Contraindication

Dosage, Route and Adverse

Drug Name Classification Indications And Nursing Responsibilities
frequency effects
Cautions
Mefenamic NSAID > Relief of >Contraindicated in Available Form: CNS: Headcahe,  Be alert for adverse
Acid moderate pain patients Capsules 250 mg / dizziness, insomnia, reaction.
when therapy will hypersensitive 500 mg fatigue tiredness,  Take drug with food; take
not exceed 1 week tinnitus, ophthalmic
mefenamic acid, only prescribed dosage; do
Pregnancy Dosage: effects
> To decrease pain aspirin allergy and as not take the drug longer
Category C Older than 14
or prevent limit treatment of Dermatologic: than 1 week.
years old
inflammation. perioperative pain Acute pain: Rash, pruritus,  Discontinue drug and
with CABG Initially 500 mg sweating, dry mucous consult your health care
PO followed by membranes, provider if rash, diarrhea,
> Use cautiously with 250 mg every 6 stomatitis or digestive problems
asthma, renal or hours or as needed occur
hepatic impairment, GI: Nausea,
Dyspepsia, GI pain,  Dizziness or drowsiness
peptic ulcer disease, can occur so advice patient
diarrhea, vomiting,
GI bleeding, constipation, to avoid driving and using
hypertension, heart flatulence dangerous machinery
failure, pregnancy,  Instruct patient to avoid
lactation GU: Dysuria, Renal alcohol (wine, beer, and
Impairment
liquor) when taking this
Respiratory: medicine since it cause
Dyspnea, hemoptysis, increases in stomach
pharyngitis, irritation.
bronchospasm,  Use caution if the patient
has a weakened heart. It
Other: may cause increased
Peripheral edema,
shortness of breath or
anaphylactic
shock/reactions weight gain.

Contraindication
Dosage, Route and Adverse
Drug Name Classification Indications And Nursing Responsibilities
frequency Effects
Cautions
Generic: Antibiotic > Relief of >Contraindicated in Available Form: CNS: Headache, Determine history of
Cefuroxime Cephalosporin moderate pain patients Tablets – 125, dizziness, lethargy, hypersensitivity reactions to
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 (Second Gen) when therapy will hypersensitive 250, 500 mg paresthesias cephalosporins, penicillins,
Brand: not exceed 1 week mefenamic acid, and history of allergies,
Ceftin aspirin allergy and as Suspensions – GI: Nausea, particularly to drugs, before
> To decrease pain 125mg/5ml, 250 vomiting, diarrhea, therapy is initiated.
treatment of
or prevent limit mg/5ml, anorexia, Inspect IM and IV injection
Pregnancy perioperative pain
inflammation. abdominal pain, sites frequently for signs of
Category B with CABG flatulence, phlebitis. (if given IV)
Powder for
injection – 750 pseudomembranous Report onset of loose stools
> Use cautiously with colitis, liver toxicity or diarrhea. Although
mg, 1.5g;
asthma, renal or pseudomembranous colitis.
hepatic impairment, Injection – 750mg, Hematologic: Bone Monitor I&O rates and
peptic ulcer disease, marrow depression: pattern: Especially
1.5g
GI bleeding, decreased WBC, important in severely ill
decreased platelets, patients receiving high
hypertension, heart Dosage:
decreased Hct doses. Report any
failure, pregnancy, Adults – 750 mg –
significant changes.
lactation 1.5g IM or IV fo
GU: Nephrotoxicity Prior to reconstitution,
every 8 hours,
protect drug from light. The
depending on
Hypersensitivity: power and reconstituted
severity of
Ranging from rash drug may darken without
infection, for 5 –
to fever to affecting potency.
10 days
anaphylaxis, serum Continue therapy for at least
sickness reaction 10 days in infections due to
Streptococcus pyogenes.
Other: Take full course of therapy
Superinfections, even if you are feeling
disulfiram-like better
reaction with Don’t use for self-treatment
alcohol or other problems.
Swallow tablets whole;
don’ crush them and take
drug with foods
Avoid alcohol while taking
this drug

Contraindication
Dosage, Route and Adverse
Drug Name Classification Indications And Nursing Responsibilities
frequency effects
Cautions
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Ferrous Sulfate Iron Preparation > Dietary >Contraindicated Available Form: CNS:  Be alert for adverse
Supplement for with allergy to any CNS toxicity, reaction.
Iron ingredient; sulphate Tablets – 324, 325 acidosis, coma and  Take drug with food; take
Pregnancy allergy; mg death with overdose
only prescribed dosage;
Category A > Prevention and hemochromatosis,
treatment of IDA hemosiderosis, GI: (avoding milk, eggs,
Dosage:
haemolytic anemias Adults GI upset, anorexia, coffee, tea)
Women – 8–18 nausea, vomiting,  Warn patient the the stool
> Use cautiously with mg/day PO constipation, will be dark or green
normal iron balance; Lactating women diarrhea, dark stools,  Arrange for periodic
peptic ulcer, regional – 9-27 mg/day PO temporary staining of monitoring of Hct and Hgb
enteritis, ulcerative teeth(liquid
levels.
collitis preparations)
 Advice that taking the drug
with Vitamin C may
increase Iron absorption
Drug Name Classification Indications Contraindication Dosage, Route Adverse Nursing Responsibilities
And and frequency effects
Cautions
Ascorbic Acid Vitamins > Vitamin C is >Contraindicated Available Form: > Transient mild  Be alert for adverse
recommended for with allergy to any soreness may occur at reaction.
the prevention and ingredient of this > Ascorbic acid the site of
treatment of preparation. is usually intramuscular or
 Assess nutritional status
scurvy. Its subcutaneous
administered for inclusion of foods
parenteral injection. Too-rapid
administration is orally(Tablets). intravenous high in vitamin c
>Use of sodium
desirable for ascorbate in patients administration of the deficiency before,
patients with an > When oral solution may cause during, & after
on sodium restriction;
acute deficiency administration is temporary faintness treatment. Scurvy, poor
use of calcium
or for those whose not feasible or or dizziness. bone development
absorption of ascorbate in patients when
orally ingested receiving digitalis. malabsorption is > Caution should be  Monitor input & output
ascorbic acid is Safety during suspected, the exercised when
uncertain. pregnancy (category drug may be Ascorbic Acid  Assess patient and
C) or lactation is not Injection is
administered IM, family knowledge on
established. administered to a
IV, or drug therapy
> Increases nursing woman.
subcutaneously.
protection > Avoid rapid I.V.
mechanism of the infusion > For
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immune system, intravenous
thus supporting injection,
wound healing. dilution into a
Necessary for large volume
wound healing parenteral such
and resistance to as Normal
infection. Saline, Water for
Injection, or
Glucose is
recommended to
minimize the
adverse reactions
associated with
intravenous
injection.

Dosage:

The average
protective dose
of vitamin C for
adults is 70 to
150 mg daily. In
the presence of
scurvy, doses of
300 mg to 1 g
daily are
recommended

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