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St.

Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY
Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: A benzodiazepine that - Treating anxiety CNS: drowsiness, - Use cautiously in - Observe 14 rights in giving
Diastat, Valium, 10 mg probably potentiates the disorders or for the dysarthria, slurred patients with liver or medication:
Vivol, Diastat effects of GABA, short-term relief of the speech, tremor, renal impairment, 1. Right medication
Acudial, Diazemuls, depresses the CNS, and symptoms of anxiety. transient amnesia, depression, history of 2. Right patient
Diazepam Intensol, Route: suppresses the spread of - It is also used to fatigue, ataxia, substance abuse, or 3. Right route
Novo-Dipam I.V. seizure activity. relieve certain types of headache, insomnia, chronic open-angle 4. Right dose
muscle spasms and to paradoxical anxiety, glaucoma. 5. Right frequency/time
treat symptoms of hallucinations, minor - Use cautiously in 6. Right assessment
Generic Name: Frequency: alcohol withdrawal (eg. ECG patterns, pain. elderly and debilitated 7. Right approach
Diazepam As needed agitation, tremor, CV: CV collapse, patients. 8. Right education
hallucinations). bradycardia, 9. Right evaluation
hypotension. 10. Right documentation
Classification Contraindications EENT: diplopia, blurred 11. Right to refuse
Anxiolytic drug - Contraindicated in vision, nystagmus. 12. Right principle of care
patients hypersensitive GI: nausea, 13. Right prescription
to drug or soy protein; constipation, diarrhea 14. Right nurse clinician
in patients experiencing with rectal form. - Monitor BP, PR, RR prior to
shock, coma, or acute GU: incontinence, urine periodically throughout therapy and
alcohol intoxication retention. frequently during IV therapy.
(parenteral form); in HEMATOLOGIC:
pregnant women, neutropenia.
especially in first HEPATIC: jaundice.
trimester; and in infants RESPIRATORY:
younger than age 6 respiratory depression,
months (oral form). apnea.
SKIN: rash, phlebitis at
injection site.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Inhibits sodium- - Treating heart failure CNS: agitation, fatigue, - Use with extreme - Observe 14 rights in giving
Lanoxicaps, 0.125-0.25 mg potassium-activated in certain patients. generalized muscle caution in elderly medication:
Lanoxin, Lanoxin adenosine - It is also used to slow weakness, patients and in those 1. Right medication
Pediatric, Toloxin triphosphatase, the heart rate in hallucinations, dizziness, with acute MI, 2. Right patient
promoting movement of patients with chronic headache, malaise, incomplete AV block, 3. Right route
Generic Name: Route: calcium from atrial fibrillation, a type paresthesia, stupor, sinus bradycardia, PVCs, 4. Right dose
Digoxin I.V. extracellular to of irregular heartbeat. vertigo. chronic constrictive 5. Right frequency/time
intracellular cytoplasm - It works by increasing CV: arrhythmias, heart pericarditis, 6. Right assessment
and strengthening the force of contraction block. hypertrophic 7. Right approach
myocardial contraction. of the heart and slowing EENT: blurred vision, cardiomyopathy, renal 8. Right education
Also acts on CNS to heart rate. diplopia, light flashes, insufficiency, severe 9. Right evaluation
Classification Frequency: enhance vagal tone, Contraindications photophobia, yellow- pulmonary disease, or 10. Right documentation
Inotrope drug OD slowing conduction - Contraindicated in green halos around hypothyroidism. 11. Right to refuse
through the SA and Av patients hypersensitive visual image. 12. Right principle of care
nodes. to drug and in those GI: anorexia, nausea, 13. Right prescription
with digitalis-induced diarrhea, vomiting. 14. Right nurse clinician
toxicity, ventricular - Before giving loading dose, obtain
fibrillation, or baseline data (heart rate and
ventricular tachycardia rhythm, blood pressure, and
unless caused by heart electrolytes)and ask patient about
failure. use of cardiac glycosides within the
previous 2 to 3 weeks.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Competitively inhibits - Treating certain CNS: headache, malaise, - Use cautiously in - Observe 14 rights in giving
Acid Reducert, Nu- 50mg action of histamine at conditions that cause vertigo. patients with hepatic medication:
Ranit, Zantac H2-receptor sites of your body to make too EENT: blurred vision. dysfunction. Adjust 1. Right medication
parietal cells, decreasing much stomach acid (eg. HEPATIC: jaundice. dosage in patients with 2. Right patient
Generic Name: Route: gastric acid secretion. Zollinger-Ellison OTHER: anaphylaxis, impaired renal function. 3. Right route
Ranitidine I.V. syndrome). angioedema, burning 4. Right dose
hydrochloride - It is also used to treat and itching at injection 5. Right frequency/time
ulcers of the small site. 6. Right assessment
Frequency: intestine that have not 7. Right approach
Q8 responded to other 8. Right education
treatment. 9. Right evaluation
- It may be used as a 10. Right documentation
short-term alternative 11. Right to refuse
to oral ranitidine, in 12. Right principle of care
patients who are not 13. Right prescription
able to take medicine 14. Right nurse clinician
by mouth. - Instruct patient to avoid taking any
Classification Contraindications new medication during therapy
Antiulcer drug - Contraindicated in without consulting prescriber.
