Name of Drug Action Indication Contraindication Adverse Reaction Nursing Consideration Paracetamol Anti-pyretic Symptomatic · Contraindicated in Hematologic: hemolytic Use liquid form for relief of pain and patients anemia, children and fever. hypersensitive to drug. neutropenia, leucopenia, patients who have · Use cautiously in pancytopenia. difficulty patients with long · Hepatic: Jaundice swallowing. term alcohol use because · Metabolic: · In children, don’t therapeutic Hypoglycemia exceed five doses doses cause · Skin: rash, urticaria. in 24 hours. hepatotoxicity in these · Advise patient that drug patients. is only for short term use and to consult the physician if giving to children for longer than 5 days or adults for longer than 10 days. · Advise patient or caregiver that many over the counter products contain acetaminophen; be aware of this when calculating total daily dose. · Warn patient that high doses or unsupervised long term use can cause liver damage. Diclofenac Na * For relief of the Voltaren® (diclofenac Body as a Whole: fever, Do not take an NSAID signs and symptoms of sodium enteric-coated infection, sepsis medicine: osteoarthritis tablets) is * For relief of the contraindicated in Cardiovascular System: * if you had an asthma signs and symptoms of patients with known congestive heart failure, attack, hives, or other rheumatoid arthritis hypersensitivity to hypertension, allergic reaction with * For acute or long- diclofenac. tachycardia, syncope aspirin or any other term use in the relief of NSAID medicine signs and symptoms of Voltaren should not be Digestive System: dry * for pain right before ankylosing spondylitis given to patients who mouth, esophagitis, or after heart bypass have experienced gastric/peptic ulcers, surgery asthma, urticaria, or gastritis, gastrointestinal Tell your healthcare other allergic-type bleeding, glossitis, provider: reactions after taking hematemesis, hepatitis, aspirin or other NSAIDs. jaundice * about all your Severe, rarely fatal, medical conditions. anaphylactic-like Hemic and Lymphatic * about all of the reactions to NSAIDs System: ecchymosis, medicines you take. have been reported in eosinophilia, leukopenia, NSAIDs and some other such patients (see melena, purpura, rectal medicines can interact WARNINGS, bleeding, stomatitis, with each other and Anaphylactoid thrombocytopenia cause serious side Reactions, and effects. PRECAUTIONS, Metabolic and Preexisting Asthma). Nutritional: weight changes Voltaren is contraindicated for the Nervous System: treatment of anxiety, asthenia, perioperative pain in the confusion, depression, setting of coronary artery dream abnormalities, bypass graft (CABG) drowsiness, insomnia, surgery malaise, nervousness, EPHEDRINE Ephedrine is a central Ephedrine Sulfate This medication is not Nervousness, anxiety, Special care should be nervous system stimulant Injection, USP is recommended for use if dizziness, headache, used when administering used to treat breathing indicated in the treatment you have the following nausea, loss of appetite, Ephedrine Sulfate problems (as a of allergic disorders, medical conditions: or trouble sleeping may Injection, USP to bronchodilator), nasal such as bronchial glaucoma (closed-angle occur. If any of these patients with heart congestion (as a asthma. The drug has type), certain psychiatric effects persist or worsen, disease, angina pectoris, decongestant), low blood long been used as a conditions (e.g., notify your doctor diabetes, pressure problems pressor agent, psychoneurosis). Tell promptly. Tell your hyperthyroidism, (orthostatic particularly during spinal your doctor your medical doctor immediately if prostatic hypertrophy or hypotension), or anesthesia when history, especially of: any of these serious side hypertension and to myasthenia gravis. hypotension frequently heart problems (e.g., effects occur: chest pain, patients receiving occurs. In Stokes-Adams arrhythmias, chest pain), unusually fast or digitalis. Prolonged use syndrome with complete blood vessel problems irregular heartbeat, may produce a syndrome heart block, ephedrine (e.g., stroke or TIA), vomiting, resembling an anxiety has a value similar to that diabetes, over-active tremor/shakiness, state. Tolerance to of epinephrine. It is thyroid sweating, severe weight ephedrine sulfate may indicated as