DRUG STUDY

Name of the Drug Mechanism Of Indication/s Side Effects Nursing Responsibilities

Action
 Increasing the used in the treatment & GI: Diarrhea, nausea
Generic Name: growth of muscle prevention of vitamin & nutritional and vomiting Before:
Intravenous Amino tissues and deficiencies. It can also be used in Derm: dermatitis  Question patient’s history of
Acids Solution regulating the conditions such as anaemia and Electrolyte: allergic reactions, pre-existing
level of blood other nerve problems. hypokalemia, disease before therapy
Brand Name: sugar in the hyponatremia  Educate the patient about the
Nephrosteril body. side effect of this drug

During:
Classification: Contraindication/s Adverse Reactions  Administer during HD
Amino Acid allergic to mecobalamin/vitamin Renal: Renal failure  Monitor Vital signs, Blood
B12, pyridoxine/vitamin B6, Cardio: Cardiac pressure during therapy
Dosage: nicotinamide/vitamin B3, or any of insufficiency
500ml the components of Nephrosteril After:
Solution For Infusion.  Report fever, rash and
Route: generalized pain immediately
IV bolus  Instructed patien to report any
signs of unusualities.
Frequency:
During HD

Timing: 2pm

Reference: _______________________________________________________________________________________________________________________
Name of the Drug Mechanism Of Indication/s Side Effects
Action Nursing Responsibilities
Rapidly increases CNS: Mental confusion,
circulating blood Sourse of water, unconsciousness, Before:
Generic Name: glucose levels electrolytes and Respi: Tachypnea
Dextrose calories Electrolyte: Hypomagnesemia-  Clinical evaluation and periodic laboratory
Hyperglycemia, Hypophosphatemia determinations are necessary to monitor
Brand Name: Skin: Phlebitis, Edema changes in fluid balance, electrolyte
D5W GI: constipation concentrations, and acid base balance
 Obtain history of the patient’s fluid and
Classification: electrolyte statusbefore therapy and
Glucose-Elevating reassess regularly.
Agents

Dosage: During:
50mL  Monitor patient for any unusualities while
Contraindication/ Adverse Reactions administering
Route: IV bolus s  Caution: Excess administration may result
Known allergies to CNS: Cerebral hemorrhage, in metabolic alkalosis
Frequency: corn or corn cerebral ischemia  Upon inserting the chamber to another,
Post HD products CV: Hypermolar syndrome make sure that it is inserted well

Timing: 6pm After:

 If an adverse reaction does occur,
discontinue the infusion, evaluate the
patient and report immediately tp the
physician
 Name of the Drug Mechanism Indication/s Side Effects Nursing Responsibilities
Of Action
Irreversibly CNS: headache. GI: Before:
binds to, Treatment, maintenance of abdominal pain,  Question history of GI disease, ulcers,
Generic Name: inhibits healing of erosive esophagitis diarrhea, eructation, GERD.
Pantoprazole hydrogenpotas associated with flatulence.  Best given before breakfast.
sium gastroesophageal reflux disease  May be given without regard to food.
Brand Name: adenosine (GERD) and reduction of
Protonix triphosphate, relapse rate of heartburn
an symptoms in GERD. During:
Classification: enzyme on  Do not break, crush, dissolve, or divide
Protom Pump surface of tablets; give whole.
inhibitors gastric parietal  Evaluate for therapeutic response
cells. Inhibits (relief of GI symptoms).
Dosage: hydrogen ion  Question if GI discomfort, nausea
40mg transport into Contraindication/s Adverse Reactions occur.
gastric lumen Hypersensitivity to patoprazole, Endo: hyperglycemia.  Monitor for abdominal pain, diarrhea
Route: other proton pump inhibitors (with or without fever).
NGT
After:
Frequency:  Report abdominal pain, diarrhea (with
BID or without fever) that does not
resolve; may indicate colon infection.
Timing:  Advise patient to avoid alcohol and
6am, 6pm foods that may cause an increase in GI
irritation.
 Name of the Drug Mechanism Of Indication/s Side Effects Nursing Responsibilities
Action
It allows the intake of GI: nausea, vomiting Before:
essential amino acids CKD  Assess patient’s electrolyte levels
Generic Name: while minimizing the  Explain therapeutic value of the drug
Ketoanalogue amino- nitrogen  Assess history of allergy of the drug
intake. Following  Educate patient about the side effects
Brand Name: ingestion, the of the drug.
Ketobest ketoanalogues are
transaminated by
Classification: taking nitrogen from During:
Supplement non-essential amino  Administer with food to prevent GI
acid, thereby upset.
Dosage: decreasing the  Advise to swallow the tablet whole. Do
600mg/tab formation of the urea Contraindicatio Adverse Reactions not chew or crush tablet.
by reusing the amino n/s  Monitor Vital Signs periodically.
Route: group.
Hypercalcemia Hypercalcemia
NGT After:
Disturbed amino
 Instruct pt to report immediately if
acid metabolism
Frequency: symptoms of hypercalcemia occurs like
TID muscle weakness, constipation occurs
 Continue Monitoring of calcium levels
Timing:
6am, 12 pm, 6pm
 Name of the Drug Mechanism Of Indication/s Side Effects Nursing Responsibilities
Action
Pancreatic GI: Diarrhea, soft
enzymes are stools, nausea, or Before:
Generic Name: enteric-coated to Dyspepsia, anorexia, vomiting,  Follow the dosage and
Biodiastase2000 III, minimize overeating, promotion of Respi: palpitations administration as ordered by the
Lipasil, panbrosin, destruction or digestion, gastric may occur physician
Pancellase inactivation in distention due to EENT: Discomfort may  Assess patient’s pre-existing list of
gastric acid. indigestion, nausea, occur inside the medications, allergies, and current
Brand Name: Pancreatic vomiting, and degassing. mouth. health condition.
Bearse enzymes are not
absorbed from the During:
Classification: gastrointestinal  Administer drug after meals and at
Digestives tract in bedtime
appreciable  When you miss a dose, you should
Dosage: amounts. take it as soon as you remember,
50mg Contraindication/s Adverse Reactions but you should take care that it
patients with hereditary Respi: chest pain, should be well spaced from the next
Route: problems such as difficulty in breathing dose.
NGT galactose intolerance,
Lapp lactase deficiency, or After:
Frequency: glucose-galactose  IF the symptoms are not improves
Q6 malabsorption should not after use for about 2 weeks, report
take this medicine. immediately
Timing:
6am,12pm,6pm
 Name of the Drug Mechanism Of Action Indication/s Side Effects Nursing Responsibilities

The drug passes Before:

unchanged into the GI: belching, cramps,  Assess pt. For abdominal distention,
Generic Name: colon where bacteria Constipation distention, flatulence, diarrhea presence of bowel sounds, and normal
Lactulose break it down to pattern of bowel function.
organic acids that  Assess mental status before course of
Brand Name: increase the osmotic therapy
Chronulac pressure in the colon  Caution pt. That this medication may
and slightly acidify the cause belching, flatulence or abdominal
Classification: colonic contents, cramping.
Laxative resulting in an increase
stool water content, During:
Dosage: stool softening, laxative  Asses color, consistency, and amount of
30cc action. stool produced.
 Monitor serum electrolytes periodically
Route:  Mix with fruit juice, water or milk to
NGT improve flavor. May be administered to
an empty stomach.
Frequency:
HS After:
 Encourage pt. To use other forms of
Contraindicati Adverse Reactions
Timing: bowel regulation such as increase bulk in
on/s
6pm diet, increase fluid intake,, and
Allergic to Endo: Hyperglycemia
increasing mobility,
lactulose and
low galactose
diet.