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Drug Name Action Indication Contraindication Adverse Effects Nursing Responsibilities

Ferrous Fumarate

Classification: Iron
Supplement

Dosage: 1 tab TID
An essential mineral
found in haemoglobin,
myoglobin, and many
enzymes enters the
blood stream and is
transported to the
organs of the
reticuloendothelial
system whre it is
separated out and
become part of iron
stores.
>Anemia Hemachromatosis, Peptic
Ulcer, Allegic to drug, Some
products with tatrazine or
sulphites and should be
avoided in patients with
intolerance and
hypersensitivity
CNS: Diziness, headache

CV: Hypotension,
Hypertension, Tachycardia

GI: Nausea and Vomitting

DERM: Flushing, Urticaria

RESP: Cough, Dsypnea


Monitor Nutritional Status and
dietary history to determine
deficiency.

Assess for Constipation and
diarrhea.

Monitor Hematocrit
haemoglobin and reticulocyte
during therapy

Assess Patient for signs and
symptoms of Anaphylaxis



Drug Name Action Indication Contraindication Adverse Effects Nursing Responsibilities
Tranexamic acid

Classification: Anti
fibrinolytics

Dose: 500g cap
every 8 hours
Works by preventing
blood clots from
breaking down too
quickly and helps
reducing excessive
bleeding
Heavy Menstrual
bleeding

Hyperfibrinolysis

Prevention on bleeding
in hemophilia

Hypersensitivity to
drug
Dessiminated
intravascular
coagulation
Pregnancy
Active intravascular
clotting problems
Nausea, Vomitting, Cramp,
Hypotension, Dysrhythmias,
headaches and decreased
urine output

Give medication as prescribed

Monitor intake and output

Use thrombolytics as antidote

Instruct client to notify health
care provider for signs and
symptoms of anaphylaxis such
as rashes and urticaria

Unusual change in bleeding pattern
should be immediately reported to the
physician.

For women who are taking
Tranexamic acid to control heavy
bleeding, the medicationshould only
be taken during the menstrual period.

Swallow Tranexamic Acid whole
with plenty of liquids. Do not break,
crush, or chewbefore swallowing.

If you miss a dose of Tranexamic
Acid, take it when you remember,
then take your nextdose at least 6
hours later. Do not take 2 doses at
once.



Drug Name Action Indication Contraindication Adverse Effects Nursing Responsibilities
Furosemide

Classification: Loop
Diuretics
Inhibits sodium and
chloride reabsorption
from ascending loop
of henle and distal
renal tubules.
Increases potassium
excretion and plasma
volume promoting
renal excreation of
water, sodium,
chloride, magnesium,
hydrogen and calcium
>Edema caused by
heart failure

Acute pulmonary
edema

Hypertension
Hypersensitivity to drug

Anuria

Hypercalcemia
Dizziness, headache,
paresthesia, hypotension,
tachycardia, orthostatic
hypotension, blurred vision,
tinnitus, nausea and
vomiting, diarrhea, gastric
irritation, bladder spasm,
photosensitivity and fever
Give medication as prescribed

Instruct patient to drink the
medication in the morning with
food to prevent nocturia.

Instruct patient to avoid alcohol
while drinking the medication

Monitor Vital Signs

Assess for evidence of
ototoxicity






Drug Name Action Indication Contraindication Adverse Effects Nursing Responsibilities
Metronidazole

Classification:
Antibiotic,
Antibacterial,
Amebicide,
Antiprotozoal

Dose: 500mg 1 tab
TID for 7 days
Metronidazole is
converted to
reduction products
that interact with DNA
to cause destruction
of helical DNA
structure and strand
leading to a protein
synthesis inhibition
and cell death in
susceptible organisms.
It is effective against a
wide range of
organisms including E.
histolytica, T.
vaginalis, Giardia,
anaerobes e.g.
Bacterioides sp,
Fusobacterium sp,
Clostridium sp,
Peptococcus sp and
Peptostreptococcus
sp, and moderately
active against
Gardnerella sp and
Campylobacter sp.
Acute infection with
susceptible anaerobic
bacteria
Acute intestinal
amebiasis
Amebic liver abscess
Trichomoniasis (acute
and partners of
patients with acute
infection)
Preoperative,
intraoperative,
postoperative
prophylaxis for patients
undergoing colorectal
surgery
Topical application:
Treatment of
inflammatory papules,
pustules, and erythema
of rosacea
Unlabeled uses:
Prophylaxis for patients
undergoing
gynecologic, abdominal
surgery; hepatic
encephalopathy;
Crohn's disease;
antibiotic-associated
pseudomembranous
colitis; treatment of
Gardnerella vaginalis,
History of hypersensitivity
to metronidazole or other
nitroimidazole derivatives.
Pregnancy (1st trimester)
and lactation
GI disturbances e.g. nausea,
unpleasant metallic taste,
vomiting, diarrhoea or
constipation. Furred tongue,
glossitis, and stomatitis due
to overgrowth of Candida.
Rarely, antibiotic-associated
colitis. Weakness, dizziness,
ataxia, headache,
drowsiness, insomnia,
changes in mood or mental
state. Numbness or tingling
in the extremities,
epileptiform seizures (high
doses or prolonged
treatment). Transient
leucopenia and
thrombocytopenia.
Hypersensitivity reactions.
Urethral discomfort and
darkening of urine. Raised
liver enzyme values,
cholestatic hepatitis,
jaundice. Thrombophlebitis
(IV).
Potentially Fatal:
Anaphylaxis.
>BLACK BOX WARNING: Avoid use unless
necessary. Metronidazole may be
carcinogenic.
>Administer oral doses with food.
Teaching points
Take full course of drug therapy;
take the drug with food if GI upset
occurs.
Do not drink alcohol (beverages or
preparations containing alcohol,
cough syrups); severe reactions
may occur.
Your urine may be a darker color
than usual; this is expected.
Refrain from sexual intercourse
during treatment for
trichomoniasis, unless partner
wears a condom.
Apply the topical preparation by
cleansing the area and then
rubbing a thin film into the
affected area. Avoid contact with
the eyes. Cosmetics may be
applied to the area after
application.
You may experience these side
effects: Dry mouth with strange
metallic taste (frequent mouth
care, sucking sugarless candies
may help); nausea, vomiting,
diarrhea (eat frequent small
meals).
giardiasis (use
recommended by the
CDC)
Report severe GI upset, dizziness,
unusual fatigue or weakness,
fever, chills.