NURSING MANAGEMENT

A. Drug Study
DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

INDICATION

Normal

Isotonic

Is a sterile, non- hydrated

Saline

Intravenous

pyrogenic

Solution

Solution

solution for fluid

and electrolyte
replenishment

CONTRAINDICATION

heart failure
pulmonary edema
renal impairment
sodium retention

ADVERSE

NURSING

REACTION

RESPONSIBILITIES

hypotension
venous

monitor the signs

thrombosis
hypervolemia

of infiltration
monitor the signs

of phlebitis
check the regulate
drop

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DRUG

SPECIFIC

NAME
Hyoscine-N-

ACTION
Anti-

butylbromide

spasmodics

MECHANISM INDICATION

CONTRAINDICATION

OF ACTION
That it blocks Spasms in

Myasthenia gravies
Megacolon
the
the
Hypersensitivity
muscarinic
genitourina Narrow angle
receptors
ry tract
glaucoma

Spasms
in
found on the
Prostrate
the
smooth
hypertrophy with
muscle walls
which means
its blocks the
action of
acetylcholine
on the
receptors

gastrointes
tinal tract
Spasms of

urinary retention
Mechanical stenosis

in the GI tract
biliary tract Tachycardia
Colic

ADVERSE
REACTION
Constipation
Decrease
sweating
Mouth, skin,

NURSING
RESPONSIBILITY
Assess the
neurologic,

cardiovascular
Avoid driving and

eye dryness
Blurred feeling
Bloating
Dysuria
Nausea and

operating

Vomiting
Lightheadedne
ss
Headache

Weakness

Avoid strict heat

Raise siderails

machinery after
parenteral
administration.

as a precaution
Re-orient patient
as needed

found within
the smooth
muscle of the
gastrointestin
al and urinary
tract and thus
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reduces the
spasms and
contractions.
This relaxes
the muscle
and thus
reduced the
pain from the
cramps and
spasms.

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DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

Oxytocin

Uterine

Helps the

Active

uterus to

Agent

contract

INDICATION

Stimulate for
labor

CONTRAINDICATION

ADVERSE

NURSING

REACTION

RESPONSIBILITIE

Hypersensitivity
Cephalopelvic

Hypertension
Increased

Disproportion
Transverse lie

heart rate
Systemic

monitor
contractions, fetal
and maternal

venous
return
Increased
cardiac

heart rate, blood

pressure
Monitor patient
extremely closely

output
Nausea and
Vomiting
Anoxia
Asphyxia

S
Continuously

during 1st and 2nd

stage of labor
Assess fluid

intake and output.

Watch out for
signs and
symptoms of
water intoxication

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DRUG

SPECIFIC

MECHANISM OF

NAME
Ferrous

ACTION
Iron

Sulfate

Supplement serum iron

(FeSO4)

ACTION
Elevates the
concentration

INDICATION CONTRAINDICATION
For iron
deficiency
and

which then helps

supplement

to form high or

during

trapped in the

pregnancy

reticuloendothelia
l cells for storage

ADVERSE

NURSING

REACTION
RESPONSIBILITIES
Hypersensitivity
Dizziness
Advised patient to
Severe hypotension Constipatio
take medicine as

n
Upset

stomach
Black

make position
changes slowly to

colored

minimized

stools
Temporary

and eventual

staining of

conversion to a

teeth

prescribed.
Caution patient to

orthostatic

hypotension
Instruct patient to
avoid concurrent

usable form of

use of alcohol or

iron.

OTC medicine
without consulting

the physician
Advise patient to
consult physician
if irregular
heartbeat,
dyspnea, swelling
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of hands and feet

and hypotension

occurs.
Inform patient that
angina attacks
may occurs 30
mins. after
administration due
to reflex

tachycardia
Encourage to
comply with
additional
intervention for
hypertension like
proper diet,
regular exercise,
and lifestyle
changes.

DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

INDICATION

CONTRAINDICATION

ADVERSE

NURSING

REACTION

RESPONSIBILITIES

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Cefalexin

Antibiotic

Interferes with skin and soft

a bacterial cell

tissue

wall synthesis,

infections

hypersensitivity

causing cell to
rupture and
die. Against
many gram-

fever
headache
edema
hypotension
vasodilation
palpitations
chest pain
nausea and

watch for the

allergy
watch out for the

side effects
monitor the vital
signs

vomiting

positive
bacteria;
shows limited
activity
against gramnegative
bacteria

DRUG

SPECIFIC

MECHANISM

INDICATION

CONTRAINDICATION

ADVERSE

NURSING
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NAME
Folic Acid

ACTION
Supplement

OF ACTION
Required for
DNA synthesis

and cell

growth and is

Diarrhea
Heartburn
Constipation
Depression
anxiety

undiagnosed

REACTION RESPONSIBILITIES
toxicity
instructed to

megaloblastic

continue until 12th

anemia

week of

important for

pregnancy
instructed to eat

RBCs

fruit and

formation,

vegetables
should advised to

energy

take folic acid

production as

before the

well as the

conception

forming acids.
Important in
the
development
of nervous
system of the
fetus

DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

INDICATION

CONTRAINDICATION

ADVERSE

NURSING

REACTION

RESPONSIBILITIES

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Vitamin C

Vitamins

Increase
protection
mechanism of
the immune
system, thus
supporting
wound
healing.

prophylaxis
easy wound
healing

diarrhea
headache
heartburn
acute
hemolytic
anemia
dysuria
urethritis
nausea and

monitor Signs and

symptoms of
acute hemolytic

anemia
watch out for the
side effects

vomiting

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DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

INDICATION

CONTRAINDICATION

ADVERSE

NURSING

REACTION

RESPONSIBILITIE
S

Clusivol
OB

Vitamins

Used to treat pregnant

or prevent
vitamin
defiency due

hypersensitivity

constipation

diarrhea
upset stomach

watch for the

allergy
watch out for the
side effects

to poor diet
during
pregnancy

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DRUG

SPECIFIC

MECHANISM

NAME

ACTION

OF ACTION

Mefenamic
Acid

NSAIDs

Aspirin- drug

that has

analgesic,

antipyretic

and antiinflammatory
activities.
These
activities to
be due inhibit
cyclooxygena
se and also

INDICATION

Relief of pain
Post-partum
Migraine
Fever
dysmenorrhea

CONTRAINDICATION

hypersensitivity
asthma
urticarial
active ulceration of
GIT

ADVERSE

NURSING

REACTION

RESPONSIBILITi

dizziness
headache
nervousness
tremors
CHF
Hypertension
Tachycardia
syncope
gas pain
dyspepsia
diarrhea
peptic
ulceration
nausea
weight

ES
instruct patient
not to take drug
for more than 7

days
advise to report
immediately if it
is failure to

relieve pain
tell patient
about the
adverse
reaction

antagonize
certain effect
of
prostaglandin
s

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