V.

DRUG STUDY

Generic Dosag Classification Indicators Mechanism of Side Effects Nursing

e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Diphenhydra 50mg, Therapeutic: Relief of allergic Antagonizes the Drowsiness Assess for
mine TID, allergy, cold, symptoms effects of histamine Dizziness urticarial and
PO and cough caused by at H1-receptor Headache for patency of
remedies, histamine sites; does not bind Blurred airway.
08/01/17 antihistamines release to or inactivate vision Allergic
and including: histamine. Anorexia Rhinitis:
antitussives Anaphylaxis, Significant CNS Dry mouth assess
Seasonal and depressant and degree of
Constipation
Pregnancy perennial anticholinergic nasal
Nausea
Category B allergic rhinitis, properties. stuffiness and
Allergic Therapeutic effects: sneezing
dermatoses. Decreased Insomnia:
Parkinsons symptoms of assess sleep
disease and histamine excess patterns.
dystonic (sneezing, Motion
reactions from rhinorrhea, nasal Sickness:
medications. and ocular pruritus, Assess
Mild nighttime ocular tearing and nausea,
sedation. redness, urticarial.) vomiting,
Prevention of Relief of acute bowel sounds
motion dystonic reactions. and
sickness. Prevention of abdominal
motion sickness. pain.
Suppression of Maintain fluid
cough intake of
1500-2000ml
daily to
decrease
viscosity of
bronchial
secretions.
Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

KCl 1 tab, Therapeutic: Treatment/preve Maintain acid-base Abdominal Monitor

TID, Mineral and ntion of balance, isotonicity, pain pulse, blood
08/01/17 PO electrolyte potassium and electro Diarrhea pressure, and
replacements/s depletion physiologic balance Flatulence ECG.
upplements of the cell. Activator Nausea Monitor
in many enzymatic Vomiting serum
Pregnancy reactions; essential potassium
Category C to transmission of before and
nerve impulses; periodically
contraction of during
cardiac, skeletal therapy.
and smooth Monitor renal
muscle; gastric function,
secretion; renal serum
function; tissue bicarbonate
synthesis; and and ph.
carbohydrate Determine
metabolism. serum
Therapeutic magnesium
Effects: level if patient
Replacement. has refractory
Prevention of hypokalemia;
deficiency. hypomagnes
emia should
be corrected
to facilitate
effectiveness
of potassium
replacement.
Monitor
serum
chloride
because
hypochloremi
a may occur
if replacing
potassium
without
concurrent
chloride.
Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Losartan 50 mg, Therapeutic: Treatment of Blocks Dizziness Assess blood

1tab,O antihypertensiv diabetic vasoconstrictor and Anxiety pressure and
01/15/17 D e nephropathy in aldosterone- Depression pulse
Pharmacologic: patients with producing effects of Fatigue periodically
angiotensin II type 2 diabetes angiotensin II at Insomnia during
receptor and receptor sites, Weakness therapy.
antagonists hypertension. including vascular Notify health
Hypotensio
Prevention of smooth muscle and care
n
stroke in the adrenal glands. professional
Diarrhea
patients with Therapeutic effects: of significant
hypertension lowering of blood Tachycardia
changes.
and left pressure. Slowed Nausea
Monitor
ventricular progression of frequency of
hypertension. diabetic prescription
nephropathy. refills to
Decreased risk of determine
stroke in patients adherence
with hypertension Assess
and left ventricular patient fro
hypertrophy. signs of
angioedema
(dyspnea and
facial
swelling).
Monitor renal
function and
electrolyte
levels
periodically.
Serum
potassium,
BUN, and
serum
creatinine
may be
increase
Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Cefepime 2mg, IV Therapeutic: Treatment of the Binds to the Nausea Assess

q12 Anti-infectives following bacterial cell wall Vomiting patient for
08/01/17 ANST(- Pharmacologic: infections membrane, causing Rashes infection (vital
) fourth- caused by cell death. Headache signs;
generation susceptible Therapeutic effects: Pruritus appearance
cephalosporins organisms: Bactericidal action thrombocyt of wound,
Uncomplicated against susceptible openia sputum, urine
Pregnancy skin and skin bacteria and stool;
Category B structure of WBC) at
infections, bone beginning of
and joint and
infections, throughout
Uncomplicated therapy
and complicated Obtain a
urinary tract history
infections, determine
respiratory tract previous use
infections, of and
complicated reactions to
intra-abdominal penicillins or
infections (with cephalospori
metronidazole), ns.
Septicemia. Observe
Empiric patient for
treatment of signs and
febrile symptoms f
neutropenic anaphylaxis
patients (rash,
pruritus,
laryngeal
edema,
wheezing).
 Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Ciprofloxacin 400mg, Therapeutic: Treatment of the Inhibit bacterial dizziness Assess for
IVT, q8, anti-infectives following DNA synthesis by headache infection
08/01/17 ANST bacterial inhibiting DNA insomnia (vital signs;
(-) Pharmacologic: infections: gyrase. Therapeutic agitation appearance
fluoroquinolone Urinary tract effects: Death of diarrhea of wound,
s infections susceptible nausea sputum,
including cystitis bacteria. urine and
abdominal
Pregnancy and prostatitis, stool; WBC;
pain
Category C gonorrhea, urinalysis;
tendinitis
gynecologic frequency
infections, skin and urgency
and skin of urination;
structure cloudt or
infections, bone foul-smelling
and joint urine) prior
infections, to during
infectious therapy.
diarrhea, intra- Obtain
abdominal specimens
infections. Post- for culture
exposure and
treatment of sensitivity
inhalational before
anthrax. initiating
therapy. First
 dose may be
given before
receiving
results.
Observe for
signs and
symptoms of
anaphylaxis
(rash,
pruritus,
laryngeal
edema,
wheezing)
 Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Atorvastatin 80mg, Therapeutic: Primary Inhibit an enzyme, Dizziness Obtain a

