Drug Name Dosage Action Indication Contraindication Adverse Effects Nursing

Responsibilities
Cefuroxime Cefuroxime Inhibits cell-wall Indications: adjust Contraindicated CV: phlebitis: Monitor patient
“Zinacef” 750mg TIV- 90 x 3 synthesis , a dose (for all in patients thrombophlebitis. for signs and
doses promoting indications): For hypersensitive to GI: diarrhea, symptoms of
Classification: osmotic injectable form in drug or other pseudomembran superinfection
Antibiotics instability, usually adults with CrCl cephalosporins. eous colitis, and diarrhea.
bactericidal. of 10 to 20 Use cautiously in nausea, anorexia, Drug may
mL/minute , give patients vomiting. increase INR and
750 mg IV or IM q hypersensitive to Hematologic: risk of bleeding.
12 hrs: if CrCl is penicillin because Hemolytic Monitor Patient.
less than 10 of possibility of anemia, Look alike- Sound
ml/minute, give cross-sensitivity thrombocytopeni Alike: Don’t
750 mg IV or IM with other beta- a, transient confuse drug with
lactam neutropenia, other
antibiotics. eosinophilia. cephalosporins
Skin: that sound alike.
maculopapular Instruct patient to
and notify prescriber
erythematous about rash, loose
rashes, urticaria, stools, diarrhea,
pain, induration, or evidence of
sterile abscesses, superinfection.
temperature Advise pt.
elevation, tissue Receiving drug IV
 sloughing at IM to report
injection site. discomfort at IV
insertion site.

Drug Name Dosage Action Indication Contraindication Adverse Effect Nursing

Responsibility
Acetaminophen Paracetamol 500 Thought to Mild pain or fever Drug can cause CNS: Agitation Many OTC and
(APAP, mg 1 tab PRN produce analgesia (P.O) acute liver failure, (Iv), anxiety, prescription
Paracetamol) T > 37.8 by inhibiting Adults: 325-650 which may fatigue, products contain
“Tylenol” prostaglandin and mg PO q 4-6 hrs. require a liver headache, acetaminophen;
“Biogesic” other substances Or, two transplant or insomnia, pyrexia. be aware of this
that sensitize pain extended-release cause death. CV: hypertension, when calculating
Classification: receptors. Drug caplets P.O q 8 Most cases of hypotension, total daily dose.
Analgesics may relieve fever hrs. Maximum, liver injury are peripheral Consider reducing
through central 3250 mg daily associated with edema, total daily dose
action in the unless under drug doses periorbital and increasing
hypothalamic health care exceeding 4,000 edema, dosing intervals in
heat-regulating provider mg/day and often tachychardia (IV) patients with
center. supervision when involve more than GI: Nausea, hepatic or renal
4g daily 1 acetaminophen- vomiting, impairment.
(immediate containing abdominal pain, Tell pt. Not to use
release), may be product. diarrhea, for marked fever
used. constipation, (IV) t- higher than
May cause Hematologic: 39.5’C fever
serious, hemolytic persisting longer
potentially fatal anemia, than 3 days, or
skin reactions, leukopenia, recurent fever
including Steven- neutropenia, unless directed by
Johnsons pancytopenia, prescriber.
syndrome, toxic anemia. Warn patient that
epidermal Hepatic: Jaundice high doses or
necrolysis and Metabolic: unsupervised
acute generalized hypoglycemia, long-term use can
exanthematous hypokalemia, cause liver
pustulosis. hypervolemia, damage.
Use cautiously in hypomagnesemia Excessive alcohol
pregnant and Musculoskeletal: use may increase
breast feeding Muscle spasms. the risk of liver
women. Embryo Respiratory: damage.
fetal risk is very abnormal breath
low. sounds, dyspnea,
hypoxia,
atelectasis,
pleural effusion,
pulmonary
edema, stridor.
Skin: rash,
urticaria, pruritis.
Drug Name Dosage Action Indication Contraindication Adverse Effect Nursing
responsibilities
Diphenhydramine Diphenhydramine Competes with Rhinitis, allergy Contraindicated CNS: drowsiness, Stop drug 4 days
“Benadryl” 400mg histamine, for h1 symptoms, in patients sedation, before diagnostic
Classification: R:TIV –receptor sites. motion sickness, hypersensitive to sleepiness, skin testing.
Anti-allergics F:BID Prevents, but parkinson drug and other dizziness, Injection form is
doesn’t reverse, disease. similar incoordination for IV or IM
histamine- Adults and antihistamine; seizures, administration
mediated children age 12 Avoid use in pt’s confusion, only.
responses, and older. 10-50 taking MAO insomnia, Warn patient not
particularly those mg IV or deep IM. inhibitors. headache, to take this drug
of the bronchial Maximum IV or There are no vertigo, fatigue, with any other
tubes, GI Tract, IM dosage, 400 adequate well restlessness, products that
uterus and blood mg daily. Don’t controlled studies tremor, contain
vessels. exceed 25 mg/ in pregnant nervousness. diphenhydramine
minute when women. Use CV: Palpitations, (including topical
giving IV. during pregnancy hypotension, therapy) because
only if clearly tachycardia of increased
needed. EENT: diplopia, adverse reactions.
blurred vision, Tell pt, to take
nasal congestion, diphen. With food
tinnitus. or milk to reduce
GI: dry mouth, GI stress.
nausea, epigastric
distress, vomiting
diarrhea,
constipation,
anorexia.
GU: dysuria, urine
retention, urinary
frequency, early
menses.
Hematologic:
thrombocytopeni
a,
agranolocytosis,
hemolytic
anemia.
Respiratory:
thickening of
bronchial
secretions.
Skin: Urticaria,
photosensitivity,
rash.
Other:
Anaphylactic
Shock.
Drug Name Dosage Action Indication Contraindication Adverse Effect Nursing
Responsibilities
Folic Acid Folic Acid OD Taking a prenatal To prevent fetal Folic acid Severe Advice pt to take
Vitamin B9 vitamin with the neutral tube hypersensitivity, Anaphylactoid folic acid before
“FA-8” recommended defects during Pernicious reactions, conception to
400 micrograms pregnancy anemia, Bronchospasm, prevent
(MCG) of folic Adults: 400-800 Premature erythema, occurrence of
acid before and mcg PO daily neonates, Renal confusion, neutral tube
during pregnancy before disease, renal depression, defects.
can help prevent conception failure and renal excitability, rash, A varied diet that
birth defects of through at least impairment. pruritis, malaise, contains fresh
your baby’s brain first 4-12 weeks dysheusia, fruit and
and spinal cord. of fetal anorexia, nausea, vegeatbles
formation. For nausea, usually provides
women at high flatulence, sufficient folic
risk, irritability. acid.
recommended
dosage is 4 mg
daily starting up
to 3 months
before
conception and
through first 3
 months of
pregnancy.

