DRUG NAME INDICATION ACTION SIDE EFFECTS NURSING PATIENT TEACHING

/ADVERSE EFFECTS CONSIDERATION

Date Ordered: Moderate to severe Centrally acting Vasodilation, vertigo/ >Assess patient’s pain before >Instruct patient to take drug
02/02/11 pain analgesics not dizziness, headache, therapy and regularly only as prescribed and not to
chemically related to anxiety, sleep disorder thereafter to monitor drug increased dosage or interval
Generic Name: opioids but binds to effectiveness without medical advice
Paracetamol + mu-opioid receptors
Tramadol and inhibit reuptake
of norepinephrine and
Brand Name: Dolcet serotonin

Classification:
Analgesics

Dosage: 1tab TID

Route: PO
Date Ordered: Treatment of Required for GI disturbances, >Obtain a careful history of >report rash, difficulty in
02/04/11 megablastic nucleoprotein hypersensitivity reactions; dietary intake and drug and breathing.
anemias due to synthesis and alcohol usage prior to start of
Generic Name: Folic sprue, nutritional maintenance of normal therapy. Drugs reported to
Acid deficiency erythropoiesis. cause folate deficiency
include oral contraceptives,
Brand Name: Folvite alcohol, barbiturates,
methotrexate, phenytoin,
Classification: primidone, and trimethoprim.
Folic acid Folate deficiency may also
Vitamin supplement result from renal dialysis.

Dosage: 5g OD >Keep physician informed of

patient's response to therapy.
Route: PO
>Monitor patients on
 phenytoin for subtherapeutic
plasma levels.
Date Ordered: Treatment of Insulin is a hormone Rash, anaphylaxis or >Assess patient’s history in >report fever, sore throat,
02/02/11 diabetes mellitus secreted by beta cells angioedema, allergy—local allergy to pork products vomiting, hypoglycemic
for the control of of the pancreas that, reactions at injection site, reactions or rash.
Generic Name: hyperglycemia. by receptor-mediated hypoglycemia >Ensure uniform dispersion
Insulin effects, promotes the of insulin suspensions.
storage of the body’s
Brand Name: fuel, facilitating the >Give maintenance does
Humulin R transport of subcutaneously, rotating
metabolites and ions injection sites regularly to
Classification: (potassium) through decrease incidence of
antidiabetic cell membranes and lipodystrophy.
stimulating the
Dosage: 5 ‘u’ synthesis of glycogen
from glucose, of fats
Route: SQ from lipids, and
proteins from amino
For CBG ≥ 200 mg/dl acids.
Date Ordered: Management of Thrombopoietin Fever, shiver, discomfort
02/03/05 thrombocytopenia (TPO) is an from head to foot, fatigue,
in patients endogenous cytokine knee arthralgia, headache,
Generic Name: receiving which can stimulate dizziness
TPIAO myelosuppressive the growth and
or myeloablative differentiation of
Brand Name: chemotherapy megalokaryocyte. It
Recombinant can increase the
Thrombopoeitin quantity of platelet
through its stimulative
Clasiification: function on each
Haematopoietic growth phase of
Agents megalokaryocyte
 including
Dosage: Q12 X 2 multiplication of pro-
doses cell, development and
maturation of
Route: deep SQ polyploid
megalokaryocyte.
Recombinant human
thrombopoietin
(rhTPO) is a full-
length glycosylated
thrombopoietin which
is expressed in China
hamster ovary (CHO)
cell line via
recombinant genetic
technology.
Date Ordered: Acute & chronic Inhibits isoform 2 of Immune system, nervous > Assess for pain of > Teach patient that the drug
02/02/11 treatment of the cyclo-oxigenase system, cardiac, resp, osteoarthritis, rheumatoid must be continued for
signs & symptoms enzyme (COX-2). This thoracic mediastinal, GI, arthritis; gouty arthritis; prescribed time to be
Generic Name: osteoarthritis & reduces prostaglandins hepatobiliary, skin & SC check ROM, inflammation, effective.
Etoricoxib RA. Treatment of (PGs) generation from tissue, renal & urinary characteristics of pain.
acute gouty arachidonic acid. disorders. Psychiatric > Advise the patient to
Brand Name: Arcoxia arthritis & primary disorder, hypertensive > Monitor blood count rehydrate prior to therapy;
dysmenorrhea. crisis. Blood & lymphatic before and during therapy; take full glassess of water to
Classification: Relief of acute system disorders. Vascular uric acid. enhance absorption.
NSAIDs pain. disorders.
> Assess for hypersensitivity > Caution patient to report
Dosage: 120mg OD to medication. bleeding, bruising, fatigue,
after lunch malaise; report GI symptoms:
> Monitor kidney and liver black tarry stools, cramping.
Route: PO function test.
> Teach patient to check with
physician to determine when
 the drug should be
discontinued before surgery.

