NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING

DRUG ADVERSE EFFECT RESPONSIBILITES

Generic Name: Nonsteroidal Analgesic and  Indigestion, gas,  Monitor for

antiinflammatory drug antipyretic effects in stomach pain, therapeutic
Diclofenac Na (NSAID) with symptomatic effectiveness.
nausea,
analgesic and treatment of
antipyretic activity. postpartum pain vomiting;
Brand Name:  diarrhea,  Observe and
report signs of
Mechanism of Contraindication constipation;
bleeding
Voltaren Action: s:  headache,
dizziness,
Route: The drug is a potent Contraindicated drowsiness;
inhibitor of  stuffy nose;  Monitor for
to patients with
IV Push cyclooxygenase, Hypersensitivity to  itching, increased signs and
thereby decreasing diclofenac, patients sweating; symptoms of GI
Dosage and the synthesis of in whom asthma,
prostaglandins.  increased blood
Frequency: urticaria, irritation and
angioedema,
pressure; or.
bronchospasm,  swelling or pain ulceration.
75 mg + 7cc in your arms or
severe rhinitis,
sterile water for shock, or other legs.
injection, q12 sensitivity reaction
is precipitated by
aspirin or other
NSAIDS, pregnancy
(category B),
lactation
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT

Generic Name: Anti emetic Agent; Management of  feeling  Be aware that

GI stimulant nausea and vomiting restless, during early
Metoclopramide drowsy, treatment
Mechanism of period, serum
tired, or
Contraindications: aldosterone
Brand Name: Action: dizzy; may be
Sensitivity or  headache, elevated; after
Reglan Potent central sleep prolonged
intolerance to
dopamine receptor problems administration
metoclopramide;
Route: antagonist. Appears (insomnia); periods, it
allergy to sulfiting
to sensitize GI
smooth muscle to
agents; history of  nausea, returns to
IV Push seizure disorders; vomiting, pretreatment
effects of level.
concurrent use of diarrhea;
acetylcholine by  Do not breast
Dosage and drugs that can cause  breast
direct action. feed while
Frequency: extrapyramidal
tenderness taking this drug
symptoms;
pheochromocytoma; or swelling; without
5 mg/1 amp, q8  changes in
mechanical GI consulting
PRN your physician.
obstruction or
perforation; history of menstrual
breast cancer. Safety periods; or.  Avoid driving
during pregnancy  urinating and other
(category B) or more than potentially
lactation is not hazardous
usual
established. activities for a
few hours after
drug
administration
NAME OF DRUG CLASSIFICATI INDICATION SIDE EFFECT / NURSING
ON ADVERSE RESPONSIBILITES
EFFECT

Generic Name: Antihistamine; H2 Temporary  dizziness,  Monitor

Receptor symptomatic relief of drowsiness, cardiovascular
Diphenhydramine Antagonist various allergic loss of status especially
Hydrochloride conditions and to with preexisting ca
coordination;
Mechanism of treat or prevent rdiovascular disea
motion sickness,  dry mouth, se.
Brand Name: Action:
vertigo, and reactions nose, or throat;  Monitor for adverse
Significant to blood or plasma in  constipation, effects especially
Benadryl susceptible patients. upset stomach; in children and the
anticholinergic
activity. Competes for Irritability including  dry eyes, older adult.
Route: H1 aggression, self- blurred vision;  Supervise
-receptor sites on injury, and tantrums or. ambulation and
Deep IM effector cells, thus  day-time use side-rails as
blocking Contraindications: necessary.
drowsiness or
Dosage and histamine release. "hangover"
Frequency: feeling after
Contraindicated in
patients night-time use.
PRN for pruritus*
hypersensitive to
drugs and in breast
feeding women
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Take medication
Generic Name: Antibiotic, 1st To prevent post-  diarrhea, for the full course
generation operative infection of therapy as
 dizziness,
Cephalexin cephalosporin directed by
 tiredness, physician.
Contraindications:  headache,
Brand Name: Mechanism of
 stomach  Keep physician
Action: informed
Keflex Hypersensitivity to upset,
if adverse
Mechanism of penicillin or other  abdominal reactions appear.
Route: action of cephalexin allergy. Severe renal pain,
is similar to dysfunction. GI  joint pain,
penicillin. It acts by disease (esp. colitis).
Oral  vaginal itching  Be alert to S&S of
inhibiting bacterial Discontinue if colitis
or discharge, superinfections
cell wall synthesis, occurs and treat.
Dosage and (see Appendix F).
lack of bacterial cell Pregnancy (Cat.B).
frequency : These symptoms
wall results in death Nursing mothers.
should be
due to lysis of reported promptly
500 mg TID for bacteria. and appropriate
7 days therapy instituted.

