Generic Name / Brand Name Classification Stocks Indication ( client Specific) Dosage & Frequency Mechanism of action Side Effect / Adverse Reaction Nursing Responsibilities Includes Health Teaching and implication (Pre, Intra, Post) FeSO 4 (Ferrous sulfate) - For Iron Preparation Classification: Hematologic Drug Anti-anemic Iron deficiency and prophylaxis for iron deficiency anemia Pregnant patient 150 mg PO daily during last 2 trimesters Elevates the serum iron concentration which then helps to form High or trapped in the reticuloendo- thelial cells for storage and eventual conversion to a usable form of iron. - temporary staining of the teeth - constipation - black or dark- colored stools - upset stomach - anorexia Advice patient to take medicine as prescribed. Caution patient to make position changes slowly to minimize orthostatic hypotension. Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician. Advice patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia. Encourage patient to comply with additional intervention for
Transcript
Generic Name / Brand Name
Classification Stocks
Indication( client
Specific) Dosage & Frequency
Mechanism of action
Side Effect / Adverse Reaction
Nursing Responsibilities Includes Health Teaching and implication
(Pre, Intra, Post)
FeSO4
(Ferrous sulfate)- For Iron Preparation
Classification:Hematologic DrugAnti-anemic
Iron deficiency and prophylaxis for iron deficiency anemia Pregnant patient 150 mg PO daily during last 2 trimesters
Elevates the serum iron concentration which then helps to form High or trapped in the reticuloendo-thelial cells for storage and eventual conversion to a usable form of iron.
- temporary staining of the teeth- constipation- black or dark-colored stools- upset stomach- anorexia
Advice patient to take medicine as prescribed.
Caution patient to make position changes slowly to minimize orthostatic hypotension.
Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician.
Advice patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs.
Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia.
Encourage patient to comply with additional intervention for hypertension like proper diet, regular exercise, and lifestyle changes and stress management.
Generic Name / Brand NameClassification
Stocks
Indication( client
Specific) Dosage & Frequency
Mechanism of action Side Effect / Adverse Reaction
Nursing Responsibilities Includes Health Teaching and implication
(Pre, Intra, Post)
GN: AmpicillinBN: Pricipen
Pharmacologic Class: Penicillin
Therapeutic Class:Antibiotic
Route/ Dosage:Cesarean Section Prophylaxis:
IV Single dose immediately after cord clamping. ( 2 grams )
Indication:
Prophylaxis in cesarean section in certain high risk patients.
CNS:Dizziness; fatigue; insomnia; reversible hyperactivity; neurotoxicity ( lethargy, neuromuscular irritability, hallucinations, convulsions, seizures)GI:Diarrhea; pseudomembranous colitisGU:Interstitial nephritis (eg, oliguria, hematuria, pyuria); nephropathy; vaginitis; increase in creatinineHEMA:Decrease Hct, Hgb, RBC, WBC, neutrophils, lymphocytes, platelets; increase monocytes, basophils, eosinophils and platelets.DERM:Urticaria, maculopapular to exfoliative dermatitis; vesicular eruptions; skin rashesMETA:Elevated serum alkaline phosphatase, glutamic oxaloacetic transminase; reduced serum albumin and total proteinsOther:Pain at injection site; hyperthermia
PRE:- Obtain patient history, including drug history
and known allergies.- Review results of culture and sensitivity
testing, as available.INTRA:- Monitor patient’s condition closely for
several hours after administering the first dose even when there is no history of allergy.
- Notify the physician of any signs or symptoms of hypersensitivity or anaphylactic reaction.
- Evaluate the skin daily for presence of classic ampicillin rash, usually macupapular, and pruritic and generalized.
- Monitor for bleeding in patients receiving anticoagulant therapy.
POST:- Inform the patient to notify the physician
immediately if rash develops or if patient has difficulty of breathing.
- Tell the patient to increase fluid intake to 2000 – 3000 ml/day, unless contradicted.
Generic Name / Brand NameClassification
Stocks
Indication( client Specific) Dosage
& FrequencyMechanism of action Side Effect /
Adverse Reaction
Nursing Responsibilities Includes Health Teaching and implication
(Pre, Intra, Post)
Magnesium sulfate
CNS depressant
Seizures of eclampsia (toxemia of pregnancy)
Anticonvulsant:♥IM = loading dose (10 g of 50% solution [20 mL] divided into 2 doses); maintenance dose (4 – 5 g of 50% solution [10 mL] q4H deep IM; alternate buttocks♥ IV = loading does (4 g MgSO4 in 250 mL of D5W infuse at 10 mL per minute; maintenance dose (1 – 2 g per hour by continuous infusion)
♥ CNS depressants = potentiate CNS depressant effects of MgSO4 (barbiturates, analgesics, general anesthetics, tranquilizers, and alcohol♥ Neuromuscular blocking agents = concurrent use with MgSO4 will further depress muscular activity.
