given as effects. Monitor
Loss of twice- fluid balance
strength daily closely. Assess
and energy. dosing and document
Mood and (500 mg any signs of
behavior twice seizure activity
changes. daily
Sleepiness.

Levofloxacin Levaquin Antibiotics low blood 250 mg, Monitor signs of

sugar -- 500 mg, pseudomembran
headache, or 750 ous colitis,
hunger, mg including
sweating, diarrhea,
irritability, abdominal pain,
dizziness, fever, pus or
nausea, fast mucus in stools,
heart rate, and other severe
or feeling or prolonged GI
anxious or problems
 shaky; (nausea,
nerve vomiting,
symptoms heartburn).
in your Notify physicians
hands, or nursing staff
arms, legs, immediately of
or feet -- these signs.
numbness,
weakness,
tingling,
burning
pain

Levothyroxine Synthroid thyroid -increased 12.5-25mcg should be

, Tirosint, hormone appetite. taken on an
Levoxyl -weight loss. empty
-heat stomach with
sensitivity. water, at
excessive - least 1 hour
sweating. before
-headache. eating. Even
- coffee has
hyperactivity. been shown
to interfere
with the
absorption of
T4. And
levothyroxine
is
incompatible
with many
other
medications,
so it should
be taken
alone

Lisinopril

Lithium Lithium Mood -GI upset 900 to -Monitor

Stabilizers - fine hand 1800 mg plasma
tremors -Toxicity over
-polyuria 1.5 mEq/L.
 -weight gain Symptoms of
-kidney toxicity: coarse
toxicity - tremors,
electrolyte confusion,
hypotension,
imbalances
seizures,
tinnitus,
coma/ death.
-No diuretic,
anticholinergic
s, or NSAIDS.
-Need
adequate fluid
intake (2-3
liters) and
sodium intake

Loperamide Imodium Antidiarrheal -constipation - 4 mg the nurse

drowsiness should
-At high doses, document an
diphenoxylate abdominal
plus atropine
assessment,
can cause
frequency of
opioid and
anticholinergic bowel
effects movements
and stool
characteristic
s, and if there
is skin
breakdown in
the anal area.

Lorazepam Ativan benzodiazepi -drowsiness. 2 to 6 Monitor

nes -dizziness. mg/day respiratory
-tiredness. status, heart
-weakness. rate, blood
-dry mouth. pressure, and
-diarrhea. level of
-nausea. sedation

Losartan Cozaar Angiotensin -angioedema 50mg Monitor

II Receptor -GI upset - blood
Blockers hypotension pressure,
renal
function
 (BUN and
serum
creatinine
[SCr]), and
potassium
levels in
patients
taking
losartan.
Reevaluate
blood
pressure
(including
orthostatic
blood
pressure),
renal
function, and
serum
potassium.

Magnesium MgSO4 Antidysrhyth Circulatory Mild: 1 g Cardiac

Sulfate mics, V; collapse intramuscu monitors
Electrolytes Respiratory larly (IM) should be
paralysis every 6 used on
Low core hours for 4 patients
body doses receiving
temperature Severe: 5 g MgSO4
(hypothermia intravenou intravenously
) sly (IV) over . Have an
Excess fluid in 3 hours injectable
the lungs Maintenan form of
(pulmonary ce: 30-60 calcium
edema) mg/kg/day gluconate
Depressed/ IV available to
poor reflexes reverse
Low blood paralyzing
pressure effects of
(hypotension) magnesium
sulfate. Blood
pressure may
drop if
MgSO4 is
 administered
too rapidly.
Check blood
pressure and
pulse every
10-15
minutes
during
therapy.

Mannitol Osmitrol Osmotic -Heart Failure 50 to 100g -Use filter

Diuretic -Pulmonary needle and
edema filter in IV
-renal failure - tubing. -
dehydration - Monitor
electrolyte weight, I&Os,
imbalances & electrolytes
(Na, K)

Meperidine Demerol Opioid slow 50 mg to Access to

heartbeats, 150 mg naloxone for
weak or opioid
shallow overdose.
breathing, Assess need
breathing for naloxone
that stops upon
initiating and
renewing

Metformin Glucopha -heartburn. 500mg - Take with

ge, -stomach meals to
Riomet, pain. avoid
Glumetza -nausea or gastrointestin
vomiting. al problems. -
-bloating. Notify health
-gas. care staff of
-diarrhea. lactic acidosis
-constipation. symptoms,
-weight loss. including
hyperventilati
on, fatigue
and myalgia.
- Must be
taken daily
 and not
discontinued
abruptly.

