Master Drug List

7/27/2019 Master Drug List

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Generic Name: Acetaminophen Trade Name: Tylenol

Classification: Central analgesic/Non-narcoticanalgesic/antipyretic

Action: Appears to inhibit prostaglandin synthesis in the CNS and , to a lesserextent, block pain impulses through peripheral action. Acts centrally on

hypothalamic heat-regulating center, producing peripheral vasodilation (heat loss,

skin erythema, diaphoresis).

Adult Dosage: 325-650 mg q4-6h, max 4 g per day Reason Receiving: Pain relief

Geriatric Dosage: Same as above Pregnancy Category: B

Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationRare- hypersensitivityreaction

Drug:Alcohol(chronicuse), liver enzymesinducers(e.g., cimetidine),hepatotoxic medications(e.g., phenytoin), warfarinFood: None Known

Assess onset, duration, locationand intensity of pain. Assess forclinical improvement and reliefof pain, fever.

Generic Name: acetaminophen and

hydrocodone

Trade Name: Vicodin

Classification: Opioid agonist

(schedule III)

Action: Binds with opioid receptors; also antipyretic

Adult Dosage: 500 mg/5 mg one to twotablets q.4-6h as needed for pain

Reason Receiving: moderate to moderately severe pain

Newborn Dosage: Safety andeffectiveness has not been established

Pregnancy Category: C

Side Effects Nursing Implications R/T Adm. & S. E Evaluation

Lightheadedness/dizziness

Sedation

Nausea and vomiting

Constipation

Respiratory depression

Skin rash and pruritus

Give without regard to meals.

Tablets may be crushed.

Obtain VS before giving

medication; respirations 12 or

less (20 or less in kids) hold

medication and call physician.

Assess onset, type, location,

duration of pain.

Evaluate for urinary retention.

Monitor daily bowel pattern

and stool consistency.

Start deep breathing and

coughing exercises.

Assess for clinical

improvement; record onset of

relief of pain, cough.

Caution with breastfeeding

mothers


2/55

Generic Name: acetaminophen 500mg and oxycodone 5 mg

Trade Name: Tylox

Classification: opioid analgesic; non-narcotic analgesic, antipyretic

Action: semisynthetic narcotic analgesia involving the CNS, andblocks pain impulses; also, results in antipyresis

Adult Dosage: one capsule q6h asneeded for pain

Reason Receiving: moderate to moderately severe pain orantiemesis

Newborn Dosage: safety andeffectiveness has not been established Pregnancy Category: C


Dizziness/lightheadedness

Sedation

Nausea, vomiting

Skin rash and pruritus

Constipation

May be habit forming

Caution if breasting feeding

mother

Assess onset, type, location and

duration of pain.

Assess for clinical improvement

and relief of pain/fever.

Assess mental and/or physical

abilities

Generic Name: Acetylsalicylic Acid Trade Name: AspirinClassification: Nonsteroidal salicylate/Anti-inflammatory

Action: Inhibits prostaglandin synthesis, acts on the hypothalamus heat-regulating center,interfers with production of thromboxane A, a substance that

stimulates platelet aggregation.

Adult Dosage: 80-325mg/day Reason Receiving: Reduces inflammation due to osteoarthritis

Geriatric Dosage: Same as above Pregnancy Category: C (D if full dose used in 3 rd trimester ofpregnancy)

Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions Evaluation

GI distress(includingabdominal distention,cramping, heartburn, mildnausea); allergic reaction(including bronchospasm,

pruritis, urticaria)

Drug: ETOH, NSAIDs,Antiacids, urinary alkalinizers,Anitcoagulants, heparin,thrombolytics, Plateletaggregation inhibitors, valproicacid, methotrexate, zidovudine,

ototoxic meds, vancomysin,probenecid, sulfinpyrazone.Food: None Known

Assess type, location, durationof pain, inflammation Monitorurinary pH Assess skin forecchymosisReport tinnitus or persistent

abdominal GI pain

Generic Name: Acyclovir Trade Name: Zovirax

Classification:Synthetic Nucleoside/Antiviral Action: Converts to acyclovir triphosphate, becoming part of DNAchain.

Adult Dosage: 200mg Q4H, 5 times per day Reason Receiving: Prevent infection

Newborn Dosage: N/A Pregnancy Category: B

Side EffectsNursing Implications R/T

Administration & Side Effects EvaluationRare; vomiting, diarrhea, rash, HA History of allergies

Assess herpes simplex lesions bftreatment to assess therapeutic effect

Provide comfort measures


3/55

Generic Name: Albuterol Trade Name: Albuterol Sulfate

Classification: Sympathomimetic/Bronchodilator Action: Stimulates beta-adrenergic receptors in lungs, resulting inrelaxation of bronchial smooth muscle.

Adult Dosage:2.5mg 3-4 times/day over 5-15 mins Reason Receiving: Relief of bronchospasm

Geriatric Dosage: Same as above Pregnancy Category: C


HA, nausea,restlessness,nervousness, tremors,dizziness, throat drynessand irritation, pharyngitis,B/P changes, heartburn,transient wheezing.

Drug: Beta-blockers,digoxin, MAOIs, tricyclicantidepressants, Thyroidhormone.Food: None Known

Monitor rate, depth, rhythm,type of respirations and pulse.Assess lung sounds.Increasefluids. Rinse mouth with waterafter inhalation.

Generic Name: Allopurinol Trade Name: Zyloprim

Classification: Antigout/Xanthine oxidase inhibitor Action: Decreases uric acid production by inhibiting xanthineoxidase, an enzyme

Adult Dosage:600-800mg/day Reason Receiving: Decrease uric acid due tochemotherapy

Newborn Dosage: N/A Pregnancy Category: C


Administration & Side Effects Evaluation

Somnolence; Unusual hair loss;diarrhea; HA

Tell patient to drink 10 to 12 glasses ofwater daily. Monitor I&O, assess cbc,uric acid hepatic function tests Assessurine for color, clarity, odor, assess fortherapeutic response

Generic Name: Alprazolam Trade Name: Xanax

Classification: benzodiazepine(schedule IV)/Antianxiety Action: Enhances the action of the neurotransmitter gamma-aminobutyric acid(GABA) in the brain

Adult Dosage: 0.25-0.5mg 3 times per day Reason Receiving: Treatment for Anxiety

Geriatric Dosage: 0.25mg 2-3 times a day Pregnancy Category: DSide Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationAtaxia, light headedness,mild somnolence, slurredspeech, confusion,constipation

Drug: Potentiated effectswhen used with other CNSdepressants (including alcohol).Ketoconazole, nefazodone,fluvoxamine may inhibit hepaticmetabolism, increase serum

concentration. Food: Noneknown

Offer emotional support assessmotor responses, performhepatic/renal function test, bloodcounts periodically. Evaluate fortherapeutic response

Generic Name: Amitriptyline HCL Trade Name: Elavil

Classification:Antineuralgia/Antidepressant Action: Blocks reuptake of neurotransmitters, at presynaptic membranes,increase availability of receptor sites.

Adult Dosage: 25-100mg at bedtime Reason Receiving: Relief of neuropathic pain



Dizziness, somnolence,dry mouth, orthostatichypotension, HA,increased appetite,weight gain, nausea,fatigue, unpleasant taste

Drug: CNS depressants,Antithyroid agents,Phenothiazine,Cimetidine, valporic acid,clonidine,sympathomimetics.Food: None Known

Assess location, type,frequency, duration of pain.Monitor B/P & Pulse. Assesspain relief.


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Generic Name: Amlodipiine Besylate Trade Name:Norvasc

Classification: Calcium Channel Blocker/Antihypertensive Action: Inhibits Ca movement across cardiac and vascularsmooth muscle cell membranes.

Adult Dosage: Initially 5mg/day as a single dose. Increase by2.5mg/day for 7-14 days

Reason Receiving: Hypertension




Peripheral edema, HA, flushing,dizziness, palpitations, nausea,unusual fatigue or weakness

Assess b/p, apical pulseAssess for peripheral edema.Assess skin for flushing.

Generic Name: Amphotericin B Lipid Trade Name: Abelcet

Classification:Antifungal/Antiprotozoal Action:Generally fungistatic but may become fungicidal with highdosages or very susceptible microorganisms. Binds to stero;s om fungal

cell membrane.Adult Dosage: 2.5-5mg/kg/day at a rate of2.5mg/kg/hr

Reason Receiving: Prevents fungal infection

Newborn Dosage: N/A Pregnancy Category:B



Chills, fever, increased serumcreatinine, multiple organ failure

Hx fo allergies to amphotericin B,sulfite. Monitor b/p, temp, pulse,resp. Evaluate IV site forphlebitis(heat, pain, red streakingover vein). Monitor I&O.

Generic Name: Aripiprazole Trade Name: Abilify

Classification: Dopamine agonist/Antipsychoiticagent

Action: Provides partial agonist activity at dopamine andserotonin (5-HT1A) receptors and antagonist activity at serotonin (5-HT2A) receptors.

Adult Dosage: 2-5mg/day Reason Receiving: Depression




Weight gain, HA, insomnia,vomiting

Periodically monitor weight. Monitor forextrapyramidal symptoms (abnormalmovement), tardive dyskinesia(protrudingtongue, puffing of cheeks,chewing/puckering of mouth). Monitor B/P,pulse. Assess for therapeutic response.

Generic Name: Ascorbic Acid Trade Name: Vitamin C

Classification: Vitamin Action: assist in tissue repair, involved in oxidation reaction

Adult Dosage: 50-200 mg per day Reason Receiving: supplement

Newborn Dosage: na Pregnancy Category: A


Administration & Side Effects EvaluationAbdominal cramps, NV, diarrhea,increased urination.

Monitor for Abdominal cramps, NV,diarrhea, increased urination.

No complaints of abdominal cramp,NV.