patients hypersensitive - Instruct patient to avoid alcohol
to drug and in those and follow diet as prescriber
with acute porphyria. recommends

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Stimulates motility of - To treat heartburn CNS: anxiety, - Use cautiously in - Observe 14 rights in giving
Apo-Metoclop, 10mg upper GI tract, increases caused by drowsiness, dystonic patients with history of medication:
Octamide PFS, lower esophageal gastroesophageal reflux reactions, fatigue, depression, Parkinson 1. Right medication
Reglan sphincter tone, and in people who have lassitude, restlessness, disease, or hypertension. 2. Right patient
blocks dopamine used other medications neuroleptic malignant 3. Right route
Generic Name: Route: receptors at the without relief of syndrome, seizures, 4. Right dose
Metoclopramide I.V. chemoreceptor trigger symptoms. suicidal ideation, 5. Right frequency/time
hydrochloride zone. akathisia, confusion, 6. Right assessment
depression, dizziness, 7. Right approach
extrapyramidal 8. Right education
Classification Frequency: Contraindications symptoms, fever, 9. Right evaluation
Antiemetic drug OD - Contraindicated in hallucinations, 10. Right documentation
patients hypersensitive headache, insomnia, 11. Right to refuse
to drug and in those tardive dyskinesia. 12. Right principle of care
with CV: bradycardia, 13. Right prescription
pheochromocytoma, supraventricular 14. Right nurse clinician
tardive dyskenisia, or tachycardia,
seizure disorders. hypotension, transient
- Contraindicated in hypotension.
patients for whom GI: bowel disorders,
stimulation of GI diarrhea, nausea.
motility might be GU: incontinence,
dangerous (those with urinary frequency.
hemorrhage, HEMATOLOGIC:
obstruction, or agranulocytosis,
perforation). neutropenia.
SKIN: rash, urticarial.
OTHER: loss of libido,
prolactin secretion.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Unknown. A direct-acting - Treating high blood CNS: headache, - Use cautiously in - Observe 14 rights in giving
Apresoline, Novo- Dosage: peripheral vasodilator pressure. peripheral neuritis, patients with suspected medication:
Hylazin, Nu-Hydral 10 mg that relaxes arteriolar - It may be used alone dizziness. cardiac disease, stroke, 1. Right medication
smooth muscle. or in combination with CV: angina pectoris, or severe renal 2. Right patient
other medicines. palpitations, impairment and in those 3. Right route
Generic Name: Route: - It works by relaxing tachycardia, orthostatic taking other 4. Right dose
Hydralazine I.V. and dilating (opening) hypotension, edema, hypertensives. 5. Right frequency/time
hydrochloride the blood vessels in the flushing. 6. Right assessment
body, allowing blood to EENT: nasal congestion. 7. Right approach
flow through the vessels GI: nausea, vomiting, 8. Right education
Frequency: more easily and at a diarrhea, anorexia, 9. Right evaluation
2-4 hr lower pressure. constipation. 10. Right documentation
HEMATOLOGIC: 11. Right to refuse
neutropenia, 12. Right principle of care
leukopenia, 13. Right prescription
agranulocytopenia, 14. Right nurse clinician
agranulocytosis, - Check blood pressure.