Methadone Diskets, opioid -constipation 20-30mg Do not

Methado -nausea breast-feed.
ne -sleepiness Methadone
Intensol, -vomiting can pass into
Methado -tiredness breast milk
se -headache and cause
-dizziness drowsiness,
-stomach pain breathing
problems, or
death in a
nursing baby

Methylergono Methergi ergot nausea, 0.2mg may pass into

vine ne alkaloids vomiting, breast milk in
stomach pain, small
diarrhea, amounts and
leg cramps, could affect a
increased nursing baby.
sweating, In some
skin rash, cases, you
headache will need to
use this
medication
for up to 1
week after
your baby is
born. You
may need to
use a breast
pump to
establish and
maintain
your milk
flow until
your
methylergon
ovine
treatment is
finished.
Methylphenid Ritalin, ADHD -insomnia - Adults—20 -Do not
ate Methylin decreased to 30 administer at
appetite milligrams night, give
-weight loss medications
(mg) given immediately
in divided before or after
doses 2 or meals
3 times a -monitor
day, taken child’s weight
30 to 45 during therapy
minutes
before
meals

Methylprednis Depo- Steroid upset 20 to 60 avoid active

olone Medrol, stomach. mg untreated
Medrol, stomach infections.
Solu- irritation. may cause
Medrol vomiting. CNS
headache. alterations.
dizziness. may cause
insomnia. peptic ulcers.
restlessness. may cause
depression. Cushingoid
appearance
(buffalo
hump, moon
face)
weight gain.
osteoporosis.
decrease
wound
healing.

Metocloprami Reglan Prokinetic -drowsiness 10-15mg Assess for

de Agents -GI upset - extrapyramid
extrapyramidal al symptoms
symptoms and tardive
including dyskinesia
rigidity,
(more likely
tremors,
in older
twitching,
tardive patients). -
dyskinesia, Assess for
restlessness gastrointestin
 al complaints,
such as
nausea,
vomiting and
constipation.
- In oral
administratio
n, for better
absorption
allow 30
minutes to
one hour
before
eating.

Metoprolol Lopresso Beta 1 -bradycardia - 100 to 400 -Teach

r Blockers decreased mg/day patients to
cardiac output change
-hypotension positions
-fatigue
slowly. -Take
-erectile
BP and pulse
dysfunction
at home daily

Metronidazole Metrogel antibiotics Dizziness, 400mg Take a full

, headache, course of
Nuvessa, stomach drug therapy;
MetroCre upset, take the drug
am nausea, with food if
vomiting, loss GI upset
of appetite, occurs. · Do
diarrhea, not drink
constipation, alcohol
or metallic (beverages or
taste in your preparations
mouth may
occur.

Midazolam Versed sedative amnesia or 500-750 Before

forgetfulness mcg/kg administering
after your , have oxygen
procedure; and
drowsiness, resuscitation
dizziness; equipment
nausea, available in
 vomiting; or case of
blurred severe
vision. respiratory
depression.
Monitor and
record
patient
response to
medication
and level of
sedation.
Observe the
site closely
for
extravasation
.
Monitor for
adverse
reactions.
Continuous
cardiorespira
tory
monitoring.

Montelukast Singulair Leukotriene Increase in 4-mg and -Take

Modifier liver enzymes 5-mg montelukast
with in the
zafirlukast evening or 2
hours before
exercise
-Avoid taking
zafirlukast

Morphine MS Narcotic -drowsiness 30 mg -assess pain

Contin analgesia -dry mouth frequently
-mood changes -monitor vital
-stomach pain signs
& cramps -assess LOC
-constipation -assess bowel
-respiratory function
depression routinely
-prolonged use
may lead to
physical and
 psychological
dependence
and tolerance

Nalbuphine Nubain opioid drowsiness; 10 to 20 Monitor such

dizziness, mg patients for signs of
spinning sedation and
sensation; respiratory
dry mouth; depression,
headache; particularly when
sweating; initiating therapy
cold, with NUBAIN.
clammy Opioids may also
skin; or. obscure the clinical
nausea, course in a patient
vomiting with a head injury.
Avoid the use of
NUBAIN in patients
with impaired
consciousness or
coma.