 Do not breast
feed while taking
this drug.
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Give drug with
Generic Name: Antibiotic, To prevent post-  Headache, meals to
Antibacterial, operative infection dizziness, minimize GI
Metronidazole Amebicide, ataxia, distress
Antiprotozoal vertigo,
Brand Name: Contraindications: incoordination  Instruct to
Mechanism of , insomnia, complete full
Action: Contraindicated with seizures, course
Flagyl peripheral of therapy
hypersensitivity to
Inhibits growth metronidazole; neuropathy,
Route: pregnancy (do not fatigue
of amoebae by
binding to DNA, use for  Unpleasant  Tell pt. not to
Oral resulting in loss trichomoniasis in metallic taste, use alcohol or
of helical structure, first trimester). anorexia, drugs that
Dosage and strand breakage, Use cautiously with nausea, contain
frequency : inhibition of nucleic CNS diseases, vomiting, alcohol.
acid synthesis and hepatic disease, diarrhea, GI
500 mg TID for cell death. candidiasis upset, cramps  Do not breast
7 days (moniliasis), blood  Dysuria, feed while
dyscrasias, incontinence, taking this
lactation. darkening of drug.
the urine
 Thrombophle
bitis (IV);
redness,
burning,
dryness, and
skin irritation
(topical)
 Severe,
disulfiram-like
interaction
with alcohol,
candidiasis
(superinfectio
n)
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Discontinue
Generic Name: Analgesic, Short-term relief of  Drowsiness,
antiinflammatory, mild to moderate pain  insomnia, drug promptly
Mefenamic Acid and antipyretic  dizziness, if diarrhea,
actions Contraindications:  nervousness dark stools,
Brand Name:  confusion,
Mechanism of Hypersensitivity to  headache. hematemesis,
Ponstan Action: drug; GI ecchymoses,
inflammation, or
ulceration. Safety in epistaxis, or
Route: Anthranilic acid
derivative. Like children <14 y, during rash occur and
ibuprofen inhibits pregnancy (category
Oral do not use
prostaglandin C), or lactation is not
synthesis and established. again. Contact
Dosage and affects platelet physician.
frequency : function.
 Notify
500 mg q6 7 physician if
days persistent GI
discomfort,
sore throat,
fever, or
malaise occur.
 Do not drive or
engage in
potentially
hazardous
activities until
response to
drug is known.
It may cause
dizziness and
drowsiness.
 Monitor blood
glucose for
loss of
glycemic
 control if
diabetic.
 Do not breast
feed while
taking this drug
without
consulting
physician.
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
• Dizziness • Advise patient to
Generic Name: Iron Preparation Post operational •N&V take medicine as
blood loss • Nasal Congestion prescribed.
Ferrous Sulfate Mechanism of • Dyspnea
Action: Contraindications: • Hypotension • Caution patient to
• CHF make position
Brand Name:
• MI changes slowly to
Elevates the serum  Hypersensiti
• Muscle cramps minimize orhtostatic
Hemarate iron concentration vity • Flushing hypotension.
which then helps to  Severe
Route: form High or trapped Hypotension • Instruct patient to
in the
avoid concurrent use
reticuloendothelial
Oral of alcohol or OTC
cells for storage and
medicine without
eventual conversion
Dosage and consulting the
to a usable form of
frequency : physician.
iron.
• Advise patient to
1 tab OD
consult physician if
irregular heartbeat,
dyspnea, swelling of
hands and feet and
hypotension occurs.

• Inform patient that

angina attacks may
occur 30 min. after
administration due
reflex tachycardia.

