Date Ordered/Started Pharmacologic Action of Indication/ Adverse Effects Desired Action on Client Nursing Responsibilities

/Drug Order Drug Contraindication (Disease

Related)
Date started: Binds to an enzyme on Indications: CNS: dizziness, drowsiness, To diminish the • Monitor
Feb 7, 2023 gastric parietal cells in the Omeprazole is used in fatigue, headache, weakness. accumulation of acid in improvements in
presence of acidic gastric conditions where CV: chest pain. GI: abdominal the gastric lumen with GI symptoms
Generic name: pH, preventing the final inhibition of gastric acid pain, acid regurgitation, lessened (gastritis,
Omeprazole 40mg transport of hydrogen secretion may be constipation, diarrhea, gastroesophageal reflux. heartburn, and so
ions into the gastric beneficial, including flatulence, nausea, vomiting. Healing of duodenal forth) to help
Brand name: lumen aspiration syndromes, Derm: itching, rash. Misc: ulcers. determine if drug
Hyperzol dyspepsia, allergic reactions. therapy is
gastroesophageal reflux successful.
Route: IV disease, peptic ulcer • Assess dizziness that
disease, and the might affect gait,
Frequency: ZollingerEllison syndrome. balance, and other
functional activities.
Classification: Contraindications: Patient Report balance
Therapeutic: antiulcer with known problems and
agents hypersensitivity to any functional limitations
Pharmacologic: component of the to the physician and
protonpump inhibitors formulation. Treatment caution the patient
with omeprazole may and family/caregivers
mask the symptoms of to guard against falls
other gastric disease. and trauma.
Caution should be • Monitor other CNS
exercised in patients with side effects
hepatic impairment. (drowsiness,
fatigue, weakness,
headache), and
 report severe or
prolonged effects.
• Monitor any chest
pain and attempt
to determine if
pain is drug
induced or caused
by cardiovascular
dysfunction (e.g.,
angina that occurs
during exercise).
• Advise patient to
avoid alcohol and
foods that may
cause an increase
in GI irritation
Date started: Inhibits the synthesis of Indication: GI: HEPATIC FAILURE, To temporarily relieve • Advise patient that
prostaglandins that may Mild pain. Fever. HEPATOTOXICITY(OVERDOSE). mild-to-moderate pain analgesics are
Generic name: serve as mediators of pain GU: renal failure (high and fever. usually more
Paracetamol Brand and fever, primarily in the Contraindication: doses/chronic use). Hemat: effective if given
name: CNS. Has no significant Hypersensitivity. Renal neutropenia, pancytopenia, before pain
antiinflammatory and hepatic disease leukopenia. Derm: rash, becomes severe;
Route: IV properties or GI toxicity. urticaria. emphasize that
adequate pain
Frequency: control will allow
better
Classification: participation in
Therapeutic: Antipyretics physical therapy.
Pharmacologic: nonopioid • Instruct patient
analgesics and
family/caregivers
about the signs of
liver toxicity and
renal failure (see

above in
Examination and
Evaluation).
Encourage early
recognition and
notification of the
physician about
these signs.
• Instruct patient
and
family/caregivers
to report severe or
prolonged skin
reactions such as
rash, itching, and
 hives
• Advise the patient
to avoid alcohol
while taking the
medication.
Date started: Inhibits bacterial DNA Indications: CNS: SEIZURES, dizziness, • If an antacid is
synthesis by inhibiting drowsiness, headache, needed, take it at
Generic name: DNA gyrase enzyme. Contraindications: insomnia, agitation, confusion. least 2 hours
Ciprofloxacin Therapeutic Hypersensitivity. Not to be GI: before or after
Effects: Death of used concurrently with PSEUDOMEMBRANOUS dose.
Brand name: susceptible bacteria. tizanidine. COLITIS, abdominal pain, • Do not touch the
diarrhea, abnormal liver tip of eye
Route: IV enzymes, nausea. GU: ointment or
vaginitis. Derm: solution, which
Frequency: photosensitivity, rash. Endo: may contaminate
hyperglycemia, hypoglycemia. the product. Drink
Classification : Hemat: eosinophilia. Local: • plenty of fluids
Therapeutic: phlebitis at IV site. MS: while you
Anti-infectives tendinitis, tendon rupture.
Pharmacologic: Neuro: peripheral neuropathy. • are taking this
fluoroquinolones Misc: drug.
hypersensitivity reactions, You may
including ANAPHYLAXIS. experience these
side effects:
Nausea, vomiting,
abdominal pain
(eat frequent small
meals); diarrhea or
constipation;
drowsiness,
blurring of vision,
dizziness (observe
caution if driving
or using dangerous
equipment).

• Report rash, visual

changes, severe GI
problems,
weakness,
tremors.
Cerebrolysin
Date started: Binds to bacterial cell wall Indications: Appendicitis
membrane, causing cell and peritonitis. Skin and
Generic name: death. Spectrum is skin structure infections.
Piptaz extended compared with Gynecologic infections.
other penicillins. Community-acquired
Brand name: and nosocomial
Piperacillin pneumonia caused by
piperacillin-resistant,
Route: IV
Frequency: beta-lactamase– producing
bacteria.
Classification : Therapeutic:
Anti-infectives Contraindication
Pharmacologic: extended
spectrum penicillin