Drug Name Classification and Mechanism of Action Indication/ Dosage/ Route Contraindicatio N Adverse Effects Nursing Interventions
Drug Name Classification and Mechanism of Action Indication/ Dosage/ Route Contraindicatio N Adverse Effects Nursing Interventions
Contraindicatio n
Adverse Effects
Nursing Interventions
Anti-bacterial Agents Cephalosporins Cephalexin, like the penicillins, is a betalactam antibiotic. By binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, it inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall
For the treatment of respiratory tract infections caused by Streptcoccus pneumoniaeand Streptococcus pyogenes
*Hypersensitivity to cephalosporins.
1.
The drug should be taken with or without food. (May be taken with meals to reduce GI discomfort) Before administration, ask patient if he is allergic to penicillins or cephalosporins.
2.
Potentially Tablets: 250 and 500 mg, and 1 g. Fatal: Anaphylactic reactions; nephrotoxicity.
3.
Tell patient to take entire amount of drug exactly as prescribed, even after he feels better. Advise patient to notify prescriber if rash develops or signs and symptoms of superinfection appear.
Drug Name
Mefenamic acid
Nursing Interventions
Pregnancy & lactation, hypersensitivity, active ulceration or chronic inflammation of either upper or lower GIT, blood disorders, poor platelet function, kidney or liver impairment, children < 14 yrs
PRECAUTION: If rash occurs, administration should be stopped, asthmatics, Hx of liver and kidney disease ADVERSE RXN GI discomfort, diarrhea or constipation, gas pain, nausea, vomiting, drowsiness
1.
assess pt.s pain before therapy monitor for possible drug induced adverse reactions
2.
3.
4.
Drug Name
Nursing Interventions
Ferrous sulfate
Elevates the serum iron concentration which then helps to form High or trapped in the reticuloendothelial cells for storage and eventual conversion to a usable form of iron.
Prevention and treatment of iron deficiency anemias. Dietary supplement for iron.
Dizziness N&V Nasal Congestion Dyspnea Hypotension CHF MI Muscle cramps Flushing
Advise patient to take medicine as prescribed. Caution patient to make position changes slowly to minimize orhtostatic hypotension. Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician. Advise patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia. Encourage patient to comply with additional intervention for hypertension like proper diet, regular exercise, lifestyle changes and stress management.
Drug Name
Classification and
Indication/
Contraindicati on
Adverse Effects
Nursing Interventions
Mechanism of action
Nifedipine Therapeutic category: Calcium channel blockers
Dosage/ Route
Treatment of high blood pressure hypersensitivity to nifedipine or any other calcium channel blocker and adenosine. an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives), unusually fast or slow heartbeats, severedizziness or fainting, psychosis, yellowing of the skin or eyes (jaundice); or swellingof the legs or ankles. Other, less serious side effects may be more likely to occur. Monitor BP, heart rate, and I and O ratio closely when starting or adjusting dosage. Monitor BP closely when used in conjunction with other antihypertensives.Use orthostatic precautions for inpatients; advise outpatients about orthostatic precautions.Monitor serum glucose closely in diabetic patients. Monitor for gingival hyperplasia.Pregnancy Risk Factor C- benefits of use should outweigh possible risks.
Adults and Elderly: Initial: 10 mg 3 times/day as capsules or 30 mg once daily as sustained release.