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Drug Log

Generic/trade names

Student name: Eboni Jordan


Pharmacotherapeu
tic
Classification:

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

10 mg tab daily

1.inhibits the transport of calcium into myocardial and


vascular smooth muscle cells, which stop excitation
contraction
2. dizziness, general hyperplasia, fatigue, flushing
3. hypotension, palpitations, bradycardia, angina, and
peripheral edema
4. monitor bp and pulse, check for angina and edema
5. control of hypertension

Clinical
Classification:
Amlodipine

Norvasc

Generic/trade names

Aspirin

Pharmacotherape
utic
Classification:
Salicylate
Clinical
Classification:
Antipyretic,
nonopiod
analgesics

Pharmacotherapeu
tic
Classification:
Calcium channel
blocker
Clinical
Classification:
Antihypertensive

Physicians order
Pharmacotherape
utic
Classification:
Water soluble
vitamin
Clinical
Classification:
Antianemic
vitamins

81 mg po daily
1. produces analgesia and reduces inflammation and fevers by inhibiting prostaglandins
2. Tinnitus, dyspepsia. Epigastria distress, nausea, anorexia, increase bleeding
3. GI bleeding, Exfoliative dermatitis, Steven Johnsons syndrome, anaphylaxis and laryngeal edema

4. asses pain or fever before administering, pt with asthma or allergies to tartrazine have an increase in chance for sensitivity
5. prophylactic against MI

Folic acid

1 mg daily po
1. required for protein synthesis and red cell function produces red and white blood cells along with platelets
2.rash, irritability, difficulty sleeping
3. malaise, confusion, fever
4. asses for megaloblastic anemia, before and throughout therapy
5. given due to his anemia

Generic/trade names

Pharmacotherape
utic
Classification:
ACE inhibitor
Clinical
Pharmacotherape
Classification:
utic
Antihypertensive
Classification:

Metoprolol / lopressor

Antihypertensive

Clinical
Classification:
Beta blocker

Physicians order

50 mg po daily
1. blocks simulation of beta 1, andrenergic receptors to decrease blood pressure and HR
2.fatiuge, weakness, anxiety, depression, insomnia
3.bradcardia, HF, pulmonary edema, drug induced hepatitis
4.montor BP, ECG and intake and output
5. to decrease hypertension
Lisinopril / prinivil

20 mg po daily
1.blocks the conversion of angiotension 1 to the vasoconstrictor angio 2
2. dizziness, drowzyness, vertigo, weakness, chest pain, edema, nausea
3. taste disturbance, anorexia, renal failure, renal disturbance
4. asses for hypertension. Monitor for compliance, monitor cbc
5. to decrease hypertension

Generic/trade names
Cilastatin/ imipenem
Pharmacotherape
utic
Classification:
Carbapenems

Clinical
Classification: anti
infective

Physicians order
Ivpb 1000mg/250ml Q8H
1.binds to bacteria wall, causing cell death
2.seizure, pseudomembranous, steven-johnsons syndrome, phlebitis

3.anaphylaxis, serum sickness


Pharmacotherape
4. asses for infection, person with allergy to penicillin may still have reaction to this
utic
Classification:
5.pancriatitis
Antiulcer agent
Clinical
Classification:
Pantoprazole/ protonix
protein pump
inhibitor
100 mg po daily
1. binds to an enzyme in the presence of acidic gastric pH preventing the final transport of hydrogen atoms
2. headache, abdominal pain, diarrhea, flatulence
3. pseusomembranous colitis, hypomagnesaemia, bone fracture
4.asses for epigastric and abdominal pain and for frank occult in stool
5. to decrease hypertension

Generic/trade names

Thiamine / B1 vitamin

Pharmacotherape
utic
Pharmacotherape
Classification:
utic
Vitamins
Classification:
Clinical
Classification:
Clinical
Classification:
water soliable
vitamins

Physicians order

1oo mg po daily
1. required for carbohydrate metabolism
2. restlessness, weakness, tightness of throat, pulmonary edema
3. vascular collapse. Hypotension, vasodilatation. Angioedema
4. asses for signs and symptoms of deficiency, asses pt nutritional patterns
5. to replace deficiency

Drug Log

Student name: Eboni Jordan

Generic/trade names

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

Pharmacotherapeu
tic
Classification:
Carbapenems
Clinical
Classification:
Anti- infective

1gm in NaCl .9%


mini bag q8h

1.binds to the bacterial cell wall, resulting in cell death


usually used when penicillin wont work
2. seizure, headache, diarrhea, nausea, vomiting,
constipation
3. rash, pruritus, inflammation at the injection site
4. asses for infection, obtain history of penicillin sensitivity,
asses signs of anaphylaxis
5. infection in upper respiratory system

Pharmacotherapeu
tic
Classification:
Pancreatic
Clinical
Classification:
Anti- diabetic

Physicians order

1. lowers blood glucose level by stimulating glucose uptake


in skeletal muscle and fat inhibiting hepatic glucose
production
2. lipodstrophy, pruritus, erythema, swelling, anaphylaxis
3. hypoglycemia
4. asses for hypoglycemia, tachycardia, tremors, weakness,
dry skin, deep breathing,
5. to control hyperglycemia

Pharmacotherapeu
tic
Classification:

Clinical
Classification:

Meropenem/ merrem

Generic/trade names
Insulin / humalog

100u / ml sliding
scale

Pregabalin/ lyrica

Generic/trade names

Duoneb/ Combivent

Enoxaprarin /
lovenox

Pharmacotherapeu
tic
Classification:
Nonopiod analgesic
Clinical
Classification:
Anticonvulsants

Pharmacotherapeu
tic
Classification:
Bronchodilator
Clinical
Classification:
Adrenergic
Pharmacotherapeu
tic
Classification:
antithrombotic
Clinical
Classification:
Anticoagulant

25mg po qd

Physicians order
1 inhale

30mg sub qd

Drug Log
Generic/trade names

Methyprednisolone/
medrol

1.binds to calcium channels in CNS tissue with regulate


neurotransmitter release without binding to opioid receptors
2. suicidal thoughts, dizziness, drowsiness, impaired
attention/ concentration
3. blurred vision, constipation, fever, dry mouth, abd pain
4. monitor behavior changes, asses seizure location and
duration
5. to combat neuropathic pain associated with diabetic
periphrial neuropathy

1. binds to beta2 receptors in airways smooth muscle, to


activation of aenyl cyclase and increase level of cyclic-3
2. nervousness restlessness, tremors, headache, insomnia.
3. excessive use of inhaler, chest pain, palpitation,
hyperglycemia
4. asses lung sounds, pluse, BP note amount color and
characteristics of sputum, observe for wheezing
5. decrease bronchitis
1. potentiates the inhibitory effect of antithrombin on factor
Xa and thrombin
2. dizziness, headache, insomnia, urinary retention, alopecia
3. osteoporosis, thrombocytopenia, increase liver function,
excessive bleeding
4. asses for signs of bleeding and hemorrhage, asses for
increase thrombosis, asses for hematoma
5. prevention of deep vein thrombosis
Student name: Eboni Jordan

Pharmacotherapeu
tic
Classification:
Anti- inflamitory
Clinical
Classification:
Corticosteroids

Physicians order
125mg IV q8h

1. suppresses inflammation and the normal immune


responses
2. depression, euphoria, headache, anorexia, pectechiae,
3. decrease wound healing, adrenal suppressant, muscle
wasting, osteoporosis
4. asses involved system, asses for adrenal insufficiencies,
monitor intake and output

5. to assist with treatment of bronchitis

Dronedarone /
multaq

Generic/trade names

Tiotropium/ spiriva

Generic/trade names

Glipizide

Pharmacotherapeu
tic

Pharmacotherapeu
tic
Classification:
Benzofurans
Clinical
Classification:
Antiarrhythmic

Pharmacotherapeu
tic
Classification:
Bronchodilator
Clinical
Classification:
Anticholinergics

400mg po

Physicians order
1 inhale qd

1. prolongs PR and QT intervals


2. weakness, hepatotoxcity, abdominal pain, diarrhea,
abnormal taste
3. nausea, vomiting, increased serum creatinine, HF
prolonged QTc
4. asses for Afib, monitor ECG, asses for hepatic injury, asses
for pulmonary toxicity
5. reduce risk of hospitalization related to Afib

1. acts as antichollnergic by selectively and reversibly


inhibiting M receptors in smooth muscle of airway
2. tachycardia, dry mouth, constipation, rash, angioedema
3. glaucoma, urinary difficuly/ retention,
4. assess respiratory status, rate, sounds, degree of dyspnea
5. maintenance of bronchospasma

Classification:
Sulfonylurea
Clinical
Classification:
Antidiabetics
Physicians order

10mg po qd
1. lowers blood sugar by stimulating the release of insulin from the pancreas and increasing the sensitivity to insulin receptor
site, may also decrease hepatic glucose
2.dizzyness, drwosyness, headache, weakness, constipation, anemia, cramps
3. Diarrhea, hypoglycemia, photosensitivity, agranulocytosis
4. observer for hypoglycemia, watch for overdose, asses for allergies
5. used to control hyperglycemia

Losartan / cozaar
Pharmacotherapeu
tic
Classification:
Antihypertensive

Clinical
Classification:
Pharmacotherape
Angiotensin II
utic
receptor
Classification:
antagonist
Antiulcer
agent
Clinical
Classification:
protein pump
inhibitor
50mg po qd
1. blocks the vasoconstriction and aldosterone secreting effects of angiotensin II at various receptor sites
2. dizziness, fatigue, insomnia, weakness, chest pain, edema, hypotension.
3. nasal congestion, hypoglycemia, weight gain, abd pain, hyperkalemia
4. asses bp, monitor compliance, asses for signs of angioedema
5. treatment of diabetic nephropathy
Pantoprazole/ protonix

40mg po qd
1. binds to an enzyme in the presence of acidic gastric pH preventing the final transport of hydrogen atoms
2. headache, abdominal pain, diarrhea, flatulence
3. pseusomembranous colitis, hypomagnesaemia, bone fracture
4.asses for epigastric and abdominal pain and for frank occult in stool
5. to decrease hypertension

Generic/trade names

Aspirin

Pharmacotherape
utic
Classification:
Salicylate
Clinical
Classification:
Antipyretic,
nonopiod
analgesics
Physicians order

325mg po qd
1. produces analgesia and reduces inflammation and fevers by inhibiting prostaglandins
2. Tinnitus, dyspepsia. Epigastria distress, nausea, anorexia, increase bleeding
3. GI bleeding, Exfoliative dermatitis, Steven Johnsons syndrome, anaphylaxis and laryngeal edema
4. asses pain or fever before administering, pt with asthma or allergies to tartrazine have an increase in chance for sensitivity
5. prophylactic against MI
Generic/trade names

Lovaza / omega 3 acid ethylesters


Pharmacotherapeu
tic
Classification:
Fatty acids
Clinical
Classification:
Lipid lowering
agent
Physicians order
1 tab
1. inhibits synthesis of triglycerides
2. altered taste, eructation, rash,
3. caution with fish allergy, pregnancy, and lactation
4. obtain a diet history, monitor ALT periodically, monitor LDLs during therapy

