Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
TRANEXAMIC ACID
Generic Name:
Cyklokapron,
Lysteda

> inhibits activation

of plasminogen

> Used for the

treatment of severe
localized bleeding
secondary to hyper
fibrinolysis, including
epistaxis, hyphema, or
hyper menorrhea
(menorrhagia) and
hemorrhage following
certain surgical
procedures, such as
conization of the cervix

> acquired defective color vision,

>assess baseline
BP and pulse
before starting IV.

> Used for the

management of
hemophilic patients
>Used for the treatment
of hereditary
angioedema

since this prohibits measuring one

endpoint that should be followed
as a measure of toxicity.
> Subarachnoid hemorrhage.
Anecdotal experience indicates
that cerebral
edema and cerebral infarction ma
y be caused by CYKLOKAPRON
in such patients.
> Active intravascular clotting.

>anticipate
reduced dosage in
patients with
impaired renal
function.
>observe patient
with signs and
symptoms of
thrombosis

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
FLUIMUCIL

> exerts an intense

mucolytic action on
mucous and
mucopurulent
secretions, by
depolymerizing the
mucoproteic
complexes and the
nucleic acids which
confer viscosity to
the vitreous and
purulent
component of the
sputum and of
other secretions.

> used for treatment

of respiratory
affections
characterized by thick
and viscous
hypersecretions,
chronic bronchitis and
exacerbation;
pulmonary
emphysema,
mucoviscidosis and
bronchiectasis.

>MAO inhibitor therapy

within 14days initiating
therapy.

>monitor
effectiveness of
therapy and advent
of adverse effects.

Generic Name:
ACETYLCYSTEINE

>severe hypertension
>Coronary artery
disease,
hypersensitivity due to
pseudoedephrine,
acrivastine or any
component.
>renal impairment

>instruct patient in
appropriate use
and adverse effects
to report.
>assess the
patients vital signs
>bronchial tapping
>monitor for
bronchospasm

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
SINECOD FORTE
Generic Name:
BUTAMIRATE
CITRATE

acts centrally on
brain (vagus nerve)
or locally on the
respiratory tract to
suppress the cough
reflex.

used for acute cough

of any etiology.

Hypersensitivity to drug

> Assess cough

type and frequency.

used for pre and post

op cough sodation for
surgical procedures
and brochoscopy.

>Monitor the
adverse reactions.
>Assess patients
vital signs.
>Assess sleep
patterns.
>Instruct patient to
cough effectively,
sit upright and take
several deep
breaths before
attempting.
>Advice patient to
minimize cough to
prevent irritants.
>Caution patient to
avoid any activities
requiring alertness
until response to
medication is
known.

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
DUAVENT

>treatment of
obstructive airway
diseases

>management of
reversible
bronchospasm
associated obstructive
airway disease.

>hypertrophic obstructive
cardiomyopathy or
tachyarrythmia

>drugs should be
given only if the
potential benefit
justifies the
potential risk to the
fetus.

Generic Name:
IPRATROPIUM
SALBUTAMOL

>bronchodilator

>patient with COPD on

a regular inhaled
bronchospasm and
who required a
bronchodilator

>hypersensitivity to atropine
and its derivatives

>position patient
on high back rest
position
>do back tapping
after you nebulizer
the patient
>do not give a food
immediately, it can
cause vomiting

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name: CEFTIN

> inhibits synthesis

of bacterial cell
wall, causing cell
death.

>it is effective for the

treatment of
penicillinase.

>hypersensitivity to
cephalosporins and
related antibiotics,
pregnancy lactation.

>determine history
of hypersensitivity
reactions to
cephalosporins,
penicillins and
history of allergies,
particularly to
drugs before
therapy is initiated.

Generic Name:
CEFUROXIME

>effectively treats
bone and joint
infections, bronchitis,
meningitis, gonorrhea,
otitis media,
pharyngitis, lower
respiratory tract
infections, skin and
soft tissue infections,
urinary tract infections
and is used for surgical
prophylaxis or
eliminating infections.

>can cause diarrhea,

nausea, vomiting,
headache, migraine
and abdominal pain if
tolerated.

>inspect IM and IV
injection sites
frequently for signs
of phlebitis.
>report onset of
loose stools or
diarrhea.
>monitor I&O rates
and pattern;
especially
important in
severely ill patients
receiving high
doses. Report any
significant changes.

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
ANSIMAR TAB
Generic Name:
DOXOFYLLIN

>bronchodilator

>treatment of
bronchial asthma and
pulmonary disease
with spastic bronchial
component.

>individuals who have

shown to
hypersensitivity to
Ansimar and its
components.

>may be taken
with or without
food.

>patient with acute

myocardial infarction
and hypotension.
>in nursing mothers.

>store at room
temperature not
exceeding 30C

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
DIAMICRON
Generic Name:
GLICLAZIDE

>works mainly by
stimulating the
cells in the
pancreas that
produces insulin.

>control of
hyperglycemia in
gliclazide responsive
diabetes mellitus of
stable

>used with caution in

elder people, decreased
kidney function and
decreased liver
function.

>take exactly as
directed; with
meals at the same
time each day.

>causes the beta

cells to produce
more insulin.

>do not change

dose or discontinue
without consulting
the prescriber.
>avoid alcohol
while taking this
medication.
>do not introduce
new medication
without consulting
the prescriber.
>maintain regular
dietary intake and
exercise routine
and always carry
quick source of
sugar with you.

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
KALIUM DURULE
Generic Name:
POTASSIUM
CHLORIDE

> Supplemental
potassium in the
form of high
potassium food or
potassium chloride
may be able to
restore normal
potassium levels.

> used as an
electrolyte replenisher,
in the treatment of
hypokalemia, in buffer
solutions, and in
fertilizers and
explosives.

