DRUG NAME

PARACETAMOL
Classification:
Antipyretic
Non narcotic
Analgesic
Dosage:
500mg
Route:
Oral
Frequency:
As needed

MECHANISMS OF
ACTION
Reduces fever by
acting directly on the
hypothalamic heatregulating center to
cause vasodilation
and sweating, which
helps dissipate
heat

INDICATIONS
Temporary reduction
of fever, temporary
relief of minor aches
and pains caused by
common cold and
influenza, headache,
sore throat,
toothache, backach
e, menstrual
cramps, etc

CONTRAINDICATION
S
-Contraindicated with
allergy to paracetamol.
-Use cautiously with
impaired hepatic
function, chronic
alcoholism, pregnancy,
lactation

ADVERSE
EFFECTS
CNS: headache
CV: chest pain,
dyspnea,
myocardial
damage when
doses of 5-8g/day
are ingested daily
for several weeks
or when doses of
4g/day are
ingested for 1yr
GI: hepatic toxicity
and failure,
jaundice
GU: acute renal
failure, renal
tubular necrosis
Hematologic:
methemoglobinemi
a- cyanosis;
hemolytic anemiahematuria, anuria;
neutropenia,
leukopenia,
pancytopenia,
thrombocytopenia,

NURSING
INTERVENTIONS
1.Do not exceed
the recommended
dosage.
2.Reduce dosage
with hepatic
impairment.
3.Avoid using
multiple
preparations
containing
acetaminophen.
Carefully check all
OTC products.
4.Give drug with
food if GI upset
occurs.
5.Discontinue drug
if hypersensitivity
reactions occur.
6.Treatment of
overdose: Monitor

hypoglycemia
Hypersensitivity:
rash, fever

DRUG NAME

MECHANISMS OF
ACTION

INDICATIONS

CONTRAINDICATION
S

ADVERSE
EFFECTS

serum levels
regularly, Nacetylcysteine
should be available
as a specific
antidote;basic life
support measures
may be necessary.

NURSING
INTERVENTIONS

CEFIXIME
Classification:
Cephalosporin
Antibiotic
Dosage:
200 mg 1 cap
Route:
Oral
Frequency:
BID

Cefixime inhibits
bacterial cell wall
and binds with high
affinity to penicillinbinding proteins in
the bacterial cell
wall, thus
interfering with
peptidogly can
synthesis. Hence
causing bacterial
cell death.

Used to treat
infections caused by
bacteria such as
pneumonia;
bronchitis;
gonorrhea; and ear,
lung, throat, and
urinary tract
infections. Antibiotics
will not work for
colds, flu, or other
viral infections.

Cefixime is
contraindicated in
patients with known
allergy to the
cephalosporin group
of antibiotics;
contraindicated in
conditions like
hypersensitivity

seizures,
cholelithiasis,
urticaria,
agranulocytosis,
eosinophilia,
hemolytic anemia.

*Asses for infection

at beginning of and
throughout therapy.
*Obtain specimens
for culture and
sensitivity before
initiating therapy.
*Observe patient
for signs and
symptoms of
anaphylaxis ( rash,
pruritus, laryngeal
edema, wheezing)
*Measure
temperature of
bath water with
thermometer
because anemia
may cause poor
circulation *Notify
physician if
excessive vomiting,
coughing or
straining at stools
occurs so that
medication can be
prescribed to
alleviate symptom.

*Provide blankets
and warm clothing
to increase comfort
and aid circulation.

DRUG NAME

MECHANISMS OF
ACTION

INDICATIONS

CONTRAINDICATION
S

ADVERSE
EFFECTS

NURSING
INTERVENTIONS
*Avoid situations in
which trauma may
occur, such as
shaving with
straight-edge razor,
ambulating after
taking medication
that may cause
orthostasis, or
using sharp
utensils.
*Encourage diet
high in protein,
vitamins, and
minerals.
*Encourage cool,
bland foods;
flavored ices and
ice cream are well
tolerated.

DRUG NAME

MECHANISMS OF
ACTION

INDICATIONS

CONTRAINDICATION
S

ADVERSE
EFFECTS

NURSING
INTERVENTIONS

LIVERPRIME
Classification:
Supplements &
Adjuvant Therapy
Dosage:
1 cap
Route:
Oral
Frequency:
BID

DRUG NAME

Liverprime contains a
silybinphosphatidylcholine
complex which helps
protect the liver by
conserving
glutathione in the
cells (silybin) while
helping in the repair
and replacement of
cell membranes
(phosphatidylcholine)
. Phosphatidylcholine
improves the
absorption of silybin.
Liverprime also
contains vitamin E
and zinc, antioxidant
nutrients that help
protect the liver from
damaging toxins and
free radicals; and Bvitamins, that assist
the liver in the
breakdown of
proteins, fats and
carbohydrates into
energy that the body
can use.

Help maintain liver

health.

MECHANISMS OF

INDICATIONS

Allergy to any
ingredient in the
product.

Silybin:
Gastrointestinal
distress, itching
and headache.
Phosphatidylcholin
e: Nausea,
diarrhea, excessive
fullness and
increased
salivation.

1.Check if pt is
taking any other
supplements to
avoid overdose.
2.Do not crush,
break or open
tablet or capsule
form. Tell pt not to
chew it.
3.Check for
signs/symptoms of
overdose.

CONTRAINDICATION

ADVERSE

NURSING

ACTION
TAMSULOSIN
(PROVELAX)
Classification:
Alpha 1 adrenergic
receptor antagonist
Dosage:
200mg 1 cap
Route:
Oral
Frequency:
HS

Tamsulosin is a
selective 1
receptor antagonist
that has
preferential
selectivity for the
1A receptor in the
prostate versus the
1B receptor in the
blood vessels.
When alpha 1
receptors in the
bladder neck and
the prostate are
blocked, this
causes a relaxation
in smooth muscle
and therefore less
resistance to
urinary flow. Due to
this, the pain
associated with
BPH can be
reduced.
Selective action of
tamsulosin in alpha
1A/D receptors is

S
For the relief of
lower urinary tract
symptoms (LUTS)

Hypersensitivity to
tamsulosin HCl or any
other component of
HarnalOCAS. History
of orthostatic
hypotension. Severe
hepatic
impairment(ChildPugh scores >9).
Severe renal
impairment with
creatinine clearance
of <10 mL/min.
Concurrent use of
another
1-adrenoceptor
inhibitor

EFFECTS
Dizziness,
lightheadedness,
drowsiness,
runny/stuffy nose,
or ejaculation
problems may
occur.

INTERVENTIONS

1.Before
administering
tamsulosin, make
sure patient is not
allergic to the drug or
its contents. This
product may contain
inactive ingredients,
which can cause
allergic reactions or
other problems.
2.Know the medical
history of the patient,
especially of: low
blood pressure,
certain eye problems
(cataracts,
glaucoma).
3.Inform the patient
that this drug may
make him dizzy or
drowsy.
4.Inform patient that
older adults may be
more sensitive to the
side effects of this

controversial and
over three quarters
of tamsulosin
registered human
studies are
unpublished.

DRUG NAME

MECHANISMS OF
ACTION

drug, especially
dizziness and low
blood pressure when
getting up from a
sitting or lying
position. These side
effects can increase
the risk of falling.

INDICATIONS

CONTRAINDICATION
S

ADVERSE
EFFECTS

NURSING
INTERVENTIONS