Brand nameActionIndicationDosageContraindicationAdverse effectNursing responsibilities

Novo hylazinLowering of blood pressure inhypertensivepatients.Moderate to severe hypertensive (with a diuretic)IVTT 5MGContraindicated in hypersensitivity some products contain tartazine and should be avoided in patient's with known intoleranceCNS:dizziness,drowsiness,headache

CV:tachycardia,angina,arrhythmias, edema,orthostatic,hypotensionMonitor blood pressure and pulse frequently during initial dose adjustment and periodically during therapy. Report significant changes.

Generic name:

Hydralazine

Classification:

therapeutic:antihypertensives

Pharmacologic:

vasodilators

Brand name

ActionIndicationDosageContraindicationAdverse effectNursing responsibilities

Essential for the activity enzymes plays an important role in neuro transmission

replacement in deficiency states resolution of eclampsia.Treatment of hypertensionanticonvulsant associated with severe eclampsia, pre- eclampsia or acute nephritis.IVTT 4gContraindicated in hyper magnesium,hypocalemia.Anuria heart blockCNS: drowsinessCV:arrythmias,bradycardia,hypotension.Monitor pulse, blood pressure, respirations,and ECG frequently throughout admistrations of parenteral magnesium.

Generic name:

magnesium sulfate

Classification:

therapeutic:mineral electrolytereplacementssupplement.

Pharmacologic:

mineral/electrolytes

Brand name

ActionIndicationDosageContraindicationAdverse effectNursing responsibilities

Generic name

methyldopastimulate CNS alphaadrenegic receptors,producing a decrease in symphathetic outflow to heart and blood vessels.

Result is decreased blood pressure and peripheral resistance, slight decrease in heart rate and no change in cardiac output

lowering of blood pressure.management of moderate to severe hypertensive(with other agents.)250mg 1 tabcontraindicated, hypersensitivity.CV: myogarditis,bradycardia,edema,orthostatic by hypotensionmonitor blood pressure and pulse frequently during initial dosage adjustment and periodically during therapy.

Report significant changes.

Classification:

therapeutic:anti hypertensives

pharmacologic:

centrally acting anti adrenergics.

Brand name

Action

Indication

Dosage

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Adverse effect

Nursing responsibilities

zantacinhibits the action of histamine at the H2 receptor site located primarily in gastric parietal cells, resulting in inhibition of gastric acid secretion.prevention and treatment of stress induced

upper GI bleeding in critically ill patients.50mh q8contraindicated in hypersensitivity crossensitivity may occurCNS:confusion, dizziness, drowsiness,hallucinations, headache

CV:arrythmias

assess for epigastric or abdominal pain and frank or occult blood in the stool, emesis or gastric aspirate.

Generic name:

Ranitidine

Classification:

therapeutic:anti ulcer agents

phatmacologic:histamine H2 antagonists.

Brand name

Action

Indication

Dosage

Containdication

Adverse effect

Nursing responsibilities

Apo metoclopblocks dopaminereceptors in chemo receptoor trigger zone of the CNS.

Stimulates motility of the upper GI tract and accelerates gastricemptying.

preventionof chemo therapy induced emesis.

Treatment and prevention of postoperative nausea and vomiting when nasogastric sunctioning is undesirable.10mgIVTT q8contraindicated in hypersensitivity possible GI obstruction or hemorrhage.

History of seizure disorders.CNS:drowsiness,extrapyramidal reactions, restlessness.

CV:arrhythmias (supraventicular, tachycardia)hypertension, hypotension.assess patient for nausea, abdominal distention, and bowel sounds before and after administration.

Generic name

metoclopromide

Classification

therapeutic:antiemetics

Brand name

Action

Indication

Dosage

Contraindication

Adverse effect

Nursing responsibilities

Ultrambinds to mu-opioid receptor.

Inhibits reuptake of serotonin and norepinephrine in the CNS.

Decreased pain.moderate tomoderately severe pain.50mg IVTT

contraindicated in hypersensitivity.Crossensitivity with opiods may occur.CNS:seizures, dizziness, headache, somnolence, anxiety

CNS:stimulations, confusion, coordination disturbance, euphoria, malaise herrousness, sleep disturbance weakness.assess blood pressure and respiratory rate before and periodically during administration.

Assess bowel function routinely. Prevention of constipation should be instituted with increased intake of fluids and bulk and with laxatives to minimize constipating effects.

Generic name:

Tramadol

Classification:therapetic:analgesics

Brand name

Action

Indication

Dosage

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Adverse effect

Nursing responsibilities

pictocin, syntocinonstimulates uterine smooth muscle, producing uterine constructions, similar to those in spontaneous labor, stimulates mammary gland smooth muscle, facilitating lactation, has vasopressor and antidiuretic effects.drug sever hypertension may occur if oxytocin follows administration of vasopressors, concurrent use with cyclopropane anesthesia may result in excessive hypotension.20unitscontraindicated in hypersensitivity anticipated non-vaginal delivery pregnancy(intranasal)CNS: seizures

CV: hypotension

fetal maturity, presentation, and pelvic adequacy should be assessed prior to administration of oxytocin for induction of labor.

Assess character, frequency and duration of uterine contraction; resting uterine tone; and fetal heart rate frequently throughout administration.

