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Mefenamic acid Relief of pain Aspirin-like drug Pregnancy & lactation, PRECAUTION:If > assess pt.¶s pain
including that has hypersensitivity, active rash occurs, before therapy
BRAND NAME: muscular, analgesic,antipyretic, ulceration or chronic administration >monitor for
Dolfenal rheumatic, & anti-inflammatory inflammation of either should be stopped, possible drug
traumatic, dental, activities upper or lower GIT, asthmatics,Hx of induced adverse
DOSAGEAdult: post-op and blood disorders, poor liver and kidney reactions
start with 75- postpartum pain, platelet function, kidney disease >advice pt. not to
150mcg headache, or liver impairment, take drug for more
BIDSevere migraine, fever, children < 14 yrs ADVERSE than 7 days
HPN300mg BID dysmenorrhea RXNGI >advice pt. to report
discomfort, immediately
diarrhea or persistence or failure
constipation, gas to relieve pain
pain, nausea,
vomiting,
drowsiness
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Öerrous sulfate ‡ Prevention Elevates the ‡ Hypersensitivity ‡ Dizziness ‡ Advise patient to take
and treatment serum iron ‡ Severe hypotension. ‡N&V medicine as prescribed.
CLASSIÖICATION: of iron concentratio ‡ Nasal ‡ Caution patient to make
Iron Preparation deficiency n which Congestion position changes slowly to
anemias. then helps ‡ Dyspnea minimize orhtostatic
DOSAGE: ‡ Dietary to form ‡ Hypotension hypotension.
PO BID supplement for High or ‡ CHÖ ‡ Instruct patient to avoid
iron. trapped in ‡ MI concurrent use of alcohol or
the ‡ Muscle cramps OTC medicine without
reticuloendo ‡ Ölushing consulting the physician.
thelial cells ‡ Advise patient to consult
for storage physician if irregular
and eventual heartbeat, dyspnea, swelling
conversion of hands and feet and
to a usable hypotension occurs.
form of ‡ Inform patient that angina
iron. attacks may occur 30 min.
after administration due
reflex tachycardia.
‡ Encourage patient to
comply with additional
intervention for hypertension
like proper diet, regular
exercise, lifestyle changes
and stress management.
 GENERIC INDICATION ACTION CONTRAINDICATION PRECAUTION/ NURSING
NAME ADVERSE CONSIDERATION
REACTION
cephalexin Cephalexin is They stop or Cephalexin is >headache, Assess results of
used to treat slow the growth contraindicated in dizziness, diarrhea, culture/sensitivity tests
infections caused of bacterial cells patients with known and patient's allergy
by bacteria that by preventing allergy to the history prior to therapy.
BRAND NAME: are susceptible to bacteria from cephalosporin group of Assess other
Keflex the effects of forming the cell antibiotics. pharmacological or
cephalexin. wall that herbal products patient
DOSAGE: Common surrounds each may be taking for
The dose of infections that are cell. The cell potential interactions
cephalexin for treated with wall protects (eg, nephrotoxicity).
adults is 1 to 4 cephalexin bacteria from Assess results of
grams in divided include infections the external laboratory tests,
doses. The dosing of the middle environment therapeutic response,
interval may be ear, tonsils, throat, and keeps the and adverse reactions.
every 6 or 12 larynx (laryngitis), contents of the Advise patients with
hours depending bronchi cell together. diabetes about use of
on the infection. (bronchitis) Clinitest® (may cause
and pneumonia. It false-positive test).
also is used for Teach patient possible
treating urinary side effects/appropriate
tract, skin, interventions and
and bone adverse symptoms to
infections. report (eg, opportunistic
infection,
hypersensitivity
reaction).
GENERIC NAME INDICATION ACTION CONTRAINDICATION PRECAUTION/ NURSING
ADVERSE CONSIDERATION
REACTION
Tramadol Management Binds to -opiate Hypersensitivity to ƅ Dizziness Tell patient that
of pain in the receptors in the tramadol, opioids, or ƅ Nausea driving or operating
BRAND NAME: operation site. CNS causing any component of the ƅ Drowsiness machinery should
Ultram inhibition of formulation; opioid- ƅ Dry mouth be
ascending pain dependent patients; ƅ Constipation avoided until the
DOSAGE: pathways, altering acute intoxication ƅ Headache effect
50mg the perception of with alcohol, ƅ Sweating of drug wears off.
