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					                                                              DRUG STUDY
Name____________________________________________________________                 Patient’s     Health    Profile______________________________
Age______________________________________________________________                ________________________________________________
Sex______________________________________________________________                Complaints_______________________________________
Religion___________________________________________________________              ________________________________________________
Occupation________________________________________________________               General Objectives of Care__________________________
Status____________________________________________________________               ________________________________________________
Date of Admission___________________________________________________             Diagnosis or Impression_____________________________

Name of Drug     Classification and   Indication and Dosage       Contraindication      Side effects/        Nursing Responsibilities
                Mechanism of Action                                                   Adverse Reactions

                                                              .
                                                                         UNIVERSITY OF SAN CARLOS
                                                                           COLLEGE OF NURSING
                                                                                CEBU CITY

                                                                                DRUG STUDY
Name____________________________________________________________                                         Patient’s     Health    Profile______________________________
Age______________________________________________________________                                        ________________________________________________
Sex______________________________________________________________                                        Complaints_______________________________________
Religion___________________________________________________________                                      ________________________________________________
Occupation________________________________________________________                                       General Objectives of Care__________________________
Status____________________________________________________________                                       ________________________________________________
Date of Admission___________________________________________________                                     Diagnosis or Impression_____________________________
                          _____________________________
 Name of Drug      Classification and Mechanism         Indication and Dosage        Contraindication             Side effects/ Adverse    Nursing Responsibilities
                               of Action                                                                               Reactions

Ferrous Sulfate   Classification: Hematologic agent   Iron deficiency           Patients with hemosiderosis,      GI: nausea, epigastric      Use cautiously on a long term
                  Action: Provides elemental iron,    200 mg 1 cap TID          primary hemochromatosis,          pain, vomiting,              basis.
                  an essential component in the                                 hemolytic anemia (unless          constipation, black         GI upset related to dose.
                  formation of hemoglobin.                                      iron deficiency anemia is         stools, diarrhea,            Between- meal dosing preferable,
                                                                                also present), peptic             anorexia                     but can be given with some foods
                                                                                                                                               although absorption may be
                                                                                ulceration, ulcerative colitis,   Other: temporary
                                                                                                                                               decreased. Enteric coated
                                                                                or regional enteritis, and in     stained teeth from           products reduce GI upset but also
                                                                                those receiving repeated          liquid forms                 reduce amount of iron absorbed.
                                                                                blood transfusions.                                           Tell patient to continue regular
                                                                                                                                               dosing schedule if she misses a
                                                                                                                                               dose. Patient shouldn’t double the
                                                                                                                                               dose.
                                                                                                                                              Check for constipation; record
                                                                                                                                               color and amount of stool. Teach
                                                                                                                                               dietary measures for preventing
                                                                                                                                               constipation.
                                                                                                                                               Oral iron may turn stools black.
                                                                                                                                                This unabsorbed iron is harmless;
                                                                                                                                                however, it could mask the
                                                                                                                                                presence of melena.


                                                                         UNIVERSITY OF SAN CARLOS
                                                                           COLLEGE OF NURSING
                                                                                CEBU CITY

                                                                                 DRUG STUDY

Name______________________________________________________________                                       Patient’s     Health    Profile______________________________
Age _______________________________________________________________                                      ________________________________________________
Sex________________________________________________________________                                      Complaints_______________________________________
Religion_____________________________________________________________                                    ________________________________________________
Occupation___________________________________________________________                                    General Objectives of Care__________________________
Status_______________________________________________________________                                    ________________________________________________
Date of Admission_____________________________________________________                                   Diagnosis or Impression_____________________________

 Name of Drug     Classification and Mechanism           Indication and Dosage        Contraindication        Side effects/ Adverse         Nursing Responsibilities
                              of Action                                                                            Reactions

Mefenamic acid   Classification: Anti-inflammatory     Mild to moderate pain.    Contraindicated in GI        Blood: leucopenia,
                 agent                                 500 mg 1 tab TID          ulceration or inflammation   agranulocytosis,             Use caustiously in patients with
                 Action: Produces anti-                                                                       aplastic anemia               history of peptic ulcer disease.
                 inflammatory, analgesic and                                                                  CNS: drowsiness,             Warn patient against activities that
                 antipyretic effects, possibly                                                                dizziness, headache           require alertness until CNS
                 through inhibition of prostaglandin                                                          CV: edema                     response to drug is determined.
                 synthesis.                                                                                   GI: nausea, vomiting,        Severe hemolytic anemia may
                                                                                                              diarrhea                      occur with prolonged use.
                                                                                                              GU: Dysuria, hematuria       Stop drug if rash or diarrhea
                                                                                                              Hepatic: hepatotoxicity       develops.
                                                                                                              Skin: rash, urticaria        Administer with food to minimize
                                                                                                                                            GI side effects.
                                                                  UNIVERSITY OF SAN CARLOS
                                                                    COLLEGE OF NURSING
                                                                         CEBU CITY

                                                                             DRUG STUDY

Name______________________________________________________________                               Patient’s Health Profile______________________________
Age _______________________________________________________________                              ________________________________________________
Sex________________________________________________________________                              Complaints_______________________________________
Religion_____________________________________________________________                            ________________________________________________
Occupation___________________________________________________________                            General Objectives of Care__________________________
Status_______________________________________________________________                            ________________________________________________
Date of Admission_____________________________________________________                           Diagnosis or Impression_____________________________

 Name of     Classification and      Indication and Dosage      Contraindication   Side effects/ Adverse                  Nursing Responsibilities
  Drug      Mechanism of Action                                                         Reactions

Cefuroxime Therapeutic:             Injectible form: serious   Contraindicated     nausea, vomiting,          Use cautiously in patients with history of sensitivity to
           Antibiotic               infections of the lower    in patients with    diarrhea,                   penicillin. Ask patient if he’s had any reaction to
                                    respiratory and urinary    hypersensitivity    pain, phlebitis at IV       previous cephalosporin or penicillin therapy before
            Action: Inhibits cell   tract; skin and skin       to drug or other    site, rash, vaginal         administering first dose.
            wall synthesis,         structure infections;      cephalosporins.     irritation                 Small frequent meals, frequent mouth care,
            promoting osmotic       bone and joint                                                             sucking hard candy, or chewing gum may help
            instability. Usually    infections; septicemia,                                                    prevent nausea and vomiting
              bactericidal.          meningitis, and                                                            Instruct patient to notify health care professional if
                                     gonorrhea; and for                                                          wheezing; tightness in the chest; fever; itching;
                                     perioperative                                                               bad cough; blue skin color; swelling of face, lips,
                                     prophylaxis.                                                                tongue, or throat; severe nausea and vomiting and
                                     Dose: 250mg IVTT                                                            diarrhea occur.
                                     q8h                                                                        Prolonged use may result in overgrowth of
                                                                                                                 nonsusceptible organisms. Monitor patients carefully
                                                                                                                 for superinfection.
                                                                                                                Watch for change in temperature or worsening of
                                                                                                                 infection.