> Advise patient to inform

physician if using drugs such
as aspirin, furosemide,
lithium, warfarin, ACE
inhibitors, anticoagulants,
antineoplastics,
glucocorticoids and thiazide
diuretics.
Date ordered: Allergy, allergic Competes with Sedation, lassitude, elation > Assess for allergic >Instruct patient to use
02/03/11 rhinitis, bronchial histamine for H1- or depression, irritability, symptoms: rhinitis, pruritus, maedication as directed.
asthma, vasomotor receptor site on paranoid psychosis, urticaria, watery eyes, before
Generic Name: rhinitis, dermatoses effector cells; delusion, hallucination. and periodically during > Inform physician if
Chlorphenamine of allergic etiology, decreases allergic Muscular weakness, treatment. confusion, sedation,
urticaria, drug response by blocking incoordination. GIT hypotension, drowsiness
Brand Name: sensitization, serum histamine disturbances. Headache, > Assess repiratory status occur. Avoid alcohol or other
Antamin sickness, tinnitus. Difficulty in and increase in bronchia CNS depressants concurrently
anaphylactic shock, micturition. CV effects secretions, wheezing, chest with this drug; may potentiate
Classification: insect bites tightness; provide fluids to effect.
Antihistamines & decrease viscosity or
Antiallergics thickness of secretion. > Instruct patient not to
exceed recommended dose;
Dosage: 1 amp prior > Monitor input-output ratio dysrrhythmias may occur.
to BT drug should be discontinues > Advise patient to use
if these symptoms occur: sugarless gum, candy,
Route: IV urinary retention, frequency, frequent sips of water to
dysuria, esp. elderly minimize dry mouth.
> Intruct patient to inform
> IV adminitration may physician if dizziness occur/ if
result in rapid drop in B/P, symptoms persist.
sweating, dizziness, esp in
 elderly.

Date ordered: Reduction in Filgastrim stimulates GI disturbances, anorexia, > Pre-malignant or malignant > Teach patient technique for
02/03/11 durationof the production of headache, asthenia, fever, myeloid conditions, monitor self administration: dose, S/E,
neutropenia (& neutrophil and may musculoskeletal pain, bone full blood counts & spleen disposal of containers &
Generic Name: associated reduce the duration of pain, rash, alopecia, inj site size. needles.
Filgrastim sequelae) in chemotherapy-induced reactions & leucocytosis. > Assess patient's underying > Instruct patient to report
myeloablative neutropenia and Pulmonary infiltration condition before starting adverse reactions & to
Brand Name: therapy followed thereby reduce the therapy. manage skeletal pains.
White C by bone marrow incidence of > Determine baseline CBC &
transplantation associated sepsis platelet count before
Classification: treatment & monitor twice
Antineoplastics & weekly.
Immunosuppressants >Assess allergic/
hypersensitivity reactions:
Dosage: 300mg itching, rash, urticaria.
> Monitor possible S/E:
Route: IV single dose CNS: fever, fatigue,
weakness CV: MI, arrythmia,
chest pain GI: N/V, diarrhea,
mucositis, stomatitis,
constipation GU: hematuria,
protenuria Musculoskeletal:
skeletal pain Respiratory:
dyspnea, cough Skin:
alopecia, rash, cutaneous
vasculitis.
> Assess for bone pain:
frequency, duration,
intensity.
> Assess patient's and
family's knowledge of drug
therapy.
Date ordered: Pernicious anemia A coenzyme that Peripheral vascular > Obtain a sensitivity test
02/04/11 stimulate metabolic thrombosis, heart failure, history before
function an is needed pulmonary edema, itching, administration
Generic Name: > Avoid I.V. administration
for cell replication, transient diarrhea
Vitamin B Complex bec. faster systemic
hematopoiesis and elimination will reduce
Brand Name: nucleoprotein an effectiveness of vitamin.
Polynerv 500 myelin synthesis. > Monitor patient for
hypokalemia for first 48
Classification: hours, as anemia correct
Vitamins and itself. Give potassium
Minerals supplements, as needed.

Dosage: 1 tab OD

Route: P.O. OD