Name of Drug Tramadol

Action * Centrally acting analgesic that is not derived from natural sources nor is it chemically related to opiates, binding to uopioid receptors and inhibition of reuptake norepinephrine and serotonin * binds to receptors in the brainthat are important for transmitting the sensation of pain from throughout the body to

Indication * Pain management of moderate to moderate severe pain.

Side Effects * Somnolence * Decreased hemoglobin count * nausea * constipation * dizziness * headache * drowsiness * vomiting

Prescribed Dose * 50mg IV q8 x 3 doses

Nursing Responsibilities * Ensure the patient ate his meal * assess patients pain * instruct patient to take drug only as prescribed and not to increase dosage or interval without medical advice * instruct patient to change position slowly to prevent orthostatic hypotension * monitor for adverse reaction * document on patients chart

Contraindications * hypersensitivity * acute intoxication

Name of Drug Ranitidine * Classification: histamine H2 antagonist

Action * Inhibits histamine at H2 receptor site in the gastric parietal cells which inhibits gastric acid secretion

Indication * Used in the management of various G.I. disorders, prophylaxis of G.I. hemorrhage from stress ulceration and in patients at risk of developing acid aspiration acid aspiration during general anesthesia ; prophylaxis of Mendelson syndrome.

Side Effects * Somnolence * Fatigue

Prescribed Dose * 50mg IV q12 while NPO

Nursing Responsibilities * assess patient for liver or kidney disorders * ensure that the client has taken her meal * evaluate patient laboratory results * administer right dose of prescribed medication * report to the physician if theres an adverse reaction occurs * document on patients chart

Contraindications * Hypersensitivity * History of acute porphyria * Lactating woman

Name of Drug Mefenamic Acid * Classification: Non-steroidal antiinflammatory agents

Action * Aspirin-like drug that has analgesic, antipyretic and antiinflammatory activities . These activities appear to be due to its ability to inhibit cycloxygenase and also antagonize certain effects of prostaglandins

Indication * Relief of pain including muscular, rheumatic, traumatic, dental, post-operative and postpartum pain, headache, migraine, fever and dysmenorrheal, pain from rheumatoid arthritis including Stills disease, soft tissue injuries. Therapy should not exceed 7 days.

Side Effects * Hemolytic anemia * constipation * diarrhea * fatigue * headache * insomnia * muscle pain * nausea * vomiting * confusion * depression * easy bruising * bleeding * hallucinations * hair loss * irregular heartbeat * rash * visual changes * yellowing of the skin or eyes

Prescribed Dose * 1 tablet 500mg q6

Nursing Responsibilities * assess pain * administer drug in the right dose only * monitor for adverse reaction

Contraindications * Dangerous to pregnant women * Hypersensitivity chronic * Inflammation of G.I. tract

Name of Drug Ascorbic Acid

Action * Wound healing * Collagen synthesis * Antioxidant * Carbohydrate metabolism * Protein lipid synthesis * Prevention of infection * Increase iron absorption

Indication * Enhance bodys natural immune function

Side Effects * Transient mild soreness may occur at the site of IM or SQ infection

Prescribed Dose * 500mg tablet OD

Nursing Responsibilities * Ensure that the client has already taken her meal * Administer medication * Educate the patient about the purpose of ascorbic acid in her system * Document in the patients chart

Contraindications * None

Name of Drug Multivitamins with Fe * Classification: Multivitamins with minerals; dietary

Action * Dietary supplement

Indication * Multivitamin supplement fortified with taurine and lysine to promote psychomotor development for good appetite

Side Effects * Constipation

Prescribed Dose * 1 tablet OD

Nursing Responsibilities * Ensure that the patient has already taken her meal * Administer medication

Contraindications * Negative bowel movement

Name of Drug Cefuroxime *Classification: cephalosporins and related antibiotics

Action *Inhibits cell wall synthesis, rendering cell wall. Osmotically unstableleading to cell death by binding to cell wall membrane

Indication * Preoperative prophylaxis; may incidence of certain postoperative infections in patients undergoing surgical procedures (e.g. vaginal hysterectomy) classified as clean contaminated or potentially contaminated

Side Effects * Fatigue * Flatulence

Prescribed Dose * 1 tablet 500mg BID o * 750mg +IV q8

Nursing Responsibilities * Be aware of the proper storage of medicine - temperature = o 15 30 * Administer after meal * Document on the patients chart

Contraindications

Name of Drug Diclofenac Sodium * Classification: anti-inflammatory drug

Action * Inhibits cyclooxygenase (COX) an enzyme needed for biosynthesis of prostaglandin; subsequent decrease in prostaglandin result to the analgesic, antipyretic and antiinflammatory effect

Indication * For the management of pain when prompt pain relief is desired

Side Effects * Edema * Fall in hemoglobin * Bruising * Anemia

Prescribed Dose * One tablet of 75mg Diclopenac

Nursing Responsibilities * Make sure that the client has already taken her meal * Assess characteristics of inflammation * Assess hepatic and renal status * Administer with food to decrease gastric symptoms * Report if signs of adverse reactions occur * Drink full glass of water for absorption * Document on the patients chart

Contraindications * Sensitivity to aspirin and steroid