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Generic Name: aspirin Trade Name: Ecotrin

Classification: nonsteroidal salicylate Action: inhibits prostaglandin synthesis, acts on thehypothalamus regulating center and inhibits plateletaggregation

Adult Dosage: 325-650 mg Reason Receiving: prophylactic for MI

Geriatric Dosage: same Pregnancy Category: C

Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationGI distressAllergic reaction

Alcohol, NSAIDs,antacids, heparin, plateletaggregation inhibitors,valproic acid

Assess skin for ecchymosisAssess pain levelAssess PLT

Generic Name: Atenolol Trade Name: Tenormin

Classification: Beta-AdrenergicBlocker/Antihypertensive

Action: Blocks beta1-adrenergice receptors in cardiactissue.

Adult Dosage: 25-50mg daily Reason Receiving: hypertension

Newborn Dosage: N/A Pregnancy Category: D



Hypotension manifested as coldextremities, constipation ordiarrhea, diaphoresis, dizziness,fatigue, HA, nausea

Assess B/P, apical pulse beforeadmin med. Respiration fordifficulty in breathing. Monitor I&O.Monitor bowel activity. Assessextremities for coldness.

Generic Name: atorvastatin calcium Trade Name: LipitorClassification: HMG-CoA reductaseinhibitor; antihyperlipidemic

Action: inhibits the enzyme that catalyzes the early step in cholesterolsynthesis; decreased LDL and VLDL, and increases HDL

Adult Dosage: 10-20 mg (80 max) Reason Receiving:Newborn Dosage: Safety not established Pregnancy Category: X

Side Effects Nursing Implications R/T Adm. & S. E EvaluationGenerally well tolerated; if any, mildand transient.HeadacheMyalgia, rash, pruritis, allergy

Monitor for headacheAssess for rash, pruritus, malaiseMonitor cholesterol, triglyceride labs fortherapeutic response

Generic Name: azithromycin Trade Name: Zithromax

Classification: macrolide; antibiotic Action: binds to ribosomal receptor sites of susceptible organisms, inhibitingRNA-dependent protein synthesis; bacterostatic/bactericidal

Adult Dosage: 1200 mg once weekly Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: B


Nausea, vomiting, diarrhea, abdominalpain Check for GI discomfort, nausea,vomitingMonitor daily pattern of bowels and stoolconsistencyMonitor hepatic function tests, assess forhepatotoxicity (malaise, fever, abdominalpain, GI disturbancesBe alert for superinfection (fever,vomiting, diarrhea, anal/genital pruritus,oral mucosal changes


6/55

Generic Name: Baclofen Trade Name: Lioresal

Classification: skeletal muscle relaxant, antispastic Action: inhibits transmission of reflexes at spinal cord level

Adult Dosage: 40-80mg/day Reason Receiving: spasms due to spinal injury

Newborn Dosage: na Pregnancy Category:C


Administration & Side Effects EvaluationTransient somnolence, asthenia, dizziness,light headedness, NV. Hypotension,confusion,

Assess for paradoxical reaction. For longterm therapy, hepatic/renal function test,Evaluate for therapeutic response.

K-3.6NA- 141CL- 105BP 151/84-132-78No pt complains of somnolence,dizziness, lightheadedness, nausea

Generic Name: betamethasone Trade Name: Diprolene

Classification: adrenocorticosteroid;anti-inflammatory, immunosuppressant

Action: controls rate of protein synthesis, prevents or controlsinflammation; decreases tissue response to inflammatory process

Adult Dosage: 0.6-7.2 mg/day po Reason Receiving:Newborn Dosage: 0.0175-0.25mg/kg/day in 3-4 divided doses po

Pregnancy Category: C (D if in first trimester)


Increased appetite

Abdominal distention

Nervousness

Insomnia

False sense of well being

Topical: burning, stinging,pruritus

Question for hypersensitivity toany of the corticosteroids

Obtain baselines for height,weight, BP, glucose, electrolytes

Monitor BP, blood glucose,electrolytes

Apply topical preparationsparingly and not on broken skinor areas of infection

Do not apply to wet skin, face oringuinal areas

IM inject slowly, deep IM intolarge muscle

Generic Name: bisacodyl Trade Name: Dulcolax

Classification: GI stimulant Action: stimulates intramural nerve plexi of colonic smooth muscle

Adult Dosage: 10 mg rectally Reason Receiving: induce bowel movement


Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationSome degree of abdominaldiscomfort

NauseaMild crampsFaintness

With rectal, mild burning ofrectal mucosa

AntacidsCimetidine

FamotidineRanitidineMilk

Chill for 30 min in frig if too softMoisten suppository with cold

water before insertionEncourage adequate fluidintakeAssess BS for peristalsisMonitor bowel activity and stoolconsistencyMonitor electrolytes


7/55

Generic Name: budesonide Trade Name: Symbicort/FormoterolClassification: anti-inflammatory, antiallergy Action: relieves symptoms of allergic rhinitisAdult Dosage: 1 spray each nostril per day Reason Receiving:

Newborn Dosage: nebulizer 0.5 mg/day Pregnancy Category: B



Flu-like symptoms, headache,pharyngitisBack pain, vomiting, altered taste,voice changes, abdominal pain,nausea, dyspepsia

Monitor relief of symptoms

Generic Name:Bupropion HCL Trade Name:Wellbutrin XL

Classification:Aminoketone/Antidepressant Action: Blocks reuptakeof neurotransmitters,(serotonin,norepinephrine) at CNS presynaptic membranes, increasing availability

at postsynapticeceptor sites.Reduces firing rate of noradrenergic

neurons.Adult Dosage:150mg daily Reason Receiving: Major depression

Newborn Dosage: N/A Pregnancy Category:B



Constipation, weight gain or loss,nausea, vomiting, anorexia, drymouth, HA, diaphoresis, tremor,sedation, insomnia, dizziness,agitation.

Hepatic/renal function tests.Assess appearance, behavior,speech pattern, level of interest,mood.

Generic Name: busPIRone Trade Name: BuSparClassification: nonbarbiturate Action: binds to serotonin, dopamine at presynaptic neurotransmitter

receptors in CNS; anxiolytic

Adult Dosage: 5 mg 2-3 times a day Reason Receiving: augment depression meds

Geriatric Dosage: 5 mg bid Pregnancy Category: B


Dizziness, somnolence,nausea, headacheNervousness, fatigue,insomnia, dry mouth,lightheadedness, moodswings, blurred vision,poor concentration,diarrhea, paresthesia

Alcohol, other CNSdepressantsErythromycin, MAOIsSt. Johns wortGrapefruit and grapefruitjuice

Offer emotional support ifanxiousAssess motor responses(agitation, trembling, tension),autonomic responses (cold,clammy hands; diaphoresis)Monitor LFTs, renal function,blood counts for long-term useAssist with ambulation if dizzy


8/55

Generic Name: Calcium Carbonate- Vit D Trade Name:Alpo-Cal, Caltrate

Classification: electrolyte replenisher Action:Assists in regulating release/storage of hormones.Neutralizes/reduces gastric acid(increases ph)

Adult Dosage: 1-2 g a day in divided doses Reason Receiving: prevention of calcium deficiency

Newborn Dosage: na Pregnancy Category: na

Side Effects

Nursing Implications R/T

Administration & Side Effects EvaluationMilk alkali syndrome(HA,decreased appetite, NV, unusualfatigue) Chalky taste

Assess BP, EKG, and cardiacrhythm renal function, serummagnesium phosphate, potassiumconcentrations.

Generic Name: Calcium Polycarbophil Trade Name: Fiber-Lax

Classification: Bulk-forming laxative/antidiarrheal Action: Retains water in intestines, opposesdehydrating forces of bowel.

Adult Dosage: 2 tab- 625 mg orally Reason Receiving: Prevents Constipation


Side Effects


Administration & Side Effects EvaluationAbdominal pain, Nausea, vomiting Take with adequate amount of

water(8 ounces)

Generic Name: carbamazepine Trade Name: Tegretol

Classification: iminostilbene derivative;anticonvulsant, antipsychotic

Action: decreases sodium, calcium ion influx into neural membranes,reducing post-tetanic potentiation at synapses; anticonvulant effect

Adult Dosage: 200 mg bid Reason Receiving: withdrawal

Geriatric Dosage: 100 mg 1-2 times a day Pregnancy Category: D


Drowsiness, dizziness,nausea, vomiting

Visual abnormalities(spots, difficult focusing,blurred), drymouth/pharynx, tongueirritation, headache, fluidretention, diaphoresis,constipation, diarrhea

Anticoagulants,clarithromycin, diltiazem,

erythromycin, estrogens,propoxyphene,quinindine, steroidsAntipsychotics,haloperidol, tricyclicsOther anticonvulsants,barbiturates,benzodiazepine, valproicacid, MAOIsSt. Johns wort,grapefruit, grapefruit juice

Monitor CBC, iron, UA, BUNAssess for early signs of toxicity

(fever, sore throat, mouthulcerations, unusualbruising/bleeding, joint pain)


9/55

Generic Name: carvedilol Trade Name: CoregClassification: beta-adrenergic blocker;antihypertensive

Action: has nonselective beta-blocking and alpha-adrenergic blocking activity;causes vasodilation; reduces cardiac output and tachycardia; reduces peripheralvascular resistance

Adult Dosage: 6.25 mg/day (50 max) Reason Receiving: HypertensionNewborn Dosage: safety not established Pregnancy Category: C


Generally well tolerated with mildtransient side effectsFatigue, dizzinessDiarrhea, bradycardia, rhinitis, backpain

Monitor BP for hypotension and resp fordyspneaAssess pulse for quality, irregular rate,bradycardiaMonitor EKG for arrhythmiasAssist with ambulation if dizzinessoccursAssess for CHF (dyspnea, night cough,peripheral edema, distended neck veins)Monitor I&O

Generic Name: cefazolin Trade Name: cefazolin

Classification: first-gen cephalosporin Action: Inhibits cell wall synthesis of bacterial cell

membranes; bactericidalAdult Dosage: 0.5-1 g q.6-8 h postop Reason Receiving: Prophylaxis postoperatively

Geriatric Dosage: same Pregnancy Category: B


Oral candidiasisMild diarrheaMild abdo crampingVaginal candidiasisNausea

AminoglycosidesFurosemideProbenecidWarfarin = bleedingNo herbs or food

Assess oral cavityMonitor daily bowel activity andstool consistencyMonitor I&O, renal functiontestsBe alert for superinfection(fever, vomiting, diarrhea)

Generic Name: Cefepime HCL/ Trade Name: Maxipime

Classification: 4 generation cephalosporin Action: binds to bacterial cell membranesAdult Dosage:1-2 grams q12h over 7-10days Reason Receiving: pneumonia

Newborn Dosage: Pregnancy Category:B



Oral candidiasis, mild diarrhea, mildabdominal cramping

Question for allergies tocephalosporins and penicillins

Assess oral cavity for white patches.Monitor bowel activity, I&O, renalfunction test

Generic Name: Ceftriaxone Trade Name: RocephinClassification: 3

rgeneration

cephalosporin/AntibioticAction: Binds to bacterial cell membranes, inhibits cell wallsynthesis. Bactericide.