1tab at lipid-lowering prevention of 3-hydroxy-3- Vomiting dietary
08/01/17 ITS agents cardiovascular methylglutarylcoen Headache history,
Pharmacologic: disease in zyme A (HMG-CoA) Drowsiness especially
HMG-CoA patients with reductase, which is Diarrhea with regard
reductase multiple risk responsible for Abdominal to fat
inhibitors factors for catalyzing an early cramps consumption
coronary heart step in the .
Constipatio
Pregnancy disease CHD or synthesis of Monitor liver
n
Category X type 2 diabetes cholesterol. function
Flatus
mellitus. Therapeutic effects: tests,
Secondary lowers total and Heartburn
including
prevention of LDL cholesterol rashes
AST, before,
cardiovascular and triglycerides. at 12 week
disease in Slightly increase after
patients with HDL. initiation of
clinically evident therapy or
CHD. after dose
elevation
and then q6
mo. If AST
levels
increase to 3
times
normal,
HMG-CoA
reductase
inhibitor
therapy
should be
reduced or
discontinued
. May cause
increase
alkaline
phosphatase
and bilirubin
levels.
Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Carvedilol 0.250m Therapeutic: used to treat Blocks stimulation dizziness Monitor

g, 1tab, antihypertensiv heart failure and of Vomiting blood
08/01/17 BID es hypertension beta1(myocardial) Headache pressure
Pharmacologic: (high blood and beta2 Drowsiness and pulse
beta blockers pressure). It is (pulmonary, Diarrhea frequently
also used after vascular, and Erectile during dose
Pregnancy a heart attack uterine) adrenergic dysfunction adjustment
Category C that has caused receptor sites. Also period and
Hypoglyce
your heart not to has alpha1 periodically
mia
pump as well. blocking activity during
Insomnia
which may result in therapy.
orthostatic Weakness
Assess for
hypotension. fatigue orthostatic
Therapeutic effects: hypotension
decreased heart when
rate and blood assisting
pressure. patient up
Improved cardiac from supine
output, slowing of position.
the progression of Monitor
CHF and intake and
decreased risk of output ratios
death. and daily
weights.
Assess
 patient
routinely for
evidence of
fluid
overload.
Monitor
patients
receiving
beta
blockers for
signs of
overdose
(bradycardia
, severe
dizziness or
fainting,
severe
drowsiness,
dyspnea,
bluish
fingernails or
palms and
seizures).
Notify
physician or
other health
care
professional
immediately
if these
signs occur.
 Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Omeprazole 40 mg, Therapeutic Maintenance of Binds to an enzyme weakness Assess

cap, Antiulcer healing in on gastric parietal Vomiting patient
OD agents erosive cells in the Headache routinely for
08/01/17 Pharmacologic: esophagitis. presence of acidic Drowsiness epigastric or
proton-pump Duodenal ulcers gastric pH, Diarrhea abdominal
inhibitors. with or without preventing the final Abdominal pain and
anti-infectives transport of pain frank or
Pregnancy for Helicobacter hydrogen ions into occult blood
Rash
Category C pylori. Short the gastric lumen. in the stool,
term treatment Therapeutic effects: emesis or
of active benign Diminished gastric
gastric ulcer. accumulation of aspirate.
acid in the gastric Monitor CBC
lumen with with
lessened differential
gastroesophageal periodically
reflux. Healing of during
duodenal elcers. therapy.
Generic Dosag Classification Indicators Mechanism of Side Effects Nursing
e, Action Considerations
Name General class Enumerate and
Timing and Family underline May Illustrate
(Brand and specific
Name) & Route indication for
Date
(actual) this patient
Ordered

Cetirizine 10mg, Therapeutic: Relief of allergic Antagizes the Drowsiness Assess

tab at allergy, cold, symptoms effects of histamine Dizziness allergy
ITS and cough caused by at H1-receptor Fatigue symptoms
08/01/17 remedies, histamine sites; does not bind Dry mouth (rhinitis,
antihistamines release to or inactivate conjunctivitis
Pharmacologic: including: histamine. , hives)
piperazines Seasonal and Anticholinergic before and
(peripherally perennial effects are minimal periodically
selective) allergic rhinitis. and sedation is during
dose related. therapy.
Therapeutic effects: Assess lung
decreased sounds and
symptoms of character of
histamine excess bronchial
(sneezing, secretions.
rhinorrhea, Maintain
oculartearing and fluid intake
redness, pruritus). of 1500-
2000ml/day
to decrease
viscosity of
secretions.