Professional Documents
Culture Documents
Institute of Nursing
Drug Study
Generic Name Dosage and Classification Indication Contraindications Side Effects Nursing
(Brand Name) Frequency Responsibilities
Paracetamol Q4 t≥38.5◦C Anti-pyretic analgesic Relief of mild-to- Hypersensitivity; Stimulation, Assess patient’s fever
110mg/IV moderate pain; intolerance to drowsiness, nausea, or pain; type of pain,
treatment of fever. tartrazine, alcohol, vomiting, location, intensity,
table sugar, abdominal pain, duration,
saccharin. hepatoxicity, temperature,
hepatic seizure diaphoresis
(overdose), renal Assess allergic
failure (high reactions: rash,
prolonged doses), urticaria; if these
leucopenia, occur, drug may have
neutropenia, to be discontinued.
hemolytic anemia Assess hepatoxicity:
(long term use), dark urine, clay-
thrombocytopenia, colored stools,
pancytopenia, rash, yellowing of skin and
urticaria, sclera; itching,
hypersensitivity, abdominal pain,
cyanosis, anemia, fever, diarrhea if
neutropenia, patient is on long-
jaundice, term therapy
pancytopenia, CNS Monitor liver and
stimulation, renal functions. AST,
delirium followed by ALT, bilirubin, pro-
vascular collapse, time, BUN, CREA
convulsion, coma, Check input and
death. output ratio;
decreasing output
may indicate renal
failure (long-term
therapy)
Assess for chronic
poisoning: rapid,
weak pulse; dyspnea:
cold, clammy
extremities; report
immediately to
prescriber
Ampicillin 250mg/IV q 6 Anti-infective Treatment of Hypersensitivity to Thrombophlebitis at Obtain patient
respiratory tarct penicillins, injection site, history of infection
and soft tissue cephalosporins or dizziness, fatigue, before and during
infections, bacterial impenem. Oral insomnia, reversible therapy to assess
meningitis, form not used to hyperactivity, response.
septicemia and treat severe neurotoxicity, Assess patient for
gonococcal pneumonia, urticaria, signs and symptoms
infections caused emphysema, maculopapular to of infection, fever,
by susceptible bacteremia, exfoliative characteristics of
microorganisms; pericarditis and dermatitis, vesicular wounds, sputum,
prophylaxis in rape purulent or septic eruptions, erythema urine, stool, earache,
victims and for arthritis during multiforme, skin and WBC count.
bacterial acute stage. rashes, itchy eyes, WBC >
endocarditis. laryngospasm, 10,000/mm^3,
laryngeal edema, earache, fever,
diarrhea, obtain baseline
pseudomembranous information and
colitis, interstitial during treatment
nephritis, Obtain C&S before
nephropathy, drug therapy to
increased BUN and identify if correct
creatinine, vaginitis, treatment has been
decreased Hgb, initiated
Hct, RBC, WBC, Assess history of
neutrophils, previous sensitivity
eosinophils and reactions to penicillin
platelets, elevated or other
serum alkaline cephalosporins.
phosphatase, Cross-sensitivity
glutamic oxaloacetic between penicillins
transaminase, ALT, and cephalosporins is
AST, and LDH; common.
reduced serum Assess for
albumin and total allergic/hypersensitiv
proteins, pain at ity reactions: chills,
injection site, fever, joint pain,
hyperthermia. prupritis and rash.
Angioedema may
occur a few days
after therapy begins.
Epinephrine and
resuscitation
equipment should be
on unit for
anaphylactic
reaction.
Monitor renal
function: Urine
output, urinalysis:
protein and blood,
BUN, creatinine
Monitor blood
studies: AST, ALT,
CBC, Hct, bilirubin,
LDH, alkaline
phospatase, Coomb’s
test monthly if
patient is on long-
term therapy
Assess for
overgrowth of
infection: perineal
itching, fever,
malaise, redness,
pain, swelling,
drainage, rash,
diarrhea or change in
character of cough
and sputum.