Adult Dosage: 1-2g as a single dose or in 2 divideddoses

Reason Receiving: Treatment of gram(-) infections



Oral candidiasis, milddiarrhea, mild abdominal

Drug: ProbenecidFood: None Known

Assess hx of sensitivity. Assessoral cavity. Monitor bowel


10/55

cramping, vaginalcandidiasis

pattern and activity. Asses forsuperinfection: fever, vomiting,diarrhea, anal/genital pruritis,oral mucosal changes.

Generic Name: Cetirizine HCl Trade Name: ZyrtecClassification: 2nd Generation Piperazine/Antihistamine Action: Competes with histamine for H1-receptor sites on

effector cells in GI tract, blood vessels, respiratory tract.Adult Dosage: Initially 5-10mg/day as a single or in 2 divideddoses

Reason Receiving: Seasonal Allergies




Pharyngitis; dry mucousmembranes, nose, throat; N/V;abdominal pain; HA; dizziness;fatigue; thickening of mucus;somnolence; photosensitivity;urinary retention

Assess lung sounds. Increasefluids to maintain thin secretionsand offset thrist. Monitorsymptoms for therapeuticresponse.

Generic Name: Chemo-Cytarabine Trade Name: Cytarabine

Classification:Antimetabolite/Antineoplastic Action: Converted intracellularly to nucleotide. Cell cycle-specificfor S phase of cell division.

Adult Dosage: 75-200mg/m2/day for 5-10 days Reason Receiving: Prevents cell growth




Asthenia, fever, pain, alteredtaste/smell, nausea, vomiting

Monitor CBC for evidence ofmyelosuppression.Monitor for blood dyscrasias(fever,sore throat, signs of local infection,unusual bruising/bleeding).Increase fluid intake

Generic Name: Chemo-cyclophosphamide(sye-cloe-FOSS-fa-mide

Trade Name: Cytoxam

Classification: alkylating agent Action: Inhibits DNA,RNA protein synthesis

Adult Dosage:400-1800mg/m2 per treatment course (1-5days)

Reason Receiving: ACL




Marked leucopenia 8-15 days afterinitial therapy. Nausea vomiting

Obtain WBC count weekly duringtherapy or until maintenance dose isestablished than at 2-3 wk intervals.Monitor CBC, Monitor for hematologictoxicity.

No complaints of NVWBC-4.0L RBC- 2.78LPLT- 152L Seg. Neu-2.6Lymph-0.5L Mono-0.8Baso- 0.0 EOSN-0.0

Generic Name: Chemo- Decitabine DACOG Trade Name:

Classification: antineoplastic Action: exerts cytotoxic effect on rapidly dividing cells

Adult Dosage: 15 mg given over 3hrs q8h Reason Receiving: treatment of AML

Newborn Dosage: Pregnancy Category: D


Administration & Side Effects EvaluationFever, nausea, cough, constipation, Monitor for fever, sore throat, signs of Did not administer. No c/o of NV,


11/55

diarrhea, peripheral edema,echhymosis, arthralgia.

local infection. Monitor and report N/V,diarrhea, If pt has active oruncontrolled infection, treatment shouldbe stopped and not restarted untiltoxicity if resolved.

diarrhea, peripheral edema,echymosis, arthralgia.Pt being treated for pneumonia.Temp-96.5Pt c/o unproductive cough

Generic Name: Chemo-etoposide (eh-TOE-poe-side) Trade Name: Toposar, VePesid

Classification: Epipodophyllotoxin Action: Inhibits single and double stranded breaks in DNA.Adult Dosage: 150 mg/m2/day for 2-3 days, 2-3 cycles Reason Receiving: ACL




Mild to moderate nausea/vomiting,alopecia.

Obtain hematologic test beforeadministration at frequent intervalsduring therapy. Use anti-emetics tocontrol nausea and vomiting.

No complaints of NVHGB-9.9L HCT-25.9LWBC- RBC-PLT- Seg. Neu-2.6Lymph-0.5L Mono-0.8Baso- 0.0 EOSN-0.0

Generic Name: Chemo-Midostaurin Trade Name:Chemo-Midostaurin

Classification: Kinases inhibitor Action: blocks a key class of enzymes kinases that often spur cancercell growth. It works by targeting the FLT3 cell receptor, which is

overactive in the white blood cells

Adult Dosage: Reason Receiving: reduces the number of circulatingleukemia cells

Newborn Dosage: Pregnancy Category:



Generic Name: cholecalciferol Trade Name: Vitamin D3Classification: Fat-soluble vitamin/NutritionalSupplement

Action: Stimulates calcium/phosphate absorption from smallintestine, promotes secretion of calcium from bone to blood,promotes reabsorption of phosphate in renal tubules; acts on bonecells to stimulate skeletal growth and on parathyroid gland tosuppress hormone synthesis and secretion

Adult Dosage: 400 units per day Reason Receiving: Vitamin deficiency

Newborn Dosage: Pregnancy Category:A(C if used in doses above RDA)



None Known Begin therapy at lowest possibledosage. Encourage adequate fluidintake. Monitor Ca+, P+, Mg+, BUNlevels

Generic Name: Ciprofloxacin HCl Trade Name: Cipro

Classification: Fluoroquinolone/Anti-infective Action: Inhibits enzyme, DNA gyrase, in susceptible bacteria,interfering with bacterial cell replication.

Adult Dosage: 500-750 mg q8-12h Reason Receiving: Prevent infection



Administration & Side Effects EvaluationNausea, diarrhea, dyspepsia, Question for history of sensitivity to


12/55

Vomiting, constipation, flatulenceConfusion, crystalluria, abdominalpain

Ciprofloxacin, quinolones. Eval for foodtolerance, bowel activity, dizziness,HA, visual changes, chest, joint pain

Generic Name: citalopramhydrobromide

Trade Name: Celexa

Classification: antidepressant(serotonin inhibitor)

Action: relieves depression

Adult Dosage: 20 mg Reason Receiving: Depression

Newborn Dosage: not indicated Pregnancy Category: C

Side Effects Nursing Implications R/T Adm. & S.E. Evaluation

Nausea, dry mouth, somnolence,insomnia, diaphoresis.Tremor, diarrhea, fatigue, anxiety,vomiting, anorexia

Observe, record behaviorAssess psychological status, thoughtcontent, sleep pattern, appearance,interest in environment, mood

Generic Name: Clindamycin Trade Name: Cleocin

Classification: Lincosamide/Antibiotic Action: Inhibits protein synthesis of bacterial cell wall by binding to bacterialribosomal receptor sites. Topically, decrease fatty acid concentration on skin.

Adult Dosage: 1.2-1.8g/day in 2-4 divided doses Reason Receiving: Treatment of infection



Abdominal pain, nausea,vomiting, diarrhea Drug:Adsorbentantidiarrheals,Erythromycin,Neuromuscular blockers.Food: None Known

Monitor bowel activity/pattern.Assess hx of sensitivity. Monitorfor superinfection: fever,vomiting, diarrhea, anal/genitalpruritis, oral mucosalchanges(ulceration, pain,erythema)

Generic Name: Clopidogrel Trade Name: Plavix

Classification: Thienopyridine derivative/Antiplatelet Action: Inhibits binding of enzyme adenosine phosphate (ADP) to itsplatelet receptor and subsequent ADP-mediated activation of a glycoproteincomplex.

Adult Dosage: 300mg loading dose then 75mg/day Reason Receiving: Graft patency(Saphenous vein)Geriatric Dosage: Same as above Pregnancy Category: B


Skin disorders, URI,chest pain, flu-likesymptoms, HA, dizziness,arthralgia

Drug:Aspirin, NSAIDs,Fluvastatin, phenytoin,tamoxifen, tolbutamide,torsemide, warfarin.Food: None Known

Monitor platelet count. AssessBUN, creat, bilirubin, AST, ALT,WBC, Hgb

Generic Name: Clonidine HCL Trade Name: Clonidine


13/55

Classification: Antiadrenergic, sympatholytic/Antihypertensive Action: Prevents pain signal transmission to brain and produce analgesiaat pre- and post-alpha-adrenergic receptors in spinal cord

Adult Dosage: 0.1mg twice/day Reason Receiving: HTN

Geriatric Dosage: 0.1mg at bedtime Pregnancy Category: C


Dry mouth, somnolence,dizziness, sedation,constipation

Drug: beta-blocker,Tricyclic antidepressants.Food: None Known

Obtain B/P before admin.Monitor bowel activity. Sideeffects diminish with therapy.

Generic Name: Clonozepam Trade Name: Klonopin

Classification: benzodiazepine (ScheII)/anticonvulsant

Action: Depresses all levels of CNS; depresses nerve impulsetransmission in motor cortex. Suppresses abnormal discharge inpetit mal seizures.

