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DRUG NAME MECHANISM OF INDICATIONS SIDE EFFECTS & DOSAGE & NURSING

ACTION ADVERSE DRUG DRUG FORM ACTIONS


REACTIONS
GENERIC NAME: Thought to inhibit  Indicated to relieve  Headache Doctor’s Order:  Assess
 Celecoxib prostaglandin signs and symptoms of  Dizziness Celecoxib 200mg BID patients
synthesis, impending ostheoarthritis  Insomnia history of
BRAND NAME: cyclooxygenase to  Chest pain allergic
produce anti  Use to relieve signs and  Fever Available forms: reaction to
 Celebrex
inflammatory, symptoms of  Highblood the drug
analgesic, and rheumatoid arthritis pressure Oral:
CLASSIFICATION: antipyretic effects,  Swelling in your  Monitor
 COX-2 inhibitors00  50mg
 Indicated to acute pain hands and feet complete
 100mg
and primary blood count,
dysmenorrhea  200mg electrolyte
 400mg levels,
 25mg/mL oral creatinine
solution clearance, and
occult fecal
blood test and
liver function
CONTRAINDICATION: ADVERSE test results
EFFECTS: every 6to 12
 Contraindicated for the months
treatment of CV: hypertension,
preoperative pain after peripheral edema.  Instruct
CABG. patient to take
GI: Abdominal pain, drug with
 Contraindicated in food or milk.-
patients hypertensive to
diarrhea, dyspepsia,
Teach patient
drug flatulence,
to avoid
gastrointestinal aspirin and
reflux. other NSAIDs
(such as
METABOLIC: ibuprofen and
Hypochloremia naproxen)
during therapy
Muskuloskeletal:
 Advise patient
Back pain to
immediately
SKIN: Erythema report bloody
multiforma stools, blood
in vomit, or
signs or
symptoms of
liver damage,
nausea,
fatigue,
lethargy,
pruritus,
yellowing of
eyes or skin,
tenderness on
upper right
side of
abdomen or
flu like
symptoms.

 Assess skin
color and
lesions,
reflexes,
sensations,
edema and
serum
electrolytes.

DRUG NAME MECHANISM OF INDICATIONS SIDE EFFECTS & DOSAGE & DRUG NURSING
ACTION ADVERSE DRUG FORM ACTIONS
REACTION
GENERIC NAME: Inhibits prostaglandin Used to relieve  Constipation Doctor’s Order:  Monitor BP
 ketorolac synthesis by devreasing moderately severe pain,  Diarrhea upon
an enzyme needed for usually pain that occurs  Dizziness 30 mg IVTT q8 hours x administration.
bisynthesis; analgesic, after an operation or  Headache 4 doses
antiinflammatory, other painful procedure  Sweating  Review the
antipyretic effects  Drowsiness Available forms: purpose and
BRAND NAME:  Severe skin importance of
 Toradol reactions drug.
IV:
 3Omg as single
dose or 30 mg  Assess for
q6hr; not to exceed history of renal
CLASSIFICATION: 120 mg/day impairment,
CONTRAINDICATION:
 Nonsteroidal impaired
anti- ADVERSE IM: healing or
Pregnancy (3rd trimester),
inflammatory hypersensitivy, asthma, EFFECTS:  6Omg as single allergies to
hepatic disease, peptic dose or 30 mq ketorolac.
ulcer disease, CV CV: hypertension, q6hr; no to exceed
bleeding. flushing, pallor, edema, 120mg/day  Assess pain
DRAWING (note time,
thrombotic events,
vasodilatation. PO: location, and
 20mg once after intensity).
IV or IM therapy,
GI: nausea, anorexia, then 10 mg q4;6hr;  Assess
vomiting, peptic ulcer, not to exceed 40 medication
GI bleeding, taste mg/day after negative
change, hepatic failure. skin test

 Monitor for
aspirin
sensitivity,
asthma: patient
may be more
likely to
develop
hypersensitivity
to NSAID’s.

 Monitor renal
function and
urine output
DRUG NAME MECHANISM OF INDICATIONS SIDE EFFECTS & DOSAGE & NURSING ACTIONS
ACTION ADVERSE DRUG DRUG FORM
REACTION
Inhibits the action It relieves heartburn  Yellowing of Doctor’s Order:  Inform the patient that the
GENERIC NAME: of histamine at the associated with acid skin or the sclera Ranitidine 50mg medication may cause
 Ranitidine H2- receptor site indigestion and sour IVTT q8 dizziness, drowsiness, or
located primarily in stomach brought on  Tiredness fatigue.
by eating or Available forms:
gastric parietal
BRAND NAME: dringking certain  Dark urine  Instruct patient to avoid
cells, resulting in foods and beverages injection solution taking any new medication
 Zantac inhibition of gastric  Stomach pain 25mg/mL during therapy without
acid secretion. consulting prescribed.
 Confuion syrup
CLASSIFICATION: Decreased 15mg/mL  Instruct patient to avoid
 Antiulcer agents symptom of  Agitation alcohol and follow diet as
gastroesophageal tablet prescriber recommends.
reflux.  Depression 75mg
150mg  Assess History of renal
DRAWING  Hallucinations 300mg impairment, allergies,
hepatic.
 Blurry vision capsule
150mg  Assess physical skin color
 Tachycardia 300mg and lesions, orientation,
reflexes, peripheral
 Dyspnea sensation,
clottingtimes,CBC ,adventit
ious sounds.
DRUG NAME MECHANISM OF INDICATIONS SIDE EFFECTS & DOSAGE & NURSING
ACTION ADVERSE DRUG DRUG FORM ACTIONS
REACTION
GENERIC NAME: Ceftriaxone is a Susceptible bacterial  Chills Doctor’s order:  Determine
 Ceftriaxone bactericidal agent that infections of the lower  Diarrhea history of
acts by inhibition of respiratory tract, skin and  Painful Ceftriaxone 1gm IV hypersensitivit
bacterial cell wall skin structure, bone and urination q8 y reactions to
BRAND NAME: synthesis. Ceftriaxone joint, acute otitis media,  Rash cephalosporin’
 Rocephin has activity in the UTIs, septicemia, pelvic  Chest pain s and penicillin
presence of some beta- inflammatory disease, intra  Dizziness and history of
lac- tamases, both abdominal infections,  Heart burn other allergies,
penicillinases and meningitis, uncomplicated  Swollen lymph particularly to
CLASSIFICATION: cephalosporinases, of gonorrhea. Surgical nodes Available forms: drugs, before
 Antibiotic Gram-negative and prophylaxis.  Unusual therapy is
cephalosporin Gram-positive tiredness or Injectable solution initiated.
bacteria. weakness
1g/50mL  If possible,
2g/50mL obtain culture
DRAWING and sensitivity
Powder for injection results, as
ordered, before
CONTRAINDICATIONS: 250mg giving drug.
contraindicated in patients 500mg
with known allergy to the ADVERSE 1g  Inspect
cephalosporin class of EFFECTS: 2g injection sites
antibiotics 10g for induration
Gastrointestinal 100g and
disturbances: Loose inflammation.
stools or diarrhea, Rotate sites.
nausea, vomiting, Note IV
stomatitis and glossitis. injection sites
for signs of
Skin reactions: phlebitis
Exanthema, allergic (redness,
dermatitis, pruritus, swelling, pain)
urticaria, edema,
erythema multiforme  Monitor for
manifestations
of
hypersensitivit
y.
 Check for fever
if diarrhea
occurs: Report
both promptly.

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