DRUG NAME ACTUAL MECHANISM OF INDICATION ADVERSE REACTION NURSING RESPONSIBILITY

DOSAGE, ACTION
FREQUENCY
, ROUTE
Generic name: Inhibits proton  Short term CNS: Asthenia, BEFORE:
OMEPRAZOLE Actual pump activity by treatment active dizziness, headache.  Double check the MAR, ask
dosage: binding hydrogen- duodenal ulcer; patient to state his/her name, and
Brand name: 40mg potassium first line therapy in GI: Abdominal [pain, ask about the history of allergies,
LOSEC adenosine treatment of constipation, diarrhea, particularly to this medication, do
Frequency: triphosphatase, heartburn or flatulence, nausea, not forget to check the expiration
Classification: Now then OD located at symptoms as vomiting, acid date.
Proton pump secretory surface gastroesophageal regurgitation.  Educate the patient the
inhibitor (PPI) Route: of gastric parietal reflux disease. importance and purpose of the
IV cells, to suppress Musculoskeletal: Back drugs.
gastric acid pain, weakness.  Assess Vital signs for baseline
secretion. CONTRAINDICATION data.
Contraindicated with Respiratory: Cough,  Administer before meal.
hypersensitivity with URI
omeprazole or its DURING:
components, Skin: Rash  Check the patency of the IV site
concurrent use with and IV line.
atazanavir or nelfinavir,  Administer the drug before meal.
liver disease, renal
impairment.
AFTER:
 Advice the patient to report any
adverse reaction occur.
 Document the drug, dose, route
and time given.
 DRUG NAME ACTUAL MECHANISM OF INDICATION ADVERSE NURSING RESPONSIBILITY
DOSAGE, ACTION REACTION
FREQUENCY,
ROUTE
Generic name: Reduces fever by Patient reported CNS: Nausea, BEFORE:
PARACETAMOL Actual dosage: acting directly on (+) fever and drowsiness,  Double check the MAR, ask patient
500 mg the hypothalamic abdominal pain as stimulation. to state his/her name, and ask about
Brand name: heat regulating chief complain, this the history of allergies, particularly to
CALPOL Frequency: center to cause drug is use to treat GI: Vomiting, this medication, do not forget to
q4 or PRN vasodilation and pain and for the abdominal pain. check the expiration date.
Classification: sweating, which reduction of his  Educate the patient the importance
Analgesic Route: helps dissipate fever. Hematologic: and purpose of the drugs.
Anti-pyretic Oral heat. hemolytic anemia,  Assess Vital signs especially
leukopenia, temperature as a baseline data.
CONTRAINDICAT neutropenea,
ION pancytopenia, DURING:
Contraindicated thrombocytopenia.  Make sure the patient take this drug
with after meal to avoid stomach upset.
hypersensitivity Skin: Rash  Make sure to give the medication in
with paracetamol, tablet form, and instruct the patient
concurrent use not to chew or suck the tablet.
with warfarin and
rifampicin, liver AFTER:
disease, renal  Advice the patient to report any
impairment. adverse reaction occur.
 Document the drug, dose, route and
time given.
 Remember to give the next
medication on time
DRUG NAME ACTUAL MECHANISM OF INDICATION ADVERSE NURSING RESPONSIBILITY
DOSAGE, ACTION REACTION
FREQUENCY,
ROUTE
Generic name: Inhibits fibrinolysis Used as an anti Visual abnormalities, BEFORE:
TRANEXAMIC Actual dosage: by displacing fibrinolytic in the Hypotension,  Double check the MAR, ask patient to state
ACID 1g plasminogen from treatment and Nausea, his/her name, and ask about the history of
fibrin. prevention of major Vomiting, allergies, particularly to this medication, do
Brand name: Frequency: bleeding Diarrhea, not forget to check the expiration date.
Cyclocapron Q8 Anaphylaxis.  Educate the patient the importance and
purpose of the drugs.
Route:  Assess Vital signs as a baseline data.
Classification: IV
Anti fibrinolytic CONTRAINDICATIO DURING:
N  Check the patency of the IV site and IV line.
Contraindicated with  Give the medication in slow push.
hypersensitivity with
tranexamic acid AFTER:
 Advice the patient to report any adverse
reaction occur.
 Document the drug, dose, route and time
given.
 Remember to give the next medication on
time.
DRUG NAME ACTUAL DOSAGE, MECHANISM OF INDICATION ADVERSE NURSING RESPONSIBILITY
FREQUENCY, ACTION REACTION
ROUTE
Generic name: Helps in Indicated for gastric Diarrhea, abdominal BEFORE:
REBAMIPIDE Actual dosage: replacement of lost ulcer pain, nausea,  Double check the MAR, ask patient to
100mg tissue by increasing vomiting, headache, state his/her name, and ask about the
Brand name: the expression of Prevention of dizziness, fatigue, history of allergies, particularly to this
Mucopro Frequency: epidermal growth NSAID’s induced insomnia, rash, medication, do not forget to check the
TID factor(EGF) and gastropathy. pruritus expiration date.
EGF receptor.  Educate the patient the importance and
Classification: Route: To treat gastritis and purpose of the drugs.
Anti-ulcer agent Oral protect the gastric  Assess Vital signs for baseline data.
mucosa.  Assess for hypersensitivity reactions.
 Inspect the abdomen to ensure GI
motility.
 Assess mucous membrane status to
CONTRAINDICATION evaluate potential problems with
Contraindicated with absorption and hydration.
hypersensitivity with
rebamipide, severe DURING:
renal impairment,  Make sure to give the medication in
severe liver disease. tablet form, and instruct the patient not
to chew or suck the tablet.
 Discontinue drug if transaminase level
are mark increase and rash develop.