Adult Dosage:1.5mg/day in 3 divided doses Reason Receiving: Bipolar Disorder




Mild, transient drowsiness; ataxia;

behavior disturbances(aggression,irritability, agitation)

Hx of seizure disorder.Implement

safety measures. Performrenal/hepatic function test.Evaluate for therapeutic response.

Generic Name: Clotrimazole Cream Trade Name: Lotrimin

Classification:Antifungal Action: binds with phospholipids in fungal cell membrane.

Adult Dosage: 1% Reason Receiving: treat fungal infection

Geriatric Dosage: apply twice a day up to 8weeks Pregnancy Category:C


Pruritis, burning, stinging,

erythema, urticaria

Drug: None Known

Food: None Known

Check skin for erythema,

urticaria, blistering, pruritis,stinging, burning

Generic Name: Colchicine Trade Name: Colchicine

Classification:Alkaloid/Antigout Action: Decrease leukocyte motility, phagocytosis, lactic acid production

Adult Dosage: 0.6-1.2mg up to 6mg Reason Receiving: Gouty Arthritis

Geriatric Dosage: Same as above Pregnancy Category: D(parental)/C(oral)

Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationN/V, abdominaldiscomfort

Drug: Bone marrowdepressants,clarithromycin,erythromycin, NSAIDs.Food: None Known

Increase fluid intake. MonitorI&O. Assess therapeutic relief.


14/55

Generic Name: collagenose top oint Trade Name: Santyl

Classification: enzumatic debriding agent Action: debrides dead skin

Adult Dosage: small amount applied daily Reason Receiving: treatment of pressure ulcer

Newborn Dosage: Pregnancy Category:

Side Effects


Administration & Side Effects EvaluationAdverse reactions, burning sensation,erythema,

Contradictions- patients who haveshown local or systemic hypersentivityto collogenose. Avoid products withsilver or mercury.

No complains of pain or erythemaobserved

Generic Name: conjugated estrogen Trade Name: Premarin

Classification: estrogen; hormone Action: increases synthesis of DNA, RNA, various proteins in target tissues;reduces release of gonadotropin-releasing hormone (FSH) and LH release;promotes normal growth, development of female sex organs, prevents bone loss

Adult Dosage: 0.3-0.625 mg/day Reason Receiving:

Newborn Dosage: not indicated Pregnancy Category: X


Vaginal bleeding; breast

pain/tenderness, gynecomastiaHeadache, hypertension, intoleranceto contact lenses

Assess BP periodically

Check for edema, weigh dailyReport S/S of thromboembolic disorders(sudden severe headache, SOB,vision/speech disturbance,weakness/numbness of extremity, loss ofcoordination, pain in chest, groin or leg)

Generic Name: Cyclobenzaprine Trade Name: Flexeril

Classification: skeletal muscle relaxant Action: reduces tonic somatic muscle activity at thebrainstem.

Adult Dosage: Initially 5 mg 3 times per day Reason Receiving: muscle spasms- fibromyalgia




Somnolence, dry mouth, dizziness Record onset, type, location,duration of muscular spasm. Checkfor immobility, stiffness, swelling.Assess for therapeutic response.

Generic Name: cyclophosphamide Trade Name: CytoxanClassification: alkylating agent;antineoplastic

Action: inhibits DNA, RNA protein synthesis; prevent cell growth, potentimmunosuppressant

Adult Dosage: 400-1800 mg IV Reason Receiving: diffuse large B-cell lymphoma

Newborn Dosage: 2-3 mg/kg/day po Pregnancy Category: D


Marked leucopenia 8-15 days afterinitial therapyNausea, vomiting, alopeciaDiarrhea, darkening of skin/fingernails,stomatitis, headache, diaphoreis

Monitor cbc, serum uric acid, electrolytesMonitor WBCMonitor for hematologic toxicity (fever,sore throat, signs of local infection,unusual bruising/bleeding)

Generic Name: dantrolene sodium Trade Name: Dantrium


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Classification: skeletal muscle relaxant Action: interferes with release of calcium ion

Adult Dosage: up to 100mg 2-4 times per day Reason Receiving: relief of spasticity due to spinal injuries

Newborn Dosage: na Pregnancy Category: C


Administration & Side Effects EvaluationDrowsiness, dizziness, weakness genera lmalaise, diarrhea. HA, confusion

constipation, Urinary frequency

Baseline Hepatic function test ( AST,ALTalkaline phosphatase, total bilirubin) Record

onset, type location, duration of muscularspasms. Assess for therapeutic response,relief of pain.

No hepatic test data availablePropphylactic use due to spinal injury

LBM-9/29/2010No confusion , dizziness, weakness,reportedUrostomy

Generic Name: Dexamethasone Trade Name: Decadron

Classification:Long-actingglucocorticoid/Corticosteroid

Action:inhibits accumulation of inflammatory cells atinflammation site and release of mediators ofinflammation

Adult Dosage: 8-20mg once, then 4mg Q4-6 Reason Receiving:Antiemetic

Newborn Dosage: N/A Pregnancy Category:C(D if used in 1st

trimester)



Insomnia, facial edema

(moonface), moderate abdominaldistension, indigestion, increasedappetite, nervousness.

Question for hypersensitivity to any

corticosteroids. Height, weight, BP,serum glucose, electrolytes.Assess for edema. Bowel activity

Generic Name: Digoxin Trade Name: Lanoxin

Classification: Cardiac Glycosides/Antiarrhythmic Action: Increase influx of calcium from extracellular to intracellularcytoplasm

Adult Dosage: 0.5-0.75mg additional doses of 0.125-0.375mgat 6-8 hr intevals

Reason Receiving: Treatment of CHF



None Known Drug:Amidarone, beta-blockers, Ca channel

blockers, K-depletingdiuretics,symoathomimetics.Food: Fiber(bran),Pectin.

Assess AP for 60secs. Monitorpulse for bradycardia. Assess

for GI disturbances, neurologicabnormalities. Monitor K, Mg.

Generic Name: diltiazem Trade Name: Cardizem

Classification: Ca channel blocker, antihypertensive Action: InhibitsCa movement across cardiac, vascularsmooth-muscle cell membranes. Causing dilation

Adult Dosage: 60-120 twice a day Reason Receiving: Hypertension

Geriatric Dosage:60-120 twice a day Pregnancy Category: CSide Effects Drug/Food Interactions NI R/T Adm, SE, Interactions Evaluation

Peripheral edema,dizziness, light-headedness, H/A,bradycardia, asthenia,nausea, constipation,flushing

Beta blockers,carbamazepine,theophylline, digoxineffects

Assess B/P and PulseAssess renal and hepaticfunction.Assist with ambulation.Dont abruptly d/c medication

May be crushed


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Generic Name: Diphenhydramine HCL Trade Name: Benadryl

Classification: Ethanolamine/Antihistamine/Anticholinergic Action: Competitively blocks effects of histamine atperipheral H1 receptor sites

Adult Dosage:25-50 mg Q4H Reason Receiving: pre med for blood




Drowsiness, dizziness, muscleweakness, hypotension, urinaryretention, thickening of bronchialsecretions, dry mouth

Monitor BPR- rate, depth, rhythm.

Assess lung sounds for rhonchi,wheezing, rales.

Generic Name: diphenoxylate HCL Trade Name: Lomotil

Classification: antidiarrheal Action: reduces intestinal motility of gastric mucosa

Adult Dosage: 5-15 mg/day Reason Receiving:

Newborn Dosage: Not recommended Pregnancy Category: C



Drowsiness, light-headedness,dizziness, nausea, headache, dry

mouth

Encourage adequate fluid intake; and,assess hydration status (skin turgor,

mucous membranes for dryness andoutput)Assess bowel soundsMonitor bowel activity and stoolAssess for abdominal distention

Generic Name: Docosahexanoic Acid Trade Name: Fish Oil

Classification: Dietary supplement Action: Unknown

Adult Dosage: 1000mg capsule Reason Receiving: CAD/HTN

Geriatric Dosage: Same as above Pregnancy Category: Unknown


GI upset, diarrhea,

increased burping, acidreflux/heartburn/indigestion,abdominal bloating,abdominal pain, fishyaftertaste.

Drug: None Known

Food: None Known

Take with meals to avoid GI

upset.

Generic Name: Docusate Na Trade Name: Colace

Classification: Bulk-producing laxative/Stool softener Action: Decreases surface film tension by mixing liquid withbowel contents

Adult Dosage: 50-500mg/day in 1-4 divided doses Reason Receiving: Stool Softner


Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationMild GI cramping Drug: None significant

Food: None Known

Encourage adequate fluid intake.Assess bowel sounds. Monitorbowel activity. Record time ofevacuation

Generic Name: Doripenem Trade Name: Doribax

Classification: Carbapenem/antibiotic Action: inactivates penicillin-binding proteins, resulting in inhibition of cellwall synthesis

Adult Dosage: 500mg q8h for 10-14 days Reason Receiving: Treatment of complicated UTIs due to susceptiblegram(+), gram(-) and anaerobic bacteria


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Diarrhea, nausea, HA,altered mental status

Drug: ProbenecidFood: None Known

Hx of allergies. Monitor bowelpattern/activity. Monitor fornausea/vomiting

Generic Name: Doxepin HCL Trade Name: SinequanClassification: Tricyclic/Antidepressant Action: Increases synaptic concentrations of norepinephine,

serotonin.

