Drug Name Mechanism Of Action Indication Contraindication Adverse Reaction Nursing Consideration

Metoclopramide Stimulates motility of -To prevent reduce -Contraindicated in CNS: Anxiety, -Monitor bowel sounds
upper GI tract. Blocks nausea and vomiting patient drowsiness, fatigue, -Monitor patient for
dopamine/serotonin from emotogenic hypersensitive to restlessness, fever, CNS symptoms,
Brand Name: receptors in cancer therapy. drug and in those depression, irregular pulse or
Metozolv ODT, Reglan chemoreceptor trigger -To prevent or with headache, insomnia abnormal blood pressure
zone. Enhances reduce postoperative pheochromocytoma, CV: Bradycardia, which may indicate
acetylcholine response nausea and tardive dyskinesia, hypotension, neuroleptic malignant
in upper GI tract; vomiting. or seizure disorders. transient syndrome.
Therapeutic Class: increases lower -Delayed gastric -Contraindicated in hypertension -Monitor patient for
Antiemetic esophageal sphincter emptying secondary patients for whom GI: Bowel dizziness, headache or
tone. to diabetic stimulation of GI disorders, diarrhea, nervousness after
gastroparesis motility might nausea Metoclopramide is
Dosage: -Gastroesophageal dangerous. GU: Incontinence, stopped; these may
1 amp IVTT Q8 reflux disease urinary frequency indicate withdrawal.
Skin: Rash, urticaria

Patient Teaching:
-Advise patient not to
drink alcohol during
therapy
-Teach patient signs and
symptoms of tardive
dyskinesia and
neuroleptic malignant
syndrome and to report
signs and symptoms that
develop.
 Drug Name Mechanism Of Action Indication Contraindication Adverse Reaction Nursing Consideration

Esomeprazole Reduce gastric acid -GERD; to heal erosive -Contraindicated in CNS: Headache, -Monitor patients for
secretion and decreases esophagitis patients hypersensitive dizziness rash or signs and
gastric acidity -To reduce the risk of to drug or components GI: Abdominal symptoms of
Brand Name: gastric ulcers in patient of Esomeprazole or pain, constipation, hypersensitivity.
Nexium receiving continuous omeprazole. diarrhea, dry
NSAID therapy. -In patients with severe mouth, flatulence,
Therapeutic -To eliminate liver impairment the nausea, vomiting
Class: Helicobacter pylori maximum dose of Skin: Pruritus Patient Teaching:
Antiulcer drugs delayed released -Instruct patient to take
formation. drug exactly as
Dosage: -Use cautiously in prescribed
40mg/cap OD 30 patients receiving -Warn patient not chew
min. before meal continuous NSAID or crush drug pellets
therapy who are risk for because this inactivates
gastric ulcers. drugs.
-Warn patient to
immediately report
symptoms of low
magnesium level.
 Drug Name Mechanism Of Indication Contraindication Adverse Reaction Nursing
Action Consideration

Cefuroxime -Inhibits cell-wall -Serious lower -Contraindicated in CV: Phlebitis, -Monitor patient for
synthesis, promoting respiratory tract patients hypersensitive to thrombophlebitis signs and symptoms
Brand Name: osmotic instability; infection, UTI, drug or other GI: diarrhea, of superinfection.
Ceftin usually bactericidal. skin or skin cephalosporins pseudomembranous
infection. -Use cautiously in colitis, nausea, anorexia, Patient Teaching:
Therapeutic Class: -Perioperative patients hypersensitive to vomiting -Advised patient to
Antibiotics prophylaxis penicillin because of Skin: Urticaria, pain, take drugs with or
-Acute bacterial possibility induration, sterile without meal.
Dosage: maxillary sinusitis of cross-sensitivity with abscesses, temperature -Advised patient that
500mg/tablet BID P.C -Pharyngitis and other beta-lactam elevation is normal when he
tonsillitis antibiotics. Hematologic: hemolytic feels diarrhea,
-Otitis Media -Use cautiously in anemia, nausea, and vomiting.
-Uncomplicated breastfeeding women and thrombocytopenia,
UTI in patients with history of eosinophilia
colitis or renal
insufficiency.
 Drug Name Mechanism Of Indication Contraindication Adverse Reaction Nursing Consideration
Action