Classification Contraindications thrombocytopenia with - Arrange for CBC, LE cell
Antihypertensive - Contraindicated in or without purpura. preparations, and ANA titers before
drug patients hypersensitive SKIN: rash. therapy.
to drug. OTHER: lupuslike - Assess for contraindicated
- Contraindicated in synfrome. conditions.-
those with coronary Observe the 15 rights of drug
artery disease or mitral administration.
valvular rheumatic - Assess bowel sounds.- Assess
heart disease. voiding pattern

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Unknown. Thought to - To treat hypertension CNS: drowsiness, - Use cautiously in - Observe 14 rights in giving
Catapres, Catapres- 0.1 mg stimulate alpha2 (high blood pressure). dizziness, sedation, patients with severe medication:
TTS, Dixarit, receptors and inhibit the - The Kapvay brand is weakness, fatigue, coronary insufficiency, 1. Right medication
Duraclon, Jenloga, central vasomotor used to treat attention malaise, agitation, conduction disturbances, 2. Right patient
Kapvay centers, decreasing deficit hyperactivity depression. recent MI, 3. Right route
sympathetic outflow to disorder (ADHD). CV: bradycardia, severe cerebrovascular disease, 4. Right dose
the heart, kidneys, and rebound hypertension, chronic renal failure, or 5. Right frequency/time
Generic Name: Route: peripheral vasculature, orthostatic hypotension. impaired liver function 6. Right assessment
Clonidine P.O. and lowering peripheral GI: constipation, dry 7. Right approach
hydrochloride vascular resistance, mouth, nausea, 8. Right education
blood pressure, and vomiting, anorexia. 9. Right evaluation
heart rate. GU: urine retention, 10. Right documentation
impotence. 11. Right to refuse
METABOLIC: weight 12. Right principle of care
gain. 13. Right prescription
SKIN: pruritus, 14. Right nurse clinician
Classification Frequency: Contraindications dermatitis with - Monitor BR closely. Determine
Antihypertensive B.I.D - Contraindicated in transdermal patch, rash. positional changes (supine, sitting,
drug patients hypersensitive OTHER: loss of libido. standing).
to drug. - With epidural administration,
- Transdermal form is frequently monitor BP and HR.
contraindicated in Hypotension is a common side effect
patients hypersensitive that may require intervention.
to any component of
the adhesive layer of
transdermal system.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Thought to inhibit - To treat hypertension CNS: dizziness, light- - Use cautiously in - Observe 14 rights in giving
Adalat CC, Adalat 20 mg calcium ion influx across (high blood pressure) headedness, headache, patients with heart medication:
XL, Afeditab CR, cardiac and smooth and angina (chest pain). weakness, somnolence, failure or hypotension 1. Right medication
Apo-Nifed, Nu- muscle cells, decreasing syncope, nervousness, and in elderly patients. 2. Right patient
Nifed, Nu- Route: contractility and oxygen fatigue. Use extended-release 3. Right route
Nifedipine, I.V. demand. Drug may also CV: flushing, peripheral tablets cautiously in 4. Right dose
Procardia, dilate coronary arteries edema, heart failure, patients with severe GI 5. Right frequency/time
Procardia XL and arterioles. MI, hypotension, narrowing. 6. Right assessment
palpitations. 7. Right approach
Generic Name: Frequency: EENT: nasal congestion. 8. Right education
Nifedipine GI: nausea, diarrhea, 9. Right evaluation
constipation, abdominal 10. Right documentation
discomfort. 11. Right to refuse
MUSCULOSKELETAL: 12. Right principle of care
muscle cramps. 13. Right prescription
Classification Contraindications RESPIRATORY: dyspnea, 14. Right nurse clinician
Antihypertensive - Contraindicated in pulmonary edema,
drug patients hypersensitive cough.