Drug Log

Student name: Eboni Jordan

Generic/trade names

Pharmacotherapeu
tic
Classification:

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

Po 30 mg prn

1. binds to opiate receptors in CNS with CNS depression


2. sedation, confusion, hypotension
3. respiratory depression, constipation urinary retention
4. asses characteristics of pain, asses level of consciousness,
and RR if RR <10/min reassess LOC
5. used for pain management

Clinical
Classification:

Morphine

Generic/trade names

Tramadol

Pharmacotherape
utic
Classification:

Pharmacotherapeu
tic
Classification:
Opioid analgesics
Clinical
Classification:
Opioid agnostic

Ivpb : 4mg/ml

Analgesics
Pharmacotherape
Clinical
utic
Classification:
Classification:
opiod
Clinical
Classification:
nonopiod
analgestic

Physicians order

50 mg PO PRN

1. Binds to the receptor site and inhibits reuptake of serotonin and norepinephrine in CNS.
2. headache, dizziness, somnolence, anxiety, euphoria
3. seizures, serotonin syndrome, hyperteonia, physical dependency
4. monitor for seizures, asses for quality of pain, asses bowel functions and pain med history
5. used for pain management
Hydrocodone

10/235 mg PO PRN
1. binds to opiate receptors in CNS and alters the response to painful stimuli
2. hypotension, physical dependency, sedation, unusual dreams
3. respiratory depression, constipation, nausea, dyspenpsia

4.asses for overdose, asses vitals if RR is <10/min reassess LOC


5. used for pain management

Drug Log
Generic/trade names

Student name
Pharmacotherapeu
tic
Classification:

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

Inhaln

1.binds to beta2-adrenergic receptors in smooth muscle in


neck, relaxing the smooth muscle airways into
bronchodilation
2.restlessness, paradoxical bronchospasm, tremors,
palpitaions
3.hypokalemia, hyperperglycemia
4.asses vitals and lung sounds, note sputum and wheezing
5.history of emphysema

Clinical
Classification:
bronchodilators

albuterol/Accuneb

Generic/trade names

Pharmacotherapeu
tic
Classification:
adrenergics
Clinical
Classification:
bronchodilators

Corticosteroid/
Pharmacotherape
utic
Classification:
Pharmacotherape
Stool softener
utic
Clinical
Classification:
Classification:
(Inhaled)
laxative
corticosteroid
Clinical
Classification:
antiasthmatic
anti-inflammatory

Budesonide

Physicians order

inhaln
1.anti-inflamitory and immune modifier that decreases the frequency and severity of asthma attacks
2. agitation, depression, dysphonia, hoarseness, diarrhea,
3.bronchospasm, taste disturbance, urticaria
4. monitor respiratory status and lung sounds, watch when changing corticosteroids for adrenal insufficiency, monitor signs of
hypersensitivity
5. history of emphysema

Docusate/senna

po
1.helps absorb water into stool resulting in softer fecal matter, may cause electrolyte secretion
2. throat irritation mild cramps
3.diarhea, rash
4. asses for abdominal distention, asses color consistency and amount of stool
5.post surgical stool softener

Drug Log
Generic/trade names

Student name
Pharmacotherapeu
tic
Classification:

Clinical
Classification:

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

Enoxaparin/ lovonox

Pharmacotherapeu
tic
Classification:
Antithrombotic
Clinical
Classification:
Anticoagulant

Sub-cut 40mg

Generic/trade names

Mineral Oil
Pharmacotherape
utic
Classification:
Cathartics
Clinical
Classification:
Lubricant laxative
Physicians order

2 tbsp oral
1.use for occasional constipation and bowel integrity
2. severe allergic reaction
3. rash, hives, failure to bm within 6-8 hours, blood in stool

1.prevents conversion of prothrombin to thrombin by acting


on Xa
2.alopesia,rash, pain at site
3.drug induced hepatitis, bleeding edema
4.asses for bleeding, hemorrhage, monitor for
hypersensitivity, fall in hematocrit, monitor platelets
5. post surgical blood thinner

4. take on empty stomach and at least two hours before bed, do not use more than 1week
Pharmacotherape
5. post surgical stool softener
utic
Classification:
Stool softener
Clinical
Docusate/senna
Classification:
laxative
Po 100mg capsule PRN
1.helps absorb water into stool resulting in softer fecal matter, may cause electrolyte secretion
2. throat irritation mild cramps
3.diarhea, rash
4. asses for abdominal distention, asses color consistency and amount of stool
5.post surgical stool softener

Generic/trade names

Metoprolol
Pharmacotherape
utic
Classification:
Beta Blocker

Clinical
Classification:
Pharmacotherape
utic
Antihypertensive
Classification:
osmotics
Clinical
Classification:
Laxatives
Physicians order

BID oral
1.blocks stimulation of beta adrenergic receptors, and does not affect beta 2 decreasing BP and heart rate
2. weakness anxiety, bradycardia, memory loss, p. edema, change in mental status
3.ED, drug induced Hepatitis, flatulence, decreased libido
4. Monitor BP, ECG, during adjustment and therapy. Monitor i/o watch for edema
5. control of blood pressure
Polyethylene Glycol

Powder. 17 grams oral


1. draws water into the lumen of the GI tract, evacuates without water or electrolyte imbalances
2. abdominal fullness, diarrhea, bloating, cramps
3.alergic reaction and electrolyte abnormalities
4. asses stool color size and consistency monitor semi/un-conscious patients, do not add anything for flavor and avoid milk 1-2
hours before administering
5. bowel cleans before surgery

