PHINMA - UNIVERSITY OF ILOILO
COLLEGE OF ALLIED HEALTH SCIENCES
Nursing Department
DRUG STUDY
THERAPEUTIC NURSING
MEDICATION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS
ACTIONS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME:
Acetaminophen ● Hypersensitivity CNS: agitation, ● Monitor vital signs.
● Unclear. Pain ● Mild to to drug or its anxiety, dizziness, ● Monitor blood pressure to
BRAND NAME: ● Relief may result moderate pain components insomnia, headache,
evaluate drug efficacy
Abenol, Acephen, from inhibition of ● Fever pyrexia, fatigue
● Severe hepatic ● Consider 10 Rights
Anadin prostaglandin reduction CV: hypotension,
Paracetamol synthesis in impairment or peripheral edema, ● Administer without regard
(antipyretic) in active liver of food.
CNS, with periorbital edema,
subsequent both children disease, GI:nausea,vomiting, ● Be alert for adverse reactions
blockage of pain and adults ● Severe diarrhea, dyspepsia, and drug interactions
CLASSIFICATION: impulses. Fever ● Pain or fever malnutrition, abdominal pain ● Observe for acute toxicity
ANALGESIC, reduction may relief in Respiratory: and overdose
● Renal impairment
ANTIPYRETIC result from patients who abnormal breath ● Advise patient, parents, or
vasodilation and cannot sound, dyspnea, other caregivers to contact
ROUTE: increased hypoxia, atelectasis, prescriber if fever or other
tolerate
PO peripheral blood pleural effusion symptoms persist despite
flow in NSAIDs (e.g., Hematologic:
those with taking recommended amount of
hypothalamus, thrombocytopenia,
DOSAGE/FREQUE which peptic ulcer, hemolytic anemia, drug.
NCY: dissipatesheat bleeding risk, neutropenia,
1g Q6 and lowers body or aspirin leukopenia,
temperature. sensitivity) pancytopenia Hepatic:
jaundice,
● Combination hepatotoxicity
therapy with Other:
opioids for hypersensitivity
moderate to reactions (such as
severe pain fever)
PHINMA - UNIVERSITY OF ILOILO
COLLEGE OF ALLIED HEALTH SCIENCES
Nursing Department
DRUG STUDY
THERAPEUTIC NURSING
MEDICATION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS
ACTIONS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME:
Cefazolin ● History of Injection Site ● Always confirm the patient has no
● Kill bacteria and Surgical immediate Reactions: Pain, known allergies to Cefazolin, other
BRAND NAME: prevents their Prophylaxis: hypersensitivity redness, swelling, or cephalosporins, or penicillins.
Ancef and Kefzol growth irritation at the site of Assess the patient's kidney function
reactions.
Used to prevent the injection. by reviewing recent blood work.
● Impaired renal
● Inhibits bacterial infection before ● Document the patient's baseline
CLASSIFICATION: function. Gastrointestinal
cell wall surgery. vital signs and the signs and
CEPHALOSPORIN ● Gastrointestinal Issues: Nausea,
synthesis by symptoms of their infection.
ANTIBIOTIC Treatment of disease vomiting, diarrhea, and
● Follow the ten rights of medication
binding to one or Infections: ● Bleeding disorder stomach cramps.
administration to ensure patient
ROUTE: more penicillin-
IV Allergic Reactions: A safety.
binding proteins Skin and soft
mild skin rash or hives. ● Administer the drug slowly, typically
(PBPs), leading tissue
over 3 to 5 minutes for an IV push
to bacterial cell or 30 to 60 minutes for an infusion.
DOSAGE/FREQUE Bone and Joints Oral/Vaginal Fungal
NCY: lysis. Infections: White ● Monitor the patient closely for side
Usual adult Respiratory Tract patches in the mouth effects, especially after the first
dose: (thrush) or vaginal dose.
250mg to 2g- Urinary Tract itching/discharge due ● Monitor for a decrease in the signs
Q8 to an overgrowth of of infection.
Endocarditis yeast. ● Be vigilant for severe, persistent
Pre-op diarrhea.
Sepsis
prophylaxis: ● Instruct the patient to immediately
report any new or worsening
1g IV 30-60 symptoms.
mins before ● Advise the patient to avoid alcohol
surgery during treatment.
PHINMA - UNIVERSITY OF ILOILO
COLLEGE OF ALLIED HEALTH SCIENCES
Nursing Department
DRUG STUDY
THERAPEUTIC NURSING
MEDICATION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS
ACTIONS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME:
Heparin Sodium ● Enhances the ● Prophylaxis ● Active bleeding Blood in urine ● Monitor for Activated Partial
activity of and treatment ● Severe Bruising more Thromboplastin Time
antithrombin of; Deep Vein thrombocytopenia easily ● Monitor for Platelet count
BRAND NAME: III, which Thrombosis, ● History of Headache ● Monitor for Hemoglobin and
Hep-lock, Heparin Leo, inactivates Pulmonary heparin-induced Melena Hematocrit
Heparin lock Flush thrombin and Embolism, thrombocytopenia Bleeding ● Assess for Hematuria, Melena,
factor Xa. Atrial ● Hypersensitivity Hemoptysis Hematemesis, nose bleeds,
This inhibits fibrillation with to heparin or pork Dizziness bruising.
CLASSIFICATION: the Embolization, products ● Double-check dose and
Shortness of
Anticoagulants conversion of Disseminated ● Intracranial concentration
breath
Antithrombotic fibrinogen to intravascular hemorrhage or ● Rotate injection site (if given
Chills
fibrin, thus coagulation, recent major SubQ; do not massage site)
preventing Acute surgery Injection site
● Use of Infusion pump for IV
ROUTE: clot myocardial discomfort/Irrita
administration to ensure
Intravenous formation. infarction. tion
accurate dosing
Subcutaneous ● Maintain Nausea
● Educate patient to avoid
patency of IV Chest pain
activities that may cause injury
catheters Fever ● Educate patient to report signs
DOSAGE/FREQUENCY (heparin flush) Back pain of bleeding or unusual bruising
Prophylaxis of Bleeding in ● Educate patient to avoid
Deep Vein gums aspirin or NSAIDS unless
Thrombosis Darkening of prescribed
5,000u SubQ the skin
every 8-12 hours Double vision
Hives