to drug. SKIN: rush, pruritus.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Inhibits sodium and - Treating fluid build-up CNS: vertigo, headache, - Use cautiously in - Observe 14 rights in giving
Lasix, Lasix Special 20-40 mg chloride reabsorption at and swelling caused by dizziness, paresthesia, patients with hepatic medication:
the proximal and distal certain conditions (eg, weakness, restlessness, cirrhosis and in those 1. Right medication
tubules and the congestive heart failure, fever. allergic to sulfonamides. 2. Right patient
ascending loop of Henle. liver cirrhosis, kidney CV: orthostatic Using during pregnancy 3. Right route
Generic Name: Route: problems). hypotension, only if potential benefits 4. Right dose
Furosemide I.V. - It is also used in thrombophlebitis with to mother clearly 5. Right frequency/time
combination with other I.V. administration. outweigh risks to fetus. 6. Right assessment
medicines to treat fluid EENT: transient 7. Right approach
build-up in the lungs. deafness, blurred or 8. Right education
yellowed vision, tinnitus. 9. Right evaluation
GI: abdominal 10. Right documentation
Classification Frequency: Contraindications discomfort and pain, 11. Right to refuse
Antihypertensive 1/2-1-2tab/day - Contraindicated in diarrhea, anorexia, 12. Right principle of care
drug patients hypersensitive nausea, vomiting, 13. Right prescription
to drug and in those constipation, 14. Right nurse clinician
with anuria. pancreatitis.
GU: azotemia, nocturia,
polyuria, frequent
urination, oliguria.
HEMATOLOGIC:
agranulocytosis,
aplastic, anemia,
leukopenia,
thrombocytopenia,
anemia.
HEPATIC: hepatic
dysfunction, jaundice.
MUSCULOSKELETAL:
muscle spasm.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Inhibits acetylcholine at - To treat spasms in the CNS: headache, - Use cautiously in - Observe 14 rights in giving
AtroPen, Sal- 0.5-1.0 mg parasympathetic stomach, intestines, and restlessness, insomnia, patients with Down medication:
Tropine nueroeffector junction, other organs. dizziness, ataxia, syndrome because they 1. Right medication
blocking vagal effects on disorientation, may be more sensitive to 2. Right patient
Generic Name: SA and AV nodes, hallucinations, delirium, drug. 3. Right route
Atropine sulfate Route: enhancing conduction excitement, agitation, 4. Right dose
I.V. through AV node and confusion. 5. Right frequency/time
increasing heart rate. CV: bradycardia, 6. Right assessment
palpitations, 7. Right approach
Frequency: tachycardia. 8. Right education
Q3-5min EENT: blurred vision, 9. Right evaluation
mydriasis, photophobia, 10. Right documentation
Classification Contraindications cycloplegia, increase 11. Right to refuse
Antiarrhythmic - Contraindicated in intraocular pressure. 12. Right principle of care
drug patients hypersensitive GI: dry mouth, 13. Right prescription
to drug. constipation, thirst, 14. Right nurse clinician
- Contraindicated in nausea, vomiting. - Monitor level of consciousness.
those with acute GU: urine retention, - Do not sit up or stand up quickly
angleclosure glaucoma, impotence. - Advise patient to stay out of bright
obstructive uropathy, OTHER: anaphylaxis. light.
obstructive disease of
GI tract, paralytic ileus,
toxic megacolon,
intestinal atony,
unstable CV status in
acute hemorrhage,
tachycardia, myocardial
ischemia, asthma, or
myasthenia gravis.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Competes with - To treat sneezing, CNS: drowsiness, - Use with caution in - Observe 14 rights in giving
Allermax, 50 mg. histamine for H1- runny nose, watery sedation, sleepiness, patients with prostatic medication:
Banophen, receptor sites. Prevents, eyes, hives, skin rash, dizziness, hyperplasia, asthma, 1. Right medication
Benadryl, Ben- but doesnt reverse, itching, and other cold incoordination, seizures, COPD, increased 2. Right patient
Tann, Compoz, Route: histamine-mediated or allergy symptoms. confusion, insomnia, intraocular pressure, 3. Right route
Diphenhist, Dormin P.O. responses, particularly - To treat motion headache, vertigo, hyperthyroidism, CV 4. Right dose
those of the bronchial sickness, to induce fatigue. disease, and 5. Right frequency/time
Generic Name: tubes, GI tract, uterus, sleep, and to treat CV: palpitations, hypertension. 6. Right assessment
Diphenhydramine Frequency: and blood vessels. certain symptoms of hypotension, 7. Right approach
hydrochloride T.I.D. Structurally related to Parkinson's disease. tachycardia. 8. Right education
Classification local anesthetics, drug Contraindications EENT: diplopia, blurred 9. Right evaluation
Antihistamine drug provides local anesthesia - Contraindicated in vision, nasal congestion, 10. Right documentation
and suppresses cough patients hypersensitive tinnitus. 11. Right to refuse
reflex. to drug; newborns; GI: dry mouth, nausea, 12. Right principle of care
premature neonates; epigastric distress, 13. Right prescription
breast-feeding women; vomiting, diarrhea, 14. Right nurse clinician
patients with angle- constipation, anorexia.