Drug Log : LL
Generic/trade names

Student name Eboni Jordan


Pharmacotherapeu
tic
Classification:

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

10 mg q12h

1. binds to the opiate receptors in the CNS alters the


perception of and response to painful stimuli decreasing pain
2. confusion, sedation, constipation, : blurred vision and
urinary retention
3.unusual dreams, blurred vision, miosis, flushing, sweating,
dependency tolerance
4.asses pain location, prior to and 1hour after. Asses bp,
pulse, if respiration are less the 10bpm asses sedation may
need physical contact to stimulate and prevent
hypoventilation. Asses bowel function routinely
5.control pain in abdomen

Clinical
Classification:

Oxycodone / oxecta

Generic/trade names

Heparin \hepalean
Pharmacotherape
utic

Pharmacotherapeu
tic
Classification:
Opioid agonistic
Clinical
Classification:
opiod analgesics

Classification:
Anticoagulants
Pharmacotherape
Clinical
utic
Classification:
Classification:
antithrombotic
Antidepressant
Clinical
Classification:
tetracyclic
antidepressant

Physicians order
10 units IV BID

1. increases the inhibitory effects of antithrombin on factor Xa preventing the conversion of prothrombin to thrombin by its
effects on factor Xa
2. anemia, drug induced hepatitis, alopecia, rash bleeding
3. heparin-induced thrombocytopenia pain at injection site, osteoporosis
4. asses for bleeding and hemorrhaging, asses for increase in thrombosis, check HIT for heparin induced thrombocytopenia,
monitor platelet count
5. given to prevent blood clotting after blood transfusion

Mirtazapine/ Remeron

15 mg PO
1. increases the effect of norepinephrine and serotonin
2. neuroleptic malignant syndrome, suicidal thoughts, drowsiness, abnormal dreams, abnormal thinking, agitation, akathisia,
anxiety
3. constipation, dry mouth, increase appetite, abdominal pain, anorexia, increase in liver enzymes, nausea, vomiting,urinary
frequency. pruritus, rash, agranulocytosis. weight gain, increase thirst

4. asses mental status, watch for increase of suicidal thoughts or behavior, watch for seizures in pt with history of seizures
Monitor for development of neuroleptic malignant syndrome (fever, respiratory distress, tachycardia, seizures)
5. history of anxiety

Generic/trade names

Potassium chloride/ Apo-K


Pharmacotherape
utic
Classification:
Mineral and
electrolyte
replacement
Clinical
Classification:

Physicians order
20 meq PO daily

1.maintains acid base balance, isotonicity, and electrophysiologic balance of the cell which is essential to the transmission of
nerve impulses; contraction of cardiac, skeletal, and smooth muscle
Pharmacotherape
utic
2. confusion, restlessness, weakness, abdominal pain, diarrhea, flatulence, nausea, vomiting, paralysis,
Classification:
paresthesia.
anticonvulsants
Clinical
3. arrhythmias, ecg changes ulceration, stenotic lesions.
Classification:
4. check lab values, monitor renal activity, watch for drop in chloride when administering potassium without chloride
5. treatment/ prevention of potassium depletion

Divalproex / valproate sodium

500 mg PO BID
1. increase levels of GABA in inhibitory neurotransmitter in the CNS suppressing seizure activity
2. dizziness, headache, depression. peripheral edema. hepatotoxicity, pancreatitis, abdominal pain, anorexia
3. suicidal thoughts, agitation, insomnia, sedation, confusion, visual disturbances
4.asses seizure activity, asess mood and monitor CBC, platelet count, and bleeding time
5. pt has history of seizure

Generic/trade names

Procainamide

Pharmacotherape
utic
Pharmacotherape
Classification:
utic
Classification:
Echinocandins
Clinical
Classification:
Clinical
antifungal
Classification:
anitarrhythmic

Physicians order
1000 ml q12h
1. decrease in myocardial excitability, slows conduction velocity may depress myocardial contractility
2. :, dizziness. asystole, heart block, ventricular arrhythmias, hypotension. bitter taste, nausea, vomiting. Rash, agranulocytosis,
eosinophilia, leukopenia fever
3. seizures, confusion, thrombocytopenia chills, drug-induced systemic lupus syndrome, diarrhea, anorexia.
4. monitor ECG pulse, and bp through infusion, and periodically through po administration, monitor CBC every 2 weeks through
first three months, may decrease wbc and platelets
5.to maintain normal sinus rhythm

Micafungin/ mycamine

100 mg Q24h
1. inhibits synthisis of glucan required for the formation of the fungal cell wall, causing death of susceptible fungi
2. depletion of hepatic impairment, renal impairment, hemolytic anemia
3. injection site reaction, allergic reaction including anaphylaxis
4.asses for esophageal candidiasis before therapy, monitor for signs of anaphylaxis assess injection site reaction may cause
anemia
5. decrease esophageal yeast infection

Generic/trade
names

Pharmacotherape
utic
Classification:
Anti-infectives

Physicians order
350 mg Q24h IV

Daptomycin/
cubicin
Clinical
Classification:cycli
c lipopeptide
antibacterial
agent

Generic/trade
names
Metoprolol /
lopressor

Drug Log

Pharmacotherape
utic
Classification:
Antihypertensive
Clinical
Classification:
Beta blocker

Physicians order
25mg po BID

1. causes rapid depolarization of membrane potential following


binding to bacterial membrane which inhibits the protein DNA and
RNA
2. eosinophilic pneumonia, dyspnea, pseudomembranous colitis,
constipation, diarrhea, nausea, vomiting
3. increased liver enzymes. renal failure, pruritus, rash, anemia.
injection site reactions.
4. asses for infection, monitor bowel function, monitor for muscle
pain or weakness, watch for increase temp and signs of
pneumonia Discontinue daptomycin in patients with unexplained
signs and symptoms of myopathy in conjunction with CPK
elevation greater then 1000 U/L
5.eleminate infection