a central (hyperthyroidism), loss, difficult or painful develop, but temporary nervous system stimulant prostate problems, high urination, stomach pain discontinuance to the in narcolepsy and blood pressure drug restores its original depressive states. It is (hypertension), kidney effectiveness. also used in myasthenia problems, any allergies. gravis. Nalbuphine Nalbuphine Nalbuphine Nalbuphine CNS Effects: Nalbuphine hydrochloride is a hydrochloride is hydrochloride injection Nervousness, depression, hydrochloride injection synthetic opioid agonist- indicated for the relief of should not be restlessness, crying, should be administered antagonist analgesic of moderate to severe pain. administered to patients euphoria, floating, as a supplement to the phenanthrene series Nalbuphine who are hypersensitive to hostility, unusual general anesthesia only . hydrochloride can also nalbuphine dreams, confusion, by persons specifically be used as a supplement hydrochloride, or to any faintness, hallucinations, trained in the use of to balanced anesthesia, of the other ingredients dysphoria, feeling of intravenous anesthetics for preoperative and in nalbuphine heaviness, numbness, and management of postoperative analgesia, hydrochloride injection. tingling, unreality. The respiratory effects of and for obstetrical incidence of potent opioids analgesia during labor psychotomimetic effects, and delivery. such as unreality, Constipation, dry mouth, Keep all medicines out Hyoscine Antispasmodic Relief of colicky # Abnormal muscle trouble urinating, or of the sight and reach of abdominal pain (caused weakness (myasthenia nausea could occur. If children. by painful spasms in the gravis). these continue or are Make sure that the muscles of the stomach # Abnormally large or bothersome, notify your person prescribing this or bladder regions) dilated large intestine doctor promptly. Very medicine knows about including irritable bowel (megacolon). unlikely but report: rash, any other medicines that syndrome. # Closed angle itching, swelling of the you are taking. This Sometimes used to glaucoma. hands or feet, trouble includes medicines you reduce secretions in the # Hereditary blood breathing, increased buy and herbal and lung. disorders known as pulse, dizziness, homeopathic medicines. porphyrias. diarrhea, vision If you buy any problems, eye pain. medicines check with a pharmacist that they are safe to take with your other medicines. Lanoxin Digoxin is used to treat Heart Failure: Digitalis glycosides are Gastrointestinal: Digoxin Laboratory Test congestive heart failure. LANOXIN is indicated contraindicated in may cause anorexia, Monitoring for the treatment of mild patients with ventricular nausea, vomiting, and Do not drive or to moderate heart failure. fibrillation or in patients diarrhea. Rarely, the use perform other with a known of digoxin has been possibly unsafe tasks hypersensitivity to associated with until you know how digoxin. A abdominal pain, you react to Lanoxin; hypersensitivity reaction intestinal ischemia, and this drug may cause to other digitalis hemorrhagic necrosis of dizziness or blurred preparations usually the intestines. vision. These effects constitutes a CNS: Digoxin can may be worse if you contraindication to produce visual take it with alcohol digoxin. disturbances (blurred or or certain medicines. yellow vision), headache, weakness, dizziness, apathy, confusion, and mental disturbances (such as anxiety, depression, delirium, and hallucination). Pitocin is indicated for hypersensitivity to the Hypertensive Pitocin, when given for Oxytoxin Oxytocin in a nine amino the initiation or drug. episodes induction of labor or acid peptide that is improvement of uterine Nausea augmentation of uterine synthesized in contractions, where this Vomiting activity, should be hypothalamic neurons is desirable and Premature ventricular administered only by the and transported down considered suitable for contractions intravenous route and axons of the posterior reasons of fetal or Pelvic hematoma with adequate medical pituitary for secretion maternal concern, in Subarachnoid supervision in a hospital. into blood. order to achieve vaginal hemorrhage delivery. Hypertensive episodes Rupture of the uterus Cimedifine inhibit the action of Cimetidine is used for contraindicated for constipation, diarrhea, Rare