                                                                  UNIVERSITY OF SAN CARLOS
                                                                    COLLEGE OF NURSING
                                                                         CEBU CITY

                                                                            DRUG STUDY

Name______________________________________________________________                                Patient’s Health Profile______________________________
Age _______________________________________________________________                               ________________________________________________
Sex________________________________________________________________                               Complaints_______________________________________
Religion_____________________________________________________________                             ________________________________________________
Occupation___________________________________________________________                             General Objectives of Care__________________________
Status_______________________________________________________________                             ________________________________________________
Date of Admission_____________________________________________________                            Diagnosis or Impression_____________________________

 Name of Drug      Classification and Mechanism     Indication and Dosage     Contraindication      Side effects/ Adverse             Nursing Responsibilities
                               of Action                                                                 Reactions

Hydralazine      Antihypertensive                 Essential hypertension,   Contraindicated in      CNS: headache,                 Use cautiously in patients with
                  Action: A direct- acting        Severe essential          patients with           dizziness                       cardiac disease or in those taking
                 vasodilator that primarily       hypertension              hypersensitivity to     CV: angina,                     other antihypertensives.
                                                                                                    tachycardia,                   Monitor patient’s blood pressure
relaxes arteriolar smooth   5mg IVTT q4h        drug, coronary       palpitations                and pulse rate frequently.
musce..                     Prn for BP 180/90   artery disease, or   EENT: nasal                 Hydralazine may be given with
                                                mitral valvular      congestion                  diuretics and beta- blockers to
                                                rheumatic heart      GI: nausea, vomiting,       decrease sodium retention and
                                                disease.             anorexia, diarrhea          tachycardia and to prevent angina
                                                                     Hematologic:                attacks.
                                                                     neutropenia,               Elderly patients may be more
                                                                     leucopenia,                 sensitive than younger ones to
                                                                     agranulocytopenia,          drug’s hypotensive effects.
                                                                     agranulocytosis,           Watch patient closely for signs and
                                                                     thrombocytopenia            symptoms of lupus- like syndrome
                                                                     with or without             (sore throat, fever, muscle and joint
                                                                     purpura.                    aches, rash). Notify doctor
                                                                     Skin: rash                  immediately if these develop.
                                                                      Other: lupus-like         Give this drug with meals to
                                                                     syndrome                    increase absorption.
   Name of Drug       Classification and Mechanism of Action              Indication and Dosage                      Contraindication                  Side effects/ Adverse               Nursing Responsibilities
                                                                                                                                                            Reactions

Oxytocin, synthetic   Mechanism of action: causes potent and       Induction or stimulation of labor.       Cephalopelvic disproportion or          Maternal—                          Bon’t give by I.V. bolus injection. Must
injection             selective stimulation of uterine and         1 ml (10 units) added to 1000 ml of      where delivery requires conversion,     Blood: afibrinogenemia              administerby infusion.
(Syntocinon)          mammary gland smooth muscle                  dextrose 5% in water or 0.9% sodium      as in transverse lie; fetal distress;   CNS: subarachnoid                  Oxytocin should not be given
                                                                   chloride solution at rate necessary to   severe toxemia; and other obstetric     hemorrhage, resulting from          simultaneously by more than one route.
                                                                   control bleeding.                        emergencies                             hypertension; convulsions or       May produce an antidiuretic effect; monitor
                                                                                                                                                    coma resulting from water           fluid intake/output
                                                                                                                                                    intoxication                       Not recommendd for routine IM use.
                                                                                                                                                    CV: hypotension; increased          However, 10 units may be administered IM
                                                                                                                                                    heart rate, venous return,          after delivery of placenta to control
                                                                                                                                                    cardiac output                      postpartum uterine bleeding.
                                                                                                                                                    Other: impaired uterine blood
                                                                                                                                                    flow and increased uterine
                                                                                                                                                    motility
                                                                                                                                                    Fetal—
                                                                                                                                                    Blood: hyperbilirubinemia
                                                                                                                                                    CV: bradycardia, tachycardia,
                                                                                                                                                    premature ventricular
                                                                                                                                                    contractions
                                                                                                                                                    Other: anoxia, asphyxia


   Name of Drug       Classification and Mechanism of Action              Indication and Dosage                      Contraindication                  Side effects/ Adverse               Nursing Responsibilities
                                                                                                                                                            Reactions

Phytomenadione        Vitamin                                      Hypoprothrombinemia secondary to         Hereditary Hypoprothrombinemia;         CNS: dizziness, convulsive         Check expiry date of the drug before
(Vitamin K1)          Promotes hepatic formation of prothrombin.   vitamin K malabsorption, drug                                                    movement                            administering it.
                                                                   therapy, or excess vitamin A                                                     Skin: sweating, flushing,          Make sure it is the right drug and administer
                                                                   0.5 to 1 mg SC or IM immediately                                                 erythema                            the right dose.
                                                                   after birth                                                                      Local: pain, swelling and          Observe signs of side effects and report
                                                                                                                                                    hematoma in injection site          them to the doctor.
                                                                                                                                                                                    


   Name of Drug       Classification and Mechanism of Action              Indication and Dosage                      Contraindication                  Side effects/ Adverse               Nursing Responsibilities
                                                                                                                                                            Reactions

Oxytetracycline HCl   Ophthalmic antibiotic                        Prophylaxis and local treatment of                                               Eye: eye irritation,               Apply in the lower conjunctiva
(Terramycin)                                                       superficial ocular ocular infections                                             conjunctivitis                     Applied from inner o outer canthus of the
                                                                                                                                                    Other: overgrowth of                eye
                                                                                                                                                    nonsusceptible organisms,          Do not touch the tip of the medication to the
                                                                                                                                                    nypersensitivity                    eye.
                                                                                                                                                                                    
                                                                UNIVERSITY OF SAN CARLOS
                                                                  COLLEGE OF NURSING
                                                                       CEBU CITY




                                                                          DRUG STUDY

Name______________________________________________________________                           Patient’s Health Profile______________________________
Age _______________________________________________________________                          ________________________________________________
Sex________________________________________________________________                          Complaints_______________________________________
Religion_____________________________________________________________                        ________________________________________________
Occupation___________________________________________________________                        General Objectives of Care__________________________
Status_______________________________________________________________                        ________________________________________________
Date of Admission_____________________________________________________                       Diagnosis or Impression_____________________________

