Name of Classification Adverse /Side Indication Contraindication Nursing

Drug Effect Considerations

Hydrocortisone Therapeutic: CNS: depression, Management of Contraindicated in: Assess patient for signs
(Cortef) euphoria, adrenocortical of adrenal insufficiency
Anti insufficiency;chro (hypotension, wt.loss,
asthmatics, headache, nic use in other Active untreated weakness, nausea and
corticosteroids increase situations is infections (may be vomiting, anorexia,
intracranial limited because used in patients confusion, restlessness)
Pharmacologic pressure of being treated for before and periodically
: mineralocorticoid during therapy.
(children only), some factors of
Corticosteroids activity.
(systemic) restlessness. meningitis). Monitor I&O ratios and
daily weights.
CV: hypertension Use Cautiously in:
Observe patient for
Chronic treatment peripheral edema,
GI: anorexia,
(will lead to adrenal crackles or dyspnea.
nausea and
suspension) ;children
vomiting (chronic use will
result in decreases
Endo: adrenal growth); stress
suppression, (surgery, infections)
hyperglycemia
 Classification Adverse Indication Contraindication Nursing Consideration
Name of Drug effect
 GI: Nausea, Pro Assessment & Drug
vomiting, phylaxis and Effects
Ascorbic acid Vitamins treatment of Use of sodium
0.5 bid heartburn, scurvy and as a ascorbate in patients • Lab tests: Periodic
diarrhea. dietary on sodium restriction; Hct & Hgb, serum
Hematologic: supplement. use of calcium electrolytes.
Acute ascorbate in patients • Monitor for S&S of
hemolytic Increases receiving digitalis. acute hemolytic
protection Safety during anemia, sickle cell
anemia
mechanism of pregnancy (category crisis.
(patients with the immune C) or lactation is not
deficiency of system, thus established. Patient & Family
G6PD); sickle supporting Education
cell crisis. CNS: wound healing.
Necessary for
Headache (high Take large doses of
wound healing
doses). vitamin C in divided
and resistance
Urogenital: to infection. amounts because the
body uses only what
Urethritis,
is needed at a
dysuria, particular time and
crystalluria excretes the rest in
(high doses). urine.
Other: Mild
soreness at • Megadoses can
interfere with
injection site;
absorption of
dizziness and vitamin B12.
temporary
faintness with Note: Vitamin C
rapid IV increases the absorption
administration. of iron when taken at the
same time as iron-rich
foods.
 Classification Adverse Indication Contraindication Nursing Consideration
Name of Drug effect

Assessment & Drug

Effects
Paracetamol Non-opioid Side effects are To relieve mild Hypersensitivity to
drops analgesic rare with to moderate acetaminophen or • Monitor for S&S
60mg/ml 1.5ml paracetamol pain due to phenacetin; use with of: hepatotoxicity,
q4 when it is things such as alcohol. even with
taken at the headache, moderate
recommended muscle and acetaminophen
doses. Skin joint pain, doses, especially
rashes, blood backache and in individuals with
disorders and period pains. It poor nutrition.
acute is also used to
inflammation of bring down a Patient & Family
the pancreas high Education
have temperature. • Do not take other
occasionally For this reason, medications (e.g.,
occurred in paracetamol cold preparations)
people taking can be given to containing
the drug on a children after acetaminophen
regular basis vaccinations to without medical
for a long time. prevent post- advice;
One advantage immunisation overdosing and
of paracetamol pyrexia (high chronic use can
over aspirin temperature). cause liver
and NSAIDs is Paracetamol is damage and other
that it doesn't often included toxic effects.
irritate the in cough, cold • Do not self-
stomach or and flu medicate children
causing it to remedies. for pain more
bleed, potential than 5 d without
 consulting a
Side effects of physician.
aspirin and • Do not use for
NSAIDs. fever persisting
longer than 3 d,
fever over 39.5° C
(103° F), or
recurrent fever.
• Do not give
children more
than 5 doses in 24
h unless
prescribed by
physician.
Name of Drug Classification Adverse Indication Contraindication Nursing Consideration
/Side Effect

METRONIDAZOLE Therapeutic:
ANTI- Systemic Hypersensitivity to Assess patient for
Brand Name: INFECTIVES, Allergic metronidazole, infection (vital signs,
metronidazole is
Flagyl ANTI reaction:hive indicated for the nitroimidazole appearance of wound,
PROTOZOALS s, difficulty in treatment of: derivatives, or any stool, sputum, urine,
AND ANTIULCER breathing, component of the WBC) at the beginning of
AGENTS Vaginitis due to formulation; and all throughout the
swelling of
Trichomonas pregnancy therapy.
face, lips,
vaginalis
tongue, or Obtain specimens for
(protozoal)
throat. infection culture and sensitivity
before initiating therapy.
Serious Side Protozoal Monitor neurologic status
effects: infections due to during and after IV
Entamoeba infusions. Inform
histolytica physician for
seizures
(Amoebic numbness,weakness,ata
(convulsions), dysentery or xia and seizure.
fever, chills, Hepatic
body aches, abscesses), and Monitor daily I&O
sore throat, Giardia lamblia
(Giardiasis)
flu
should be treated
symptoms, alone or in
numbness or conjunction with
tingling in iodoquinol or
your hands or diloxanide furoate
feet, white
Anaerobic
patches or
bacterial
sores inside infections such as
your mouth Bacteroides
fragilis, spp,
or on your Fusobacterium
lips, pain or spp, Clostridium
burning when spp,
you urinate, Peptostreptococc
us spp, Prevotella
diarrhea that
spp, or any other
is watery or anaerobes in
bloody, Less intraabdominal
Serious Side abscess,
Effects:nause peritonitis,
empyema,
a, stomach
pneumonia,
pain, aspiration
diarrhea, pneumonia, lung
headache, abscess, diabetic
dizziness, foot ulcer,
meningitis and
loss of
brain abscess,
balance, bone and joint
vaginal infections,
itching or septicemia,
discharge, endometritis,
tubo-ovarian
dry mouth or
abscess, or
unpleasant endocarditis
metallic
taste, cough, Pseudomembrano
sneezing, us colitis due to
runny or Clostridium
difficile
stuffy nose,
swollen or
sore tongue.