closure glaucoma, GU: dysuria, urine
stenosing peptic ulcer, retention, urinary
symptomatic prostatic frequency.
hyperplasia, bladder HEMATOLOGIC:
neck obstruction, or thrombocytopenia,
pyloroduodenal agranulocytosis,
obstruction; and those hemolytic anemia.
having an acute RESPIRATORY:
asthmatic attack. thickening of bronchial
secretions.
SKIN: urticarial,
photosensitivity, rash.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Competes with - Relieving symptoms of CNS: drowsiness, - Use cautiously in - Observe 14 rights in giving
ChlorTabs, 12 mg histamine for H1- sinus congestion, sinus stimulation, sedation, elderly patients and in medication:
ChlorTrimeton, receptor sites on effector pressure, runny nose, excitability in children. those with increased 1. Right medication
Chlor-Trimeton cells. Drug prevents, but watery eyes, itching of CV: hypotension, intraocular pressure, 2. Right patient
Route: doesnt reverse, the nose and throat, palpitations, weak pulse. hyperthyroidism, 3. Right route
Generic Name: I.V. histamine-mediated and sneezing due to GI: dry mouth, epigastric hypertension, bronchial 4. Right dose
Chlorpheniramine responses. upper respiratory distress. asthma, urine retention, 5. Right frequency/time
maleate infections (eg, colds), GU: urinary retention. prostatic hyperplasia, 6. Right assessment
Frequency: allergies, and hay fever. RESPIRATORY: thick stenosing peptic 7. Right approach
bronchial secretions. ulcerations, and CV, 8. Right education
SKIN: rash, urticarial, liver, or renal disease. 9. Right evaluation
pallor. 10. Right documentation
11. Right to refuse
12. Right principle of care
Classification Contraindications 13. Right prescription
Antihistamine drug - Contraindicated in 14. Right nurse clinician
patients having acute
asthmatic attacks and in
those with angle-
closure glaucoma,
symptomatic prostatic
hyperplasia,
pyloroduodenal
obstruction, or bladder
neck obstruction.
- Contraindicated in
breast-feeding women
and in patients taking
MAO inhibitors.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency, Timing
Brand Names: Dosage: Relaxes bronchial CNS: drowsiness, - Use cautiously in - Observe 14 rights in giving
Adrenaclick, 0.1 mg smooth muscle by headache, nervousness, patients with long medication:
Adrenalin Chloride, stimulating beta2 tremor, cerebral standing bronchial 1. Right medication
EpiPen, EpiPen Jr, receptors in the hemorrhage, stroke, asthma or emphysema 2. Right patient
Route: sympathetic nervous vertigo, pain, who have developed 3. Right route
I.V. system. disorientation, agitation, degenerative heart 4. Right dose
fear, dizziness, disease. 5. Right frequency/time
Generic Name: weakness. - Use cautiously in 6. Right assessment
Epinephrine CV: palpitations, elderly patients and in 7. Right approach
hydrochloride Frequency: ventricular fibrillation, those with 8. Right education
Classification Contraindications shock, widened pulse hyperthyroidism, CV 9. Right evaluation
Vasopressor drug - Contraindicated in pressure, hypertension, disease, hypertension, 10. Right documentation
patients with angle- tachycardia, angina psychoneurosis, and 11. Right to refuse
closure glaucoma, shock pain, altered ECG diabetes. 12. Right principle of care
(other than anaphylactic (including a decreased 13. Right prescription
shock), organic brain T-wave amplitude). 14. Right nurse clinician
damage, heart failure, GI: nausea, vomiting.
cardiac dilation RESPIRATORY: dyspnea.
arrhythmias, coronary SKIN: urticarial,
insufficiency, or hemorrhage at injection
cerebral site, pallor.
arteriosclerosis. OTHER: tissue necrosis.