1. blocks simulation of beta 1, andrenergic receptors to decrease


blood pressure and HR
2.fatiuge, weakness, anxiety, depression, insomnia
3.bradcardia, HF, pulmonary edema, drug induced hepatitis
4.montor BP, ECG and intake and output
5. to decrease hypertension
Student name

Generic/trade names

Pharmacotherapeu
tic
Classification:
Clinical
Classification

Ferrous gluconate

Generic/trade names

Cetirzine / aller -relief


Pharmacotherape
utic
Classification:
Allergy cold and
cough remedies
Clinical
Classification:
peripherally
selective

Pharmacotherapeu
tic
Classification:
Antianemic
Clinical
Classification: iorn
supplement

Physicians order

1.Drug action in the body(in your own words- which means


DO NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine
1. mineral found in hemoglobin and enters the blood stream
and is transported to the organs and become pt of the iron
stores
2. dizziness, headace, nausea, constipation, temporary
staining of teeth, dark stool
3. use cautiously in pt with peptic ulcer disease ulcerative
colitis, regional enteritis, alcoholism, sever hepatic
impairment and renal impairment
4. asses reasons for anemia, bowel function watch labs
heme, hemo, and reticulocyte, watch for nausea, vomiting
blue lips, and palms, and weakness
5. low iorn levels

Physicians order
Pharmacotherape
utic
Classification:
Hair regrowth
stimulant
Clinical
Classification:
androgen
inhibitors

1. decrease symptoms of histamine excess


2. dizziness, d rowsiness, fatigue pharyngitis dry mouth
3. use cautiously in pt with hepatic or renal impairment or pregnant
4. avoid alcohol or other CNS depressant dry mouth may occur along with dizziness
5. seasonal allergy

Finasteride

1. inhibits the enzyme5 alpha reductase which is responsible for converting testosterone to the potent metabolite 5 alpha
dihydrotestosterone in prostate liver and skin
2. gynecomastia, prostate cancer, decreased libido, and volume of ejaculate, erectile dysfunction, infertility breast cancer
3. pt with hepatic impairment or obstructive uropathy
4. inform pt and pt spouse to not come in contact with pt semen which may affect male fetus
5. decrease size in prostate

Generic/trade names

Pharmacotherape
utic
Classification:
Pharmacotherape
Anti-inflammatory
utic
Clinical
Classification:
Classification:
Allergy
corticosteroids
bronchodilators

Montelukast / singular

Clinical
Classification:
leukotriene
antagonists

Physicians order
1. Antagonizes the effects of leukotrienes, which mediate the Airway edema, Smooth muscle constriction, and Altered cellular
activity. Result is decreased inflammatory process, which is part of asthma and allergic rhiniti
2. : suicidal thoughts, agitation, anxiety, depression, disorientation, fatigue, hallucinations, headache, insomnia, tremor,
weakness, nosebleed
3. use caution in pt with asthma attacks, med has aspartame and hepatic impairment
4. asses lung sounds, may increase AST and ALT concentration
5. treatment of allergies

Fluticasone / flonase

1. locally acting anti-inflammatory and immune modifier


2. headache, epistaxis, nasal burning, nasal irritation, nasopharyngeal fungal infection, pharyngitis, nausea, vomiting.
3. Active untreated infections; Diabetes or glaucoma; Underlying immunosuppression, Systemic corticosteroid therapy,
Concurrent use of ritonavir; Recent nasal trauma, or septal ulcers or surgery
4. monitor nasal stuffiness, monitor s/s of hypersensitive reaction rash monitor HPA values which may be decreased due to
this medicine
5. treat inflamed nasal passages

Generic/trade
names

Pharmacotherape
utic
Classification:
Antihypertensive

Physicians order

Hydralazine
Clinical
Classification:
vasodilators

Generic/trade names
Nitroglycerin

Pharmacotherapeutic
Classification:
Antianginals
Clinical Classification:
Nitrates

Physicians order

1. Direct-acting peripheral arteriolar vasodilator.


2. dizziness, drowsiness, headache. tachycardia, angina,
arrhythmias, edema, orthostatic hypotension, diarrhea, nausea,
vomiting. rash. sodium retention
3. Use cautiously in cardiovascular or cerebrovascular disease;
Severe renal and hepatic disease
4. monitor BP pulse, emphasize important of continuing to take
this medication at the same time daily 2x weekly 3lbs difference
call doctor
5. decrease bp and HF

1. Increases coronary blood flow by dilating coronary arteries and


improving collateral flow to ischemic regions, produces
vasodalation decreases left ventricular end diastolic pressure and
left diastolic volume
2. dizziness, headache nausea aprehention, restlessness,
weakness
3. hypotension blurred vision abdominal pain

4.asses location, monitor bp continuous ecg and bp monitoring


administer 1 hour before or 2 hours after
5. long term prophylactic treatment of HF angina and MI, or
treatment of acute MI or HF associated with MI

Generic/ trade names


Morphine sulfate

1. binds to opiate receptors in CNS alters perception of pain while


depressing CNS
2. use cautiously in heart failure, or with sever asthma confusion
sedation, dizziness, diaphoreses, hallucinations hypotension
3.respiratory depression constipation, nausea and vomiting
4.asses type of pain, and location, small bolus dose 15-30 mins
for breakthrough pain during continuous infusions, when RR is
less then 10 asses for Level of sedation, decrease by 25-50%
5. pain relief

