DRUG ACTION INDICATION CONTRA- ADVERSE NURSING

INDICATION REACTION RESPOSIBILITIES

Generic Mucolytic Mucolytic adjuvant Mucolytic Mucolytic use: Instruct patient to increase
name: Activity: Splits theraphy for use: GI: nausea, oral fluid intake.
ACETYLCYS links in the abnormal viscid or Hypersensiti stomtitis.
TEINE muco-proteins inspissated mucus vity to Instruct patient that he/she
contained in secretionsin acute acetylcystein Hypersensitivity: may experience these side
Brand name: the respiratory and chronic e, use urticaria. effects: increased
FLUIMUCIL mucus disease. caution and productive cough, nausea,
secretions, discontinue Respiratory: GI upset.
decreasing the To prevent hepatic immediately bronchospasm.
viscousity of injury that may if Instruct patient to report
the mucus. occur after bronchospas Other: rhinorrhea. difficulty breathing or
ingestion of a m occur. nausea.
Antidote to potientially Antidotal use:
acetaminphen hepatotoxic dose of Dermatologic:
hepatotoxicity.p acetaminophen. rash.
rotects livee
cells by GI: nausea,
maintaining cell vomiting, other GI
function and symptoms.
detoxifying
acetaminoiphe
n metabolites.
DRUG ACTION INDICATION CONTRA- ADVERSE NURSING
INDICATION REACTION RESPOSIBILITIES
Generic Bind to Oral use: Allergy to CNS: Headache , Assess patient fro
name: bacterial cell Pharyngitis, cephalospori dizziness, infection at the beginning
CEFUROXIM wall tonsillitis, otitis ns or lethargy, and during the therapy.
E membrane media, lower penicillins. paresthesia.
which causes respiratory Before initiating thepary,
Brand name: cell death. infections, UTI’s, GI: N/V, diarrhea, obtain a history to
Zegen uncomplicated anorexia, determine previous use of
gonorrhea, skin and pseudomembrano and reaction to
skin us colitis. penicillin or
Structure infections cephalosporins. Person
including impetigo. GU: Nephrotoxicity with a negative history of
penicillin sensitivity may
Parenteral use: Hematologic: Bone still have an allergic
Lower respiratory marrow response.
infections, depression.
dermatologic O btain specimens for
infections, UTI’s, culture and sensitivity
meningitis, before initiating the
septicemia. therapy.

O bserve patient for sings

and symptoms of
anaphylaxis (rash,
pruritus, laryngeal
edema, wheezing)

Assess patient for renal

dysfunction and adjust
accordingly.
DRUG ACTION INDICATION CONTRA- ADVERSE NURSING
INDICATION REACTION RESPOSIBILITIES
Generic Competitively Symptomatic relief Allergy to CNS: drowsiness Instruct patient to administer
name: blocks the of symptoms anti- dizziness, dsrug with food if GI upset
CHLORPHEN effects of associated with histamines, disturbed occurs.
AMINE histamines at perennial and narrow-angle coordination
MALEATE H1-receptor seasonal allergic glucoma, CV: hypotension Intruct patient not to crush
sites; has rhinitis, vasomotor stenosi or chew SR preparations.
Brand name: atrophin like, rhinitis:allergic peptic ulcer, GI: epigastric
ANTAMIN anti-pruritic and rhinitis. asthmatic distress Arrange for periodic blood
sedative attack, tests during prolonge
effects. bladder neck GU: urinary theraphy.
obstruction. frequency, dysuria
Instuct patient to avoid
Hematologic: alcohol.
Hemolytic anemia,
thrombocytopenia Instruct patient not to
perform tasks that requires
Respiratory: alertness(driving).
thickening of
bronchial Instruct patient to report
secretions difficulty of breathing,
hallucinations, tremors,
Loss of coordination
unusual bleeding or bruises,
visual disturbances.
DRUG ACTION INDICATION CONTRA- ADVERSE NURSING
INDICATION REACTION RESPOSIBILITIES
Generic Forms a antihemorrhagic Patients G I disorders: Dosage modification
name: reversible and antifibrinolytic predispose nausea, required in patient’s with
TRANEXAMI complex that for effective d to vomiting. renal impairment.
C ACID displaces hemostasis in thrombosis.
plasminogen various Prophylaxis CNS: anorexia, W atch out for any signs
Brand name: from surgical and during headache may of bleeding.
Hemostan fibrin resulting clinical cases, in pregnancy appear,
in inhibition of traumatic injuries, and before impaired renal
fibrinolysis, it post-tooth delivery. insufficiency,
also inhibits extraction and hypotension
the proteolytic other when IV injection
activity of dental is too rapid.
plasmin. procedures.
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Decreases Management of Serious CNS: insomnia, M onitor any sign of