Naproxen Aleve NSAID abdominal 220- Use caution in

pain 750mg congestive heart
constipation failure, high blood
dizziness pressure,
drowsiness kidney/liver
headache impairment, or
heartburn aspirin-sensitive
nausea asthma
Swelling May increase risk of
aseptic meningitis,
especially in patients
with systemic lupus
erythematosus and
mixed connective
tissue disorders
Prolonged use may
increase risk of
adverse
cardiovascular
events
Nifedipine Procardi Antihyperte headache, 30 to Assess for anginal
a nsive drug flushing, 60mg pain, including
and Calcium constipation location, intensity,
channel , feeling duration, and
blocker tired and alleviating and
swollen aggravating factors.
ankles. - Assess cardiac
status with BP,
pulse, respiration
and ECG. - Monitor
potassium and liver
function tests
throughout
treatment with
nifedipine

Nitroprussid Nitropr vasodilator feeling like 50mg Monitor heart rate

e ess, you might and blood pressure
Nipride pass out, continuously.
RTU even while Monitor renal and
lying down; hepatic function
gasping, • Metabolic acidosis
struggling to is the earliest and
breathe, or most reliable
shallow evidence of cyanide
breathing; toxicity.
confusion,
ringing in
your ears;
dizziness
with nausea
and
vomiting,
rapid
breathing,
seizure

Norepineph Levoph Alpha/ Beta Slow heart 8 to 12 Assess patients

rine ed Adrenergic rate. mcg frequently for
Agonists High blood headache, chest
pressure pain, or other signs
(hypertensio of toxicity. Do not
n) mix other
Irregular medications in IV
heartbeats line with
(arrhythmias norepinephrine drip.
Confusion. Extravasation of
Anxiety. norepinephrine may
Shortness of cause tissue necrosis
breath, with to skin. Therefore,
or without monitor IV sites
respiratory every hour.
difficulty.
Headache.
Nausea and
vomiting.

Nystatin Nyamyc antifungal mouth 1000000 Culture fungus

, irritation; units; before therapy.
Nystop, upset 500000 Have patients retain
Nyata stomach, units oral suspension in
nausea, their mouth as long
vomiting, as possible before
diarrhea; or swallowing. ...
skin rash. Prepare nystatin in
the form of frozen
flavored popsicles to
improve oral
retention of the
drug for local
application.

Olanzapine Zyprexa Antipsychoti Dizziness 2.5 mg, 5 Olanzapine can pass

c Restlessness mg, into breast milk. If
Unusual you are
behaviour breastfeeding, tell
Depression your doctor if you
Difficulty in notice severe
falling drowsiness,
 asleep irritability, feeding
Weakness problems, tremors,
Difficulty or unusual muscle
walking movements in the
Constipation nursing baby.

Omeprazole Prilosec Proton headache. 40mg Advise patients to

Pump abdominal avoid alcohol and
Inhibitor pain. foods that may
diarrhea. cause an increase in
nausea. GI irritation. Instruct
vomiting. patients to report
gas bothersome or
(flatulence) prolonged side
dizziness. effects, including
upper skin problems
respiratory (itching, rash) or GI
infection. effects (nausea,
diarrhea, vomiting,
constipation,
heartburn,
flatulence,
abdominal pain).

Ondansentr Zofran Antiemetics headache. 8mg Administer prior to

on malaise/ chemotherapy (vs.
fatigue. treating n/v that is
constipation already occurring
.
poor
oxygenation
.
drowsiness.
diarrhea.
dizziness.
fever.

Oxycodone Oxycon Opioid Nausea, 10 mg Oxycodone is

tin vomiting, orally excreted in breast
constipation every 12 milk in low
, dry mouth, hours. concentrations, and
weakness, there have been
sweating, rare reports of
 lightheaded somnolence and
ness, lethargy in babies of
dizziness, or nursing mothers
drowsiness taking an
may occur. oxycodone/acetami
nophen product.
Acetaminophen is
also excreted in
breast milk in low
concentrations.