instances of cardiac histamine on the acid- the treatment of duodenal patients known to have fatigue, headache, arrhythmias and producing cells of the ulcers, active gastric hypersensitivity to the insomnia, muscle pain, hypotension have been stomach and reduce ulcers, gastroesophageal product. nausea, and vomiting reported following the stomach acid. reflux disease (GERD), rapid administration of pathological Tagamet (cimetidine hypersecretory hydrochloride) Injection conditions (e.g., by intravenous bolus. Zollinger Ellison syndrome), heartburn and the prevention of gastrointestinal bleeding. Frusemide diuretic inhibits Loop diuretics are given It is contraindicated in jaundice, ringing in the Obtain baseline data. primarily the absorption to help reduce the anuria, those with history ears (tinnitus), sensitivity Note for side effects of Sodium and Chloride amount of water in the of allergy to frusemide, to light (photophobia), of drug in both the proximal and body. They work by hypokalaemia, rash, pancreatitis, nausea, Note for distal tubules and in the acting on the kidneys to hyponatraemia, precoma diarrhea, abdominal pain, hypersensitivty of loop of Henle. increase the flow of stage associated with and dizziness. Increased drug urine. Frusemide is also hepatic cirrhosis and blood sugar and uric acid Monitor BP used to treat addisons disease. levels hypertension in those patients who are not helped by other drugs or in those patients who have renal problems. Metoclopramide Metoclopramide is a used to treat the contraindicated in drowsiness, restlessness, "prokinetic" drug that symptoms of patients with fatigue, anxiety, stimulates the muscles of gastroesophageal reflux pheochromocytoma insomnia, depression, the gastrointestinal tract disease (GERD) like because the drug may and sedatio including the muscles of heartburn. It is also used cause a hypertensive the lower esophageal to treat people with slow crisis, probably due to sphincter, stomach, and emptying of the stomach release of Metoclopramide small intestine by and intestinal tract. catecholamines from the therapy should be interacting with receptors tumor. Such hypertensive discontinued in for acetylcholine and crises may be controlled patients who develop dopamine on by phentolamine. signs or symptoms of gastrointestinal muscles tardive dyskinesia and nerves. Treatment with metoclopramide for longer than 12 weeks should be avoided in all but rare cases where therapeutic Clonidine Clonidine treats high treatment of high hypersensitivity to lightheadedness, dry benefit is thought to blood pressure by blood pressure clonidine mouth, dizziness, or outweigh the risk of stimulating α2 receptors Clonidine lowers constipation. Clonidine developing tardive in the brain, which blood pressure by may also cause dyskinesia. decreases cardiac output decreasing the levels hypotension and peripheral vascular of certain chemicals resistance, lowering in your blood. Patients who wear blood pressure. It has contact lenses should specificity towards the be cautioned that presynaptic α2 receptors treatment with tablets in the vasomotor center may cause dryness of in the brainstem. eyes. Patients who engage in potentially hazardous activities, such as operating machinery or driving, should be advised of a possible sedative effect of clonidine. Methergine semi-synthetic ergot For routine management Hypertension; toxemia; acute myocardial Patients should be alkaloid used for the after delivery of the pregnancy; and infarction, transient chest instructed not to prevention and control of placenta; postpartum hypersensitivity. pains, arterial spasm discontinue therapy postpartum hemorrhage. atony and hemorrhage; (coronary and without consulting subinvolution. Under full peripheral), bradycardia, their physician obstetric supervision, it tachycardia, dyspnea, may be given in the hematuria, Caution should be second stage of labor thrombophlebitis, water exercised in the presence following delivery of the intoxication, of sepsis, obliterative anterior shoulder. hallucinations, leg vascular disease, hepatic cramps, dizziness, or renal involvement. tinnitus, nasal Also use with caution congestion, diarrhea, during the second stage diaphoresis, palpitation, of labor. rash, and foul taste.
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