Adult Dosage: 25-150mg/day at bedtime Reason Receiving: Treatment of depression

Geriatric Dosage: 10-25mg/day at bedtime Pregnancy Category: C(B for topical form)


Orthostatic hypotension,somnolence, dry mouth,HA, increased appetite,weight gain, nausea,unusual fatigue,unpleasant taste

Drug:Alcohol, other CNSdepressants may increase CNS,respiratory depression,hypotensive effects. Antithyroidagents may increase risk ofagranulocytosis. Cimetidine mayincrease concentration risk oftoxicity. May decrease effects ofclonidine. MAOIs may increase

risk of seizures, hyperpyrexia,hypertensive crisis.Phenothiazines may increaseanticholinergic, sedative effects.Sympathomimetics mayincrease cardiac effects.Food: grapefruit, grapefruit

juice may increaseconcentration/toxicity

Monitor B/P, pulse, weight.Supervise suicidal-risk ptclosely during earlytherapy.Therapeutic level: 110-250 ng/ml

Generic Name: DOXOrubicin Trade Name: adriamycinClassification: anthracycline antibiotic;antineoplastic

Action: inhibits DNA, DNA-dependent RNA synthesis by binding the DNAstrands; prevents cell division

Adult Dosage: 30 mg/m Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: D


Complete alopecia, nausea, vomiting,stomatitis, esophagitisReddish urineAnorexia, diarrhea

Monitor for stomatitis; assess mucousmembranesMonitor daily bowel pattern and stoolconsistency.Monitor for hematologic toxicity (fever,sore throat, signs of local infection,unusual bruising/bleeding)Monitor for symptoms of anemia

Generic Name: Enoxaparin Na Trade Name: Lovenox

Classification: Low Molecular Weight Heparin Action: Potentiates action of antithrombin III, inactivates coagulation factorXaAdult Dosage: 1mg/kg q.12hr Reason Receiving: Prevent DVT

Geriatric Dosage: Same as Above Pregnancy Category: B


Injection site hematoma,Nausea, peripheraledema

Drug: antiplatelet agents,aspirin, NSAIDs,thrombolytics mayincrease risk of bleeding.Food: None known

Monitor CBC, platelet count.Assess any sign of unusualbleeding(bruising, bleedingfrom gums, blood in stool).


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Generic Name: erythromycinophthalmic ointment

Trade Name:

Classification: Macrolide; antibiotic Action: penetrates bacterial cell membranes, reversibly binds tobacterial ribosomes inhibiting protein synthesis

Adult Dosage: thin layer to affectedarea bid

Reason Receiving: prevention of gonococcal ophthalmianeonatorum, superficial ocular infections

Newborn Dosage: 0.5-2 cm no laterthan 1 hour after deliver

Pregnancy Category: B


Sensitivity reaction withincreased irritation, burning,itching, inflammation

Urticaria

Place gloved finger on lowereyelid and pull out; place to inch of ointment in; close eyegently for 1-2 minutes

Monitor daily pattern of bowelactivity

Assess skin for rash

Assess for hepatotoxicity

(malaise, fever, abdominal pain,GI disturbances)

Be alert for superinfection (fever,vomiting, diarrhea, oral mucosalchanges)

Monitor for high-dose hearingloss

Generic Name: Escitalopram Oxalate Trade Name: Lexapro

Classification: Serotonin reuptakeinhibitor/antidepressant

Action: Blocks uptake of neurotransmitter serotonin at neuronalprsynaptic membranes, increasing its availability at postsynapticreceptor sites

Adult Dosage: Initially 10mg/day, increase to 20mg after a minof 1 wk.

Reason Receiving: depression




Nausea, dry mouth, somnolence,insomnia, diaphoresis

Assess appearance, behavior,speech pattern, level of interest,mood.

Generic Name: etoposide Trade Name: Etopophos

Classification: epipodophyllotoxin;antineoplastic

Action: induces single- and double-stranded breask in DNA; inhibits, alters DNAsynthesis

Adult Dosage: 100 mg Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: D


Mild to moderate nausea/vomiting,alopecia, diarrhea, anorexia, stomatitis

Monitor Hgb, Hct, WBC, PLTMonitor bowel pattern and stoolconsistencyMonitor for hematologic toxicity (fever,sore throat, signs of local infection,


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unusual bruising/bleeding)Monitor for symptoms of anemiaAssess for paresthesias (peripheralneuropathy)

Generic Name: FeFum/Vit C/B12/stomc Trade Name: ChromagenClassification: multivitamin with iron Action: replace iron and vitamins

Adult Dosage: 1 tablet per day Reason Receiving:

Geriatric Dosage: same Pregnancy Category:


ConstipationDiarrheaStomach upset

AntacidsCefdinirCefditorenEtidronateFluoroquinolonesLevodopaTetracyclinesThyroid hormones

WarfarinDairy products, tea orcoffee within 2 hours

Take with glass of waterMay take with food, but best onempty stomachDo not lie down for 30 minutesafter taking

Generic Name: fentanyl Trade Name: (sublimaze)

Classification: narcotic agonist(schedule II) Action: binds to opioid receptors in CNS reducing stimuli fromsensory nerve endings, inhibits ascending pain pathways;alters pain reception

Adult Dosage:50-100mcg/dose q1-2h Reason Receiving: abdominal pain

Newborn Dosage: Pregnancy Category: C



Post-op confusion, blurred vision, chills,orthostatic hypotension, nausea, vomiting,

diaphoreses, Dyspnea, confusion,constipation

Have nalozone available. Establishbaseline, BP, R. Assess type, location,

intensity, duration of pain.

Not given in last 24 hours.

Generic Name: Fentanyl Patch Trade Name:

Classification: Opioid, narcotic agonist (sch. II) Action: Binds to opioid receptors in CNS

Adult Dosage: 12mcg/hr-100mcg/hr Reason Receiving: analgesic for pain


Side Effects Nursing Implications R/TAdministration & Side Effects Evaluation

Headache, pruritus, NV, diaphoresis,Dyspnea, confusion, dizziness,diarrhea, constipation, difficultyurinating.

Assist with ambulation. Opiateantagonist(narcan) must be available.

Assess BP, HR, Respirations, O2stats. type, location, intensity, durationof pain. Encourage to deep breatheand turn q2h.

Patch assessed-BPHRO2


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Generic Name: Na Ferric Gluconate Trade Name: Ferrex

Classification: Trace element/Hematinic Action: Repletes total iron content in body. Replaces iron found in Hgb,myoglobin. Specific enzymes; allows oxygen transport via Hgb.

Adult Dosage: 125mg in 100mL 0.9% NaCl infused over 1 hr Reason Receiving: Treatment of iron deficiency anemia



Flushing, hypotension,hypersensitivity reaction Drug: Oral IronFood: None Known Monitor vital signs, labs (i.e.CBC, serum iron). Do not givewith oral iron. Assess pt for RA,may exacerbate joint pain,swelling.

Generic Name:Fexofenadine HCL Trade Name:Allegra

Classification:Antihistamine Action: prevents allergic rhinitis symptoms or pruritus

Adult Dosage: 60 mg twice a day Reason Receiving: allergies




Rare: drowsiness, HA, fatigue,nausea, abdominal distress.

Assess for therapeutic response. Pt reported a decrease in allergicrhinitis symptoms.No c/o of fatigue Nausea, GIdistress

Generic Name:Filgrastin Trade Name: Neupogen

Classification: Granulocyte Colony Stimulanting factor Action: Stimulates production, maturation, activation ofneutrophils

Adult Dosage: 5mcg/kg/day Reason Receiving: Prevent infection




Nausea/Vomiting, Mild to severebone pain, Diarrhea, Fever, fatigue

Be alert to ARDS. Monitor b/p,temp, CBC, plts count, Hct, uricacid

Generic Name: Finasteride Trade Name: Proscar

Classification: Androgen hormone inhibitor/Benignprostatic hyperplasia agent

Action: Inhibits 5-alpha reductase, an intracellular enzyme that convertstestosterone into dihydrotestosterone (DHT) in prostate gland, resu;ting in

decreased serum DHTAdult Dosage: 5mg once a day Reason Receiving: BPH

Geriatric Dosage: Same as Above Pregnancy Category: X


Gynecomastia, sexualdysfunction(impotence,decreased libido,decreased vol ofejaculate).

Drug: None SignificantFood: None Known

Diligent monitoring of I&O, espin those with lg residual urinaryvol, severely diminished urinaryflow for obstructive uropathy


21/55

Generic Name: Fluconazole Trade Name: Diflucan

Classification: antifungal Action: directly damages fungal membrane

Adult Dosage: 400mg perday Reason Receiving: prevention of candidiasis


Side Effects


Administration & Side Effects EvaluationDizziness, HA, constipation, diarrhea,nausea, vomiting, abdominal pain

Establish baselines for CBC serumpotassiumHepatic function studies

K-3.9(normal 3.5-5)No Pt complaints of dizziness, HA,Constipation, diarrhea, NV,abdominal pain

Generic Name: fluoxetine Trade Name: Prozac

Classification: psychotherapeutic Action: selectively inhibits serotonin uptake in CNS, enhancingserotonergic function; relieves depression, obsessive-compulsive and bulimic

Adult Dosage: 20 mg Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: C


Headache, asthenia, insomnia,anxiety, drowsiness, nausea, diarrhea,decreased appetiteDizziness, tremors, fatigue, vomiting,constipation, dry mouth, abdominalpain, diaphoresis, rash

Assess appearance, behavior, speechpattern, level of interest, moodMonitor daily bowel pattern and stoolconsistencyAssess skin for rashMonitor glucose, sodium and weight

Generic Name: Fluticasone Trade Name: Advair

Classification: Corticosteroid/Anti-inflammatory Action: Controls rate of protein synthesis, depresses migration ofpolymorphonuclear leukocytes, reverses capillary permeability, stabilizeslysosomal membranes.

Adult Dosage: 100mcg q.12h Reason Receiving: COPD



Throat irritation,hoarseness, dry mouth,cough, temporarywheezing, oropharyngealcandiasis (particularly ifmouth is not rinsed withwater after each admin.)

Drug: RitonavirFood: None Known

Monitor rate, depth, rhythm,type of respiration. Assess lungsounds. Assess oral mucousmembranes. Monitor pulse.

