UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631
STUDENT NAME : RALPH IDRIS OCAMPO
SECTION 4-B
DRUG STUDY
GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION MECHANISM OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Indications CNS: dizziness, headache, vertigo, ● Watch for signs and Instruct patient to take in morning
Ordered: weakness, lethargy, paresthesia,
Reduction of serum drowsiness,
symptoms of with food (and second dose, if prescribed,
Furosemide phosphate levels in restlessness, light-headedness ototoxicity. in afternoon), to prevent
patients with CV: hypotension, orthostatic ● Assess for other evidence nocturia.
Brand Name: Timing: hyperphosphatemia hypotension, of drug ● Tell patient that drug may cause serious
tachycardia, volume depletion,
associated with end-stage necrotizing angiitis, thrombophlebitis, toxicity (arrhythmias, renal interactions with many common
Lasix renal arrhythmias dysfunction, abdominal drugs. Instruct him to tell all prescribers
Other drugs forms: disease. EENT: blurred vision, xanthopsia, pain, sore he’s taking it.
Classification Name: hearing loss, tinnitus
GI: nausea, vomiting, diarrhea, throat, fever). ● Instruct patient to report signs and
Tablet, IV
Action constipation, ● Monitor CBC, BUN, and symptoms of ototoxicity (hearing loss,
Diuretic, antihypertensive
Unclear. Thought to dyspepsia, oral and gastric electrolyte, ringing in ears, vertigo) and other drug
irritation, cramping, anorexia, dry
inhibit sodium mouth, acute pancreatitis
uric acid, and CO2 levels. toxicities.
and chloride reabsorption GU: excessive and frequent urination, ● Monitor blood pressure, ● Caution patient to avoid driving and
from ascending loop of nocturia, glycosuria, bladder spasm, pulse, fluid other hazardous activities until he
Henle and distal oliguria, interstitial nephritis intake and output, and knows how drug affects concentration
Hematologic: anemia, purpura,
renal tubules. Increases leukopenia, weight. and alertness.
potassium excretion and thrombocytopenia, hemolytic ● Assess blood glucose ● Instruct patient to move slowly when
plasma volume, anemia levels in rising, to avoid dizziness from sudden
Hepatic: jaundice
promoting renal excretion Metabolic: hyperglycemia, patients with diabetes blood pressure decrease.
of water, sodium, hyperuricemia, mellitus. ● Encourage patient to discuss need for
chloride, magnesium, dehydration, hypokalemia, ● Monitor dietary potassium potassium and magnesium supplements
hypomagnesemia, hypocalcemia,
hydrogen, and hypochloremic alkalosis
intake. with prescriber.
calcium.. Musculoskeletal: muscle pain,muscle Watch for signs and ● Caution patient to avoid alcohol and
cramps symptoms of herbs while taking this drug.
Skin: photosensitivity, rash, hypokalemia. ● Inform patient that he’ll undergo
diaphoresis,
urticaria, pruritus, exfoliative regular blood testing during therapy.
dermatitis,
erythema multiforme
Contraindicated in:
Hypersensitivity to drug or other
sulfonamides
● Anuria
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631
STUDENT NAME : RALPH IDRIS OCAMPO
SECTION 4-B

GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ ADVERSE EFFECTS AND

NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION MECHANISM OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Indications CNS: agitation, depression, Administer domperidone Instruct patients to take domperidone as
Ordered: used as a peristaltic dizziness, euphoria, orally, preferably 15-30 directed by their healthcare provider,
domperidone and stimulant and anti-emetic headaches, insomnia, minutes before meals and usually before meals and at bedtime.
hesperidin agent for dyspepsia, nervousness. CV: at bedtime.
Timing: indigestion, epigastric hypertension,
Advise patients to report any
Brand Name: pain, nausea, and tachycardia. GI: diarrhea.
vomiting. GU: amenorrhea,
Advise patients to avoid gastrointestinal symptoms or adverse
Motilium Other drugs forms: Action vaginal bleeding. Derm: skin consuming grapefruit or effects to their healthcare provider
Classification Name: Domperidone acts as a eruptions. grapefruit juice while promptly.
Tablet, Suppositories peripherally selective Endo: estrogen-like effects. taking domperidone, as it
Diuretic, dopamine D2 and D3 Misc: fever, mastalgia, may increase drug levels. Inform patients about the potential risks
antihypertensive receptor antagonist, associated with domperidone, including
blocking the inhibitory Contraindicated in: Educate patients about the cardiac arrhythmias and extrapyramidal
effect of dopamine on Hypersensitivity to signs of cardiac symptoms, and encourage them to seek
gastrointestinal smooth domperidone or any arrhythmias and instruct medical attention if they experience
muscle contraction. By component of the formulation them to seek medical concerning symptoms.
antagonizing dopamine Prolactin-releasing pituitary
attention if symptoms
receptors in the upper tumors (prolactinoma)
gastrointestinal tract, History of cardiac
occur.
domperidone increases the arrhythmias
motility of the stomach Concomitant use with potent
and small intestine, CYP3A4 inhibitors or QT-
enhancing gastric prolonging drugs
emptying and promoting
gastrointestinal transit.

GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ ADVERSE EFFECTS AND

NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION MECHANISM OF ACTION CONTRAINDICATIONS
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631
STUDENT NAME : RALPH IDRIS OCAMPO
SECTION 4-B
Generic Name : Drug form & Dosage Indications CNS: light-headedness, ● Monitor heart rhythm for ● Advise patient to report problems at
Ordered: treating wide QRS dizziness, apprehension, new infusion site.
Adenosine tachycardia that is headache, tingling in arrhythmias after ● Tell patient he may experience 1 to
hemodynamically stable arms, numbness administering dose. 2 minutes of flushing, chest pain and
Brand Name: Timing: when it is difficult to CV: chest pain, palpitations, ● Check vital signs. Assess pressure, and breathing difficulty during
differentiate between hypotension, ST-segment for chest pain or pressure, administration. Assure him that
Adesan supraventricular depression, first- or dyspnea, and sweating. these effects will subside quickly.
Other drugs forms: tachycardia and ventricular second-degree AV block, atrial ● Watch for ● Advise patient to minimize GI upset by
Classification Name: tachycardia. tachyarrhythmias, bronchoconstriction in eating small, frequent servings of healthy
IV Action other arrhythmias patients with asthma, food and drinking plenty of fluids.
Antiarrhythmic Converts paroxysmal EENT: blurred vision, emphysema, or ● As appropriate, review all other
supraventricular tightness in throat bronchitis. significant and life-threatening adverse
tachycardia (PSVT) to GI: nausea, pressure in groin ● Ask patient if he has reactions and interactions, especially
normal sinus rhythm by Musculoskeletal: discomfort in recently used those related to the drugs, foods, herbs,
slowing conduction neck, jaw, and arms aloe, buckthorn, cascara and behaviors mentioned above.
through Respiratory: chest pressure, sagrada, guarana, rhubarb
atrioventricular (AV) node dyspnea and urge to breathe root, or senna. If response is
and interrupting reentry deeply, hyperventilation positive, notify
pathway. Also used as a Skin: burning sensation, facial prescriber.
diagnostic agent in thallium flushing, sweating
scanning. Other: metallic taste
Contraindicated in:
Hypersensitivity to drug or
other sulfonamides
● Anuria