Generic Name Mefenamic Acid

Brand Name Ponstan, Ponstel

Indications Analgesic, antiinflammatory, and antipyretic actions similar to those of ibuprofen. Short-term relief of mild to moderate pain including primary dysmenorrhea.

Action Anthranilic acid derivative. Like ibuprofen inhibits prostaglandin synthesis and affects platelet function. No evidence that it is superior to aspirin.

Side effects

Nursing responsibilities

CNS:Drowsiness, insomnia, dizziness,

nervousness, confusion, headache. nausea, vomiting, abdominal cramps, flatus, constipation, hepatic toxicity.

Assessment & Drug Effects

Assess patients who develop severe

GI:Severe diarrhea, ulceration, and bleeding; diarrhea and vomiting for dehydration and
electrolyte imbalance. Lab tests: With long-term therapy (not

Hematologic:Prolonged prothrombin time, recommended) obtain periodic complete blood

severe autoimmune hemolytic anemia (long- counts, Hct and Hgb, and kidney function tests. Patient & Family Education term use), leukopenia, eosinophilia, Discontinue drug promptly if diarrhea, agranulocytosis, thrombocytopenic purpura, dark stools, hematemesis, ecchymoses, epistaxis, megaloblastic anemia, pancytopenia, bone or rash occur and do not use again. Contact marrow hypoplasia. physician. Urogenital:Nephrotoxicity, dysuria, Notify physician if persistent GI albuminuria, hematuria, elevation of BUN. discomfort, sore throat, fever, or malaise occur. Skin:Urticaria, rash, facial edema. Do not drive or engage in potentially SpecSenses:Eye irritation, loss of color hazardous activities until response to drug is vision (reversible), blurred vision, ear pain. known. It may cause dizziness and drowsiness.

BodyWhole:Perspiration. CV:Palpitation. Respiratory:Dyspnea; acute exacerbation

of asthma; bronchoconstriction (in patients sensitive to aspirin).

Monitor blood glucose for loss of glycemic Do not breast feed while taking this drug

control if diabetic. without consulting physician.

Generic Name Ferrous sulfate

Brand Name

Indications Prevention and treatment of iron deficiency anemias. Dietary supplement for iron.

Action Elevates the serum iron helps to form High or trapped in the reticuloendothelial cells for storage and eventual conversion to a usable form of iron. Dizziness

Side effects

Nursing responsibilities Advise patient to take medicine as prescribed. Caution patient to make position changes slowly to minimize orhtostatic hypotension. Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician. Advise patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia. Encourage patient to comply with additional intervention for hypertension like proper diet, regular exercise, lifestyle changes and stress management.

concentration which then N & V Nasal Congestion Dyspnea Hypotension CHF MI Muscle cramps Flushing

Generic Name Ranitidine

Brand Name Zantac

Indications

Action

Side effects Confusion, agitation, or hallucinations Depression rate (tachycardia), slow heart rate (bradycardia), and abnormal heart rhythms (arrhythmias) Symptoms of liver problems or

Nursing responsibilities *Instruct patient not to take new medication without consulting physician *instruct to take as directed and do not increase *allow one hour between any other antacid and ranitidine *avoid excessive alcohol *assess patient for epigastric or abdominal pain

Treatment and prevention of Inhibits the action of heartburn, acid indigestion, and sour stomach histamine at H2 receptor site located primarily in gastric parietal cells, Prophylaxis of GI hemorrhage resulting in inhibition of from stress ulceration gastric acid secretion has some antibacterial action against H. Pylori

Heart problems, including fast heart dose

hepatitis, including yellowing of the and frank or occult blood in the stool, emesis or eyes or skin, pain in the upper right gastric aspirate side of the abdomen, and dark swelling of the throat and including an unusual rash, hives, itching, wheezing, trouble breathing, and swelling of the mouth or throat. *may cause false- positive results for urine protein *inform patient that it may cause drowsiness and *inform patient that increased fluid and fiber intake may minimize constipation *tell patient to report onset of black tarry stools, fever, sore throat, diarrhea, dizziness, rash, confusion or hallucination to health care professional promptly *inform that medication may temporarily cause stools and tongue to appear gray black urine,Angioedema (life-threatening test mouth),Signs of an allergic reaction, dizziness

Generic Name

Brand Name

Indications

Action

Side effects

Nursing responsibilities

Methergi Methylergono Prevention and treatment of Methylergonovine Hypertension,nausea,vomiting,head Monitor fundal height and consistency ne vine Maleate post partum and post maleate(methergine) is an ache,brandycardia,dizziness,tinnitus and the amount and character of the lochia.
abortion hemorrhage caused ergot alkaloid that by uterine atony or subinvolution stimulate smooth muscle tissue.Because the smooth muscle of the uterus is especially sensitive to this drug ,it is used postpartally to stimulate the uterus to contract in order to decrease blood loss by clamping off uterine blood vessels and to promote the involution process .In addition the drug has vasoconstrictive effect on all blood vessels,especially the larger arteries. ,abdominal cramps,palpitations,dyspnea,chest pain and allergic reactions may be noted Assess the blood pressure before and Observe for adverse effects or symptoms routinely throughout drug administration. of ergot toxicity(ergotism) such as nausea and vomiting,headache,muscle pain,cold or numb fingers and toes,chest pain and general weakness. Patient /Family Teaching Instruct patient to take medication as directed; do not skip or double up on missed doses. If a dose is missed, omit it and return to regular dose schedule. Advise patient that medication may cause Caution patient to avoid smoking, Instruct patient to notify health care menstrual-like cramps because nicotine constricts blood vessels. professional if infection develops, as this may cause increased sensitivity to the medication.