Pharmacotherapeutic
Classification: opiods
analgesics
Clinical
Classification: opiod
antagonist

Generic trade names


Atenolol

Pharmacotherapeutic
Classification: antihypertension
Clinical Classification:
Beta blocker

Generic/trade names
Aspirin

Pharmacotherape
utic
Classification:
Salicylate
Clinical
Classification:
Antipyretic,
nonopiod
analgesics

Physicians order

1. blocks stimulation of beta1 receptors decrease BP and heart


failure, decreases frequency of attack and prevention of MI
2.use cautiously in uncompensated HF and bradycardia or
pulmonary disease, hyperglycemia (drops sugar)
3. fatigue, weakness, anxiety and depression, dizziness,
drowsiness, bradycardia wheezing, pulmonary edema
4. monitor bp pulse, monitor intake and output ratios,monitor for
cyanosis, asses for rale, wheezing (signs of angina)
5. decrease hypertension
1. produces analgesia and reduces inflammation and fevers by
inhibiting prostaglandins
2. Tinnitus, dyspepsia. Epigastria distress, nausea, anorexia,
increase bleeding
3. GI bleeding, Exfoliative dermatitis, Steven Johnsons syndrome,
anaphylaxis and laryngeal edema
4. asses pain or fever before administering, pt with asthma or
allergies to tartrazine have an increase in chance for sensitivity
5. prophylactic against MI

Generic/trade names

Pharmacotherapeutic
Classification:

Physicians order

Clinical Classification:

Magnesium
hydroxide

Generic/trade names
Alprazolam

xanax

Atorvastatin calcium/
lipitor

1. powers enzymes that run the body and neruro


transmitions and muscular excitablilities
2. hypermagnesium, hypocalcemia, HB
3. diarrhea, flushing sweating
4. asses for heartburn and indigestion, asses for abdominal
distention asses stool
5. antacid/ laxative

Pharmacotherapeutic
Classification:
Electrolyte replacement
Clinical Classification:
salines

Pharmacotherapeutic
Classification:
Benzodizapaine
Clinical Classification:
Anit anxiety agent

Pharmacotherapeutic
Classification:
HMG-COA reducing agent
Clinical Classification:
Lipid lowering agent

Physicians order

1. acts at CNS and to produce analxiolic effect may


produce CNS depression to relive anxiety
2carful with uncontrolled pain, and obstructed apnea,
dizziness, drowsyness, lethargy confusion, hangover,
mental depression
3. constipation, vomiting, weight gain
4. acess anxiety level, lightheaded and dizziness should
disapate over time
5. reduce anxiety
1.inhibit enzymes that are responsible for catalizing an
early step in the synthisis of cholesterol
2. amnisea, confusion, headache, chest pain, edema,
bronchitis, abdominal cramps
3. hyperglycemia, dysepea myopathy
4. observe dietary history, i.e. fat consumption, monitor
liver, if muscle tenderness occurs asses CK levels if results
are more then 10xs higher then the high discontinue
5. lower cholesterol in the bodyd

Generic/trade
names

Vancomycin
/vancocin

Generic/trade names

Furosemide / lasix

Generic/trade names

Dilaudid /
hydromorphone

Pharmacotherape
utic
Classification:
Anti-infective
Clinical
Classification:

Physicians order

1. binds to bacterial wall resulting in cell death, bacterialcidal agent


to susceptible organisms
2.nephrotoxicity rash, ototoxocity, hypotension, nausea, vomiting
esosinophillia, leucopenia, phlebitits
3.caution in renal impairment, intestinal obstruction or
inflammation
4. asses for infection, WBC monitor I&O monitor BP during infusion
watch for super infection vancomycin through concentration should
not exceed 10mcg/ml, check BUN and Creatine
5.decrease infection

Pharmacotherapeutic
Classification:
Diuretics
Clinical Classification:
loop diuretics

Physicians order

Pharmacotherapeutic
Classification:
Allergy cold remedies
opioid analgesic
Clinical Classification:
Opioid agonists

Physicians order

1. inhibits the reabsorption of sodium, and chloride from the


of henle and distal renal tubule, increases renal excretion of
water sodium, chloride magnesium, potassium and calcium
2. blurred vision, dizziness, headache, vertigo, anorexia, incr
BUN and liver enzymes, dehydration, hypo(mag, natremia,
volemia, chloremia, and metabolic alkalosis
3. be careful in pt who are sensitive to thiazide diuretics, ma
contain alcohol, and sever liver disease diabetes and electro
depletion
4. asses fluid status, monitor vitals and fall risk, asses for
anorexia, nausea, vomiting, asses hearing, asses for new he
problems
5. pt has edema in leg
1. binds to the opiate receptors in the CNS and alters the
perception of the response to painful stimuli
2. Confusion, sedation, dizziness, confusion, sedation, dizzin
hallucinations, headache, unusual dreams. Blurred vision,
respiratory depression. Hypotension, bradycardia.
3. use carefully in head trauma, intracranial pressure sever r
hepatic or pulmonary disease, hypothyroidism or seizure
disorders
4. Asses vitals, if RR is less than 10 hold and call doctor. Ass
level of sedation, may need to be decreased by 25-50% as
bowel sounds and pain

5. knee pain

Generic/trade names

Amitripryline / Elavil

Generic/trade names

Pharmacotherapeutic
Classification:
Antidepressant
Clinical Classification:
Tricyclic antidepressant

Physicians order

Pharmacotherapeutic
Classification:

Physicians order

analgesic adjuncts
Gabapentin / gralise

Clinical Classification:

anticonvulsants, mood
stabilizers

1. potentates effect of serotonin and norepinephrine in cns.