AFTER:
 Assess for hypersensitivity reactions.
 Advice the patient to report any
adverse reaction occur.
 Document the drug, dose, route and
time given.
 DRUG NAME ACTUAL MECHANISM OF INDICATION ADVERSE REACTION NURSING RESPONSIBILITY
DOSAGE, ACTION
FREQUENCY,
ROUTE
Generic name: Interferes with This is used because CNS: headache, BEFORE:
CEFTRIAXONE Actual dosage: bacterial cell wall patient reported dizziness,  Double check the MAR, ask patient to state
1g synthesis, promoting artralgia as signs and his/her name, and ask about the history of
Brand name: osmotic instabiity; symptoms upon GI: Nausea, vomiting, allergies, particularly to this medication, do
Rocephin Frequency: usually bactericidal admission, this drug is diarrhea, anorexia, not forget to check the expiration date.
Q8 use for joint pain (bone pseudomembranous  Educate the patient the importance and
and join infection). colitis. purpose of the drugs.
Classification: Route:  Assess Vital signs as a baseline data.
Cephalosporin IV GU: Nephrotoxicity  Have vitamin K ready in case
(3rd generation), hypoprothrombinemia occurs.
Antibiotic CONTRAINDICATION Hematologic: bone  Do not mix ceftriaxone with any other
Contraindicated with marrow depression. antimicrobial drug.
hypersensitivity with
ceftriaxone. Hypersensitivity: DURING:
ranging from rash to  Check the patency of the IV site and IV line.
fever to anaphylaxis.  Discontinue if hypersensitivity occurs

AFTER:
 Advice the patient to report any adverse
reaction occur.
 Document the drug, dose, route and time
given.
 Remember to give the next medication on
time.
 DRUG NAME ACTUAL DOSAGE, MECHANISM OF INDICATION ADVERSE NURSING RESPONSIBILITY
FREQUENCY, ACTION REACTION
ROUTE
Generic name: provide calories and This is used because the CNS: Drowsiness, BEFORE:
MULTIVITAMIN+ Actual dosage: are a source of patient experienced 4  Double check the MAR, ask patient to
GLUCOSE 500cc water for hydration. episodes of loose watery CV: Tachycardia, state his/her name, and ask about the
These solutions are stool, this drug is used to hypotension, history of allergies, particularly to this
Brand name: Frequency: capable of inducing provide calories and are medication, do not forget to check the
Bitagen To run for 8hrs then diuresis depending a source of water for GI: upset stomach, dry expiration date.
OD on the clinical hydration. mouth, change in color  Educate the patient the importance and
condition of the of the stool purpose of the drugs.
Classification: Route: patient.  Assess Vital signs as a baseline data.
Multivitamin IV CONTRAINDICATION Skin: Rash
Contraindicated with DURING:
hypersensitivity with  Check the patency of the IV site and IV
Bitagen line.
 Give the medication in slow push.

AFTER:
 Advice the patient to report any adverse
reaction occur.
 Document the drug, dose, route and
time given.
 DRUG NAME ACTUAL MECHANISM OF INDICATION ADVERSE REACTION NURSING RESPONSIBILITY
DOSAGE, ACTION
FREQUENCY,
ROUTE
Generic name: Actual Inhibits bacterial Used to treat various CNS: Encephalopathy, BEFORE:
LEVOFLOXACIN dosage: DNA gyrase and bacterial infection seizure, dizziness, insomnia,  Double check the MAR, ask patient to state his/her
500mg tab prevent DNA paresthesia. name, and ask about the history of allergies,
Brand name: replication, CONTRAINDICATION particularly to this medication, do not forget to
Levocin Frequency: transcription, Contraindicated with CV: Chest pain, palpitation, check the expiration date.
OD repair and hypersensitivity to vasodilation  Educate the patient the importance and purpose of
Classification: recombination in levofloxacin or its the drugs.
Antibiotic Route: susceptible components GI: Pseudomembraneous  Assess Vital signs for baseline data.
Oral bacteria colitis, abdominal pain,
constipation, diarrhea, DURING:
dyspepsia, flatulence,  Make sure to give the medication in tablet form,
nausea, vomiting and instruct the patient not to chew or suck the
tablet.
Hematologic: Lymphopenia,
hemolytic anemia AFTER:
 Assess the patient for any occurrence of GI
Metabolic: Hypoglycemia disturbances
 Advice the patient to report any adverse reaction
Musculoskeletal: Back pain, occur.
tendon rupture  Document the drug, dose, route and time given.