Potassium Chloride Replaces potassium -To prevent -Contraindicated in CNS: Paresthesia -During therapy monitor
and maintains hypokalemia patients with severe of limbs, ECG , renal function,
potassium level. renal impairment with listlessness, fluid intake and output
Brand Name: oliguria, anuria, confusion, and potassium,
Klor-Con, K tab, hyperkalemia,. weakness or creatinine, and BUN
Micro-K, Pro-600 -Use cautiously in heaviness of limbs. levels. Never give
patients with cardiac CV: Arrhythmias, potassium
disease or reanl heart block, cardiac postoperatively until
Therapeutic Class: impairment. arrest, ECG urine flow is established.
Potassium Supplement changes, -May adverse reactions
hypotension may reflect
GI: Nausea, hyperkalemia.
Dosage: vomiting,
1 tab TID abdominal pain,
diarrhea Patient Teaching:
Metabolic: -Explain use and
Hyperkalemia administration to patient
Resp: Respiratory and family
paralysis -Tell patient to reprt
adverse effects,
especially pain at
insertion site.
 Drug Name Mechanism Of Indication Contraindication Adverse Reaction Nursing
Action Consideration

Carvedilol Nonselective beta -Hypertension -Contraindicated in CNS: dizziness, -Monitor patient

blocker with alpha -Mild to severe those with bronchial fatigue, stroke, pain, with heart failure
Brand Name: blocking activity. heart failure asthma or related headache, fever, for worsened
Coreg -Left ventricular brochospatic malaise, vertigo, condition, renal
dysfunction after condition. somnolence, dysfunction, or fluid
Therapeutic Class: MI -Use cautiously in depression, retention; diuretics
Antihypertensives -Chronic, stable hypersensitive insomnia may need to be
angina patients with left CV: Hypotension, increased
Dosage: sided heart failure, fluid overload, chest -Monitor diabetic
6.25mg OD Perioperative pain, palpitations patients closely;
patients who receive EENT: abnormal drug may mask
anesthetics that vision, blurred signs of
depress myocardial vision hypoglycaemia, or
function. GI: diarrhea, hyperglycemia may
vomiting, nausea, be worsened.
melena, dyspepsia
GU: Abnormal Patient Teaching
renal function, -Inform patient that
albuminuria, may experience low
hematuria, UTI BP when standing
Metabolic: advise him to lie
Hyperglycemia, down or sit down.
hyperkalemia, -Tell patients to take
weight loss, drug with food.
glycosuria, gout -Advise patient that
Resp: lung edema, capsule shouldnt
cough, rales chewed or crushed.
 Assessment Nursing Diagnosis Planning Intervention Evaluation

Subjective: Imbalanced Nutrition: After 8 hours span of Independent:

Pag mag kaon sya less than body care patient will 1.Vital signs monitored
maam ginasuka gihapon requirements as and recorded
niya as watchers evidenced by inability to To have a baseline
verbalized absorbed nutrients. data.
2.Used flavouring
agents such as lemon &
Objective: Background Study: herb
Weight: Intake of nutrients To enhance food
insufficient to meet satisfaction and
metabolic needs stimulate appetite
3. Encouraged client to
choose food or have
family member bring
Reference: foods that seem
NANDA 634-639 appealing.
Marilynn E. Doenges To stimulate appetite
Mary Frances 4. Prevent or minimize
Moorhouse unpleasant odor.
Alice C. Murr May have a negative
effects on appetite and
eating.

Dependent:
1.Administer
Multivitamines
 GENOGRAM

LEGEND: