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- Drug Classification: Stool softener
- Side Effect(s) mild cramps
- Give with a full glass of water
acid or aspirin
- Drug Classification: Nonopioid analgesic, NSAID, antipyretic
- S/E: GI distress (cramping, heartburn, abdominal distension, mild nausea)
- a. Advise patient to report tinnitus, unusual bleeding of gums, bruising, or black, tarry
- b. Administer pc meals or with food or antacid to decrease gastric irritation.
- Drug Class: Nonsteroidal anti-inflammatory drug (NSAID)
- a. Administer with food or antacids.
- b. Advise pt. to take this medication with full glass of water and remain in upright position for 15-30 min. after administration.
- c. Caution pt. to avoid concurrent use of alcohol, aspirin, acetaminophen or other over-the-counter medications without consultation with physician or pharmacist
- Drug Class: Nonopioid analgesic
- S/E :rash, urticaria
- a. Administer with a full glass of water.
- b. May be taken with food or on an empty stomach.
- Class : Opioid agonist/Nonopioid analgesic combination
- a. Assess pain before and after dose.
- b. Asses BP, P, R before and during administration.
- c. Measures to prevent constipation: increase bulk, increase activity, increase fluids.
- Drug Class: Cardiac glycoside
- S/E: Nausea, vomiting,
- anorexia, bradycardia
- a. Monitor apical pulse 1 full minute before administering; withhold & notify MD
- if <60 bpm.
- b. Monitor for therapeutic plasma level
- (0.5-2.0 mg/ml)
- Drug Class: Diuretic
- S/E: Hypokalemia(muscle weakness, abdominal cramping); hypovolemia (weight loss, increase .R & P, decrease BP,
- dry mucous membranes)
- a. Weigh daily
- b. I & O
- c. Monitor electrolytes-K
- d. Encourage patient to eat foods naturally high in potassium
- Drug Class:Antihistamine
- a. Assess patient for profound sedation and provide safety precautions. Supervise
- b. Administer deep IM
- Drug Class: Anti-infective
- stomach cramps
- a. Instruct pt. to continue taking medication around the clock until finished completely,
- even if feeling better.
- b. Assess patient for infection (VS;
- appearance of wound, sputum, urine; WBC,)
- Drug Class: Bronchodilator
- a. Caution pt. not to exceed recommended dose, may cause adverse effects, paradoxical,
- broncho spasm, or loss of effectiveness of medication.
- b. Advise to use Albuterol first if using other inhalation medication and allow 5 min.
- to elapse before administering other inhalant medications, unless otherwise
- c. Advise pt. to rinse mouth with water
- after each inhalation dose to minimize dry mouth.
- Drug Class: Hormone
- a. Encourage patient to follow prescribed diet, exercise and medication regimen to prevent
- hypo and hyperglycemia.
- b. Do not inject in the same site for at
- least one month.
- Drug Class: Antidiabetic
- bloating, diarrhea
- a. Monitor serum glucose and glycosylated hemoglobin periodically.
- b. Observe for signs and symptoms of
- hypoglycemic reaction.
- Drug Class :Antihypertensive
- a. Monitor blood pressure, ECG, and pulse frequently during dose adjustment and during
- b. Administer with meals or directly after
- Drug Class: Sedative/Hypnotic
- a. Teach patient that abrupt withdrawal may result in pronounced restlessness,
- insomnia, tremors, and seizures.
- b. If dizziness occurs, change positions slowly, and avoid tasks that require
- (K-Dur, Micro-K)
- Drug Class: Electrolyte
- S/E:Cardiac arrhythmias and ECG changes such as tall-peaked T waves demonstrating hyperkalemia.
- a. Assess patient for signs of hypokalemia such as weakness, fatigue, arrhythmias.
- b. Monitor for hyperkalemia such as
- fatigue, muscle weakness, paresthesia and tall-peaked T wave.
- Drug Class: Anticonvulsant
- Dry mouth
- A.Give with food
- B. Implement seizure precautions as indicated
- (Ancef, Kefzol)
- Drug Class: Anti-infective
- S/E: N & V, Diarrhea, Rash
- a. Determine previous use of and sensitivity to penicillins or other cephalosporins.
- b. Assess IV site for phlebitis
- Drug Class: Atypical, Antipsychotic
- S/E: Agranulocytosis
- a. Monitor weekly WBCs. Report WBC of <3000mm3 and withhold clozapine.
- b. Monitor patient for signs and symptoms of
- Drug Class: Calcium channel blocker, Antianginal Coronary Vasodilator
- a. Orthostatic BP monitoring.
- b. Monitor pulse before administration for bradycardia.
- Drug Class: Hormone
- a. Monitor intake and output ratios and weekly weight.
- b. Assess blood pressure prior to and periodically through therapy.
- Drug Class: Antidepressant
- a. Supervise suicidal-risk patient closely
- during early therapy for increased suicide potential.
- b. Assess speech pattern, mood; assist with ambulation if dizziness
- Drug Class: Mood stabilizer
- Weight gain,
- fine hand tremor,
- increased thirst,
- A. Monitor blood levels
- B. Eat diet with normal salt and fluid intake – do not take diuretics
- C. Take with food
- Drug Class: Opioid, Analgesic
- a. Assess VS for decreased BP, P and R.
- b. Assess type, location and intensity of pain
- prior to and 30-60 min. following administration.
- c. Implement measures to prevent constipation – increase bulk, increase
- activity and increase fluids
- (Bactrim, Septra)
- Drug Class: Antiinfective Sulfonamide
- Rashes which should be reported STAT
- a. Advise patient to take PO med with full
- glass of desired fluid.
- b. Fluid intake should be sufficient to maintain a urine output of
- 1200-1500 ml daily to prevent stone formation.
- Drug Class: Anticoagulant
- a. Check prothrombin time (therapeutic time is 1.5 to 2 X control, or INR – therapeutic level is 2-3).
- b. Check patient for signs of bleeding,
- (bleeding gums, bruising, tarry stools, hematuria).