 Name of Drug    Classification and Mechanism      Indication and         Contraindication     Side effects/            Nursing Responsibilities
                             of Action                Dosage                                     Adverse
                                                                                                Reactions
Paracetamol     Therapeutic: Antipyretics,      Mild pain and fever   *previous              *G.I.: hepatic        Assess overall health status
                nonopioid analgesics                                  hypersensitivity       failure,              Assess fever; note presence of associated
                * inhibits the synthesis of     Dosage: 250           *products containing   hepatotoxicity         signs (diaphoresis, tachycardia, malaise)
                prostaglandins that may         2ml q6 for temp-      alcohol, aspartame,    (overdose)            Explain the importance of the medication
                serve as mediators of pain      38.5                  sugar or tartrazine    G.U.: renal            for her health
                and fever, primarily in the                                                  failure (high         Administer the drug when the temperature
                CNS.                                                                         doses/ chronic         is greater than or equal to 38.5 C
                *has no significant anti-                                                    use)
                  inflammatory properties or                                                        Derm: rash,
                  G.I. toxicity                                                                     urticaria




                                                                 UNIVERSITY OF SAN CARLOS
                                                                   COLLEGE OF NURSING
                                                                        CEBU CITY

                                                                             DRUG STUDY

Name______________________________________________________________                                  Patient’s     Health    Profile______________________________
Age _______________________________________________________________                                 ________________________________________________
Sex________________________________________________________________                                 Complaints_______________________________________
Religion_____________________________________________________________                               ________________________________________________
Occupation___________________________________________________________                               General Objectives of Care__________________________
Status_______________________________________________________________                               ________________________________________________
Date of Admission_____________________________________________________                              Diagnosis or Impression_____________________________

   Name of Drug         Classification and Mechanism      Indication and         Contraindication           Side effects/ Adverse       Nursing Responsibilities
                                    of Action                Dosage                                              Reactions

Phenylpropanolamine Nasal agent                        Relieve stuffy nose   Hypersensitivity to            Rare -Headache             If cold symptoms do not
(Disudrin)          Produces local                     and sinus             drug                           (severe); increased         improve within 7 days or
vasoconstriction of dilated   congestion           blood pressure ;              ifhigh feveroccurs, check
arterioles to reduce blood    Dosage: drops 6.25   painful or difficult          with the doctor. These signs
flow and nasal congestion     mg/ml TID PO         urination; tightness          may mean that pt has other
                                                   in chest                      medical problems.
                                                                                Store away from heat and
                                                   Early symptoms of             direct light.
                                                   overdose- Abdominal          Warn pt. that excessive use
                                                   or stomach pain;              may cause dizziness
                                                   fast, pounding, or           Tell oatient not to exceed
                                                   irregular heartbeat;          recommended dose
                                                   headache (severe);           Tell     patient    to    use
                                                   increased sweating            medication      only    when
                                                   not caused by                 needed.
                                                   exercise; nausea and
                                                   vomiting (severe);
                                                   nervousness (severe)
                                                   ; restlessness
                                                   (severe)

                                                   Late symptoms of
                                                   overdose -
                                                   Confusion;
                                                   convulsions
                                                   (seizures); fast
                                                   breathing; fast and
                                                   irregular pulse ;
                                                   hallucinations
                                                   (seeing, hearing, or
                                                   feeling things that are
                                                   not there); hostile
                                                   behavior; muscle
                                                   trembling
                                                                  UNIVERSITY OF SAN CARLOS
                                                                    COLLEGE OF NURSING
                                                                         CEBU CITY

                                                                          DRUG STUDY

Name______________________________________________________________                           Patient’s     Health    Profile______________________________
Age _______________________________________________________________                          ________________________________________________
Sex________________________________________________________________                          Complaints_______________________________________
Religion_____________________________________________________________                        ________________________________________________
Occupation___________________________________________________________                        General Objectives of Care__________________________
Status_______________________________________________________________                        ________________________________________________
Date of Admission_____________________________________________________                       Diagnosis or Impression_____________________________

 Name of Drug    Classification and Mechanism      Indication and        Contraindication      Side effects/            Nursing Responsibilities
                             of Action                Dosage                                     Adverse
                                                                                                Reactions
Sangobion       Hematinic                       Iron deficiency      Peptic ulcer,regional   G.I.: nausea and      Between meal dosing is preferable
                Provides elemental iron, and                         enteritis, ulcerative   vomiting,             Iron is toxic; parents should be aware
                essential component in the      2.5 ml OD PO         colitis,                constipation,          of iron poisoning in children
                formation of hemoglobin.                             hemochromatosis         black stools          Dilute liquid preparations in juice or
                                                                                                                    water, but not in milk or antacids.
                                                                                                                   Check for constipation; record color
                                                                                                                    and amount of stool
                                                                                                                   If patient misses a dose, it should not
                                                                                                                    be doubled.
                                                                UNIVERSITY OF SAN CARLOS
                                                                  COLLEGE OF NURSING
                                                                       CEBU CITY

                                                                        DRUG STUDY

Name______________________________________________________________                          Patient’s Health Profile______________________________
Age _______________________________________________________________                         ________________________________________________
Sex________________________________________________________________                         Complaints_______________________________________
Religion_____________________________________________________________                       ________________________________________________
Occupation___________________________________________________________                       General Objectives of Care__________________________
Status_______________________________________________________________                       ________________________________________________
Date of Admission_____________________________________________________                      Diagnosis or Impression_____________________________

 Name of Drug    Classification and Mechanism      Indication and       Contraindication     Side effects/ Adverse         Nursing Responsibilities
                             of Action                Dosage                                      Reactions

Ranitidine      Histamine H2 antagonist         Duodenal and        Hypersensitivity,       Dizziness,headache,         Administer over at least 5 minutes.
                Action: Competitively           gastric ulcer       Kidney disease, liver   diarrhea, nausea, or         Rapid administration may cause
                inhibits the action of                              disease                 constipation,                hypotension and arrhythmias
                histamine (H2) at receptor      Dosage: 50 mg 1                                                         Drug may cause drowsiness or
                sites of the parietal cells,      amp IVTT q8h                                          bleeding gums                   dizziness. Caution patient to avoid
                decreasing gastric acid                                                                                                 activities requiring alertness until
                secretion                                                                                                               response to drug is known.
                                                                                                                                       Inform physician when ranitidine
                                                                                                                                        overdose occurs: nausea, vomiting,
                                                                                                                                        diarrhea,      increased      saliva
                                                                                                                                        production, difficulty breathing,
                                                                                                                                        and a fast heartbeat.
                                                                                                                                       Do not use solution that is
                                                                                                                                        discolored or that contains
                                                                                                                                        precipitate.




