DRUGS INDICATION ACTION SIDE EFFECT NURSING PATIENT

CONSIDERATION TEACHING
Date ordered: Neuropathic pain Pregabalin binds to  dizziness, drowsiness,dry >Tell the patient >do not give this
12-02-10 calcium channels mouth, edema (accumulation that he can medication
Gen. name: on nerves and may of fluid), blurred vision, experience mood or younger than 18
Pregabalin modify the release weight gain,  reduced blood behavior changes, years odl
Brand name: of platelet counts, and depression, anxiety,
Lyrica neurotransmitters increasedblood creatinine insomnia, or if you >patient can take
Dosage: (chemicals that kinase levels feel agitated, lyrica with or
1 tab BID nerves use to hostile, restless, without food
communicate with hyperactive 
each other). >instruct the
Reducing >do not give lyrica patient to avoid
communication if patient is allergic drinking alcohol
between nerves to pregabalin when taking this
may contribute to medication it can
pregabalin's effect >Store at room increase certain
on pain and temperature away side effect of
seizures. from moisture, lyrica
light, and heat.
>instruct the
patient not to
drive when taking
this medication

DRUGS INDICATION ACTION SIDE EFFECT NURSING PATIENT

CONSIDERATION TEACHING
Date ordered: To treat mild to inhibition of COX Digestive system: Observe patients >instruct the patient
12-3-10 moderate pain activity - the main frequently - nausea, with history of Do not drive or
Gen.name: enzyme metabolism anorexia, vomiting, cardiac engage in other
Ibuprofen of arachidonic acid, epigastric decompensation potentially
Brand Name: which is a precursor discomfort, closely for evidence hazardous activities
Faspic of prostaglandins, diarrhea, possibly of fluid retention until response to the
Dosage: which play a major the development of and edema. drug is known.
400 mg p.o. 1 tab role in the erosive and
BID for pain pathogenesis of ulcerative lesions of Monitor for GI >Do not take aspirin
inflammation, pain the gastrointestinal distress and S&S of concurrently with
and fever. tract; rare - bleeding GI bleeding. ibuprofen.
Analgesic effect is from the
due to both gastrointestinal Note: Symptoms of >Do not self-
peripheral tract, long-term use acute toxicity in medicate with
(indirectly, through possible liver children include ibuprofen if taking
suppression of problems. apnea, cyanosis, prescribed drugs or
prostaglandin Central nervous response only to being treated for a
synthesis), and a system and painful stimuli, serious condition
central mechanism peripheral nervous dizziness, and without consulting
(due to inhibition of systems: frequently nystagmus physician.
prostaglandin - headache,
synthesis in the dizziness, sleep
central and disturbances,
peripheral nervous agitation, visual
system). Inhibits impairment.
platelet aggregation. Hemopoietic
For topical use anti- system: long-term
inflammatory and use may be anemia,
analgesic action. thrombocytopenia,
Reduces morning agranulocytosis.
stiffness, increased Urinary tract: long-
the amount of term use possible
motion in joints renal dysfunction

DRUGS INDICATION ACTION SIDE EFFECT NURSING PATIENT

CONSIDERATION TEACHING
Date ordered: for constipation The bacterial Lower respiratory >monitored for >instruct the patient
12-04-10 degradation of tract infection, Blood pressure, take as directed,
Gen.name: lactulose resulting Pneumonia, Toxic standing/supine; alone, or diluted
Lactulose in an acidic pH epidermal serum potassium, with water, juice or
Brand.name: inhibits the necrolysis;Anaemia, bowel movement milk, or take with
Lilac diffusion of Clubbing, Cough, patterns, fluid food. 
Dosage: NH3into the blood Weight status, serum
30cc HS for by causing the decreased; Anaemia ammonia > instruct the
constipation conversion of , Blood potassium patient do not use
NH3 to NH4+; also decreased, any other laxatives
enhances the Clubbing, Cough, while taking
diffusion of Diarrhoea, Incorrect lactulose.
NH3 from the blood dose administered,
into the gut where Melanosis >instruct patient
conversion to NH4+ coli; Amnesia, Increased fiber,
occurs; produces an Confusional state, fluids, and exercise
osmotic effect in the Diarrhoea, may also help
colon with resultant Disturbance in reduce constipation
distention attention, Sleep
promoting disorder; Anaemia,
peristalsis Blood potassium
decreased,
Clubbing, Cough,
Melanosis, Renal
failure chronic,
Urine analysis
abnormal, Weight
decreased;

DRUG INDICATION ACTION SIDE EFFECTS NURSING PATIENT

CONSIDERATION TEACHING
Date ordered: For moderate to Precise mechanism - Dizziness - Assess type, - Instruct
12-03-10 severe pain is not known. Two - Drowsiness location, and patient on
Gen.name: complimentary - Headache intensity of pain how and when
Ultram mechanisms may be - Vertigo before and 2-3 to ask for pain
Brand Name: applicable: It may - Itching/pruritus hours (peak) after - Medication
Tramadol bind to mu-opioid - Constipation administration may cause
Dosage: receptors and inhibit - Nausea/Vomitin - Assess bowel dizziness and
50 mg IV q8 reuptake of g function drowsiness.
norepinephrine and - Dry mouth routinely. Caution
serotonin Prevention of patient to
constipation avoid
should be activities
instituted with requiring
increased intake alertness until
of fluids and bulk responses to
and with laxatives medication is
to minimize known
constipating
effects

DRUG INDICATION ACTION SIDE EFFECTS NURSING PATIENT

CONSIDERATION TEACHING
Date ordered: used to treat Thought to be a - Headache - Monitor - Take
12-14-10 symptoms of gastric pump - Abdominal therapeutic capsule at
Gen.name: gastroesophageal inhibitor in that it pain effectiveness least 1hour
Omepron reflux disease blocks the final - Diarrhea and adverse before
Brand Name: (GERD) and other step of acid - Nausea & reaction at eating and
Omeprazole conditions caused production by Vomiting the swallow
Dosage: by excess stomach inhibiting the - Dizziness beginning of whole
40 mg 1tab OD x acid H+/K+ ATP-ase - Rash therapy and - Do not
7days system at the periodically open, chew,
secretory surface of throughout or crush
the gastric parietal the therapy
cell.