DRUG CLASSIFICATION/ DOSE/ ROUTE MECHANISM CONTRAINDICATION SIDE EFFECT NURSING

INDICATION AND OF ACTION RESPOSIBILITIES

FREQUENCY
Generic Name: Classification: 5 mg 1 tab OD (8) Inhibits calcium • Contraindicated in CNS: headache, > Monitor blood
Amlodipine Anti – Anginals ion influx across patients somnolence, pressure frequently
Besylate cardiac and hypersensitive to fatigue. during initiation of
smooth muscle drug. CV: edema, therapy. Because
cells, thus • Use cautiously in flushing drug induced
decreasing patients receiving GI: nausea, vasodilators has
myocardial other peripheral abdominal pain. gradual onset acute
Brand Name: Indication: contractility and vasodilators, GU: sexual hypotension is rare.
Norvasc • Chronic Stable oxygen demand; especially those difficulties. > Don’t confuse
angina. also dilates with severe aortic Musculoskeletal: amlodipine with
• Hypertension. coronary arteries stenosis, and in muscle pain. amiloride.
and arterioles. those with heart Respiratory: > Caution patient to
failure because dyspnea. continue taking drug
drug is metabolized Skin: rash. even when feeling
by the liver, use better.
cautiously and > Tell patient S.L.
induced dosage in nitrolycerin may be
patients with sever taken as needed
hepatic disease. when angina
symptoms are acute.
 DRUG CLASSIFICATION/ DOSE/ ROUTE MECHANISM CONTRAINDICATION SIDE EFFECT NURSING
INDICATION AND OF ACTION RESPOSIBILITIES
FREQUENCY
Generic Name: Classification: 150/ tab, 1 tab q8 Competitively • Contraindicated in CNS: vertigo, > Assess patient for
Ranitidine Anti - ulcer Drugs inhibits action of patients malaise, headache. abdominal pain. Note
Hydrochloride. histamine on the hypersensitive to EENT: blurred presence of blood in
H2 at receptor drug and those vision. emesis, stool, or
sites of parietal with acute Hepatic: jaundice. gatric aspirate.
cells decreasing parphyria. Other: > Ranitidine may be
Brand Name: Indication: gastric acid • Use cautiously in andioedema, added to total
Zantac • Duodenal and gatric secretion. patients with anaphylaxis. parenteral nutrition
ulcer; pathologic hepatic solution.
hypersecretory dysfunction. Adjust > Instruct patient on
condition such as dosage in patients proper use of OTC
Zolliger – Ellison with impaired renal preparation, as
syndrome. function. indicated.
• Maintenance > Remind patient to
therapy for take once daily
duodenal or gatric prescription drug at
ulcer. bedtime for best
• Gatroesophageal results.
reflux disease.
• Erosive esophagitis.
• Heartburn.
 DRUG CLASSIFICATION/ DOSE/ ROUTE MECHANISM CONTRAINDICATION SIDE EFFECT NURSING
INDICATION AND OF ACTION RESPOSIBILITIES
FREQUENCY
Generic Name: Classification: 750mg/ IV q8 (8 – Second generation • Contraindicated in CV: phlebitis. > Before
Cefuroxime Anti – Infective Drugs. 4) cephalosporins that patients GI: nausea, administration, ask if
Axetil. inhibits cell – wall hypersensitive to anorexia, he is allergic to
synthesis, drug or other vomiting, penicillin or
promoting osmotic cephalosporins. diarrhea. cephalosporins.
Indication: instability; usually • Use cautiously in Hematologic: > Obtain specimen
Brand Name: • Uncomplicated bactericidal. patients hemolytic anemia. for culture and
Zinacef UTI’s. hypersensitive t Skin: pain sensitivity test before
• Otitis Media. penicillin because urticaria. giving the first dose.
• Pharyngitis and of possibility or Other: serum > Test patient to take
Tonsilitis. cross sensitivity sickness. drug as prescribed
with other beta – even after he feels
• Perioperative
lactam antibiotic. better.
prevention.
• Use cautiously in > Instruct the patient
• Secondary to take oral form
bacterial infection breast – feeding
women and in with food.
of acute
bronchitis. patients with
history of colitis or
renal insufficiency.