significant anticholenergic properties
2. suicidal thoughts, lethargy, sedation. blurred vision, dry e
dry mouth. arrhythmias, torsade de pointes, hypotension, ec
changes, qt interval prolongation, constipation
3 . may increase risk of suicide attempt/ ideation especially
during doses early treatment or dose adjustment; risk may b
greater in children and adolescence.
4. asses bmi, glucose, cholesterol levels in obese pt, monito
depression and suicidal thoughts, monitor leukocyte and blo
counts, liver function
5. treat depression
1. mechanisms of action is not known may affect transport
amino acids across and stabilizes neuronal member
2. suicidal thoughts, confusion, depression, dizziness, drows
sedation, anxiety, hostility, malaise, vertigo, weakness. abno
vision, nystagmus
3. may increase risk of suicidal thoughts, may increase rena
insufficiency and become toxic
4. monitor for changes in behavior that could include suicida
thoughts, behavior and depression, may cause false positive
urinary protein
5. pt suffering from depression

Generic/trade names

Ropinirole / requip

Generic/trade names
Citalopram /celexa

Generic/trade names

Bumetanide/ burinex

Pharmacotherapeu
tic
Classification:
Anitparkinson
agents
Clinical
Classification:
Dopamine agonists

Physicians order

Pharmacotherapeu
tic
Classification:
antidepressant
Clinical
Classification:
Selective serotonin
reuptake inhibitor

Physicians order

Pharmacotherapeu
tic
Classification:
Diuretics
Clinical
Classification: loop
diuretics

Physicians order

1. Stimulates dopamine receptors in the brain


2., dizziness, syncope, confusion, drowsiness, fatigue,
hallucinations, headache, impulse control disorder
3. orthostatic hypotension, peripheral edema,
sweating, melanoma. abnormal vision.
4. monitor BP, extreme drowsiness, asses for sleep
patterns, or symptoms of parkinsons disease
5. control of restless leg syndrome
1. Selectively inhibits the reuptake of serotonin in the
CNS
2., suicidal thoughts, confusion, drowsiness, insomnia,
weakness, agitation, amnesia, anxiety, depression,
migraine headache
3. Hyponatremia, photosensitivity, torsade de pointes,
neuroleptic malignant syndrome
4. monitor for suicidal tendencies, asses mental
changes, monitor electrolytes,
5. combat depression
1. inhibits the reabsorption of sodium chloride from the loop

Henle and distal renal tubule.


2. dizziness, encephalopathy, headache hearing loss,
tinnitus. hypotension diarrhea, dry mouth, nausea,
vomiting.
3. , hypochloremia, hypokalemia, hypomagnesemia,
hyponatremia, hypovolemia, metabolic alkalosis,
hyperglycemia, hyperuricemia
4. asses fluid status, monitor daily weights, I&O
monitor BP asses hearing, asses allergy
5. decrease edema

Generic/trade names

Pharmacotherapeu
tic
Classification:

Physicians order

Glimepiride/ amaryl
Clinical
Classification:

Generic/trade names
Spironolactone/
Aldactone

Generic/trade names

Polyethylene /
miralax

Generic/trade names

Cyanocobalamin
/nascobal

Pharmacotherapeu
tic
Classification:
Diuretics
Clinical
Classification:
potassium sparing
diuretics

Physicians order

Pharmacotherapeu
tic
Classification:
Laxatives
Clinical
Classification:
osmotics
Pharmacotherapeu
tic
Classification:
Antianemics
Clinical
Classification:
water soluble
vitamin

Physicians order

1. lowers blood sugar by stimulating the release of


insulin from the pancreas and increasing the sensitivity
to insulin at receptor sites
2. dizziness, drowsiness, headache, weakness.
constipation, cramps, diarrhea, drug-induced hepatitis,
dyspepsia
3. hypoglycemia, hemolytic anemia, thrombocytopenia
4. assess for low bld sugar, monitor CBC BUN and
creatinine
5. to treat type 2 diabetes
1. causes loss of sodium bicarbonate and calcium while
saving potassium and hydrogen ions

2. dizziness, clumsiness, sedation, arrhythmias, GI


irritation dysuria, sexual dysfunction
3. hyperkalemia, Hyponatremia, hypercalemic
metabolic acidosis, steven Johnson syndrome, pruritis
4. monitor I&O evaluate BP, monitor hypokalemia,
monitor ECG, asses for rash, monitor BUN, creatanine,
potassium, plasma
5. decrease edema

Physicians order

1. draws water the lumen of the GI tract


2. abd bloating, cramping, flatulent, nausea
3. urticaria, do not use in GI obstruction, gastric retention,
toxic colitis
4. asses for abd destention, presence of bowel sounds, and
usual patterns of bowel function
5. decrease constipation
1. necessary coenzymes for metabolic processes, including
fat and carbohydrate metabolism and protein synthesis
2. headache, heart failure, diarrhea, itching swelling
3. hypokalemia, thrombocytosis, pulmonary edema
4. asses b12 and iron deficiency, monitor folic acid,
potassium, and platelet count, administer with meal
5. pt has history of b12 deficiency

Generic/trade names

Enoxaparin/ lovonox

Pharmacotherapeut
ic
Classification:
Antithrombotic
Clinical
Classification:
Anticoagulant
Physicians order

IM
1.prevents conversion of prothrombin to thrombin by acting on Xa
2.alopesia,rash, pain at site
3.drug induced hepatitis, bleeding edema
4.asses for bleeding, hemorrhage, monitor for hypersensitivity, fall in hematocrit, monitor platelets
5. post surgical blood thinner

Phosphorus/ potassium

Sodium/
Pharmacotherapeut
ic
Classification:
Vasopressin,
anagonist
Clinical
Classification:
electrolyte modifiers

powder
1. depresses vasopressin at v2 receptor site in renal collection duct
2.polyuria, confusion, insomnia, dehydration
3.infusion reaction

4. monitor injection site, vital signs, and neurologic status monitor serum levels
5.