Generic Name: Folic Acid Trade Name: Folvite

Classification: Coenzyme/Nutritional Supplement Action: Stimulates production of platelets, RBCs, WBCs

Adult Dosage: 0.4mg/day Reason Receiving:Anemia

Newborn Dosage: 0.1mg/day Pregnancy Category: Category:A(C if more thanRDA)



None Known Assess for therapeutic relief fromiron deficiency symptoms(fatigue,


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SHOB, sore tongue, HA, pallor)

Generic Name: Furosemide Trade Name: Lasix

Classification: Loop Diuretic Action: Excretion of Na, Cl, K by direct action at the ascending loop ofhenle

Adult Dosage: 20-80mg/dose; may increase by 20-40 mg/dose q.6-8h

Reason Receiving: HTN



Increase UOP, frequency,Nausea, dyspepsia,abdominal cramps,diarrhea or constipation,electrolyte imbalance

Drug:Amphotericin B,nephrotoxic, ototoxicmeds, anticoagulants,heparin, lithium, othermed causinghypokalemiaFood: None Known

Monitor B/P, vital signs,electrolytes, I&O, weight.Assess muscle strength,tremor, muscle cramps, alteredmental status.

Generic Name: Gabapentin Trade Name: Neurontin

Classification:Anticonvulsant/Antineuralgic Action: May increase synthesis or accumulation of gamma-aminobuytricacid(GABA) by binding to as-yet-undefined receptor sites in brain tissue

Adult Dosage: 200mg Reason Receiving: Neuropathy pain

Geriatric Dosage: N/A Pregnancy Category: C


Fatigue, drowsiness,dizziness, ataxia

Drug:Antiacids decreaseabsorption. Morphine mayincreaseCNS depression.Food: None known

Monitor for seizure activity. Donot abruptly stop taking

Generic Name: glipizide Trade Name: Glucotrol

Classification: 2nd generation. Hypoglycemic Action: Promotes release of insulin from beta cells ofpancreases, insulin sensitivity at peripheral sites

Adult Dosage: 5mg daily Reason Receiving: DM Type II

Geriatric Dosage: 2.5 mg daily Pregnancy Category: C


Altered taste, dizziness,somnolence, weight gain,constipation, diarrhea,heartburn, nausea,vomiting, H/A

Beta blockers, MAOIS,ciprofloxacin, ranitidine,LG doses of salicylates effects.Corticosteroids, lithium,thiazide diuretics effects. effects of oral

anticoagulants

Check serum glucose level.Assess for hypoglycemia andhyperglycemia.

Generic Name: glyburide Trade Name: Diabeta

Classification: second generation sulfonylurea Action: hypoglycemic

Adult Dosage: 2.5-5 mg; max 20 mg/day Reason Receiving: diabetes mellitus type 2

Geriatric Dosage: 1.25-2.5 mg/day Pregnancy Category: C


Altered taste, dizziness, Beta blockers, cimetidine, Check serum glucose


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somnolence, wt gain,constipation, diarrhea,heartburn, N&V,headachePhotosensitivity, skin rash

ciprofloxacin, fluconazole,MAOIs, ranitidine,salicylates,corticosteroids, lithiumthiazide diuretics; Garlic

Assess learning needsAssess for hypoglycemia

Generic Name: guar gum Trade Name: Benefiber

Classification: soluble fiber Action: dissolves in water for form gel-like material that passes through stomach,small intestine, colon and out of body; helps to lower blood cholesterol and glucoselevels

Adult Dosage: 2 tsp 3x qd Reason Receiving:Newborn Dosage: ask MD before use Pregnancy Category:


Generally well toleratedBloating, diarrhea, gas and generaldiscomfort

Assess bowel pattern and stool consistencyAssess abdomen for bloating

Generic Name: heparin Trade Name: Hep-Lock

Classification: blood modifier; anticoagulant Action: Interfers with blood coagulation by blocking conversion of PTto thrombin and fibrinogen to fibrin

Adult Dosage: 5000 units Reason Receiving:

Geriatric Dosage: Pregnancy Category: C


Pruritus, burning (soles offeet)

Antithyroid; valproic acid;other anticoagulants,cats claw, eveningprimrose, ginkgo,

Monitor PTT (1.5-2.5)Assess hct, plt count, ast, altAssess for decrease in BP,increased pulse, complaint ofback pain, severe headacheAssess peripheral pulsesAssess skin for ecchymosis,petechiaeCheck for excessive bleeding

Generic Name: Hydralazine Trade Name: Apresoline

Classification: Vasodilator/Antihypertensive Action: Direct vasodilating effects on arterioles.

Adult Dosage: 10mg 4X/day Reason Receiving: HTN

Geriatric Dosage: 10mg 2-3X/day Pregnancy Category: C


HA, palpitations,

tachycardia

Drug: Diurectics, other

hypertensives.Food: None Known

Monitor B/P, pulse before

admin. Assess for HA,palpitations, tachycardia,peripheral edema.

Generic Name: Hydrocortisone Sod Trade Name:

Classification: adrenal corticosteroid Action: inhibits inflammatory cells at inflammation sites.

Adult Dosage: 14-240 mg Q12H Reason Receiving: anti-inflammatory


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Insomnia, Heartburn, anxiety,abdominal distention, increasedappetite, increased susceptibility toinfection, diarrhea or constipation. HA,

edema, frequent urination.

Baseline weight, BP, serum glucose,cholesterol electrolytes.

Assess for edema. Be alert to infection.Monitor daily bowel pattern.

Electrolytes.Watch for hypercalcemia (muscletwitching, cramps) Hypokalemia(weakness, paresthesias)

Generic Name: Hydrocortisone topical Trade Name:

Classification: Glucocortosteroid Action: prevents tissue response to inflammatory process

Adult Dosage: apply sparingly Reason Receiving: rash

Newborn Dosage: Pregnancy Category:C


Administration & Side Effects EvaluationPruritus, redness irritation. Monitor for therapeutic relief. Pt. stated some relief. Patient applied

AM 9/23/10

Generic Name: hydrocodone Trade Name: VicodinClassification: opiod analgesic (sch. III); narcotic analsegic Action: binds with opioid receptors within CNS; alters pain

Adult Dosage: 5-15 mg q4-6h prn Reason Receiving: post-op pain



Sedation, dizziness,diaphoresis, facialflushing, somnolenceurinary retention, blurredvision, constipation, drymouth, headache, N & V,

painful/difficult urination

CNS depressantsMAOIsAlcoholKava kava, St. JohnsWort, valerian

Assess pain (level, location,duration, description)Assess for therapeuticresponseObtain VS before givingAssess for urinary retention

Monitor bowel activity and stoolconsistencyInitiate deep breathing/cough

Generic Name: Hydroxyzine Trade Name: Atarax

Classification:Antihistamine/antipruritis Action: Competes with histamine for receptor sites in GI tract, bloodvessels, respiratory tract. Diminishes vestibular stimulation, depresseslabyrinthine function.

Adult Dosage: 25mg 3-4X/day Reason Receiving: Itching



Drowsiness, dry mouth,

marked discomfort withIM injection

Drug:Alcohol, other CNS

depressants, MAOIsFood: None Known

Monitor electrolytes, Assess

motor responses, hepatic/renalfunction tests, lung sounds

Generic Name: ibuprofen Trade Name: Motrin

Classification: nonsteroidal anti- Action: produces analgesic, anti-inflammation effects,


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inflammatory decreases fever

Adult Dosage: 200-400 q4-6h prn Reason Receiving: inflammation of the labia

Newborn Dosage: safety and efficacynot established in those younger than6 months

Pregnancy Category: B (D if in third trimester or near delivery)


Nausea with or withoutvomiting

Dyspepsia

Dizziness

Rash

Assess onset, type, location,duration of pain, inflammation

Inspect appearance of affectedjoints for immobility, deformities,skin condition

Assess temp

Monitor for evidence of nauase,dyspepsia

Monitor CBC, hepatic/renalfunction tests

Monitor daily pattern of bowelactivity

Assess for skin rash

Assess for therapeutic response Monitor temp for fever

Generic Name: Ipratropium Trade Name: Atrovent

Classification:Anticholinergic/Bronchodilator Action: Blocks action of acetylcholine at parasympathic sites in bronchialsmooth muscle.

Adult Dosage: 500 mcg 3-4 times/day Reason Receiving: Treatment of bronchospasm



Cough, dry mouth, HA,nausea

Drug:Anticholinergics,meds with anticholinergicproperties.

Food: None Known

Monitor rate, depth, rhythm,type of respirations and pulse.Assess lung sounds. Increase

fluids. Rinse mouth with waterafter inhalation.

Generic Name: Hydromorphone Trade Name: Dilaudid

Classification: opioid agonist(sch II) Action: binds to opioid receptors in CNS

Adult Dosage:10mg/ml Reason Receiving: pain relief




Drowsiness, dizziness, hypotension,decreased appetite,

Vital signs bf giving meds. Assess forpain relief, cough. Assess breathsounds. Monitor bowel activity. Initiatedeep breathing and cough exercises.

TPR-BPLungsLBMPain decreasedCoughing

Generic Name:Isosorbide mononitrate Trade Name: ImdurClassification:Antianginal Action:stimulates intracellular cyclic guanosine

monophosphate

Adult Dosage: 5-20mg BID Reason Receiving: Relief of esophageal spasm withgastroesophageal reflux



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HA, face/neck flushing,weakness, dizziness,orthostatic hypotension,N&V, restlessness,blurred vision, and GI

upset

Drug: ETOH,antihypertensives,vasodilators, Sildenafil,tadalafil, vardenafil.Food: None Known

Best if taken on an emptystomach, assess for facial/neckflushing, assess pain

Generic Name: Insulin Aspart/Insulin Glargine Trade Name: Novolog/Lantus

Classification: Exogenous insulin Action: Facilitates passage of glucose, K, Mg across cellular membranes ofskeletal/cardiac muscle, adipose tissue. Controls storage, metabolism ofcarbs, protein, fats. Promotesconversion of glucose to glycogen in liver.

Adult Dosage: 0.5- 1 unit/kg/day Reason Receiving: DM

Geriatric Dosage: Same as above Pregnancy Category: B/C


Localized redness,swelling itching. Adversereaction- severehypoglycemia

Drug: Beta-blockers,Glucocorticoids, Thiazidediuretics.Food: None Known

Assess for hypoglycemia: cool, wetskin, tremors, dizziness, HA, anxiety,tachycardia, numbness in the mouth,hunger, diplopia. Assess forhyperglycemia: polyuria, polyphagia,polydipsia, N/V, dim vision, fatigue,

Kussmaul Resp.