- Contraindicated in
patients receiving
general anesthesia with
halogenated
hydrocarbons or
cyclopropane and in
patients in labor (may
delay second stage).

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Replaces magnesium and - Treating low CNS: toxicity, weak or - Use parenteral - Observe 14 rights in giving
50 ml maintains magnesium magnesium levels and absent deep tendon magnesium with caution medication:
level; as an maintaining the proper reflexes, flaccid in patients with impaired 1. Right medication
anticonvulsant, reduces amount of magnesium paralysis, drowsiness, renal function. 2. Right patient
Route: muscle contractions by in the body when used stupor. 3. Right route
I.V. interfering with release as part of intravenous CV: slow, weak pulse; 4. Right dose
Generic Name: of acetylcholine at (IV) feedings (eg, total arrhythmias; 5. Right frequency/time
Magnesium sulfate myoneural junction. parenteral nutrition hypotension; circulatory 6. Right assessment
[TPN]). collapse; flushing. 7. Right approach
Frequency: GI: diarrhea. 8. Right education
METABOLIC: 9. Right evaluation
hypocalcemia. 10. Right documentation
RESPIRATORY: 11. Right to refuse
respiratory paralysis. 12. Right principle of care
SKIN: diaphoresis. 13. Right prescription
OTHER: hypothermia. 14. Right nurse clinician
Classification Contraindications
Electrolyte - Contraindicated in
replacement drug patients with
myocardial damage or
heart block, coma, and
in pregnant women in
actively progressing
labor.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Stimulates hearts beta1 - Treating heart failure CNS: headache. - Use cautiously in - Observe 14 rights in giving
Dobutrex 2.5-10mcg/kg/min receptors to increase caused by surgery or CV: hypertension, patients with history of medication:
myocardial contractility heart disease. increased heart rate, hypertension because 1. Right medication
and stroke volume. At angina, PVCs, phlebitis, drug may increase 2. Right patient
Generic Name: Route: therapeutic dosages, nonspecific chest pain, pressor response. 3. Right route
Dobutamine I.V. drug increases cardiac palpitations, ventricular - Use cautiously after 4. Right dose
hydrochloride output by decreasing ectopy, hypotension. acute MI. 5. Right frequency/time
peripheral vascular GI: nausea, vomiting. - Use cautiously in 6. Right assessment
resistance, reducing RESPIRATORY: asthma patients with history of 7. Right approach
Frequency: ventricular filling attack, shortness of sulfate sensitivity. 8. Right education
pressure, and facilitating breath. 9. Right evaluation
AV node conduction. OTHER: anaphylaxis, 10. Right documentation
hypersensitivity 11. Right to refuse
: reactions. 12. Right principle of care
Classification Contraindications 13. Right prescription
Inotrope drug - Contraindicated in 14. Right nurse clinician
patients hypersensitive - Monitor Electrolyte levels.
to drug or its - Drug may lower potassium level
components and in - Do not confuse with Dopamine
those with idiopathic
hypertrophic subaortic
stenosis.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Replaces potassium and - To prevent or to treat CNS: paresthesia of - Use cautiously in - Observe 14 rights in giving
Cena-K, Gen-K, 2 ml maintains potassium low blood levels of limbs. Listlessness, patients with cardiac medication:
Potasalan, Slow Pot level. potassium confusion, weakness or disease or renal 1. Right medication
(hypokalemia). heaviness of limbs, impairment. 2. Right patient
Potassium levels can be flaccid paralysis. 3. Right route
Generic Name: Route: low as a result of a CV: postinfusion 4. Right dose
Potassium chloride I.V. disease or from taking phlebitis, arrhythmias, 5. Right frequency/time
certain medicines, or heart block, cardiac 6. Right assessment
after a prolonged illness arrest, ECG changes, 7. Right approach
with diarrhea or hypotension. 8. Right education
Frequency: vomiting. GI: nausea, vomiting, 9. Right evaluation
abdominal pain, 10. Right documentation
diarrhea. 11. Right to refuse
METABOLIC: 12. Right principle of care
Classification Contraindications hyperkalemia. 13. Right prescription
Potassium - Contraindicated in RESPIRATORY: 14. Right nurse clinician
supplement drug patients with severe respiratory paralysis.