name: inflammation adrenocortical infections, nervousness anaphylactic reaction.
HYDROCORT by insufficiency, except
suppression relief septic GI: increased Assess client¶s urine,
ISONE
of migration inflammation of shock or appetite muscle weakness and
Brand name: of corticosteroid- tuberculosis wasting, weight.
polymorphon responsive meningitis, Derma:
Solu-cortef
uclear dermatoses, hypersensiti hirsutismE n d o :
leukocytes vity, viral, diabetes mellitus
adjunctive
and reversal fungal or
of increased treatment of tubercular R e s p : epistaxis
capillary ulcerative colotis. skin lesions.
permeability. other:
cataracts,
anthralgia

:
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Vitamins Malnutrition, protein Contraindica hypervitaminosis Assess patient for signs of
name: and and vitamin ted for (large doses). vitamin deficiency before
CALCIUM minerals deficiencies, patient’s with and periodically throughout
contents are malabsorptio therapy.
PANTHOTENI anemia,
absorbed by n syndrome.
C the intestine convalescence, Assess nutritional status
and into the restoration and through 24 h diet recall.
Brand name: maintenance of
bloodstream
MORIAMIN which body resistance, Determine frequency
FORTE is pregnancy and of consumption of vit rich
distributed lactation, foods.
and adjuvant in the
consumed therapy of peptic
by the body ulcer and TB.
or stored in
the body.
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Act centrally

Acute cough of Hypersen CNS: dizziness. Assess cough type and
name: (on brain, and
any sitivity to GI: Nausea and frequency, Monitor the
BUTAMIRATE specifically
etiology. Pre and Drug. vomiting, adverse reactions.
the
CITRATE Post op cough diarrhea.
vagus nerve)
sodation for Skin: rash Assess patient’s VS.
Brand name: or
surgical
locally (on the
SINECOD procedures and Assess sleep pattern.
respiratory
FORTE bronchoscopy.
tract) to
Teach patient:
suppress the
if cough persist 10 days +
cough reflex.
fever or chest pain –
check with Doctor.
Don’t exceed
recommended dose .

Drink fluids but not

immediately after dose.

Advise patient to
minimize cough by
avoiding irritants
(cigarette smoke, fumes,
dust) .

Instruct patient to cough

effectively, sit upright and
take several deep
breaths
before attemting.
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Bactericidal: For the treatment of Allergy to GI Hypersensitivity

name: inhibits many different cephalospori disturbances; reactions to
CEFUROXIME synthesis of types of bacterial n’s or erythema cephalosporin’s,
bacterial cell infections such as penicillin’s multiforme, penicillin’s, and history
wall, causing bronchitis, sinusitis, Stevens-Johnson of allergies,
Brand name: cell death. tonsillitis, ear Renal failure syndrome, particularly to drugs,
CEFTIN infections, skin epidermal before therapy is
infections, Lactation. necrolysis. initiated.
gonorrhea, and
urinary tract Large doses Inspect IM and IV
infections. can injection sites
cause frequently for signs of
cerebral phlebitis.
irritation and
convulsions; Report onset of loose
nausea, stools or diarrhea.
vomiting,
diarrhea. Although
pseudomembranous
colitis.

