Name of Drug Ketorolac thromethamine >A nonsteroidal anti-inflammatory drug

Drug Study Medications given upon admission Indication Contra-Indication > For short term management of moderate to severe acute postoperative pain >Patients allergic to ketorolac and other non-steroidal anti inflammatory drugs. >Pregnant and lactating women and children below 16 years of age. >Peptic ulcer, cerebro vascular disease, hemorrhagic diathesis, hypo volemia and moderate to severe renal impairment.

Adverse Reaction >Can cause peptic ulcers, gastrointestinal bleeding and/or perforation. >Can cause headache, dizziness, drowsiness, sweating, edema, nausea and vomiting and diarrhea >Inhibits platelet function.

Nursing Responsibilities >Be aware of patients health history: previous allergies, any events of peptic ulcer. >Note and assess for open wounds, nonhealing wounds or bleeding. >Keep patient on bed and assess for sensorium. >Monitoring urine output hourly for concentration, color and amount >Maintenance of patients dietary intake and meal time. >Assess for hypersensitivity >Assess for sensorium and level of consciousness. By use of sperm

Nalbuphine hydrochloride > A semi-synthetic opioid used commercially as an analgesic

>For pre-operative analgesia, as supplement for balanced anesthesia. >For post operative somatic and visceral pain.

>Hypersensitivity to nalbuphine hydrochloride

> CNS effects: Nervousness, depression, restlessness, crying, euphoria, floating, hostility, unusual dreams, confusion,

faintness, hallucinations, dysphoria, feeling of heaviness, numbness, tingling, unreality.

assessment. S-Sensorium P-Pupil size E-Eye movement R-respiration M-motor functions >Monitor vital signs hourly >Monitoring urine output hourly for concentration, color and amount >Maintenance of patients dietary intake and meal time. >Assess for any redness of skin, rash or urticaria.

> ardiovascular: Hypertension, hypotension, bradycardia, tachycardia, pulmonary edema. > Gastrointestinal: Cramps, dyspepsia, bitter taste. > Respiration: Depression, dyspnea, asthma. >Dermatological: Itching, burning, urticaria. > Rare side effects include speech difficulty, urinary urgency, blurred vision, flushing and warmth. >Headache, Malais, Dizziness,

Ranitidine >A histamine H2-receptor

>Used for inhibiting gastric acid secretion in the management of

>Hypersensitivity to ranitidine

>Assess for hypersensitivity.

antagonist that inhibits stomach acid production

various condition such as peptic ulcer disease, gastro esophageal reflux and persistent dyspepsia.

somnolence, insomnia, Vertigo, Arythmias, Constipation, diarrhea, Abdominal discomfort, nausea and vomiting.

>Assess for level of sensorium. >Monitoring of vital signs hourly. >Assess for regular bowel movement. >Assess for capacity to rest and sleep. >Assess for hypersensitivity via skin test 30 minutes before administration. >Assess for any anaphylactic reactions, such as fever rashes and urticaria. >Monitor for vital signs hourly. >Monitor for urine output hourly for concentration, color and amount. >Monitor for laboratory values.

Ceftriaxone Sodium >Uses for susceptible infections >a thirdsuch as, endocarditis, generation cephalosporin antibiotic gastroenteritis, meningitis and septicemia. >has broad spectrum activity against Gram-positive and Gramnegative bacteria

Hypersensitivity to ceftriaxone sodium

>skin rashes, Urticaria, fever, anaphylactic reactions, Nephrototoxic, transient increase in liver enzyme values.

Combivent >A formulation containingipratropium bromide and salbutamol sulfate (albuterol sulfate)

>Management for reversible bronchospasm associated with obstructive airway diseases in patients who require more than a single dose of bronchodilator.

>Hypertrophic obstructive Cardiomyopathy or tachyarythmia

>Headache, dizziness, nervousness, tachycardia, fine tremors of skeletal muscles and palpitation >Cough , and less common inhalation induced broncospasm. >Skin rashes, allergic reactions, fever.

>Monitor for vital signs hourly. >Assess for Heart rate. >Assess for slight tremor of hands.

>Hypersensitivity to Atropine or its derivatives.

Paracetamol >Acetominophen

>used as analgesia and antipyretic. >commonly used for the relief of headaches and other minor aches and pains and is a major ingredient in numerous cold and flu remedies. >be used in the management of more severe pain such as postsurgical pain > treat moderate to moderately severe pain.

>Anemia, Cardiac and pulmonary disease.

>assess for any hypersensitivity reaction. >Monitor vital signs hourly. >assess for heart rate and respiratory rate.

Tramadol Hydrochloride > a centrally acting syntheticanalgesic of the opioid class

>Hypersensitivity. >intoxication with alcohol, hypnotics, narcotics. >severe hepatic impairment. >pregnancy and lactation. >hypotension

>nausea, Dizziness, somnolence. >decrease bloodpressure.

>Assess for hypersensitivity. >Assess patients history for previous use of narcotics or previous intake of alcohol. >monitor for Vital signs hourly.

>Watch out for decrease in Blood pressure.