Name of Drugs,

Classification, Action Indication Contraindication Side Effects Nursing Responsibilities

Dosage & Route

Cefuroxime Decrease or Less susceptible Diarrhea/loose • Determine history of hypersensitivity

(Ceftin) control the to beta lactamase Hypersensitivity to stools reactions to cephalosporins, penicillins, and
cephalosporins and
infection and have greater related antibiotics;
history of allergies, particularly to drugs,
Cephalosporin activity against pregnancy (category B), N/V before therapy is initiated.
2nd Generation lactation. • Inspect IM and IV injection sites frequently
haemophilus
for signs of phlebitis.
Influenzae, Abdominal pain
1.5g • Report onset of loose stools or diarrhea.
IV Prior to OR gonorrhea and Although pseudomembranous colitis.
Lyme disease • Monitor I&O rates and pattern: Especially
important in severely ill patients receiving
high doses. Report any significant changes.
Name of Drugs,
Classification, Action Indication Contraindication Side Effects Nursing Responsibilities
Dosage & Route
Inhibits prostaglandin
Ketorolac synthesis by Used for treating Hypersensitivity Head ache • Instruct client to avoid alcohol and
(Toradol) decreasing the inflammation and maintain adequate hydration (2-3 L/day of
pain in the Patients who have Dizziness fluids) unless instructed to restrict fluid
activity of the
operation site developed nasal intake.
Nonsteroidal Anti- enzyme, polyps, • Monitor for signs of pain relief, such as an
Drowsiness
inflammatory cyclooxygenase, angioedema, or increased appetite and activity
Drugs which results in bronchospastic • Instruct client to avoid taking ketorolac
reactions to other Diarrhea with aspirin or other NSAIDs such as
decreased formation
30 mg NSAIDs ibuprofen (Motrin, Advil), naproxen (Aleve,
of prostaglandin Nausea
TIV q6 Naprosyn), piroxicam (Feldene), etc.
precursors, chemicals Active or history • Instruct client to report any adverse
that cells of the of peptic ulcer Dyspepsia/indigestion reaction to the physician or nurse. Tell
immune system make disease patient that adverse reactions can occur with
Epigastric pain overuse.
that cause the
Recent or history •Instruct patient not drink alcohol while
redness, fever, and of GI bleeding or taking ketorolac. Alcohol can increase the
Edema
pain of inflammation perforation; risk of stomach bleeding caused by
and that also are patients with ketorolac.
believed to be
advanced renal
disease or risk of
important in the
renal failure
production of non-
inflammatory pain.

Name of Drugs,
Classification, Action Indication Contraindication Side Effects Nursing Responsibilities
Dosage & Route
 Ciprofloxacin Bactericidal; For the treatment of Allergy to After Systemic •Assess patient for signs and
Hydrochloride interferes with infections caused Ciprofloxacin, use: symptoms of infection
(Ciloxan) DNA replication by susceptible • Obtain C/S before beginning drug therapy.
gram-negative
norfloxacin, or Headache
in susceptible other N/V •Assess for anaphylaxis
Antibiotic bacteria
bacteria •Identify urine output
including E. coi, fluoroquinolones Diarrhea
Fluoroquinolone preventing cell •Monitor blood studies
P. mirabilis, K. Restlessness
reproduction. pneumoniae, •Monitor electrolytes
500 mg Pregnancy rash •Assess bowel pattern daily
Enterobacter
PO TID cloacae, P. •Monitor for bleeding
vulgaris, S. Lactation •Educate the patient that it may cause
aureus, group D dizziness; use caution in any activity that
streptococci requires mental alertness or coordination.

Name of Drugs,
Classification, Action Indication Contraindication Side Effects Nursing Responsibilities
Dosage & Route

Mefenamic Acid A non-steroidal Mild to moderate History of Dyspepsia •Administer IV slowly over 30-60 minutes;
inflammatory that pain hypersensitivity Heartburn monitor injection site
produces to aspirin or Indigestion •Advise patient to avoid intake of alcoholic
Analgesics analgesics and Lower back pain beverages.
NSAIDs Abdominal
Non-narcotic anti-inflammatory •Instruct patient that drug may cause
Non-steroidal effect by
cramping
drowsiness and to use caution while driving or
inhibiting Pregnancy Constipation performing other activities requiring mental
500 mg prostaglandin Nausea alertness.
PO TID synthesis. Dizziness •Caution patient to avoid prolonged exposure
It reduces Diarrhea to sunlight and to use sunscreen or wear
inflammatory Epigastric pain protective clothing to avoid photosensitivity
response and Vomiting reaction.
intensity of pai Headache •Instruct patient to report the following
stimulus reaching Nervousness symptoms to health care provider: rash, visual
sensory nerve Bleeding problems, dark stools, decreased urinary
 endings. output, persistent headache or stomach pain
and unusual bruising or bleeding.
•Advise patient to discontinue medication if
rash develops and to contact health care
provider.

Name of Drugs,
Classification, Action Indication Contraindication Side Effects Nursing Responsibilities
Dosage & Route

Metoclopramide Stimulates Disturbance of GI Hypersensitivity Extra Pyramidal •Assess History;

motility of upper motility to Symptoms Allergy to metoclopramide, GI hemorrhage,
(Plasil) GI tract without metoclopramide mechanical obstruction or perforation,
stimulating Relief of symptoms Restlessness depression, epilepsy, lactation, previously
Anti emetic gastric, biliary, or of acute and GI hemorrhage detected breast cancer
GI stimulant pancreatic recurrent diabetic Drowsiness •Asses physical orientation, reflexes, affects
secretions, gastro paresis Mechanical bowel sounds, normal output, EEG.
1amp appears to obstruction or Fatigue •Monitor BP carefully during IV
TIV q8 sensitize tissues to N/V perforation administration.
action of Akathisia •Monitor diabetic patients, arrange for
acetylcholine; Metabolic diseases Epilepsy alterations in insulin dose or timing if diabetic
relaxes pyloric Dizziness control is compromised by alterations in timing
sphincter, which, Prophylaxis of post of food absorption
when combined operative nausea Nausea
with the effects on and vomiting when
motility, nasogastric suction Diarrhea
accelerates gastric is undesirable
emptying and
intestinal transit; Short term therapy
little effect on for adults with
 gallbladder or symptomatic
colon motility; GERD who fail to
increases lower respond to
esophageal conventional
sphincter therapy
pressure; has
sedative
properties induces
release of
prolactin.