Monitor I&O rates and

pattern: Especially
important in severely
ill patients receiving.
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Hypersen Instruct patient not to

The Dry unproducti It is an antitussive
name: sitivity, perform tasks that require
medication ve cough drug, it can cause
the alertness.
with drug with dizziness,
excess
Brand name: Levopront pharyngitis, somnolence,
rate,
yet to , influenza, nausea, vomiting,
LEVOPRONT expresse
materialize pneumonia, heartburn,diarrhe
d
. bronchial a, abdominal
violations
asthma, discomfort,
of the
emphysema faintness.
liver.
lungs.
DRUG ACTION INDICATION CONTRAIN ADVERSE NURSING
DICATION REACTION RESPONSIBILITIES

Generic Reduce the Acute and Use nonreactive

name: viscosity of chronic drug increased plastic, glass or
FLUIMUCIL purulent and respiration sensitivity incidence of stainless steel for
nonpurulent tract infection bronchospas administration.
Brand name: secretions and with Phenylketon m
facilitates their abundant uric May administer via
ZAMBON removal by mucus s GI: face mask, face tent,
splitting secretion. - nausea oxygen tent or by
disulfide bonds. - vomiting positive pressure
- stomatitis apparatus.
Action
increases Administer with
with increasing compressed air for
pH. nebulization.
Also reduces
liver Have suction availabl
injury due to for emoval of
acetaminophen increased secretions.
over dosage by
maintaining or
restoring
glutathione
levels
or by acting as
an
alternate
substrate
for the reactive
metabolite of
acetaminophe.
•
DRUG ACTION INDICATION CONTRAINDIC ADVERSE NURSING
ATION REACTION RESPONSIBILITIES

Generic Mucolytic Adjunct Hypersensitive Nausea, vomiting, Assess patient’s history of

name: that reduces therapy for to drug. dizziness, underlying condition, cough:
ACETYLCYST the viscosity abnormal flushing, stomach type, frequency, character.
EINE of pulmonary viscid or Use cautiously upset, cough, or
secretions thickened in elderly or increased Assess patient respiration &
Brand name: by splitting mucous debilitated sweating may pulmonary secretions,
ACETADOTE, disulfide secretions in patients with occur. If any of exercise caution on patients
MUCOMYST linkages patients with severe these effects with respiratory insufficiency &
between pneumonia, respiratory persist or worsen, history of bronchospasm.
mucoprotein bronchitis, insufficiency. notify your doctor
molecular bronchiectasis, Use I.V. or pharmacist Instruct patient to follow
complexes. primary formulation promptly. directions exactly. Explain
Also, amyloidosis of cautiously in importance of using drug as
restores liver the lung, patients with directed.
stores of tuberculosis, asthma or a
glutathione cystic history of Teach patient how to use &
to treat fibrosis, bronchospasm. clean nebulizer.
acetaminoph emphysema,
en toxicity. atelectasis, Acetadote is
pulmonary contraindicated
complications in patients with
of thoracic previous
surgery, or CV anaphylactoid
surgery reactions to
acetylcysteine.
DRUG ACTION INDICATION CONTRAINDIC ADVERSE NURSING
ATION REACTION RESPONSIBILITIES

Generic Treatment of Hypersensitivity Assess for respiratory

name: long-acting chronic: , cardiac fatigue, status and increase
CETRIZINE idiophatic disease, bronchial secretions,
non sedating urticaria, drowsiness, wheezing.
Brand name: pruritis,
ALNIX anti-histamine eczema, headache, Instruct patient to use
dermatitis, medication as directed.
that perennial gastrointestinal Teach all aspects of
selectively allergic rhinitis discomfort, medication.
inhibits and allergic vomiting,
peripheral H1 conjunctivitis. diarrhea.
receptors. Instruct patient to take 1
hour before or 2 hours after
a meal to
facilitate absorption.