Pregnancy safety: Magnesium sulfate is administered to treat toxemia of pregnancy. It is recommended that the drug not be administered in the 2 hours before delivery, if possible. IV calcium gluconate or calcium chloride should be available as an antagonist to magnesium if needed. Convulsions may occur up to 48 hr after delivery, necessitating continued therapy. The "cure" for toxemia is delivery of the baby. Magnesium must be used with caution in patients with renal failure, since it is cleared by the kidneys and can reach toxic levels easily in those patients. Prophylactic administration of magnesium sulfate for patients with acute myocardial infarction should be considered.
Continuously monitor contraction, fetal and maternal heart rate, and blood pressureMonitor patient extremely closely during 1st and 2nd labor because of risk of cervical laceration and uterine rupture and maternal and fetal death.
Generic Name / Brand NameClassification
Stocks
Indication( client Specific)
Dosage & Frequency
Mechanism of action
Side Effect / Adverse Reaction
Nursing Responsibilities Includes Health Teaching and implication
(Pre, Intra, Post)
GN: HydralazineBN: Apresoline
Cardiovascular System Drug
Pre-eclampsia /eclampsia
5 mg/dose then 5-10 mg every 20-30 minutes as needed. (TIV)
♥ Assess blood pressure before starting therapy and regularly thereafter.♥ Instruct client to take oral form with meals.♥ Inform client that orthostatic hypotension can be minimized by rising slowly and not changing position suddenly.♥ Tell pt. not to abruptly stop taking drug, but to call the one who prescribed it if adverse reaction occurs.♥ Tell client to limit sodium intake.
GN: CefuroximeBN: Ceftin, Zinazef
Anti-Infective
Bacterial infections, such as:
♥ bronchitis♥ gonorrhea♥ Lyme disease♥ infections of the ears, throat, sinuses, urinary tract, and skin750 mg cefuroxime sodium I.V q 8 hours for 5 days.
Second-generation pephalosporin that inhibits cell-wall synthesis, promoting osmotic instability; usually bactericidal.
♥ nausea♥ anorexia♥ vomiting♥ diarrhea
♥ Determine history of hypersensitivity reactions to cephalosporin, penicillin, and history of allergies, particularly to drugs, before therapy is initiated.♥ Inspect IM and IV injection sites frequently for signs of phlebitis.♥ Report onset of loose stools or diarrhea. Although pseudo membranous colitis.♥ Monitor I&O rates and pattern: Especially important in severely ill patients receiving high doses. Report any significant changes.♥ Prior to reconstitution, protect drug from light. The power and reconstituted drug may darken without affecting potency.
Generic Name / Brand NameClassification
Stocks
Indication( client Specific)
Dosage & Frequency
Mechanism of action Side Effect / Adverse Reaction
Nursing Responsibilities Includes Health Teaching and implication
(Pre, Intra, Post)
GN: PhenerganBN: Promethazine HCI
anti-emetics, antihistamines, sedative/hypnotics
Preoperative sedation, treatment and prevention of nausea and vomiting, adjunct to anesthesia and analgesia.
25-50 mg (sedation); 10-25mg q 4hr as needed (anti-emetic) (1amp)
Selectively blocks H1 receptors, diminishing the effects of histamine on cells of the upper respiratory tract and eyes and decreasing the sneezing, mucus production, itching and tearing that accompany allergic reactions. blocks cholinergic receptors in the vomiting center that are believed to mediate the nausea and vomitting caused by gastric irritation.
Be alert for adverse reactions and drug interactions.
Encourage pt. to void Monitor BP for possible
hypotension. Monitor cervical
effacement and dilatation.
D5LR
Class: Hypertonic- Non-pyrogenic, parenteral fluid, electrolyte and nutrient plenisher
- Treatment for persons needing extra calories who cannot tolerate fluid overload.Dosage: 20 drops/ minute
Hypertonic Solutions are those that have an effective osmolality greater than the body fluids. This pulls the fluid into the vascular by osmosis resulting in an increase vascular volume. It raises intravascular osmotic pressure and provides fluid, electrolytes and calories for energy
Mechanism of action Side Effect / Adverse Reaction
Nursing Responsibilities Includes Health Teaching and
implication(Pre, Intra, Post)
GN: NubainBN: Nalbuphine Hydrochloride
Narcotic agonist-antagonist analgesic
Relief of moderate to severe pain
♥ Preoperative analgesia, as a supplement to surgical anesthesia, and for obstetric analgesia during labor and delivery
Injection – 10 mg/ml, 20mg/ml
Nalbuphine acts as an agonist at specific opioid receptors in the CNS to produce analgesia,sedation but also acts to cause hallucinations and is an antagonist at µ receptors