>Renal insufficiency,
hyperkalemia,
untreated Addison's
disease, constriction of
the esophagus &/or
obstructive changes in
the alimentary tract.

> take each dose

with meals mixed in
water or other
suitable liquid.

>Prophylaxis during
treatment w/ diuretics.

>allergy to tartrazine,
aspirin (tartrazine is
found in
some preparations
marketed as Kaon-Cl,
Klor-Con); severe renal
impairment
with oliguria, anuria,
azotemia; hyper
adynamia episodica
hereditaria; acute
dehydration; heat
cramps; GI
disorders that delay
passage in the GI tract.
Use cautiously with
cardiac
disorders, especially if
treated with digitalis

> take this

medicine following
the frequency and
amount prescribed
by the physician.
This is especially
important if the
patient is also
taking diuretics
and/or digitalis
preparations.
> inform patients
that this product
contains as a
dispersing agent
the stool softener,
docusate sodium,
this may change
stool consistency,
or, rarely, produce
diarrhea or cramps.
> check with the
physician at once if
tarry stools or other
evidence of
gastrointestinal

bleeding is noticed.

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
AMOXCIL
Generic Name: COAMOXICLAV

>is an antibiotic
that is a
combination of a
penicillin
(amoxicillin) and a
substance called
clavulanic acid. It
kills bacteria, by
interfering with
their ability to form
cell walls. The
bacteria therefore
break
up and die.

>Abdominal infections

>history of allergies,
severe hepatic
impairment, geriatric
patient, aoric stenosis,
pregnancy, lactation
and liver disease.

>assess for
infection

>Animal bites
>infections of the
organs associated with
breathing, including
nasal passages,
sinuses, trachea and
lungs.

>obtain specimens
for culture and
sensitivity prior to
therapy.
>monitor bowel
function

>infections of the sex

organs and other
organs associated with
urination.

>advice the patient

to report the signs
of any super
infection.

>inflammation of the
connective tissue,
commonly the skin

>instruct the
patient to take the
medication around
the clock and to
finish the drug
completely as
directed.
>Review use and
preparation of
tablets for oral
suspension.
>Review use and
preparation of
tablets for oral
suspension

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
MEPTIN
Generic Name:
PROCATEROL HCI

>bronchodilator
>prompt onset and
long duration of
action, high
selectivity for the
2-adrenergic
receptors of the
bronchial smooth
muscle, marked
antiallergic action,
insignificant
hemodynamic
effect.

>Treatment of
dyspnea and other
symptoms due to the
following airway
obstructions: Bronchial
asthma, chronic
bronchitis and
pulmonary
emphysema.

>history of
hypersensitivity to any
of the ingredients of
this drug.

>

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
FIXCOM
Generic Name:
Rifampicin ,
Isoniazid ,
Pyrazinamide,
Ethambutol

>Rifampicin: is readily

>Treatment of
pulmonary & extrapulmonary TB.

>Rifampicin: Patients
w/ jaundice.
>Pyrazinamide: Liver
damage, acute gout or
hyperuricemia.
>Ethambutol: Optic
neuritis.

>careful monitoring
of hepatic function.

absorbed from the GIT and

peak plasma
concentrations of about 710 mcg/mL have been
reported 2-4 hrs after a
dose of 600 mg, although
there may be considerable
interindividual variation.
Food may reduce and
delay absorption.
Rifampicin is
approximately 80% bound
to plasma proteins. It is
widely distributed in body
tissues and fluids and
diffusion into the CSF is
increased when the
meninges are inflamed.
>Isoniazid: is readily
absorbed from the GIT.
Peak concentrations of
about 3-8 mcg/mL appear
in blood 1-2 hrs after a
fasting dose of 300 mg by
mouth. The rate and extent
of absorption of isoniazid is
reduced by food. Isoniazid
is not considered to be
bound appreciably to
plasma proteins and
diffuses into all body
tissues and fluids,
including the CSF. The
plasma half-life for
isoniazid ranges from
about 1-6 hrs, those who
are fast acetylators having
shorter half-lives.
>Pyrazinamide: is readily
absorbed from the GIT.
Peak serum concentrations
occur about 2 hrs after a
dose by mouth and have

>check hepatic
function before and
during treatment.
>monitor liver
function and serum
uric acid regularly.
>caution when
assessing visual
acuity in patients
with cataracts to
make sure that
changes are not
due to the
underlying causes .

been reported to be about

35 mcg/mL after 1.5 g and
66 mcg/mL after 3 g.
Pyrazinamide is widely
distributed in the body
fluids and tissues and
diffuses into the CSF. The
half-life has been reported
to be about 9-10 hrs. It is
metabolized primarily in
the liver by hydrolysis to
the major active
metabolite pyrazinoic acid
which is subsequently
hydroxylated to the major
excretory product 5hydroxypyrazinoic acid.
>Ethambutol: s distributed
to most tissues, including
the lungs, kidneys and
erythrocytes. It diffuses
into the CSF when the
meninges are inflamed. It
has been reported to cross
the placenta and is
distributed into breast
milk. The elimination halflife following oral
administration is about 3-4
hrs.

Name of Drug

Actions

Indications

Contraindications

Nursing
Responsibilities

Brand Name:
MORIAMIN FORTE
Generic Name:
CALCIUM
PANTOTHENIC

> Restoration and

maintenance of
body resistance.

>malnutrition, protein
and vitamin
deficiencies, anemia,
concalascence,

>patients with
malabsorption
syndrome

>assess patient for

signs of vitamin
deficiency before
and periodically
throughout therapy.
>assess nutritional
status through
24hour diet recall.
>determine
frequency of
consumption of
vitamin rich foods.