DRUG STUDY

DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Levofloxacin >Fluoroquinolones anti- Indicated for the >Contraindicated in patients >Dizziness, vertigo, To treat pneumonia > Obtain specimen for culture and sensitivity
750mg/tab infectives treatment of mild hypersensitive to drug, its headache test before starting therapy and as needed to
OD to severe infections components, or other >Fatigue, palpitations determine if bacterial resistance has occurred
>Broad-spectrum such CAP fluoroquinolones >Chest pain
antibiotic that is active >Nausea, vomiting, >Observe 10 rights in administering
against both Gram- >Use cautiously in patients with diarrhea, abdominal medication
positive and Gram- history of seizure disorders and pain
negative bacteria. renal impairment >Photosensitivity, > Monitor glucose level and renal, hepatic,
rash and hematopoietic blood studies
>Encephalopathy,
hypoglycemia > Tell patient to take drug as prescribed even
if s/sx disappear
-The client did not
experience any of the > Advice patient to take drug with plenty of
adverse effects. fluids

> Advice patient to avoid excessive sunlight,

use sunscreen, and wear protective clothing
when outdoor

DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Azithro- >Macrolide anti- Indicated for the Contraindicated in patients >Dizziness, vertigo, To treat pneumonia >Obtain specimen for culture and sensitivity
mycin infectives treatment of mild hypersensitive to erythromycin headache, fatigue before giving first dose
500mg/tab to severe infections or other macrolides >Palpitations
1 tab OD >Prevents bacterial such CAP >Chest pain >Observe 10 rights in administering
growth by interfering Use cautiously in patients with >Nausea, vomiting, medication
with protein synthesis; impaired hepatic function diarrhea, abdominal
binds to the 50S subunit pain >Monitor patient for superinfection; drug
of the bacterial ribosome, >Photosensitivity, may cause overgrowth of nonsusceptible
and thus inhibits rash bacteria or fungi
translation of mRNA
-The client did not >Tell the patient to take drug as prescribed,
experience any of the even after he feels better
adverse effects.
 DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Paracetamol >Nonopioid analgesics Indicated for the >Use cautiously in patients with >Hemolytic anemia To relieve fever and >Assess IV site
300 mg TIV and antipyretics. relief of fever, long term alcohol use because >Jaundice maintain normal
q4 T≥ 38.5C aches and pains therapeutic doses cause >Hypoglycemia body temperature of >Observe 10 rights in administering
>Decreases fever by associated with hepatotoxicity in these patients >Rash, urticaria 36.5-37.5°C medication
inhibiting effects of many parts of the
pyrogens; causes body >Contraindicated in patients - The client did not > Assess the client’s response to the drug
hypothalamic action that hypersensitive to drug experience any of the
leads to sweating and adverse effects >Warn patient that high doses unsupervised
vasodilation; relieves long term use can cause liver damage
pain by inhibiting
prostaglandin synthesis

DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Salbutamol+ >Antiasthmatic and Management of Contraindicated to patients >Palpitation To relieve >Observe 10 rights in administering
Ipatropium - COPD preparation reversible who is allergic to the drug >Headache dyspnea medications
Combivent bronchospasm Patients having >Dizziness
Nebulization > Reduces associated with tachyarryhtmia >Dry mouth >Check RR before giving the med
q4 bronchospasm through obstructive >Irritation
two distinctly airway disease in >Advice the client to contact health care
mechanisms, patient who - The client did not professional if not relieved
anticholinergic and requires more experience any of
sympathomimetic than a single the adverse effects
bronchodilator
 DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
N-Acetyl > Mucolytic agent Indicated as Contraindicated to patients >Nausea To decrease >Observe 10 rights in administering
cysteine adjuvant therapy with hypersensitivity to the >Vomiting mucus viscosity medications
(NAC) > Opens the disulfide for patient with drug >Fever thus promoting
200 linkages in mucus; abnormal viscid >Drowsiness expectoration >Check for any side reaction of the drug
mg/sachet thereby lowering its mucus secretion. >Chest tightness
oral, dilute viscosity >Broncho- >Note the color of the mucus secreted
in ½ glass constriction
of water >Dilute 1 sachet in ½ glass of water
- The client did not
experience any of
the adverse effects

DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Tramadol >Analgesic Indicated for Contraindicated to patients >Dizziness To relive pain felt >Observe 10 rights in administering
50 mg/tab relief of mild to with hypersensitivity to the >Headache from the incision medications
Oral, q8⁰ >Binds to opiate moderate pain drug >Vertigo site
PRN for receptor in the CNS >Itching, rash >Assess patient’s response to drug 30
pain causing inhibition of Use cautiously in patients with >Anxiety minutes after administration
ascending pain acute intoxication of alcohol, >Sweating
pathway; also inhibits sedative-hypnotics, centrally >Nervousness >Monitor respiratory status
the reuptake of acting analgesics,
norepinephrine and psychotropic agents
serotonin, which also - The client did not
modifies the ascending experience any of
pain pathway. the adverse effects
 DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Ampi >Beta-lactamase Indicated for Contraindicated in patients >Lethargy To reduce the risk >Observe 10 rights in administering
sulbactam inhibitor, antibiotic skin-structure with hypersensitivity to >Dyspnea of development of medications
750 mg infections caused penicillins, cephalosporins, >N&V drug-resistant
TIV, q8 >Destroys bacteria by by susceptible imipenem, or other beta- >Rash bacteria >Check for s/sx of infection on infection
inhibiting bacterial beta-lactamase- lactamase inhibitors >wheezing site
cell-wall synthesis producing strains
during microbial - The client did not >Advise client to increase fluid intake
multiplication experience any of
the adverse effects

DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Paracetamol >Analgesic and Indicated for Contraindicated to patients >Dyspnea To relieve fever >Observe 10 rights in administering
500 mg/tab Antipyretic relief of fever, with allergy to acetaminophen >Chest pain and maintain medications
Oral, PRN pain, headache, or any component >Rash normal body
for temp ≥ >Produces analgesic and other pains temperature of >Check patients’ temperature before and
37.8°C effect by blocking regarding 36.5-37.5°C after giving the drug
pain impulses, by wounds. - The client did not
inhibiting Use cautiously in alcoholic experience any of >Instruct client to report any signs of
prostaglandin or pain the adverse effects allergy
patients for it may cause
receptors sensitizers.
hepatotoxicity
 DRUG
DRUG CLASSIFICATION ADVERSE DESIRED
INDICATIONS CONTRAINDICATIONS NURSING RESPONSIBILITIES
ORDER AND MECHANISM EFFECTS ACTION
OF ACTION
Piperacillin > Penicillin, beta- Indicated for the Contraindicated in patients >Headache To treat >Observe 10 rights in administering
Sodium and lactamase inhibitor. treatment of with hypersensitivity to the >Agitation pneumonia patient medications
Tazobactam Anti-infective bacterial drug (penicillin, >Lethargy
Sodium infection such as >Dyspnea >Flush the site with 1 ml sterile water
cephalosporins) and neonates
(Piptazo) >Inhibits bacterial cell CAP >Fever before and after giving the meds
3.375 mg wall synthesis, >Pain
TIV, TID resulting in cell death. >Inflammation on >Monitor VS and I&O
Tazobactam increases site
piperacillin efficacy. >Instruct patient to report pain, redness,
swelling
- The client did not
experience any of
the adverse effects