Drug

Generic Name:
Levetiracetam
Brand Name:
Keppra
Dose:
250 mg 1 tab
Dosage:
OD
Drug
Classification:
Anti-convulsant

Mechanism of
action

Indication

Contraindication

Side
Effect/Adverse
Reaction

Nursing
Responsibilities

Appears to inhibit
burst firing without
affecting normal
neuronal
excitability and
may selectively
prevent
hypersynchonizati
on of epileptiform
burst firing and
propagation of
seizure activity

Used to
treat partial onset
seizures in adults

Hypersensitivity

-Unusual
changes in
mood or
behaviour
(unusual risktaking
behaviour, being
irritable or
talkative)
-headache
-sleepiness
-weakness
-dizziness
-difficulty walkin
g or moving

-Assess
if
patient had any
suicidal
attempts before
-Assess patient's
mental status
-Assess
duration,
location,
and
characteristics
of
seizure
activity
-Administer
medication
whole
-Practice aseptic
technique
-Obseve proper
documentation
of administered
medication
-Observe
patient's
behaviour
closely for at
least
1530
mins
after
administration

66% excreted
unchanged by the
kidneys; some
metabolism by the
liver (metabolites
inactive)
Onset: rapid
Peak: 1-1.5 hrs
Duration: 12 hours
Drug Half Life: 7.1
hours

Instruct patient
to
rest
to
decrease risk of
falls
Instruct patient
to slowly move
to
prevent
dizziness

Drug

Mechanism of
action

Indication

Contraindication

Side
Effect/Adverse
Reaction

Nursing
Responsibilities

Generic Name:
Ampicillin
Sulbactam
Brand Name:
Sultamicillin
Dose:
750 mg 1 tab
Dosage:
BID
Drug
Classification:
Antibacterial

It works by
blocking the
bacteria's cell wall
growth, which kills
the bacteria.
Onset: unknown
Peak: 30-52 mins
Duration: unknown
Drug Half Life: 11/2 hours

Skin-structure
infections caused
by susceptible
strains

Hypersensitivity

-dizziness
-nausea
-confusion

Monitor for signs

and symptoms
of
hypersensitivity
reaction
Check for signs
and symptoms
of infection at
injection site.
Watch for
bleeding
tendency and
hemorrhage
Instruct patient
to immediately
report signs and
symptoms
of hypersensitivi
ty reaction, such
as rash, fever,
or chills.
Tell patient to
report signs and
symptoms
of infection or
other problems
at injection site.

Drug

Mechanism of
action

Indication

Contraindication

Side
Effect/Advers
e Reaction

Nursing
Responsibilities

Generic Name:
Colchicine
Brand Name:
Colcrys
Dose:
0.5 mcg 1 tab
Dosage:
OD
Drug
Classification:
Antigout

The exact
mechanism of
action
of colchicine in go
ut is not
completely known,
but it involves (1)
a reduction in
lactic acid
production
by leukocytes,
which results in a
decrease in
uric acid
deposition, and (2)
a reduction
inphagocytosis,
with abatement of
the inflammatory
response.
Onset: unknown
Peak: 2 hours
Duration: unknown
Drug Half Life: 2731 hours

treatment of acute
gout flares

Hypersensitivity

-dizziness
-nausea
-headache

-Monitor for signs and

symptoms of
hypersensitivity
reaction
-Discuss specific use
of drug and side
effects with patient as
it relates to
treatment.
-Have patient report
immediately to
prescriber signs of
infection, burning or
numbness feeling,
severe nausea, severe
vomiting, severe
diarrhea, severe
abdominal pain,
severe loss of
strength and energy,
bruising, bleeding,
pale skin, muscle
pain, muscle
weakness, urinary
retention, or change
in amount of urine
passed
-Educate patient

about signs of a
significant reaction
(eg, wheezing; chest
tightness; fever;
itching; bad cough;
blue skin color;
seizures; or swelling
of face, lips, tongue,
or throat).

Drug

Mechanism of
action

Indication

Contraindication

Side
Effect/Advers
e Reaction

Nursing
Responsibilities

Generic Name:
Etorocoxib
Brand Name:
Arcoxia
Dose:
120mg 1 tab
Dosage:
OD
Drug
Classification:
cyclooxygenase-2
(COX-2)

To treat acute
The body produces
two similar
enzymes called
COX-1 and COX-2.
COX-1, among
other functions, is
involved with
protecting the
stomach, while
COX-2 plays a role
in joint
inflammation and
pain. Arcoxia
reduces pain and
inflammation by
blocking COX-2, an
enzyme in the
body.

Onset: unknown
Peak: 4 hours
Duration: unknown
Drug Half Life: 22
hours

gouty arthritis

Hypersensitivity

-swelling of
the legs,
ankles or
feet
-high blood
pressure
-dizziness
-headache

-Teach patient
to
take
medicine
or medications
as
physicians ordered.
-Tell the patient for
the possible effects
of drug prior to its
adverse reactions and
consider
such
reactions mentioned
as normal.
-Provide the patient
with
the proper
management
upon
taking medications.
-Tell the patient to
seek for help if no
such effects of drug
are noted or that if
symptoms prior to his
conditions are still
noted.
-Tell patient
to maintain
his
normal diet and the
possible
consequences of the
drugs
effect concerning on
his appetite

Drug

Mechanism of
action

Indication

Contraindicat
ion

Reduction of

Hypersensitiv
ity

Dosage:
OD

Aspirin drug
study reveals
the ability of
the drug to
inhibit
thromboxame
A2 (a potent
vasoconstrictor
and inducer of
platelet
aggregation)
synthesis

Drug
Classification:
Analgesic, Antiinflammatory,
Antiplatelet,
Antipyretic,
Antirheumatic,
NSAID,
Salicylate

Onset: 5-30
minutes
Peak: 15-120
minutes
Duration: 3-6
hours
Drug Half Life:
15 minutes-12
hours

Generic
Name:
Aspirin
Brand Name:
Aspergum
Dose:
100 mg 1 tab

risk of
recurrent

Side
Effect/Adve
rse
Reaction
-dizziness
-nausea
-confusion

Nursing
Responsibilities

Assess skin color and

presence of lesions as
this may indicate

transient

hepatotoxicity, allergy,

ischemic

bleeding, and other

attack

complications.

(precursor to

Give drug with food or

stroke) or

after meal if GI upset

cardiovascular

occurs.

accident

To reduce the risk of

(stroke) in

the tablet lodging in

patients with

the esophagus, give

history of TIA

drug with full glass of

due to fibrin

water.

platelet emboli

In case of overdose,

or ischemic

institute emergency

stroke

procedures and
prepare equipments
for gastric lavage,
induction of emesis,
and activated

charcoal.
Continue monitoring
clotting factors,
bleeding time, liver
and renal function
tests for long-term
drug therapy.

Family History

(Unrecalled Cause of Death)

Legends:
Male

(Unrecalled Cause of Death) (Unrecalled Cause of Death)

T
B

(Unrecalled Cause of Death)

T
B

Female
A and W- Alive and
Well
Deceased
(--) Cause of death/
current disease

A &W

A
and
W