Name of Drug, Classification Indications Mechanism of Contraindications Adverse Nursing

Dose, Route Action Effects Considerations

Acetaminophen analgesics used to treat the exact It is nausea,  Monitor for
1g TID (pain mild to mechanism of contraindicated stomach S&S of:
relievers) and moderate and action for people who pain, hepatotoxic
antipyretics pain, to of acetaminophe have an acute ity
loss of
(fever treat n is not known liver failure or
appetite,
reducers) moderate to but it may liver
itching,  Do not
severe pain reduce the problems. Severe
rash, take other
in production of renal impairment
headache medications
conjunction prostaglandins is a condition
, (e.g., cold
with opiates, in the brain. where the body is
preparation
or to reduce Prostaglandins unable to dark
s)
fever. are chemicals maintain adequate urine,
containing
that cause blood flow called clay- acetaminoph
inflammation shock. colored en without
and swelling. stools, medical
or jaund advice;
ice overdosing
and chronic
use can
cause liver
damage and
other toxic
effects.
 Do not
self-
medicate
adults for
pain more
than 10 d
(5 d in
children)
without
consulting
a
physician.
 Do not
use this
medication
without
medical
direction
for: fever
persisting
longer than
 3 d, fever
over 39.5°
C (103° F),
or
recurrent
fever.
 Do not
give
children
more than 5
doses in 24
h unless
prescribed
by
physician.
 Do not
breast feed
while
taking this
drug
without
consulting
physician.
 Name of Classificatio Indications Mechanism of Contraindication Adverse Effects Nursing
Drug, n Action s Considerations
Dose,
Route
Ranitidin  H2 blockers. used to treat a competitive acute porphyria;  headache.  Give with or
e 20g ulcers of the inhibitor of OTC  abdominal pain. without food;
stomach and histamine H2- administration simultaneous
 agitation.
intestines an receptors. in children <12 administration
d prevent The y.  hair loss.
does not appear
them from reversible  confusion. to reduce
coming back inhibition of  constipation. absorption or
after they H2-receptors  diarrhea. serum
have healed. in gastric  dizziness. concentrations.
parietal  Administer
cells results adjunctive
in a antacid
reduction in treatment 2 h
both gastric before or after
acid volume drug.
and
 Monitor signs
concentration
of
.
hypersensitivit
y reactions,
including
pulmonary
symptoms
(tightness in
the throat or
chest,
wheezing,
cough, dyspnea)
or skin
reactions
(rash,
pruritus,
urticaria).
Notify
physician or
nursing staff
immediately if
these reactions
occur.
 Monitor IM
injection site
for pain,
 swelling, and
irritation.
Report
prolonged or
excessive
injection site
reactions to
the physician.

 Assess
dizziness and
drowsiness that
might affect
gait, balance,
and other
functional
activities.
Report balance
problems and
functional
limitations to
the physician
and nursing
staff, and
caution the
patient and
family/caregive
rs to guard
against falls
and trauma.
 Be alert for
signs of
vasculitis,
including
fatigue,
weakness,
muscle pain,
joint pain,
numbness,
fever, loss of
appetite, and
weight loss.
Report these
signs to the
physician.
 Assess heart
rate, ECG, and
heart sounds,
especially
during
exercise.
Report any
rhythm
disturbances or
symptoms of
increased
arrhythmias,
including
palpitations,
 chest
discomfort,
shortness of
breath,
fainting, and
fatigue/weaknes
s.
 Report signs of
agranulocytosis
and neutropenia
(fever, sore
throat, mucosal
lesions, signs
of infection,
bruising),
aplastic anemia
(unusual
fatigue,
weakness), or
thrombocytopeni
a (bruising,
bleeding gums,
nose bleeds).