Generic name :

oxytocin

Classification:

tharapeutic:hormones

pharmacologic:oxytoxics

Brand name

Action

Indication

Dosage

ContraindicationAdverse effectNursing responsibilities

ampicinbactericidalacyions, spectrum is broader than penicillin.

Binds to bacterial cellwall,resulting in cell death.prevention of infection in certain high risk patients undergoing cesarean section.2g IVTTcontraindicated in hypresensitivity to penicillinCNS: seizures ( high doses)assess patient for inffection(vital signs, wound apperance, sputum, urine, stool, and WBC) at beginning of and throughout therapy.

Obtain a history before initiating therapy to determine previous use and reactions or cephalosporins.

Generic name:

ampicilin

Classification:

therapeutic:

anti- infections

pharmacologic:

aminopenicillins

Brand name

Action

Indication Dosage

ContraindicationAdverse effectNursing responsibilities

feosol, feratabchemical action:

provide element iron, an essential component in formation of hemoglobin.

Therapeutic effect:

relieves iron deficiency.iron deficiency150mg OD P.Ocontraindicated in patients with hypersensitive to the drug.

GI: anorexia, black stool, constipation, diarrhea, epigastric pain, nausea vomiting.

if pateint misses a dose, tell her to take it as soon as she remembers but not to double the dose.

Advise patient to avoid taking drug with certain foods that may impair.

Advise patient to report constipation and changes in stool color or consistency.

Generic name :

ferrous sulfate

Classification:

hematinic

Brand name

Action

Indication

Dosage

Contraindications

Adverse effect

Nursing responsibilities

novo difenacchemical action :

produces anti inflammatory analgesics, and antipyretic effects, possibly by inhibiting prostaglndin synthesis.

Therapeutic: relieves inflammation and pain and fever.for pain1 tab T.I.D 50mg P.Oin patients hypersensitive to the drug

cardiac disease, hypertension, conditions that cause fluid retension.

CNS:anxiety,depression,dizziness,drowsiness,headache,insomia,irritability

CV: edema,fluid retension, hypertension

eent: blurred vision, epistaxis,eye pain, edema, night blindness

GI: abdominal distension, abdominal pain or cramps.tell the patient to take drug with milk or food to minimize GI distress.

Instruct the patient not to to crush, break, or chew enteric coated tablets.

Teach the patient signs and symptoms of GI bleeding, and tell her to contact prescriber immediately if they occur.

Generic name:diclofenac

Classification:

NSAID

anti- Inflammatory

Brand name

Action

Indication

Dosage

Contraindication

Adverse reactions

Nursing responsibilities

norvascchemical effect:

inhibits, calcium ion influx

across cardiac and smooth muscle cells, thus decreasingmyocardial contractility and oxygen demand also dilates coronary arteries and arterioles.

Therapeutic:effect:

reduces blood pressureto lower down the blood pressure10 mg I ab ODcontraindicated in patient hypersensitive to the drugCNS:fatigue, headache, somnelence.

CV:dizziness,edema,flushing,palpations.

GI:abdominal pain,dyspepsia,nauseatell the patient to take entire quantity of drug exactly as prescribe, even after she feels better.

Tell the patient to callprescriber if rashes develops (sign of allergic reaction)

instruct the patient to take the drug with food to prevent GI distress.

Generic name:

Amlodopine

Classification:

calcium channel blocker

Brand name

Action

Indication

Dosage

Contraindication

Adverse effect

Nursing responsibilities

aldactone,novo spirotontherapeuticeffect:

promotes water sodium excretion and hinders potassium exretion,

lowers the blood pressure.for edema25mg P.O O.Dcontra indicated with patient hypersensitive with the drugCNS:ataxia,confusion,drowsiness,headache, lethargy

GI:cramping,diarrhea,vomiting.

monitor the intake and output

tell the patient to take the drug with meals and, if possible early in day to avoid interruption of sleep by nocturia.

Generic name:

Spironolactone

Classification:

mineralocorticoid

receptor antagonists

potassium sparing diauretic

Brand name

Action

Indication/ dosage

Contraindication

Adverse effect

Nursing responsibilities

zinacefchemical effect:

inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal.

Therapeutic effect:

hinders or kills susceptible bacteria, including many gram positiveorganism and enteric

gram negative bacili.1 tab B.I.D

contraindicated in patient hypersensitiveto the drug or other cephalosporins.

Use cautiously in patient with history of sensitivity with penicillin.

CNS:dizziness, headache, malaise, paresthesia

GI:abdominal cramps, anal pruritis,anorexia, diarrhea,dyspepsia.

instruct the patient to take the drug exactly as prescribed,

advice the patient to take oral suspension with food to enhance absorption.

Tell the patient to report adverse reaction.

Generic name:

cefuroximine

Classification:

generation cephalosporins

Brand name

Action

Indication/dosageContraindication

Adverse effect

Nursing responsibilities

ascorbic acidchemical effect:

stimulates collagen formation and tissue repair; involved in oxidation-reduction reactions throughout body

therapeutic effect:

raises vitamin c level in body1 tab O.D P.OHypersensitivity to any component of the product.CNS:

dizziness

GI:diarrhea

GU:

acid urine,oxaluriaExplain that taking this product with foods high in iron will enhance absorption of iron.

Generic name

vitamin c

Classification:

water solublevitamin