renal impairment with
oliguria, anuria, or
azotemia; with
untreated Addison
disease; or with acute
dehydration, heart
cramps, hyperkalemic
form of familial periodic
paralysis, or other
conditions linked
extensive tissue
breakdown.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Unknown. Thought to - Treating moderate to CNS: dizziness, - Use extended-release - Observe 14 rights in giving
Conzip, Ryzolt, 50 mg bind to opioid receptors moderately severe pain. headache, somnolence, forms cautiously in medication:
Ultram, Ultram ER and inhibit reuptake of vertigo, seizures, elderly patients, 1. Right medication
norepinephrine and anxiety, asthenia, CNS especially those age 75 2. Right patient
Generic Name: Route: serotonin. stimulation, confusion, and older. 3. Right route
Tramadol I.V. coordination - Use cautiously in 4. Right dose
hydrochloride disturbance, euphoria, patients at risk for 5. Right frequency/time
malaise, nervousness, seizures or respiratory 6. Right assessment
sleep disorder. depression; in patients 7. Right approach
Classification Frequency: Contraindications CV: vasodilation. with increased 8. Right education
Analgesic drug - Contraindicated in EENT: visual intracranial pressure or 9. Right evaluation
patients hypersensitive disturbances. head injury, acute 10. Right documentation
to drug or other opioids, GI: constipation, nausea, abdominal conditions, or 11. Right to refuse
in patients with severe vomiting, abdominal renal or hepatic 12. Right principle of care
renal impairment, pain, anorexia, diarrhea, impairment; or in 13. Right prescription
breast-feeding women, dry mouth, dyspepsia, patients with physical 14. Right nurse clinician
suicidal patients, and in flatulence. dependence on opioids.
those with acute GU: menopausal
intoxication from symptoms, proteinuria,
alcohol, hypnotics, urinary frequency, urine
centrally acting retention.
analgesics, opioids, or MUSCULOSKELETAL:
psychotropic drugs. hypertonia.
RESPIRATORY:
respiratory depression.
SKIN: diaphoresis,
pruritus, rash.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Dosage, Route,
Name of Drug Mechanism of Action Indication Adverse Effects Special Precautions Nursing Responsibilities
Frequency
Brand Names: Dosage: Thought to produce - To treat many HEMATOLOGIC: - Use cautiously in - Observe 14 rights in giving
Abenol, Acephen, 40mg analgesia by inhibiting conditions such as hemolytic anemia, patients with any type of medication:
ACET, Aminofen, prostaglandin and other headache, muscle leukopenia, liver disease and in 1. Right medication
Aspirin substances that sensitize aches, arthritis, neutropenia, patients with any type of 2. Right patient
Route: pain receptors. Drug may backache, toothaches, pancytopenia. alcohol use because 3. Right route
Generic Name: I.V. relieve fever through colds, and fevers. HEPATIC: jaundice. therapeutic doses cause 4. Right dose
Acetaminophen central action in the METABOLIC: hepatotoxicity in these 5. Right frequency/time
(APAP, hypothalamic heart- hypoglycemia. patients. Chronic 6. Right assessment
paracetamol) regulating center. SKIN: rash, urticarial. alcoholics shouldnt take 7. Right approach
Frequency: more than 2 g 8. Right education
4-5 times/day acetaminophen every 24 9. Right evaluation
hours. 10. Right documentation
11. Right to refuse
12. Right principle of care
13. Right prescription
14. Right nurse clinician
Classification Contraindications
Analgesic drug - Contraindicated in
patients hypersensitive
to drug.

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN
St. Anthonys College
NURSING DEPARTMENT
San Jose, Antique

DRUG STUDY

Student Name: Tweenie B. Dalumpines Date: August 3, 2017


Clinical Instructor: Nemia S. Oton, MAN, RN