Oxytocin Pitocin Hormone a fast, slow, 20 units Fetal maturity,

or uneven presentation, and
heart rate; pelvic adequacy
excessive should be assessed
bleeding prior to
long after administration of
childbirth; oxytocin for
severe induction of labor.
headache, Assess character,
blurred frequency, and
vision, duration of uterine
pounding in contractions; resting
your neck or uterine tone; and
ears; or. fetal heart rate
confusion, frequently
severe throughout
weakness, administration.
feeling
unsteady

Pancrelipase Creon, combination stomach 500 lipase contraindicated with

Pancrea of three pain, gas, units/kg/ pig products allergy.
ze, enzymes upset meal PO can cause shortness
Pertzye (proteins): stomach; of breath, nausea,
lipase, diarrhea, diarrhea, rash.
protease, frequent or assess nutritional
and abnormal status.
amylase. bowel monitor for
movements; steatorrhea.
rectal may increase uric
itching; acid levels.
headache; instruct patient to
 runny or follow diet
stuffy nose,
sore throat;
or.
changes in
your blood
sugar.

Pantoprazole Protoni Proton- headache. 40 Can cause

x pump nausea. milligrams hyperglycemia,
inhibitor vomiting. (mg) abdominal pain.
gas. Decreases
joint pain. absorption of
diarrhea. certain drugs.
dizziness. May increase
bleeding with
warfarin.
Assess for occult
blood.
Assess liver
enzymes.
Assess symptoms of
heartburn

Paroxetine Paxil SSRIs -nausea - 20 to 50 -Watch for

fatigue mg serotonin
-sexual syndrome.
dysfunction Symptoms:
-weight gain agitation,
-insomnia hallucinations, fever
diaphoresis,
tremors. Full effects
not felt for up to a
month

Phenazopyri Pyridiu Analgesic little or no 190 to Assess patients for

dine m, Azo urinating; 200 mg urgency, frequency,
swelling, and pain on
rapid weight urination prior to
gain; and throughout
confusion, therapy. Lab Test
loss of Considerations:
appetite, Renal function
pain in your should be
 side or monitored
lower back; periodically during
fever, pale the course of
or yellowed therapy. Interferes
skin, with urine tests
stomach based on color
pain, nausea reactions (glucose,
and ketones, bilirubin,
vomiting; or. steroids, protein).
blue or
purple
appearance
of your skin.

Phenytoin Dilantin Antiepileptic -gingival 3–5mg/ -Serum phenytoin

s hyperplasia - kg/day. levels need to be
diplopia - monitored routinely
nystagmus - (narrow therapeutic
rash, ataxia - range) -Decreases
hypotension effectiveness of oral
contraceptives

Procainamide Procan Antiarrhyth nausea, 10 to 17 may cause

Procanb mic vomiting, mg/kg ventricular
id loss of arrhythmias,
Procapa appetite, seizure, asystole,
n diarrhea, heart block.
bitter taste Monitoring EKG
in the continuously may
mouth, cause widening of
dizziness, the QRS complex.
tired feeling, may cause
flushing hypotension and
(warmth, keep patient supine.
redness, or monitor for signs of
tingly agranulocytosis
feeling), and monitor CBC
itching or frequently.
rash.

Promethazin Phenerg Antihistamin dry mouth. Oral and Assess heart rate,
e an e and drowsiness. Rectal: 25 ECG, and heart
Antiemetic listlessness. mg orally, sounds, especially
difficulty or rectally during exercise (See
 falling once, Appendices G, H).
asleep or then 12.5 Report any rhythm
staying to 25 disturbances or
asleep. symptoms of
nightmares. increased
dizziness. arrhythmias,
ringing in including
ears. palpitations, chest
blurred or discomfort,
double shortness of breath,
vision fainting, and
fatigue/weakness.