                                                                                DRUG STUDY

 Name of Drug     Classification         Indication and            Contraindication         Side effects/ Adverse                     Nursing Responsibilities
                        and                 Dosage                                               Reactions
                  Mechanism of
                       Action
Methylergonovine Oxytocics           Promotion of              Contraindicated for          CNS: dizziness,                Should not be routinely administered IV. If must
(Methergine)     Directly affect     postpartum uterine        induction of labor; before   headache                        be given by this route, administer slowly over 1
                 neuroreceptor       involution. Prevent and   delivery of placenta; in     CV: hypertension,               min with careful BP monitoring.
                 sites to            treat postpartum          patients with                dyspnea, palpitation           Monitor and record BP, PR, and uterine response.
                 stimulate           hemorrhage caused by      hypertension, toxemia, or    GI: nausea and                  Report sudden change in vital signs
                 contraction of      uterine atony.            sensitivity to ergot         vomiting                       Store in tightly closed, light- resistant containers.
                 uterus.             Dose: 0.2 mg I.M. q2-5    preparations; and in                                        Discard if discolored.
                                     hours. I.V. dose may be   threatened spontaneous                                      Decrease dose if severe cramping occurs.
                                     diluted to 5ml with       abortion
                                  0.9% sodium chloride
                                  injection. Following
                                  initial I.M. or I.V.
                                  DOSE, may give 0.2-
                                  0.4 mg PO q6-12 hours
                                  for 2-7 days.


Magnesium       Anticonvulsant    Prevention or control of    Use cautiously in patients   Flushing, thirst. With         Assess maternal BP and FHR continuously with
Sulfate         May decrease      seizures in                 with impaired renal          toxicity, absence of            bolus IV administration
                acetylcholine     preeclampsia or             function, myocardial         deep tendon reflex,            Keep calcium gluconate, the antidote for toxicity,
                released by       eclampsia                   damage, heart block , and    respiratory depression,         readily available at the bedside.
                nerve impulse,    Dose: initially, 4g IV in   in women in labor            cardiac arrhythmias,           Monitor I/O every hour during continuous
                but its           250 ml dextrose 5% in                                    cardiac arrest and              infusion. Urine output should be 30 ml/hour or
                anticonvulsant    water and 4g deep IM                                     decreased uterine               greater.
                mechanism is      into alternate buttock                                   output.                        Assess deep tendon reflexes every 1-4 hours
                unknown           q4 hours, prn.                                                                           during continuous infusion.
                                  Alternatively,4g IV                                                                     Watch for respiratory depression and signs of
                                  loading dose followed                                                                    heart block. Respiration should be approximately
                                  by 1-4g hourly as IV                                                                     16/min before each given dose.
                                  infusion.


                                                                                DRUG STUDY

 Name of Drug    Classification       Indication and              Contraindication         Side effects/ Adverse                  Nursing Responsibilities
                       and               Dosage                                                 Reactions
                 Mechanism of
                     Action
Calcium         Electrolyte and   Magnesium                   Ventricular fibrillation,    CV: bradycardia,               IM injection should be given in gluteal region in
Gluconate       replacement       intoxication                hypercalcemia, renal         cardiac arrhythmias,            adults. IM route used only in emergencies when
                solution          Dose: 1 g/ IV (10 ml of     calculi                      cardiac arrest                  no IV route available.
                Replaces and      a 10% solution)                                          GI: constipation,              Monitor blood calcium levels frequently.
                maintains                                                                  nausea, vomiting, thirst,      Have prepared at bedside when administering
                calcium levels                                                             abdominal pain.                 magnesium sulfate.
                                                                                           GU: polyuria                   Solutions should be warmed to body temperature
                                                                                                                           before administration.
                                                                                                                          Following IV injection, patient should remain
                                                                                                                           recumbent for a while.
Misoprostol     Prostaglandin       Prevent NSAID-              Pregnancy; it is an       GI: Nausea, diarrhea,        Patient should be notified, both in writing and
(Cytotec)       Inhibits gastric    induced gastric ulcers      abortifacient             abdominal pain,               verbally, of the potential effects of this drug.
                acid secretion      in patients at risk for                               flatulence, vomiting,
                and increases       complications from                                    dyspepsia, constipation      Screen for any history of allergy to misoprostol
                bicarbonate and     gastric ulcer. Treatment                              GU: miscarriage,              and pregnancy or lactation.
                mucous              for duodenal ulcer.                                   excessive bleeding,
                production in       Dose:                                                 spotting, cramping,          Monitor for adverse effects.
                the stomach,                                                              hypermenorrhea,
                thus protecting                                                           dysmenorrhea                 Arrange for serum pregnancy test within 2 weeks
                the stomach                                                                                             of beginning treatment; begin therapy on second/
                lining                                                                                                  third day of menstrual period to ensure that
                                                                                                                        women of childbearing age are not pregnant.

                                                                                                                       Assess for nutritional status if GI effects are
                                                                                                                        severe, in order to arrange for appropriate
                                                                                                                        measures to relieve discomfort and ensure
                                                                                                                        nutrition.
                                                                                  DRUG STUDY

 Name of Drug    Classification         Indication and              Contraindication      Side effects/ Adverse                 Nursing Responsibilities
                      and                  Dosage                                              Reactions
                 Mechanism of
                     Action
Buscopan        Antispasmodic.      Spasms of the stomach,      Abnormal muscle           Dry mouth                    .
                Stops the           intestines or bile duct     weakness (myasthenia
                spasms in the       (gastrointestinal tract),   gravis)                   Blurred vision
                smooth muscle       including those
                by preventing       associated with irritable   Abnormally large or       Reduced ability to
                acetylcholine       bowel syndrome (IBS)        dilated large intestine   sweat
                from acting on                                  (megacolon)
                the muscle. It      Spasms of the                                         Increase in heart rate
                does this by        reproductive or urinary     Closed angle glaucoma     (tachycardia)
                blocking the        systems (genitourinary
                receptors on the    tract), for example         Hereditary blood          Constipation
                muscle cells that   period pain cramps          disorders known as
                the                                             porphyrias.               Difficulty in passing
                acetylcholine                                                             urine (urinary
                 would normally                             Buscopan tablets are not    retention)
                 act on                                     recommended for
                                                            children under six years    Allergic skin reactions
                                                            of age.




