NAME OF MECHANISM OF INDICATIONS CONTRA- SIDE EFFECTS NURSING

DRUG ACTION INDICATIONS CONSIDERATIONS

Generic: Ceftin is a β- bacterial allergy to oCNS: Headache, oDetermine history of
Cefuroxime lactam type infections, such cephalosporin dizziness, hypersensitivity
antibiotic. More as: antibiotics lethargy, reactions
Brand: specifically, it is a • bronchitis paresthesias to cephalosporins,
Cidokez second- • gonorrhea penicillins, and
generation • Lyme oGI: Nausea, history of
Dosage: cephalosporin. disease vomiting, allergies, particularly
750 mg IV Cephalosporins • infections diarrhea, to
work the same of anorexia, drugs, before therapy
Classification way as penicillins: the abdominal pain, is
: they interfere ears, flatulence, initiated.
anti-infective; with the throat, pseudomembrano oInspect IM and IV
antibiotic; peptidoglycan sinuses, us injection
second- synthesis of the urinary colitis, liver sites frequently for
generation bacterial wall by tract, toxicity signs
cephalosporin inhibiting the final and skin oHematologic: of phlebitis.
transpeptidation Bone oReport onset of
needed for the marrow loose
cross-links. depression: stools or diarrhea.
decreased WBC, Although
decreased pseudomembranous
platelets, colitis.
decreased Hct oMonitor I&O rates
and
oGU: pattern: Especially
Nephrotoxicity important in severely
oHypersensitivity: ill
Ranging from patients receiving
rash to high
fever to doses. Report any
anaphylaxis, significant changes.
serum sickness oPrior to
reaction reconstitution,
oOther: protect drug from
 Superinfections, light.
disulfiram-like The power and
reaction reconstituted drug
with alcohol may
darken without
affecting
potency.
oContinue therapy for
at
least 10 days in
infections
due to Streptococcus
pyogenes.

NAME OF MECHANISM OF INDICATIONS CONTRA- SIDE EFFECTS NURSING

DRUG ACTION INDICATIONS CONSIDERATIONS
Generic: Synthetic Acute infection Hypersensitivity -Dry mouth with • Monitor
Metronidazole compound with with susceptible to the drug. strange metallic neurologic
direct anaerobic taste-Nausea- status during
Brand: trichomonacidal bacteria-Acute Should only given Vomiting-Diarrhea and after IV
and amebicidal intestinal for life infusion. Inform
activity as well as amebiasis- threatening physician if
Dosage: antibacterial Bacterial infections when seizure,
500mg IV activity against vaginosis other antibiotic dizziness or
anaerobic treatment is headache
Classification bacteria and ineffective. occur.
: some gram- • Inform the
antibacterial negative bacteria. patient that his
antiprotozoal urine will be
antibiotic darker than
usual.
• Take full course
of drug
therapy; take
the drug with
food or milk if
GI upset
occurs.
• Instruct the
patient to take
medication
exactly as
directed evenly
spaced times
between dose,
even if feeling
better. Do not
skip doses or
doble up
missed doses.
If a dose is
missed, take as
 soon as
remembered if
not almost time
for next dose.

NAME OF MECHANISM INDICATIONS CONTRA- SIDE EFFECTS NURSING

DRUG OF INDICATIONS CONSIDERATIONS
 ACTION

Generic: Competitively Active duodenal • Contraindicated EENT: • Assess

Ranitidine inhibits action and gastric in patients Blurred vision patient for
Hydrochloride of histamine on ulcer hypersensitive abdominal
the H2 receptor to drug and Hepatic: pain. Note
Brand: sites of parietal Used to those with with jaundice presence of
Zantac cells, prevent ulcer acute porphyria emesis, stool,
decreasing while patient is • Use cautiously Other: or gastric
Dosage: gastric acid on NPO. in patients with burning and .aspirate
50 mg I.V secretion. hepatic itching at injection • Proper used
dysfunction. site, of OTC
Classificatio Adjust dosage anaphylaxis,angioe preparation
n: in patients with dema as indicated.
Gastrointestin impaired renal • Take once
al drug (Anti- f daily
ulcer drug) prescription
drug at bed
time for best
results
• Instruct
patient to
take without
regard to
meals
because
absorption
isn’t affected
by food.
 NAME OF MECHANISM INDICATIONS CONTRA- SIDE EFFECTS NURSING
DRUG OF INDICATIONS CONSIDERATIONS
ACTION
Generic: Nalbuphine • Relief of • Hypersensitivity CNS: • Monitor
Nalbuphine acts as an moderate to to nalbuphine, nervousness, respiratory
agonist at severe pain sulfites; crying, rate before
Brand: specific opioid • Preoperative lactation. depression, and after
Nubain receptors in the analgesia, as • Use cautiously restlessness, giving nubain
CNS to produce a supplement with euphoria, because it
Dosage: analgesia, to surgical emotionally hostility, causes
10mg sedation but anesthesia, unstable clients confusion, respiratory
also acts to and for or those with a faintness, depression
Classificatio cause obstetric history of floating, unusual • Monitor I and
n: hallucinations analgesia narcotic abuse; dreams, O to
Narcotic and is an during labor pregnancy prior numbness, determine if
agonist- antagonist at µ and delivery. to labor, labor feeling of there is
antagonist receptors or delivery, heaviness, and excessive
analgesic bronchial psychotomimeti fluid loss
asthma, COPD, c effects such as • Monitor Bp
respiratory hallucinations, before and
depression, feeling of after
anoxia, unreality and administering
increased dysphoria. the
intracranial medication to
pressure, acute Cardiovascular prevent any
MI when nausea : hypertension, complication
and vomiting hypotension,
are present, bradycardia,
biliary tract tachycardia.
surgery.
Gastrointestin
al: cramps,
dyspepsia, bitter
 NAME OF MECHANISM OF INDICATIONS CONTRA- SIDE EFFECTS NURSING
DRUG ACTION INDICATIONS CONSIDERATIONS
Generic: Inhibits Used for treating Hypersensitivity Rash • Instruct client
Ketorolac prostaglandin inflammation and to Headaches to avoid alcohol
Synthesis by pain in the ketorolac, aspirin, Dizziness and maintain
Brand: decreasing the operation site. other NSAIDs, or Drowsiness adequate
Toradol activity of the any component of Abdominal hydration (2-3
enzyme, the formulation; pain L/day of fluids)
Dosage: cyclooxygenase, patients Nausea unless
30mg IV which results in who have Diarrhea instructed to
Decreased developed nasal Constipation restrict fluid
Classification formation of polyps, Heartburn intake.
: prostaglandin angioedema, or Fluid • Monitor for
Nonsteroidal precursors, bronchospastic retention signs of pain
Anti- chemicals that reactions to other relief, such as
Inflammatory cells of the NSAIDs; active or an increased
Drugs immune system history of peptic appetite and
(NSAIDs) make that cause ulcer activity
the redness, disease;recent or • Instruct client
fever, and pain of history of GI to avoid taking
inflammation and bleeding or ketorolac with
that also are perforation; aspirin or other
believed to be patients with NSAIDs
important in the advanced renal such as
production of disease or risk of ibuprofen
non-inflammatory renal failure. (Motrin, Advil),
pain. Prophylaxis naproxen
before major (Aleve,
surgery; Naprosyn),
suspected or piroxicam
confirmed (Feldene), etc.
cerebrovascular
bleeding;hemorrh
agic diathesis