Propofol Dipriva Anesthetic -dizziness (IV) -assess respiratory

n -abdominal 100-150 status, pulse, BP
cramping mcg/kg/m continuously
-apnea in or 0.5 throughout therapy
-bradycardia
mg/kg as -assess level of
-hypotension
slow sedation & LOC
-propofol
infusion injection -if hypotension
syndrome occurs, treatment
includes IV fluids,
repositioning, &
vasopressors

Propranolol Inderal Beta blocker dizzy or 10 to 30 Assess heart rate,

LA tired, cold milligrams ECG, and heart
hands or (mg) sounds, especially
feet, during exercise (See
difficulties Appendices G, H).
sleeping and Report immediately
nightmares. an unusually slow
These side heart rate
effects are (bradycardia) or
usually mild signs of other
and short arrhythmias,
lived including
palpitations, chest
discomfort,
shortness of breath,
fainting, and
fatigue/weakness.
Propylthiouraci Propycil antithyroid stomach 300 to 900 Assess patients
l agents. upset, milligrams for
nausea, development
vomiting, of
mild rash hypothyroidis
or itching, m (intolerance
headache, to cold,
dizziness, constipation,
spinning dry skin,
sensation, headache,
joint or listlessness,
muscle tiredness, or
pain, weakness).
Dose
adjustment
may be
required.
Assess patients
for skin rash or
swelling of
cervical lymph
nodes.

Quetiapine Seroquel Antipsychoti dizziness, 25 mg-50 mg Monitor

XR, c feeling patient closely
Seroquel unsteady, in any setting
Main or having that would
Results trouble promote
Descripti keeping overheating.
on your Regularly
balance. monitor
pain in the patients for
joints, signs and
back, neck, symptoms of
or ears. diabetes
weakness. mellitus.
dry mouth. Consult
vomiting. physician
indigestion. about dosage
constipatio reduction and
n. use of
anticholinergic
antiparkinsoni
 ans
(controversial)
if
extrapyramidal
effects occur.
Take this drug
exactly as
prescribed.

Ranitidine Zantac Histamine 2 Increased 4-8 mg/kg Monitor signs

Receptor risk of orally every of
Antagonists bacterial 12 hours; not hypersensitivit
colonization to exceed 300 y reactions,
of stomach
mg/day · including
and
pulmonary
respiratory
tract due to symptoms
decreased in (tightness in
gastric the throat or
acidity chest,
wheezing,
cough,
dyspnea) or
skin reactions
(rash, pruritus,
urticaria).
Notify
physician or
nursing staff
immediately if
these reactions
occur.

Rifampin Rifadin Antibiotics heartburn. 10 mg/kg/day Advise patient

abdominal orally or 10 about possible
pain. mg/kg orally discoloration
loss of twice weekly of tears, saliva,
appetite. urine, and
nausea. other body
vomiting. fluids. Instruct
yellowing the patient to
skin and notify the
eyes physician if
(jaundice) discoloration
 gas becomes
(flatulence) troublesome.
cramps. Advise patients
about the
likelihood of GI
reactions
(nausea,
vomiting,
diarrhea,
flatulence,
abdominal
pain,
heartburn).

Salmeterol Serevent Bronchodila shaking of 50 mcg (1 Withhold

Diskus tor a part of inhalation drugs and
your body notify
that you physicians
cannot immediately if
control. bronchospasm
headache. s occur
nervousnes following its
s. use. Monitor
dizziness. cardiovascular
cough. status; report
stuffy nose. tachycardia.
runny Monitor liver
nose. enzymes
ear pain. periodically
with long-term
therapy.

Sertraline Zoloft Selective nausea. 25 mg or 50 Monitor and

Serotonin diarrhea. mg report signs of
Reuptake constipatio serotonin
Inhibitor n. syndrome,
(SSRI) vomiting. including
difficulty hyperthermia,
falling rigidity,
asleep or myoclonus,
staying and autonomic
asleep. instability with
dry mouth. fluctuating
 heartburn. vital signs and
loss of extreme
appetite. agitation that
may proceed
to delirium and
coma. Patients
should not
take sertraline
with other
drugs that
increase
serotonin
levels (e.g.,
MAO inhibitors

Spironolacton Aldactone Potassium - 25,50,100mg -Monitor

e Sparing hyperkalemi potassium levels
Diuretics a- -Teach patients
amenorrhea to avoid salt
- substitutes -
gynecomasti containing
a- potassium
impotence