Örequency: and response to hypnotics, centrally- ƅ V o mitin g ž Instruct patient to
Q6° pain; also inhibits acting analgesics, ƅ Itching repot cravings to
Route: the reuptake of opioids, or ƅ Rash physician
IVTT x 6 norepinephrine and psychotropic drugs. ƅ Visual immediately.
doses serotonin, which disturbances
also modifies the ž Inform client that
ascending pain ƅ Vertigo
medication may
pathway.
cause
CNS depression
and/or
respiratory
depression,
particularly when
combined with
other
CNS depressant
GENERIC NAME INDICATION ACTION CONTRAINDICATION PRECAUTION/ NURSING
ADVERSE CONSIDERATION
REACTION
Ketorolac Used for Inhibits Hypersensitivity to ƅ Rash Instruct client to avoid
treating prostaglandin ketorolac, aspirin, other ƅ Ringing in alcohol and maintain
BRAND NAME: inflammation synthesis by NSAIDs, or any component the ears adequate hydration (2-3
Toradol and pain in decreasing the of the formulation; patients ƅ Headaches L/day of fluids) unless
the operation activity of the who have developed nasal ƅ Dizziness instructed to restrict
CLASSIÖICATION: site. enzyme, polyps, angioedema, or ƅ Drowsiness fluid
Nonsteroidal cyclooxygenase, bronchospastic reactions to ƅ Abdominal intake.
Anti- which results in other NSAIDs; active or pain
Inflammatory decreased history of peptic ulcer ƅ Nausea ž Monitor for signs of
Drugs (NSAIDs) formation of disease; recent or history of ƅ Diarrhea pain relief, such as an
prostaglandin GI bleeding or perforation; ƅ Constipation increased appetite and
DOSAGE: precursors, patients with advanced renal ƅ Heartburn activity
30mg chemicals that disease or risk of renal ƅ Öluid
Örequency: cells failure; labor and delivery; Retention ž Instruct client to
Q6° of the immune nursing mothers; prophylaxis avoid
Route: system make before major surgery; taking ketorolac with
IVTT x 6 that suspected or confirmed aspirin or other
doses cause the cerebrovascular bleeding; NSAIDs
redness, hemorrhagic diathesis; such as ibuprofen
fever, and pain concurrent ASA or other (Motrin, Advil),
of NSAIDs; epidural or naproxen (Aleve,
inflammation intrathecal administration; Naprosyn), piroxicam
and concomitant probenecid; (Öeldene), etc.
that also are pregnancy (3rd trimester
believed to be
important in the
production of
non-
inflammatory
pain.
 GENERIC INDICATION ACTION CONTRAINDICATION PRECAUTION/ NURSING
NAME ADVERSE CONSIDERATION
REACTION
Cefazolin Treatment for Cefazolin for Cefazolin for injection, Common side Instruct patients to not use this
bacterial Injection USP contraindicated in effects of Cefazolin medication if you are allergic
BRAND infections, and Dextrose patients with known and Dextrose for
to cefazolin, any type of
NAME: septicemia, Injection USP allergy to cephalosporin injection include,
Ancef endocarditis, is a sterile, group of anti-biotics. but are not limited penicillin, or to other
and nonpyrogenic to: cephalosporin antibiotics
DOSAGE: perioperative (does not Diarrhea or if you have:
Öor mild prophylaxis induce fever), Stomach cramps
infections 250 single use, Itching kidney disease;
to 500 mg q packaged Drug fever
8hrs IV combination Skin rash liver disease; or
of Cefazolin
Sodium USP a stomach or intestinal disorder
(lyophilized) such as colitis.
and sterile
iso-osmotic If you have any of these
dilutant in the
conditions, you may need a
DUPLEX
sterile dose adjustment or special tests
container. to safely use this medication.
(Örom ÖDA
Label) It is
administered
through
parenteral
injection or
intramuscular
injection.
GENERIC NAME INDICATION ACTION CONTRAINDICATION PRECAUTION NURSING
/ ADVERSE CONSIDERATION
REACTION
Omeprazole Short term Omeprazole Lactation, use as KY stomach pain,
Assessment:
treatment of potentially can maintenance therapy for gas;
BRAND NAME: active duodenal increase the duodenal ulcer disease KY nausea, 1. History
ulcer concentrations in vomiting, :hypersensitivity to
Prilosec blood diarrhea; or omeprazole or any of
Treatment of of diazepam (Val KY headache.
heartburn or ium), warfarin ( its components;
DOSAGE: symptoms of Coumadin), pregnancy, lactation
80mg gerd and phenytoin ( 2. Physical: skin
omeprazole to be Dilantin) by lesions; reflexes;
administered decreasing the
urinary output;
intravenously elimination of
over a period of these drugs by abdominal
1 hour the liver. examination;
respiratory
(The contents of auscultation
2 x 40mg vials of Interventions:
omeprazole to be
dissolved in a 1. Administer before
total of 250ml meals.
sodium chloride 2. Administer
0.9%) antacids with, if needed.
3. Have regular
medical follow-up visits.
4. Report severe
headache, worsening
of symptoms, fever,
chills.