                                                                    UNIVERSITY OF SAN CARLOS
                                                                      COLLEGE OF NURSING
                                                                           CEBU CITY

                                                                             DRUG STUDY

Name______________________________________________________________                                   Patient’s     Health    Profile______________________________
Age _______________________________________________________________                                  ________________________________________________
Sex________________________________________________________________                                  Complaints_______________________________________
Religion_____________________________________________________________                                ________________________________________________
Occupation___________________________________________________________                                General Objectives of Care__________________________
Status_______________________________________________________________                                ________________________________________________
Date of Admission_____________________________________________________                               Diagnosis or Impression_____________________________

 Name of      Classification and        Indication and Dosage        Contraindication   Side effects/ Adverse                 Nursing Responsibilities
  Drug       Mechanism of Action                                                             Reactions

Cefoxitin   Antimicrobial and        Perioperative prophylaxis       Hypersensitivity   CNS: seizures                Observe patient for signs and symptoms of
(Monowel)   Antiparasitic Agents     Treatment of serious            to other           GI: diarrhea,                 anaphylaxis (rash, pruritus, laryngeal edema,
                                     infection of respiratory and    cephalosporins,    pseudomembranous              wheezing). Discontinue medication and notify
            Bind to bacterial cell   genitourinary tracts, skin      serious            colitis, nausea and           physician if these symptoms occur.
            wall membrane,         and soft tissue infections,    sensitivity to        vomiting                        Keep epinephrine, an antihistamine close by
            causing cell death     bloodstream and intra-         penicillins           Skin:                            in the event of an anaphylactic reaction.
                                   abdominal infections                                 Maculopapular and               Ask if patient if she has any reaction to
                                   caused by Eschericha coli                            erythematous                     previous cephalosporins or penicillin therapy
                                   and other coliform                                   rashes, urticaria                before administering
                                   bacteria, Staphylococcus                             Local: Phlebitis at             Prolomged use may result in overgrowh of
                                   aureus, Klebsiella,                                  IV site, pain                    nonsusceptible organisms. Monitor patient for
                                   Hemphilus influenzae,                                                                 superinfection.
                                   etc…                                                                                 Assess IV site frequently.
                                   Dose: 1 gm IVTT q8 hours


                                                                           DRUG STUDY

Name______________________________________________________________                               Patient’s     Health    Profile______________________________
Age _______________________________________________________________                              ________________________________________________
Sex________________________________________________________________                              Complaints_______________________________________
Religion_____________________________________________________________                            ________________________________________________
Occupation___________________________________________________________                            General Objectives of Care__________________________
Status_______________________________________________________________                            ________________________________________________
Date of Admission_____________________________________________________                           Diagnosis or Impression_____________________________

 Name of Drug     Classification and    Indication and Dosage        Contraindication        Side effects/ Adverse                 Nursing Responsibilities
                 Mechanism of Action                                                              Reactions

Tramadol        Analgesics              Moderate to              Hypersensitivity,           CNS: seizures,                  Assess type, location, and intensity of
(Ulram)         Binds to mu-opioid      moderately severe        patients who are            dizziness,                       pain before and 2-3 hours after
                receptors, inhibits     pain                     acutely intoxicated         headache,                        administration
                reuptake of serotonin   Dose: 50mg I cap         with alcohol,               somnolence                      Assess blood pressure and respiratory
                and norepinephrine in   TID                      sedative/hypnotics,         GI: constipation,                rate before and periodically during
                CNS                                              centrally acting            nausea                           administration.
                Therapeutic effect:                              analgesics, opioid                                          Assess previous analgesic history.
                decrease pain                                    analgesics, or                                               Tramadol is not recommended for
                                                                 psychotropic agents                                          patients dependent on opioids or who
                                                                                                                              have previously received opioids for
                                                                                                                       more than a week.
                                                                                                                      Monitor patient for seizures. May occur
                                                                                                                       within recommended dose range.
                                                                                                                      If tolerance develops, changing to an
                                                                                                                       opioid agonist may be required to
                                                                                                                       relieve pain.




                                                                         DRUG STUDY

Name______________________________________________________________                             Patient’s     Health    Profile______________________________
Age _______________________________________________________________                            ________________________________________________
Sex________________________________________________________________                            Complaints_______________________________________
Religion_____________________________________________________________                          ________________________________________________
Occupation___________________________________________________________                          General Objectives of Care__________________________
Status_______________________________________________________________                          ________________________________________________
Date of Admission_____________________________________________________                         Diagnosis or Impression_____________________________

 Name of Drug   Classification and Mechanism     Indication and Dosage      Contraindication       Side effects/ Adverse          Nursing Responsibilities
                            of Action                                                                   Reactions

Celecoxib       Therapeutic: Antirheumatics,   Relief of signs and       Hypersensitivity,        Headache, dizziness,           Assess patient for allergy to
(Celebrex)      nonsteroidal anti-             symptoms of               history of asthma,       insomnia, rashes, GI            aspirin or NSAIDS
                inflammatory agents            osteoarthritis and        urticaria or allergic    Bleeding                       May be administered without
                Parmacologic: COX-2            rheumatoid arthritis      type reactions to                                        regard to meals.
                inhibitors                     Dose: 200 mg 1 tab BID    aspirin or other                                        Instruct patient to take
                                                                         NSAIDS, including                                        medication exactly as
                Inhibits the enzyme COX-2.                               the aspirin triad                                        directed. Do not take more
                This enzyme is required for                              (asthma, nasal                                           than prescribed dose.
                the synthesis of                                         polyps, severe                                           Increasing dose does not
                prostaglandins. Has                                      hypersensitivity                                         appear to increase
                analgesic, anti-inflammatory                             reactions to aspirin)                                    effectiveness.
                and anti pyretic properties.                                                                                     Advice patient to notify
                                                                                                                health care professional if s/s
                                                                                                                of GI toxicity (abdominal
                                                                                                                pain, black stools), skin rash,
                                                                                                                unexplained weight gain, or
                                                                                                                edema occurs.



                                                              DRUG STUDY

Name______________________________________________________________               Patient’s     Health    Profile______________________________
Age _______________________________________________________________              ________________________________________________
Sex________________________________________________________________              Complaints_______________________________________
Religion_____________________________________________________________            ________________________________________________
Occupation___________________________________________________________            General Objectives of Care__________________________
Status_______________________________________________________________            ________________________________________________
Date of Admission_____________________________________________________           Diagnosis or Impression_____________________________

 Name of Drug    Classification and   Indication and   Contraindication   Side effects/ Adverse          Nursing Responsibilities
                Mechanism of Action      Dosage                                Reactions
Meloxicam       Therapeutic:                Relief of signs and   Hypersensitivity    CV: edema                   Assess pain prior to and 1-2 hr following
                Nonsteroidal anti-          symptoms of                               GI: GI bleeding,             administration
                inflammatory drug           osteoarthritis                            diarrhea, nausea            Advise patient to take this medication with a
                Pharmacologic:                                                        Derm: pruritus               full glass of water and to remain in an upright
                nonopioid analgesic         Dose: 15 mg tab                           Hemat: anemia,               position for 15-30 min after administration.
                                            OD                                        lekopenia,                  Instruct patient to take medication exactly as
                Inhibit prostaglandin                                                 thrombocytopenia             directed. If a dose is missed, it should be taken
                                                                                                                   as soon as remembered but not if almost time
                synthesis, probably
                                                                                                                   for next dose. Do not double doses.
                inhibiting the enzyme                                                                             Advice patient to consult health care
                cyclooxygenase                                                                                     professional if, rash, itching, visual
                Decrease pain and                                                                                  disturbances, weight gain, edema, black stools
                inflammation associated                                                                            occur.
                with osteoarthritis. Also                                                                         Caution patient to avoid the concurrent use of
                decrease fever                                                                                     alcohol, aspirin, acetaminophen, or other OTC
                                                                                                                   medications without consulting health care
                                                                                                                   professional.




                                                                          DRUG STUDY

Name______________________________________________________________                            Patient’s     Health    Profile______________________________
Age _______________________________________________________________                           ________________________________________________
Sex________________________________________________________________                           Complaints_______________________________________
Religion_____________________________________________________________                         ________________________________________________
Occupation___________________________________________________________                         General Objectives of Care__________________________
Status_______________________________________________________________                         ________________________________________________
Date of Admission_____________________________________________________                        Diagnosis or Impression_____________________________

 Name of Drug       Classification and         Indication and      Contraindication    Side effects/ Adverse              Nursing Responsibilities
                   Mechanism of Action            Dosage                                    Reactions
Ciprofloxacin   Anti-infectives             Respiratory tract      Hypersensitivity,   CNS: eizures,                   Observe patients for signs and symptoms
                                            infections, skin and   Use cautiously in   dizziness,                       of anaphylaxis (rash, pruritus, laryngeal
                *Inhibit bacterial DNA      skin structure         patients with       drowsiness,                      edema, wheezing)
                synthesis by inhibiting     infections             underlying CNS      headache, insomnia              Keep epinephrine close by in case of
                DNA gyrase. Death of                               pathology, renal    GI:                              anaphylactic reaction.
                susceptible bacteria.                              impairment          pseudomembranous                Instruct patient to take medication as
                                            Dose: 500mg/ tab                           colitis, abdominal               directed at evenly spaced times and to
                                            BID                                        pain, diarrhea, nausea           finish the drug, even if feeling better.
                                                                                                                       Encourage patient to maintain a fluid
                                                                                                                        intake of at least 1500-2000 ml/day to
                                                                                                                        prevent crystalluria.
                                                                                                                       May cause dizziness and drowsiness.
                                                                                                                        Caution patient to avoid driving or other
                                                                                                                        activities requiring alertness until response
                                                                                                                        to the medication is known.




                                                                           DRUG STUDY

Name______________________________________________________________                                Patient’s     Health    Profile______________________________
Age _______________________________________________________________                               ________________________________________________
Sex________________________________________________________________                               Complaints_______________________________________
Religion_____________________________________________________________                             ________________________________________________
Occupation___________________________________________________________                             General Objectives of Care__________________________
Status_______________________________________________________________                             ________________________________________________
Date of Admission_____________________________________________________                            Diagnosis or Impression_____________________________

 Name of Drug    Classification and Mechanism     Indication and Dosage        Contraindication       Side effects/ Adverse           Nursing Responsibilities
                             of Action                                                                     Reactions

Caltrate plus   Mineral and electrolyte         Prevention and treatment    Hypercalcemia,           CV: cardiac arrest,             Observe patient for
                replacements/ supplements       of hypocalcemia             Renal calculi,           arrhythmias,                     symptoms of hypocalcemia
                                                                            ventricular              bradycardia                      (paresthesia, muscle
                *Essential for nervous,         Dose: 1 tab TID            fibrillation             GI: constipation,               twitching, laryngospasm,
                muscular, and skeletal                                                              nausea, vomiting                colic, cardiac arrhythmias)
                systems. Act as activator in                                                        CNS: tingling                   Notify physician if these
                the transmission of nerve                                                                                           occur.
                impulses and contraction of                                                                                        Do not take within 1-2 hr of
                cardiac, skeletal, and smooth                                                                                       other medication if possible.
                muscle. Essential for bone                                                                                         Instruct patients on a regular
                formation and blood                                                                                                 schedule to take missed
                coagulation.                                                                                                        doses as soon as possible,
                *Replacement of calcium.                                                                                            then to go back to regular
                                                                                                                                    schedule.
                                                                                                                                   Encourage patient to
                                                                                                                                    maintain a diet adequate in
                                                                                                                                    vitamin D (fish, canned
                                                                                                                                    salmon, sardines, cereals,
                                                                                                                                    nonfat dry milk)

                                                                          DRUG STUDY

Name______________________________________________________________                             Patient’s     Health    Profile______________________________
Age _______________________________________________________________                            ________________________________________________
Sex________________________________________________________________                            Complaints_______________________________________
Religion_____________________________________________________________                          ________________________________________________
Occupation___________________________________________________________                          General Objectives of Care__________________________
Status_______________________________________________________________                          ________________________________________________
Date of Admission_____________________________________________________                         Diagnosis or Impression_____________________________

 Name of Drug     Classification and       Indication and     Contraindication      Side effects/ Adverse                  Nursing Responsibilities
                 Mechanism of Action          Dosage                                     Reactions

Ketorolac       Nonsteroidal anti-      Short term          Hypersensitivity,      CNS: drowsiness                Assess pain prior to and 1-2 hr following
(Toradol)       inflammatory agents,    management of       known alchol           GI: GI bleeding,                administration
                nonopioid analgesics    pain                intolerance            diarrhe, dry mouth,            Administration in higher-than-recommended
                                                                                   nausea                          doses does not provide increased effectiveness
                *Inhibits               Dosage: 15mg                               Derm: pruritus,                 but may cause increased side effects.
prostaglandin            IVTT q6h x 4   sweating               Instruct patient to take medication exactly as
synthesis, producing     doses          Misc: anaphylaxis       directed. If a dose is missed, it should be taken as
peripherally mediated                                           soon as remembered but not if almost time for
analgesia. Also has                                             next dose. Do not double doses.
anti-pyretic and anti-                                         May cause dizziness and drowsiness. Caution
inflammatory                                                    patient to avoid driving or other activities
properties. Decrease                                            requiring alertness until response to the
pain                                                            medication is known.
                                                               Advise patient to consult health care
                                                                professional if rash, itching, visual
                                                                disturbances, tinnitus, wt. gain, edema,
                                                                persistent headache occur.
                                                                                DRUG STUDY
 Name of Drug      Classification and Mechanism of              Indication and Dosage              Contraindication         Side effects/     Nursing Responsibilities
                                 Action                                                                                       Adverse
                                                                                                                             Reactions
Fleet enema       Classification:Laxative                  relief of constipation                Should not be used        dependence for     Position: Lying on left side
                  Useful as a laxative in the relief of    routine enema when bowel             when the following        bowel function,    with knees flexed, or in the
                  constipation, and as a bowel evacuant    evacuation is needed for              medical problems          dehydration        knee-chest position.
                  for a variety of diagnostic, surgical    proctoscopy and sigmoidoscopy,        exist: appendicitis (or                      Laxative products should not
                  and therapeutic indications. Dibasic     preoperative cleansing and general    symptoms of),                                be used longer than 1 week
                  sodium phosphate and monobasic           postoperative care, to help relieve   intestinal blockage,                         unless directed by a physician.
                  sodium phosphate are poorly              fecal or barium impaction,            ulcerative colitis,                          The enema does not require
                  absorbed from the gastrointestinal       collecting stool specimens, during    ileitis, heart disease,                      warming. May be used at room
                  tract and retain water in the lumen of   pregnancy and pre- and postnatally.   rectal bleeding, high                        temperature.
                  the intestine. When administered         Dose: Children 2 to 12 years: 60      blood pressure,                              Insert tube gently, pointing it
                  rectally as an enema, they produce a     mL as a single dose or as directed    kidney disease.                              in the direction of the navel.
                  watery evacuation of the bowel. Fleet    by a physician. Children under 2                                                   Maintain position until
                  Enema provides cleansing action and      years: consult a physician.                                                        defecation impulse is felt,
                  induces complete emptying of the left                                                                                       usually within 2 to 5 minutes.
                  colon usually in 2 to 5 minutes.

                                                                                                                                              Administer with meals or milk
                  Classification: Antihistamine            Relief of allergic symptoms caused    Hypersensitivity,                            to minimize GI irritation.
Dyphenhydramine   Antgonizes the effects of histamine at   by histamine release. Antitussive     acute attacks of          Drowsiness,        May cause dizziness and
(Benadryl)        H1 receptor sites. Does not bind to or                                         asthma, lactation,        dizziness,         drowsiness. Caution patient to
                  inactivate histamine.                                                          known intolerance of      headache,          avoid activities requiring
                                                                                                 alcohol                   blurred vision,    alertness until response to the
                                                                                                                           anorexia, dry      medication is known.
                                                                                                                           mouth,             Frequent oral rinses, good oral
                                                                                                                           constipation,      hygiene, and sugarless gum or
                                                                                                                           diarrhea,          candy may minimize drying of
                                                                                                                           dysuria, urinary   mouth
                                                                                                                           retention          Advice SO to notify health
                                                                                                                                              care providers if symptoms
                                                                                                                                              worsen or persist for more than
                                                                                                                                              7 days.
                                                                                                                                              Assess frequency and nature of
                                                                                                                                      cough, lung sounds and
                                                                                                                                      amount and type of sputum
                                                                                                                                      produced.
                                                                            DRUG STUDY
 Name of Drug        Classification and              Indication and Dosage            Contraindication      Side effects/ Adverse     Nursing Responsibilities
                    Mechanism of Action                                                                          Reactions

Haloperidol     ANTIPSYCHOTIC                    Schizophrenia, manifestations of   CNS depression,         Sedation, weakness,       Do not allow patient to crush
                                                 other psychotic disorders          circulatory collapse,   tremor, drowsiness, and   or chew sustained- release
                Mechanism: blocks dopamine       including hyperactivity,           Parkinson’s disease,    extrapyramidal            capsules, which will decrease
                receptors, preventing the        combative behavior, agitation      coronary disease,       effects—                  their absorption and
                stimulation of he postsynaptic                                      severe hypotension,     pseudoparkinsonism,       effectiveness
                neurons by dopamine.             Dosage: 20 mg 1 tab BID PO         bone marrow             dystonia, akathisia,       Tarditive dyskinesia may
                                                                                    suppression and         tardive dyskinesia, dry   occur after prolonged use. It
                                                                                    blood dyscrasias        mouth, nasal              may not appear until months or
                                                                                                            congestion,               years later and may disappear
                                                                                                            constipation, urinary     spontaneously or persist for
                                                                                                            retention,hypotension     life.
                                                                                                                                      Obtain baseline measures of bp
                                                                                                                                      before starting therapy and
                                                                                                                                      monitor regularly.
                                                                                                                                      Warn against activities that
                                                                                                                                      require alertness and good
                                                                                                                                      psychomotor coordination
                                                                                                                                      until CNS response to drug is
                                                                                                                                      determined.
                                                                                                                                      Provide safety measures if
                                                                                                                                      CNS effects or orthostatic
                                                                                                                                      hypotension occur to prevent
                                                                                                                                      patient injury.


Biperiden       ANTICHOLINERGIC                  Parkinsonism, relief of            Narrow angle            Disorientation,           Monitor vital signs carefully.
(Akineton)                                       extrpyramidal disorders            glaucoma, GI            confusion, memory         Watch carefully for adverse
                Mechanism: block the action of   associated with the use of some    obstruction, GU         loss, agitation,          reactions.
                acetylcholine- dopamine          drugs                              obstruction             delirium, dizziness,      Give oral doses with or after
                imbalance. As a result, these                                                               weakness, dry mouth,      meals.
                drugs reduce the degree of       Dosage:2mg 1 tab BID                                       nausea, vomiting,         Because of possible dizziness,
                 rigidity and, to a lesser extent,                                                          constipation                 assist patient in ambulation.
                 the tremors                                                                                                             Tolerance may develop,
                                                                                                                                         requiring increased dosage.
                                                                                                                                         Relieve dry mouth with cool
                                                                                                                                         drinks, gum or candy.
                                                                              DRUG STUDY



 Name of Drug         Classification and                 Indication and Dosage          Contraindication    Side effects/ Adverse        Nursing Responsibilities
                     Mechanism of Action                                                                         Reactions