Generic Name: Labetalol HCL Trade Name: Trandate

Classification:Alpha-, beta-adrenergicblocker/antihypertensive

Action: Blocks alpha1-, beta1-, beta2-(large doses) adrenergicreceptor sites. Large doses increase airway resistance.

Adult Dosage: Initially, 100mg BID adjust in increments of 100mg BID q2-3days

Reason Receiving: hypertension

Newborn Dosage: N/A Pregnancy Category: C(D if used in 2nd or 3rd trimester)



Drowsiness, difficulty sleeping,excessive fatigue, weakness,diminished sexual function,transient scalp tingling.

Assess renal/hepatic functionBP, Apical Pulse immediately bf drugadministration. If pulse less than 60 or

systolic less than 90 hold med. Contactphysical

Generic Name: lamotrigone Trade Name: Lamictal

Classification: anticonvulsants Action: may block sodium channels, stabilizing neuronal membranes; producesanticonvulsant activity

Adult Dosage: 200 mg/day Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: C


Dizziness, headache, diplopia, ataxia,nausea, blurred vision, somnolence,rhinitis

Rash, pharyngitis, vomiting, cough, flu-like symptoms, diarrhea, fever,insomnia

Assess for rashAssist with ambulation if dizzyAssess for clinical improvement.

Assess for visual abnormalities,headache

Generic Name: Leucovorin Calcium Trade Name: Wellcovorin ???

Classification: folic acid antagonist Action: competes with methotrexate for transport into cell


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Adult Dosage: 5-15 mg per day Reason Receiving: folic acid deficiency???non hodgkins

lymphomaNewborn Dosage: na Pregnancy Category: na



When combined with

chemotherapeutic agents, diarrhea,stomatitis, NV lethargy Malaisefatigue.

Give as soon as possible, preferably

within one hour, for treatment ofoverdose of folic acid antagonist.Monitor for vomiting. CBC with diff.PLT, Electrolytes, Hepatic functiontests.

Generic Name:Levetiracetam Trade Name: Keppra

Classification:Anticonvulsant Action:Inhibits burst firing without affecting normal neuronalexcitability

Adult Dosage:Initially 500mg q.12h Reason Receiving:




Drowsiness, asthenia(loss ofenergy), HA, infection.

Hx of seizure disorder. Monitor forhypersensitivity. Monitor renalfunction tests.

Generic Name: Levothyroxine Trade Name: Synthroid

Classification: Thyroid Hormone Action: Involved in normal metabolism, growth, development,esp. of CNS in infants. Possesses catabolic, anabolic effects.

Adult Dosage:150 mcg Reason Receiving:Hypothyroidism

Geriatric Dosage:25 mcg Pregnancy Category: C


HA, allergic rhinitis, upperrespiratory infection,muscle pain, fatigue

Drug: Cholestryramine,colestipol, estrogens, oralanticoagulants,sympathomimetics, H2antagonist, proton pumpinhibitors.Food: None Known

Obtain weight, Monitor pulse,observe for anxiety andtremors, assess appetite andsleep pattern

Generic Name: lidocaine patch Trade Name: Lidoderm

Classification: antiarhythmic anesthetic Action: inhibits conduction of nerve impulses

Adult Dosage: one patch Reason Receiving:

Geriatric Dosage: one patch Pregnancy Category: B


Burning, stinging,

tenderness at applicationsite

Anticonvulsants, beta

blockers, otherantiarrhythmics, St.Johns wart

Monitor VS following

administrationAssess BP for hypotensionAssess for drowsiness (sign ofhigh serum levels)


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Generic Name: linezolid Trade Name: Zyvox

Classification: antibiotic Action: protects against bacteria (enterococci, staphylococci, streptococci)

Adult Dosage: 400 mg q12h Reason Receiving:

Newborn Dosage:10 mg/kg/dose q8-12h Pregnancy Category: C



Diarrhea, nausea, headache Monitor daily bowel pattern/stoolconsistency; mild GI effects may be okaybut more severe be alert to colitisBe alert for superinfectionMonitor CBC weekly

Generic Name: Lisinopril Trade Name: Zestril

Classification: ACE inhibitor Action: suppresses RAA system to help lower BP

Adult Dosage: 10-40 mg/day Reason Receiving:

Geriatric Dosage: 10-40 mg/day Pregnancy Category: C


Headache, dizziness,postural hypotensionChest discomfort, fatigue,rash, abdominal pain,nausea, diarrhea, URI

Alcohol, diuretics,hypotensive agents (mayincrease effect).Lithium, NSAIDs, K-sparring diuretics.Ephedra, ginseng,yohimbe

Obtain BP & apical pulse priorMonitor BP regularlyWatch for orthostatic HTNMonitor CBC, renal, potassiumAssess for edema.Auscultate lungs for ralesMonitor I&O; weigh dailyMonitor bowel patternAssist with ambulation if dizzy

Generic Name: lithium carbonate Trade Name: Lithobid

Classification: psychotherapeutic; antimanic Action: affects storage, release, reuptake of neurotransmitters;increased reuptake of norepi causing antimanic effect

Adult Dosage: 300 mg 3-4 times q.d. Reason Receiving: manic phase of bipolar disorder

Geriatric Dosage: 900-1200 mg/day Pregnancy Category: D


Dose related and seldomoccur at lithium serumlevels less than 1.5mEq/LOccasionally, fine handtremor, polydipsia,polyuria, mild nausea

Haloperidol, antithyroidmeds, diuretics, NSAIDs,molindone,phenothiazines

Monitor serum lithium levelsClinical assessment oftherapeutic effect; assessbehavior, appearance,emotional status, response toenvironment, speech pattern,thought content.Monitor for signs of lithiumtoxicity

Generic Name: loperamide Trade Name: Imodium

Classification: antidiarrheal Action: slows intestinal motility, diminishing loss of fluid/electrolytes

Adult Dosage: 2 mg after loose stool Reason Receiving: cancer treatment-induced diarrhea


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Newborn Dosage: not recommended Pregnancy Category: C



Rare: Dry mouth, drowsiness, abdodiscomfort, allergic reaction

Encourage adequate fluid intakeAssess bowel soundsMonitor daily bowel activity/stool

Withhold if abdo pain, distention, fever

Generic Name: Lorazepam Trade Name: Ativan

Classification: Benzodiazepine (Sche IV)/Antianxiety Action: Enhances action of inhibitory neurotransmittergamma-aminobutyric acid (GABA) in CNS, affecting memory,motor, sensory, cognitive functioning

Adult Dosage: 1-10mg/day in 2-3 divided doses Reason Receiving: Treatment of anxiety related todepressive episode

Geriatric Dosage: 0.5-1.0mg/day Pregnancy Category: B


HA, fatigue, drowsiness Drug: Clarithromycin,erythromycin,fluconazole, ketoconazolemay increaseconcentration. Food:Allfoods delay absorption.

Monitor BP, HR, RR,CBC with diff, Hepatic functionest. Evaluate for therapeuticresponse

Generic Name: magnesium hydroxide Trade Name: Milk of Magnesia

Classification: antacid, anticonvulsant, electrolyte, laxative Action: acts in stomach to neutralize gastric acid; osmotic effectprimarily in small intestine, draws water into intestinal lumen

Adult Dosage: 2-4 tabs or 5-15 mL prn 4 times a day Reason Receiving:

Geriatric Dosage: same Pregnancy Category: BSide Effects Drug/Food Interactions NI R/T Adm, SE, Interactions Evaluation

CrampingDiarrheaIncreased thirstFlatulence

AntacidsFluoroquinolonesKetoconazoleTetracyclinesCalciumCNS depressant medsDigoxin

Drink full glass of water withdoseMonitor daily bowel activity andstool consistencyBS for peristalsisAssess for wt loss, nausea,vomiting

Generic Name: Magnesium Oxide Trade Name: Mag-ox

Classification:

Antacid/Anticonvulsant/Electrolyte/Laxative

Action: Essential for enzyme activity, nerve conduction,

muscle contractionAdult Dosage: 1-2 tablets 2-3x/day Reason Receiving: Magnesium replacement

Geriatric Dosage: Pregnancy Category: B


Chalky taste, diarrhea,laxative effect, N/V,stomach cramps, reducedresp rate, decreasedreflexes, flushing,

Drug:Antacids,fluoroquinolones, ketoconazole,tetracyclines, methenamine,laxatives, digoxin, oralanticoagulants, phenothiazines,ciprofloxacin, Na polystyrene

Assess renal function. MonitorMg. Monitor forhypermagnesemia: dizziness,palpitations, altered mentalstatus, fatigue, weakness.


