Name of Drug Generic Name: Tramadol

Date Ordered

Classification

Dose Frequency Route 50mg IVTT Every 8 hours

Mechanism of Action Inhibits reuptake of serotonin and norepinephrine in the CNS.

Specific Indication Moderate to moderately severe pain.

Side Effects CNS: dizziness, headache, malaise, EENT: visual disturbance GI: abdominal pain, nausea, dry mouth,

O6- 28- 2013 Brand Name: Ultram

Analgesics

Nursing Implications Before: 1. Assess type, location, and intensity of pain before administering. 2. Monitor for V/ S especially BP before giving the drug. 3. Explain therapeutic value of medication before administration to enhance the analgesic effect. 4. Do not administer drug if sign and symptoms of hypersensitivity occur. During: 5. Assess for level of pain and administer PRN drugs as needed 6. After: 6. Advice pt. to slowly change position slowly to avoid orthostatic hypotension. 7. Instruct pt. to notify the health care provider if pain does not relieve.

Name of Drug Generic Name: Metronidazole

Date Ordered

Classification

Dose Frequency Route 500 mg IVTT Every 8 hours

Mechanism of Action Disrupts DNA and prtotien synthesis in susceptible organisns.

Specific Indication Perioperative prophylactic agent in colorectal cancer.

Side Effects

CNS: headache, dizziness GI: abdominal pain, dry mouth

06- 29- 13 Brand Name: Anerbizol

Anti- infectives

Nursing Implications Before: 1. Obtain baseline on patients wound characteristics and WBC count before the treatment. 2. Obtain C & S before before drug therapy to identify correct treatment has been initiated. 3. Tell patient that urine may be darker in color that usual. During: 4. Administer IV dose as a slow infusion. After: 6. Caution pt. to avoid driving or other activities requiring alertness can cause dizziness or light headedness. 7. Advise pt. to report health care provider if sign and symptoms of superinfection occurs.

Name of Drug Generic Name: Cefuroxime

Date Ordered

Classification

Dose Frequency Route 750 mg IVTT Every 8 hours

Mechanism of Action Binds to bacterial cell wall causing cell death.

Specific Indication Prophylactic for surgical infection

Side Effects CNS: headache, dizziness GI: nausea, cramps

06- 29- 13 Brand Name: Zegen

Anti- infectives

Nursing Implications Before: 1. Determine history of hypersensitivity reactions to cephalosporins, penicillins, and history of allergies before therapy is initiated. 2. Perform culture and sensitivity test before initiation of the therapy and periodically during the therapy. During: 3. Inspect IV injection site frequently to sign of phlebitis. 4. Monitor for manifestations of hypersensitivity. After: 5. Advice pt. to notify health care professional if fever and diarrhea. 6. Instruct pt. to report signs of super infection occur.