• Encourage patient to
comply with additional
intervention for
hypertension like
proper diet, regular
exercise, lifestyle
changes and stress
management.
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Hypertension  Monitor fundal
Generic Name: Ergot Alkaloids Post partum  nausea height and
Hemorrhage  vomiting consistency
and the
Methylergonovin Mechanism of  headache
amount and
e Maleate Action:  bradycardia, character of
Contraindications:  dizziness the lochia.
Brand Name: stimulate the uterus  tinnitus
to contract in order  Assess the
Pregnancy,hepatic or
to decrease blood
 abdominal blood pressure
Methergine renal disease,
cramps before and
loss by clamping off cardiac disease,
uterine blood hypertension or  palpitations routinely
Route:  dyspnea throughout
vessels and to preeclampsia
promote the  chest pain drug
contraindicate this
Oral involution process. and allergic administration.
drugs
In addition the drug reactions  Instruct patient
use.Methylergonovin
Dosage and has vasoconstrictive to take
e maleate must be
frequency : effect on all blood medication as
used with caution
vessels, especially directed;
during lactation.
1 tab TID for 3 the larger arteries.  Advise patient
that medication
days
may cause
menstrual-like
cramps
 Caution patient
to avoid
smoking,
because
nicotine
constricts
blood vessels.
 Instruct patient
to notify health
care
professional if
infection
develops, as
this may cause
increased
sensitivity to
the medication.
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 nausea  Follow how to
Generic Name: Stimulant Laxative To treat  vomiting take Senokot-
constipation  abdominal S (docusate
Sennoside Mechanism of cramps and senna) as
Docusate Action:  urine may you have been
told by your
Contraindications: turn reddish
brown doctor. Do not
Brand Name: They work by
use more than
keeping water in  Appendicitis you were told
Senokot the intestines, which  Stomach or to use.
helps to cause Intestine
Route: movement of Blockage  Take at
the intestines.  Unable to bedtime if
Docusate is known Control Bowel taking once a
Oral as a stool softener. day.
Movement
It helps increase the
Dosage and amount of water in  Take with a full
frequency : the stool, making it glass of water.
softer and easier to  Do not take
1 tab single pass. other drugs
dose within 2 hours
of Senokot-S
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 nausea  Assess patient
Generic Name: Laxative Constipation  vomiting for abdominal
 abdominal distention,
Dulcolax Mechanism of cramps presence of
Action: Contraindications:  diarrhea bowel sounds,
and usual
Brand Name:
pattern of
Alters fluid and Intestinal obstruction,
bowel function
Bisacodyl electrolyte transport, severe dehydration.
producing fluid ileus  Assess color,
consistency
Route: accumulation in the
colon. and amount of
stool produced
Suppository administration.
 Instruct patient
Dosage and to take
frequency : medication as
directed;
1 tab
 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Hypertension  Continuously
Generic Name: Uterine-active Control of  tachycardia monitor
agent postpartum  vomiting contracions,
fetal and
Oxytocin bleeding or  nausea
maternal heart
Mechanism of hemorrhage  anoxia rate, and
Brand Name: Action:  asphyxia maternal blood
pressureDiscont
Pitocin By direct action on Contraindications: inue infusion if
myofibrils produces uterine
Route: phasic contractions -hypersensitive to hypersensitivity
characteristics of drug when vaginal occurs.
nomal delivery. delivery is advised
Intravenous  Monitor patient
Promotes milk
extremely
ejection reflex. -cephalopelvic
Dosage and closely during
frequency : disproportion is first and second
present stages of labor
10 units/ml because of risk
of cervical
laceration,
uterine rupture,
and maternal
and fetal death
 Assess fluid
intake and
output. Watch
for signs and
symptoms of
water
intoxication

 NAME OF CLASSIFICATION INDICATION SIDE EFFECT / NURSING
DRUG ADVERSE RESPONSIBILITES
EFFECT
 Itching  Do not
Type of Hypertonic -Treatment for  Hives administer
Solution: nonpyrogenic, persons needing  Swelling of unless solution
parenteral fluid, extra calories who face is clean and
5% Dextrose in electrolyte and cannot tolerate fluid  Puffy eyes container is
 Coughing undamaged
Lactated nutrient overload
 Sneezing  Caution ust be
Ringer’s replenisher
 Sore Thorat exercised in
Solution the
Contraindications:  Fever
administration
Route: of parenteral
- Amphotericin B fluids.
Oral - Mannitol  Discard
- Diazepam unused portion
Dosage and
frequency :

1 liter infusing at
right arm at 20
gtts/min