Generic/trade names
cephalosporin/Cefazolin
Pharmacotherapeut
ic
Classification:
cephalosporin
Clinical
Classification: anti
infective

Physicians order

ivpb
Pharmacotherapeut
ic
Classification:
Antihistamine
Clinical
Classification:
allergy, cold cough
remedies,
antitussives

1.binds to bacteria wall, causing cell death


2.seizure, pseudomembranous, steven-johnsons syndrome, phlebitis
3.anaphylaxis, serum sickness
4. asses for infection, determine previous reaction to penicillin, asses for allergic reactions(discontinue at sign of rash),
monitor bowel function
5.blood infection

Diphenhydramine/ Benadryl Allergy

1.decreses effect of histamine at receptor site


2.anorexia, dysuria, tinnitus, dry mouth urinary retention
3.chest tightening photosensitivity, palpitation
4.asses for urticaria and patency of airways, may decrease skin response to allergy test
5.

Drug Log

Student name

Generic/trade names

Pharmacotherapeuti
c
Classification:

Physicians order

1.Drug action in the body(in your own words- which means DO


NOT copy and paste information from drug book)
2. Common side effects
3. Adverse reactions
4. Unique nursing assessment prior to administration
5. specific reason why patient is on medicine

10 mg tab daily

1.inhibits the transport of calcium into myocardial and vascular


smooth muscle cells, which stop excitation contraction
2. dizziness, general hyperplasia, fatigue, flushing
3. hypotension, palpitations, bradycardia, angina, and peripheral
edema
4. monitor bp and pulse, check for angina and edema
5. control of hypertension

Clinical
Classification:

Amlodipine

Norvasc

Generic/trade names

Aspirin

Pharmacotherapeut
ic
Classification:
Salicylate

Pharmacotherapeuti
c
Classification:
Calcium channel
blocker
Clinical
Classification:
Antihypertensive

Clinical
Pharmacotherapeut
Classification:
icAntipyretic,
Classification:
nonopiod analgesics
Water soluble
vitamin
Clinical
Classification:
Antianemic vitamins
81 mg po daily

Physicians order

1. produces analgesia and reduces inflammation and fevers by inhibiting prostaglandins


2. Tinnitus, dyspepsia. Epigastria distress, nausea, anorexia, increase bleeding
3. GI bleeding, Exfoliative dermatitis, Steven Johnsons syndrome, anaphylaxis and laryngeal edema
4. asses pain or fever before administering, pt with asthma or allergies to tartrazine have an increase in chance for sensitivity
5. prophylactic against MI

Folic acid

1 mg daily po
1. required for protein synthesis and red cell function produces red and white blood cells along with platelets
2.rash, irritability, difficulty sleeping
3. malaise, confusion, fever
4. asses for megaloblastic anemia, before and throughout therapy
5. given due to his anemia

Generic/trade names

Metoprolol / lopressor

Pharmacotherapeut
ic
Classification:
Antihypertensive
Clinical
Classification:
Beta blocker

Physicians order

50 mg po daily
1. blocks simulation of beta 1, andrenergic receptors to decrease blood pressure and HR
2.fatiuge, weakness, anxiety, depression, insomnia

3.bradcardia, HF, pulmonary edema, drug induced hepatitis


Pharmacotherapeut
4.montor BP, ECG and intake and output
ic
Classification:
5. to decrease hypertension
ACE inhibitor
Clinical
Lisinopril / prinivil
Classification:
Antihypertensive
20 mg po daily
1.blocks the conversion of angiotension 1 to the vasoconstrictor angio 2
2. dizziness, drowzyness, vertigo, weakness, chest pain, edema, nausea
3. taste disturbance, anorexia, renal failure, renal disturbance
4. asses for hypertension. Monitor for compliance, monitor cbc
5. to decrease hypertension

Generic/trade names
Cilastatin/ imipenem
Pharmacotherapeut
ic
Classification:
Carbapenems

Clinical
Pharmacotherapeut
Classification: anti
icinfective
Classification:
Antiulcer agent
Clinical
Classification:
protein pump
inhibitor

Physicians order

Ivpb 1000mg/250ml Q8H


1.binds to bacteria wall, causing cell death
2.seizure, pseudomembranous, steven-johnsons syndrome, phlebitis
3.anaphylaxis, serum sickness
4. asses for infection, person with allergy to penicillin may still have reaction to this
5.pancriatitis

Pantoprazole/ protonix

100 mg po daily
1. binds to an enzyme in the presence of acidic gastric pH preventing the final transport of hydrogen atoms
2. headache, abdominal pain, diarrhea, flatulence
3. pseusomembranous colitis, hypomagnesaemia, bone fracture
4.asses for epigastric and abdominal pain and for frank occult in stool

5. to decrease hypertension

Generic/trade names

Thiamine / B1 vitamin
Pharmacotherapeut
ic
Classification:
Vitamins
Clinical
Classification:
water soliable
vitamins

Physicians order

1oo mg po daily
1. required for carbohydrate metabolism

2. restlessness, weakness, tightness of throat, pulmonary edema


Pharmacotherapeut
3. vascular collapse. Hypotension, vasodilatation. Angioedema
ic
Classification:
4. asses for signs and symptoms of deficiency, asses pt nutritional patterns
Clinical
Classification:

5. to replace deficiency