Chlorpromazine   Antipsychotic – Antiemetic          Management of psychotic           Comatose or          Sedation,                -Tarditive dyskinesia may occur
                                                     disorders including               depressed states     hypotension,             after prolonged use
                 Mechanism: elicit their             manifestations of manic           due to CNS           anticholinergic          - hold dose if patient develops
                 antipsychotic and antiemetic        depressive illness, manic phase   depressants; blood   properties and mild to   jaundice, symptoms of blood
                 effects via interference with       and severe behavioral             dyscrasias; bone     moderate                 dyscrasias, persistent
                                                                                                                                     extrapyramidal reactions.
                 central dopaminergic                problems in children; nausea      marrow depression;   extrapyramidal
                                                                                                                                     -warn against activities that require
                 pathways in the mesolimbic          and vomiting due to               liver damage         effects                  alertness or good psychomotor
                 and medullary                       stimulation of the                                                              coordination until CNS response
                 chemoreceptor trigger zone          chemoreceptor trigger zone.                                                     to drug is determined.
                 areas of the brain,                 Dosage: 100mg tab OD HS                                                         - Obtain baseline measures of bp
                 respectively. Extrapyramidal                                                                                        before starting therapy and monitor
                 side effects are a result of                                                                                        regularly.
                 interaction with                                                                                                    - Do not withdraw drug rapidly
                 dopaminergic pathways in                                                                                            unless required by severe side
                 the basal ganglia. Although                                                                                         effects.
                 often termed dopamine
                 blockers, the exact
                 mechanism of dopaminergic
                 interference responsible for
                 the drugs antipsychotic
                 activity has not been
                 determined.
                                                                                 DRUG STUDY

Name____________________________________________________________                                    Patient’s     Health    Profile______________________________
Age______________________________________________________________                                   ________________________________________________
Sex______________________________________________________________                                   Complaints_______________________________________
Religion___________________________________________________________                                 ________________________________________________
Occupation________________________________________________________                                  General Objectives of Care__________________________
Status____________________________________________________________                                  ________________________________________________
Date of Admission___________________________________________________                                Diagnosis or Impression_____________________________
                          _____________________________


 Name of Drug          Classification and                 Indication and Dosage         Contraindication         Side effects/ Adverse        Nursing Responsibilities
                      Mechanism of Action                                                                             Reactions

Sodium            Laxative                            Constipation, bowel or rectal   Hypersensitivity,          Nausea, cramps,             Administer drug alone for
Phosphate/                                            preparation for surgery, exam   abdominal pain,            diarrhea, electrolyte,       better absorption. Do not take
Sodium            Increases water absorption in                                       nausea/ vomiting, Na       fluid imbalances             within 1 hour of other drugs.
Biphosphate       the small intestine by osmotic      PO 25cc in 1 glass of water/    restricted diets, rectal                               Discontinue drug if rectal
(Phospho- Soda)   action, laxative effect occurs by   sprite                          fissures                                                bleeding, cramping,
                  increased peristalsis and water                                                                                             nausea/vomiting occur.
                  retention.                                                                                                                 Tell patient to maintain fluid
                                                                                                                                              consumption.
                                                                                                                                             Notify prescriber if symptoms
                                                                                                                                              of electrolyte imbalance occur:
                                                                                                                                              muscle cramps, pain,
                                                                                                                                              weakness, dizziness, excessive
                                                                                                                                              thirst.
                                                                              DRUG STUDY

Name____________________________________________________________                                Patient’s     Health    Profile______________________________
Age______________________________________________________________                               ________________________________________________
Sex______________________________________________________________                               Complaints_______________________________________
Religion___________________________________________________________                             ________________________________________________
Occupation________________________________________________________                              General Objectives of Care__________________________
Status____________________________________________________________                              ________________________________________________
Date of Admission___________________________________________________                            Diagnosis or Impression_____________________________
                          _____________________________


 Name of Drug        Classification and             Indication and Dosage            Contraindication    Side effects/ Adverse          Nursing Responsibilities
                    Mechanism of Action                                                                       Reactions

Bisacodyl       Laxative, stimulant             Short-term treatment of            Hypersensitivity,     Nausea/vomiting,              Provide client privacy before,
(Dulcolax)                                      constipation, bowel/ rectal        rectal fissures,      anorexia, cramps,              during and after the
                Acts directly on intestine by   preparation for surgery,           abdominal pain,       diarrhea, rectal burning       administration.
                increasing motor activity       examination                        nausea/vomiting,                                    Assist client in assuming a
                                                                                   appendicitis, fecal                                  prone position or sim’s
                                                Rectal: 10 mg single dose; may     impaction                                            position
                                                use up to 30mg for bowel/ rectal                                                       Instruct client to take a deep
                                                preparation                                                                             breath upon insertion of the
                                                                                                                                        medication.
                                                                                                                                       Do not use in presence of
                                                                                                                                        abdominal pain, nausea,
                                                                                                                                        vomiting.
                                                                                                                                       Notify prescriber if symptoms
                                                                                                                                        of electrolyte imbalance occur:
                                                                                                                                        muscle cramps, pain,
                                                                                                                                        weakness, dizziness, excessive
                                                                                                                                        thirst.
                                                                       DRUG STUDY

Name____________________________________________________________                       Patient’s     Health    Profile______________________________
Age______________________________________________________________                      ________________________________________________
Sex______________________________________________________________                      Complaints_______________________________________
Religion___________________________________________________________                    ________________________________________________
Occupation________________________________________________________                     General Objectives of Care__________________________
Status____________________________________________________________                     ________________________________________________
Date of Admission___________________________________________________                   Diagnosis or Impression_____________________________
                          _____________________________


 Name of Drug        Classification and             Indication and Dosage    Contraindication      Side effects/ Adverse       Nursing Responsibilities
                    Mechanism of Action                                                                 Reactions

Losartan        Antihypertensive                Hypertension                Losartan must be       diarrhea, muscle           Monitor blood pressure.
                Losartan and its primary                                    used with caution in   cramps, dizziness,         Report side effects to the
                metabolite block the            50mg OD                     patients who are       insomnia, and nasal         physician.
                angiotensin receptor found in                               volume depleted        congestion.                May be given with or without
                many tissues, primarily in                                  due to excessive                                   food
                vascular smooth muscle.                                     decreases in blood                                It may be used alone or in
                Angiotensin, formed by the                                  pressure after use                                 combination with other
                action of angiotensin                                                                                          agents.
                converting enzyme (ACE), is                                                                                   Losartan is generally well
                a powerful chemical that                                                                                       tolerated. The overall
                causes blood vessel                                                                                            incidence of side effects was
                narrowing (vasoconstriction)                                                                                   similar to placebo.
                which can lead to elevated
                blood pressure
                (hypertension).