Drug Name Dosage Action Indication Contraindication Adverse Effect Nursing

responsibility
Ferrous Sulfate FeSu BID Used to treat iron Iron Defficiency: Contraindidcated GI: Nausea, May cause
Feosol deficiency anemia Adults: 100-200 in pt’s receiving Epigastric pain, seizures,
hemanitics (lack of rbcs mg PO daily in 2-3 repeated blood vomiting, hypotension,
caused by having divided doses. transfusions and constipation, constipation,
too little iron in Extended or slow in those with black stools epigastric pain,
the body) release tablets hemosiderosis, diarrhea, diarrhea, skin
are intended for primary anorexia. staining,
once daily use. hemochromatosis Other: temporary anaphylaxis.
, hemolytic staining of teeth Assess nutritional
anemia, unless with liquid forms. status, bowel
iron deficiency function.
anemia is also Monitor
present, peptic hemoglobin,
ulceration, hematocrit, iron
ulcerative colitis levels.
or regional May cause
enteritis. Use elevated liver
cautiously on enzymes.
long-term basis. Take on an empty
stomach to
increase

VI. Treatment modality
Description Indication
D5LR Parenteral replacement of
extracellular losses of fluid and
electrolytes, with or without
minimal carbohydrate calories, as
required by the clinical condition
of the patient.
Exploratory Laparotomy (Ex-Lap) The surgical exploration of the
abdomen, also called an
exploratory laparotomy, may be
recommended when there is
abdominal disease from an
unknown cause (to diagnose), or
trauma to the abdomen (gunshot
or stab wounds, or blunt trauma).
Contraindication
Severe metabolic acidosis or
alkalosis, severe liver disease,
pt’s with hypersensitivity to corn
products.
Known or obvious indication for
therapeutic intervention such as
perforation, peritonitis, known
intra-abdominal injury,
complications of previous surgery
, shock, evisceration, or
abdominal wall dehiscence.
absorption/
vitamin helps
with absorption.
Use z track for IM
injections.
Nursing Responsibilities
Watch out for signs of
hypervolemia.
Do not administer unless solution
is clear and container is
undamaged. Never stop
hypertonic solutions abruptly.
Don’t give concentrated
soulutions IM or Subcutaneously.
Check VS frequently.
Monitor consciousness, vs, cvp,
ino. Observe and record drain
properties (color, amount)
drainage. Sterile wound care.
Take caution with what food the
pt consumes. Usually post op pt’s
are generally not allowed to
swallow food after surgery.
Recommended food high in
protein and Vitamin C. For
mobilization, pt is positioned to
lie in bed so that the situation is
stable. Position must be supine.
And also meet the needs for
elimination. Urinary system,
voluntary control urinary
functionafter 6-8 hrs post
inhalation anesthesia, IV, Spinal.
GIT, assess gi function by
auscultation of bowel sounds,
amount, color, consistency of
stomach contents every 6-8 hrs,
insertion of intra-operative NG
tube to prevent postop
complications with decompresion
and gastric drainage.