Streptokinase Streptase Thrombolyti nausea, 25 mg Contraindicate

c Agents. headache, d with active
dizziness, bleeding
low blood Hypersensitivit
pressure, y
mild fever, Bronchospasm
bleeding Intracranial
from Hemorrhage
wounds or Hypotension
gums, Begin therapy
rash, as soon as
itching, possible
Monitor vital
signs
continuously
Monitor
closely for
bleeding
Monitor
hemodynamics
 Avoid invasive
procedures

Sucralfate Carafate Mucosal constipatio 1 g orally every -Take 1 hour

Protectant n 6 hours initially; before meals
maintenance: 1 and at bedtime (
g orally every 4 times a day)
12 hours -Increase intake
of fluids and
fiber

Terbutaline Brethine Bronchodila uncontrolla 2.5 mg Assess heart

Bricanyl tor and ble shaking three/four rate, ECG, and
Tocolytic of a part of times daily PO heart sounds,
the body. · especially
nervousnes Maintenance: during exercise
s. 5 mg three (See
dizziness. times daily PO Appendices G,
drowsiness H). Report a
. rapid heart
difficulty rate
falling (tachycardia)
asleep or or signs of
staying other
asleep. arrhythmias,
weakness. including
headache. palpitations,
nausea. chest
discomfort,
shortness of
breath,
fainting, and
fatigue/weakn
ess

Tetracycline Sumycin, broad- Nausea, 250mg Use is not

Actisite, spectrum vomiting, 500mg recommended
and antibiotics diarrhea, since
Achromy loss of tetracyclines
cin V appetite, pass into
mouth breast milk.
sores, black They may
hairy cause the
tongue, nursing baby's
 sore teeth to
throat, become
dizziness, discolored and
headache, may slow
or rectal down the
discomfort growth of the
baby's teeth
and bones.
They may also
increase the
sensitivity of
nursing babies'
skin to sunlight
and cause
fungus
infections of
the mouth and
vagina.

Trimethoprim Bactrim Sulfonamide dizziness, 160 mg The

/ DS, Antibiotic headache, trimethoprim/ medication can
Sulfamethoxa Sulfatrim lethargy, 800 mg cause
zole , Bactrim diarrhea, sulfamethoxaz increased
anorexia, ole PO photosensitivit
nausea, y, and patients
vomiting, should be
and. educated to
rash. use sunscreen
and protective
clothing with
sun exposure.
The patient
should also
report any
rash, sore
throat, fever,
or mouth sores
that might
occur. Unusual
bleeding or
bruising should
also be
reported to
 the provider.

Vancomycin Vancocin anti- -ototoxicity Typically 15 to Monitor signs

infectives - 20 mg/kg of
hypotensio every 8 to 12 hypersensitivit
n hours for y reactions and
- most patients anaphylaxis,
anaphylaxi (based on including
s actual body pulmonary
- rashes weight, symptoms
rounded to (tightness in
the nearest the throat and
250 mg chest,
wheezing,
cough
dyspnea) or
skin reactions
(rash, pruritus,
urticaria).
Notify
physician or
nursing staff
immediately if
these reactions
occur.

Vasopressin Pressyn Antidiuretic -Dizziness 5-10 units Chronic renal

hormones - abdominal failure with
cramps increased BUN;
-sweating Hypersensitivit
-water
y to beef or
intoxication
pork proteins

Verapamil Calan antianginals, - 80 -120 mg Assess for rash

antihypertensi Arrhythmias periodically
ves, -CHF - during
Bradycardia therapy. May
- chest pain
cause Stevens-
-Stevens-
Johnson
Johnson
Syndrome syndrome.

Warfarin Coumadi Anti- -Bleeding 2.0-3.0 -Closely monitor

n coagulants -GI upset, - PT/INR levels.
Hepatitis -Therapeutic INR
is 2-3
(takes 3-5 days
to get to
therapeutic
level) -Antidote
is Vit K!
-Advise patients
to maintain a
consistent intake
of foods high in
Vitamin K.
-Monitor for
bleeding -Use
soft toothbrush,
electric razor