Generic Name

Brand name

Classificati on

How supplie d

Dosa ge and Frequ ency 500m g, IVTT Q8hr

Mechanism Of Action

Indication

Contraindication

Side effects

Nursing Responsibilities

Tramadol

Dolotr al

Opiates and Antagonists

ampule

Centrally acting analgesic not chemically related to opioids but binds to mu-opioid receptors and inhibits reuptake of norepinephrine and serotonin

Indicated to patient who suffer moderate to severe pain

Contraindicated to hypersensitivity on this drug -acute intoxication with alcohol, hypnotics, central acting analgesic, opioids or psychotropic agents

Vasodilation, Dizziness/ver tigo, Headache, Somnolence, Stimulation, anxiety, Coordination disturbances, Euphoria, Nervousness, Sleep disorder, Seizures, Pruritus, Nausea, Pain, Anorexia, flatulence

BEFORE: Assess patient I any potential problem Check doctors order on patient chart Observe the rights of drug administration Check any known allergies on drug Check the right drug for the right patient Check pain score felt by the patient Educate patient regarding the drug and its therapeutic effects DURING: Administer the drug when pain occur as prescribed by the Physician AFTER: Instruct patient to change position slowly to prevent orthostatic hypotension Instruct patient to avoid alcohol and OTC medication without medical advice Monitor intake and output, decreasing output may indicate retention\Monitor for CNS changes: dizziness, drowsiness, hallucinations Instruct patient to report any drug adverse reactions Document the given drug on MAR.

Generic Name

Brand name

Classificati on

How supplie d

Dosa ge and Frequ ency 50mg IVTT q8h

Mechanism Of Action

Indication

Contraindicati on

Side effects

Nursing Responsibilities

Ranitidine

Zanta c

H2Receptor Antagonists

ampule

Inhibits histamine at H2 receptor site in the gastric parietal cells, which inhibits gastric acid secretion

Indicated to patient with various gastrointestinal (GI) disorder, prophylaxis of GI hemorrhage from stress ulceration

Contraindicated to patient hypersensitivity on this drug, history of acute porphyria, long term therapy

Cardiac arrhythmias, Bradycardia, Fatigue, Dizziness, Hallucinations, Insomnia, Abdominal, discomfort, Constipation, Pancreatitis, Diarrhea, Nausea, Vomiting

BEFORE: Assess patient of any potential problem Check doctors order on patient chart Observe the rights of drug administration Check any known allergies on drug Check Vital Signs Check the right drug for the right patient Educate patient regarding the drug and its therapeutic effects DURING: Administer the drug as prescribed AFTER: Monitor AST, ALT, serum/creatinine Instruct patient to move slowly drug has effect of dizziness Instruct patient to report chest pain or any drug adverse reactions Document the given medication on MAR

Generic Name

Brand name

Classificati on

How supplie d

Dosa ge and Frequ ency 1gm IVTT q8h

Mechanism Of Action

Indication

Contraindicati on

Side effects

Nursing Responsibilities

Oxacillin

Prosta phlin

Penicillin

ampule

Interferes with the cell wall replication of susceptible organisms; osmotic ally unstable cell wall swell, bursts from osmotic pressure

Treatment of infections caused by penicillinase producing staphylococci; initial therapy of suspected staphylococcal infection

Contraindicated to patient hypersensitivity to penicillin

Lethargy, Hallucinations, Anxiety, Depression, Twitching, Coma, Seizures, Nausea, Vomiting, Diarrhea, Abdominal pain, Glossitis, Coitis, Vaginitis, Serum sickness

BEFORE: Assess patient of any potential problem Check doctors order on patient chart Observe the rights of drug administration Check any known allergies on drug Check Vital Signs Check the right drug for the right patient Assess the result in culture and sensitivity test Educate patient regarding the drug and its therapeutic effects DURING: Administer the drug as prescribed AFTER: Monitor for bleeding; ecchymosis, bleeding gums, hematuria Monitor bowel pattern everyday Monitor for overgrowth of infection Monitor blood studies: AST, ALT, CBC Instruct patient to report any drug adverse reactions Document the given medication on MAR

Generic Name

Brand name

Classificati on

How supplie d

Dosa ge and Frequ ency 10 mg IVTT q6h

Mechanism Of Action

Indication

Contraindicati on

Side effects

Nursing Responsibilities

ketorolac

Torad ol

Nonsteroida l antiinflammator y agents, nonopioid analagesics

ampule

-Inhibits prostaglandin synthesis, producing peripherally mediated analgesia - Also has antipyretic and anti-inflammatory properties. - Therapeutic effect:Decreased pain

Short term management of pain (not to exceed 5 days total for all routes combined)

Hypersensitivity - Crosssensitivity with other NSAIDs may existPreor perioperative use - Known alcohol intoleranceUse cautiously in: 1) History of GI bleeding 2) Renal impairment (dosage reduction may be required) 3) Cardiovascular disease

CNS: 1) drowsiness 2) abnormal thinking 3) dizziness 4) euphoria 5) headacheGI: 1) GI Bleeding 2) abnormal taste 3) diarrhea 4) dry mouth 5) dyspepsia 6) GI pain 7) nausea 8)vomiting

BEFORE: Assess patient of any potential problem Check doctors order on patient chart Observe the rights of drug administration Check any known allergies on drug Check Vital Signs Check the right drug for the right patient Assess the result in culture and sensitivity test Educate patient regarding the drug and its therapeutic effects - Assess pain (note type,

location, and intensity) prior to and 1-2 hr following administration.

DURING: Administer the drug as prescribed AFTER: Instruct patient to report any drug adverse reactions Document the given medication on MAR

Generic Name

Brand name

Classificati on

How supplie d

Dosa ge and Frequ ency 39 mg IVTT q6h

Mechanism Of Action

Indication

Contraindicati on

Side effects

Nursing Responsibilities

paracetamol

Tylen ol

Antipyretic Analgesic

ampule

Antipyretic: Reduces fever byacting directly onthe hypothalamich eatregulatingcenter to causevasodilati on andsweating, whichhelps dissipateheat.

Analgesic: Siteand mechanismof action unclea

Analgesic-antipyretic inpatients with aspirinallergy, hemostaticdisturbances, bleedingdiatheses, upper GIdisease, gouty arthritisArthritis and rheumaticdisorders involvingmusculoskeletal pain (butlacks clinically significantantirheumati c and antiinflammatory effects)Common cold, flu, otherviral and bacterialinfections with pain andfeverUnlabeled use:Prophylactic for childrenreceiving DPT vaccinationto reduce incidence of fever and pain

-Contraindicated withallergy to acetaminophen. - Use cautiously withimpaired hepatic function,chronic alcoholism,pregna ncy, lactation

BEFORE: Assess patient of any Stimulation, potential problem drowsiness, Check doctors order on nausea, patient chart vomiting, Observe the rights of drug abdominal administration pain, Check any known allergies on drug hepatotoxicity, Check Vital Signs hepatic Check the right drug for the seizure(overdo right patient se, Renal Assess the result in culture failure(high, and sensitivity test prolonged Educate patient regarding the drug and its therapeutic doses), effects leucopenia, DURING: neutropenia, Administer the drug as hemolytic prescribed anemia (long AFTER: term use) Instruct patient to report any drug adverse reactions thrombocytop Document the given enia, medication on MAR pancytopenia, rash, urticaria, hypersensitivit y, cyanosis, anemia, jaundice, CNS, stimulation, delirium followed by vascular collaps, convulsions, coma, death.