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hypotension, decreasedheart rate

sulfonate, Calcium, CNSdepressants meds.Food: None Known

Generic Name: magnesium sulfate Trade Name:Classification: antacid, anticonvulsant,electrolyte, laxative

Action: found primarily in intracellular fluids

Adult Dosage: 3 g q6h for 4 doses as needed;IV 4 g then 1-4 g/hr by cont. infusion

Reason Receiving: protocol for magnesium deficiency

Newborn Dosage: not used (12yrs+) Pregnancy Category: B


Chalky tasteDiarrheaLaxative effectNausea and vomitingStomach crampsReduces respiratory rateDecreases reflexesFlushingHypotension

Decreased heart rate

Assess GI painMonitor daily pattern of bowel activityand bowel soundsAssess renal function, serummagnesiumAssess pt for weight loss, nausea,vomitingMonitor renal functionMaintain adequate fluid intake

Test patellar reflexesRespiratory rate should be over 16

Generic Name: medroxyprogesterone Trade Name: Depo-Provera

Classification: hormone Action: inhibits secretion of pituitary gonadotropins; preventsovulation

Adult Dosage: 5-10 mg for 12-14consecutive days

Reason Receiving: birth control

Newborn Dosage: safety and efficacynot established

Pregnancy Category: X


Transient menstrualabnormalities (spotting,

amenorrhea) Edema

Weight change

Breast tenderness

Anxiety

Insomnia

Fatigue

Dizziness

Depression

Caution in nursing mothers;distributed in breast milk

P.O. give without regard tomeals

Check weight and report gain of5 pounds or more

Assess for skin rash, urticaria

Report development of chestpain, sudden SOB, decrease invision, migraines, pain in calves,numbness of arm/leg

Generic Name: megestrol acetate Trade Name: MegaceClassification: antineoplastic/hormone Action: suppresses release of LH from ant. pituitary by inhibiting pituitary

function thus reducing tumor size; also increases appetiteAdult Dosage: 800 mg Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: X


Weight gain secondary to increasedappetiteNausea, break through bleeding,backache, headache, breasttenderness, carpal tunnel syndrome

Question possible pregnancyProvide support as med is palliative notcurativeMonitor for tumor response


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Generic Name: methylergonovinemaleate

Trade Name: Methergine

Classification: ergot alkaloid; uterine

stimulant

Action: stimulates alpha-adrenergic, serotonin receptors, producing

arterial vasoconstriction; acts on the smooth muscle of uterus andincreases tone, rate and amplitude of rhythmic contractions; shortensthird stage of labor and reduces blood loss

Adult Dosage: 0.2 mg 3 or 4 timesdaily for max of 1 week

Reason Receiving: prevention/control of postpartum hemorrhage

Newborn Dosage: safety andeffectiveness has not been established

Pregnancy Category: C


Uterine cramping

Nausea and vomiting

Diarrhea

Diaphoresis

Tinnitus

Bradycardia

Chest pain

Dizziness

Should not be administered IV

Caution if nursing mother

Assess bleeding beforeadministration

Monitor uterine tone, bleeding,

BP, pulseq15 minutes untilstable

Assess extremities for color,warmth, movement, pain

Report chest pain promptly

Provide support with ambulationif dizziness occurs

Generic Name:Methylphenidate HCL Trade Name: Concerta

Classification:CNS stimulant (Sche II) Action: Blocks reuptake of norepinephrine, dopamine intopresynaptic neurons.

Adult Dosage: Initially 0.3mg/kg/dose or 2.5-5mg beforebreakfast and lunch

Reason Receiving:ADHD




Anxiety, insomnia, anorexia Avoid caffeine. Monitor CBC,Platelet count during therapy.

Generic Name: Metoprolol tartate Trade Name: Lopressor

Classification: Beta-adrenergicblocker/Antihypertensive

Action: Selectively blocks beta-adrenergic receptors; high dosages mayblock beta-adrenergic receptors. Decrease oxygen requirements. Large dosesincrease airway resistance.

Adult Dosage: : 25 mg per day , max 300 mg perday Reason Receiving:Geriatric Dosage: Pregnancy Category:

Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationDiminished sexual function,drowsiness, insomnia,unusual fatigue/weakness

Drug:Diuretics, otherantihypertensives, insulin.Oral hypoglycemic,NSAIDs,Sympathomimetics,Xanthines.

Assess renal/hepatic functionBP, Apical Pulse immediately bfdrug administration. If pulse lessthan 60 or systolic less than 90hold med. Contact physical


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Food: None Known

Generic Name: Metoclopramide Trade Name: Reglan

Classification: Peristaltic stimulant/Antiemetic Action: Stimulates motility of upper GI tract. Decreases reflux intoesophagus. Raises threshold activity in chemoreceptor trigger zone.

Adult Dosage: 10-20mg q.4-6h Reason Receiving:

Geriatric Dosage: Pregnancy Category:Side Effects Drug/Food Interactions NI R/T Adm, SE, Interactions Evaluation

Drowsiness,restlessness, fatigue,lethargy

Drug: ETOH, other CNSdepressants.Food: None Known

Assess for dehydration. MonitorB/P & HR. Assess forperipheral edema. Assessmuscle strength, mental status.

Generic Name: Metronidazole Trade Name: Flagyl

Classification: Nitroimidzole derivative Action: Disrups DNA, inhibiting nucleic acid synthesis

Adult Dosage: 500-750mg, 3 times a day Reason Receiving: antibacterial




Anorexia, nausea, dry mouth, metallic

taste, diarrhea, constipation, reddish

brown urine. Erythematous rash,

urticaria.

Question for history for

hypersensitivity to nitromidazole

derivatives. I&O assess for urinary

problems. Assess for rash. Watch for

signs of supervirus.

No history of hypersentivity to

nitromidazole derivatives. Patient

NPO. Output not being monitored. No

rashes or signs of infection.

Generic Name:Micafungin Na Trade Name: Mycamine

Classification:Antifungal Action:Inhibits synthesis of glucan(vital component of fungal cell

formation), damaging fungal cell membrane.Adult Dosage:100mg/day Reason Receiving: for candidiasis




Nausea, HA, diarrhea, vomiting,fever

Hepatic/renal function tests

Generic Name: Minocycline HCL Trade Name: Minocin

Classification: Tetrcycline- antibiotic Action: inhibits bacterial protein synthesis b binding toribosomes.

Adult Dosage: 100mg Q12H Reason Receiving: infectionNewborn Dosage: na Pregnancy Category: D


Administration & Side Effects EvaluationDizziness, light headedness, diarrhea,nausea, vomiting, possibly severephotosentivity, vertigo

Question for history of allergies, esp.tetracyclines, sulfite. Monitor Bowel activity.

Assess skin fo rash. Observe for sign ofincreased intracranial pressure(alteredLOC)

No allergies to tetracycline, sulfite.LBM 9/29/2010No reports of dizziness, lightheadness,No rash


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Generic Name: Miracle Mouthwash Trade Name: Miracle Mouthwash

Classification:Antibiotic/Antifungal Action: Kills bacteria or prevents fungal growth

Adult Dosage: 5ml 3-4 times/day Reason Receiving: Treatment of mouth sores

Geriatric Dosage: Same as above Pregnancy Category: Unknown


Problem with taste,burning or tinglingsensation in the mouth,drowsiness, constipation,diarrhea, nausea.

Drug: None KnownFood: None Known

Swish for 1-2 mins beforespitting out. Pt can not eat ordrink for 30mins after admin.

Generic Name: Mirtazapine Trade Name: Remeron

Classification: Tetracyclic/Antidepressant Action:Acts as antagonist at presynaptic alpha-adrenergic receptors,increasing norepinephrine, serotonin neurotransmission. Has lowanticholinergic activity.

Adult Dosage: 15mg at bedtime Reason Receiving: Treatment of depression

Geriatric Dosage: Same as above Pregnancy Category: CSide Effects Drug/Food Interactions NI R/T Adm, SE, Interactions EvaluationDrowsiness, dry mouth,increased appetite,constipation, weight gain.

Drug: ETOH, Other CNSdepressants, MAIOs.Food: None Known

For long term therapy,hepatic/renal function tests, bloodcounts should be performedperiodically

Generic Name: misoprostol Trade Name: Cytotec

Classification: prostaglandin; gastricprotection

Action: reduces acid secretion from gastric parietal cells

Adult Dosage: 110 mcg and 200 mcgtablets

Reason Receiving: treatment of therapeutic second-trimesterabortion, cervical ripening, induction of labor

Newborn Dosage: safety no

established

Pregnancy Category: X


Produces uterine contractions,uterine bleeding, expulsion ofPOC

Abdominal pain

Diarrhea

Nausea

Flatulence

Dyspepsia

Headache

Give with or after meals(minimizes diarrhea)

Question possible pregnancybefore giving

Generic Name: modafinil Trade Name: ProvigilClassification: alpha1 agonist; antinarcoleptic Action: binds to dopamine reuptake carrier sites, increasing alpha

activity, and decreasing delta, beta, theta brain wave activity; reducessleep episodes

Adult Dosage: 200 mg/day Reason Receiving: depression (off label)

Geriatric Dosage: 100 mg/day Pregnancy Category: C


Anxiety, insomnia,nauseaAnorexia, diarrhea,

Cyclosporine, oralcontraceptives,theophylline, diazepam,

Monitor sleep pattern, evidenceof restlessness during sleepAssess for dizziness, anxiety;


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dizziness, dry mouth/skin,muscle stiffness,polydipsia, rhinitis,paresthesia, tremor,headache, vomiting

phenytoin, propranolol,tricyclic, antidepressants,warfarin, other CNSstimulants

initiate fall precautions.Use sugarless gum and sips ofwater for relief of dry mouth

Generic Name: montelukast Trade Name: Singulair

Classification: leukotriene receptorinhibitor; antiasthmatic

Action: bind to leukotriene receptors, inhibiting effects of leukotrienes onbronchial smooth muscle; decreases bronchoconstriction, vascularpermeability, mucosal edema, mucus production

Adult Dosage: 10 mg/day Reason Receiving:Newborn Dosage: safety not established Pregnancy Category: B


HeadacheInfluenza

Monitor rate, depth, rhythm, type ofrespirationsMonitor quality/rate of pulseAssess lung sounds for rhonchi,wheezes, ralesObserve for cyanosis

Generic Name:Morphine Sulfate Trade Name: MS Contin

Classification: Narcotic Agonist/Opiate Analgesic(Sche II)

Action: Binds with opioid receptors within CNS

Adult Dosage: Use prompt-release formationguidelines

Reason Receiving: Pain Relief

Newborn Dosage:N/A Pregnancy Category:C(D if used for prolonged pds or at

high dosages)



Sedation, decreased b/p(including

orthostatic hypotension),diaphoresis, facial flushing,constipation, dizziness,drowsiness, nausea, vomiting

Assess onset, type, location,

duration of pain. Obtain vital signsbefore giving med. Monitor bowelactivity. Assess for therapeuticresponse.

Generic Name: Moxifloxacin Trade Name: Avelox

Master Drug List

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