Name of Date DoseFrequencyRout Mechanism Specific

Drug Ordered e &Time of Action Indication

Classification SideEffects Nursing Responsibilities
Generic
and Brand
Name
Ceftriaxon June 23, Cephalosporin Dose:2gm Inhibits Indicated to CNS: headache, Before:
e 2023 antibiotic synthesis treat infections dizziness, lethargy, 1. Obtain history
Frequency: q 24 of bacterial in infective paresthesias of allergic
cell wall endocarditis GI: nausea, reaction to
hours causing vomiting, diarrhea, cephalosporin
cell death. anorexia, medications.
Route: IVTT (ANST abdominal pain, 2. Obtain C/S
flatulence, results and
(-) ) pseudomembranous check the
colitis susceptibility
GU: nephrotoxicity of the
Hema: bone microorganism
marrow depression- to drug to be
leukopenia, administered.
thrombocytopenia, 3. Assess pt. IV
decreased site for
hematocrit count patency.
4. Perform skin
testing prior to
drug
administration.
5. Check pt. CBC
results.
During:
1. Monitor pt. for
unusualities.
After:
1. Do not
discontinue to
drug abruptly
without
finishing the
regimen. Call
the attention
of the
physician if pt.
wishes to
change the
medication.
2. Remind pt. of
the common
side effects of
 the drug.

Name of Date DoseFrequencyRout Mechanism Specific

Drug Ordered e &Time of Action Indication
Classification SideEffects Nursing Responsibilities
Generic
and Brand
Name
Vancomyci June 23, Antibiotic Dose:1gm Inhibits Indicated to CNS: ototoxicity Before:
n 2023 synthesis treat infections CV: hypotention 1. Obtain history
Frequency: q 12 of bacterial in infective GI: nausea of allergic
cell wall endocarditis Derma: urticaria, reaction to
hours causing macular rashes medications.
cell death. GU: nephrotoxicity 2. Obtain C/S
Route: IVTT (ANST Hema: bone results and
marrow depression- check the
(-) ) leukopenia, susceptibility
thrombocytopenia, of the
decreased microorganism
hematocrit count to drug to be
administered.
3. Assess pt. IV
site for
patency.
4. Perform skin
testing prior to
drug
administration.
5. Check pt. CBC
results.
During:
1. Monitor pt. for
unusualities.
After:
2. Do not
discontinue to
drug abruptly
without
finishing the
regimen. Call
the attention
of the
physician if pt.
wishes to
change the
medication.
3. Remind pt. of
 the common
side effects of
the drug.

Name of Date DoseFrequencyRout Mechanism of Specific

Drug Ordered e &Time Action Indication
Classification SideEffects Nursing
Generic
Responsibilities
and
Brand
Name
Digoxin June 23, Cardiac Dose:0.25mg Increases Indicated to CNS: headache, Before:
2023 intracellular treat heart dizziness, visual 1. Obtain
glycoside Frequency: OD calcium and failure. disturbances history of
allows CV: arrhythmias allergic
Route: PO ½ tab more calcium to GI: nausea, GI reaction to
enter the upset, anorexia digoxin.
myocardial cell 2. Assess pt
during heart rate
depolarization prior to
via a sodium– giving the
potassium medication.
pump During:
mechanism; 1. Monitor pt.
this increases for
force of unusualities.
contraction After:
(positive 1. Report to the
inotropic physician if
effect), stomach
increases upset and
renal perfusion vomiting
(seen as occurs during
diuretic effect in taking of the
patients medication
with heart 2. Have periodic
failure), serum
decreases heart digoxin level
rate to assess for
(negative toxicity.
chronotropic 3. Remind pt. of
effect), and the common
decreases side effects
AV node of the drug.
conduction
velocity.
Name of Date DoseFrequencyRout Mechanism of Specific
Drug Ordered e &Time Action Indication
Classification SideEffects Nursing
Generic
Responsibilities
and
Brand
Name
Valsartan June 23, Angiotensin II Dose:50mg Selectively Indicated to CNS: Headache, Before:
2023 blocks the manage blood dizziness, 1. Obtain
receptor blocker Frequency: BID binding of pressure syncope, muscle history of
antihypertensive angiotensin II levels in weakness allergic
Route: PO ½ tab to specific patients with ● CV: reaction to
tissue receptors complicated Hypotension valsartan.
found in the cardiac ● 2. Assess pt
vascular disorders. Dermatologic: blood
smooth muscle Rash, pressure
and adrenal inflammation, prior to
gland; this urticaria, giving the
action pruritus, medication.
blocks the alopecia, dry During:
vasoconstricting skin 1. Monitor pt.
effect of the ● GI: Diarrhea, for
renin– abdominal pain, unusualities.
angiotensin nausea, After:
system as well constipation, dry 1. Report to the
as the release mouth, dental physician if decrease
of aldosterone, pain levels of
leading to ● Respiratory: consciousness and
decreased BP; URI symptoms, cough occurs
may cough, sinus 2. Remind pt. of
prevent the disorders the common
vessel ● Other: Back side effects
remodeling pain, fever, gout, of the drug.
associated with hyperkalemia
the
development of
atherosclerosis..
Name of Date DoseFrequencyRout Mechanism Specific
Drug Ordered e &Time of Action Indication
Classification SideEffects Nursing Responsibilities
Generic
and Brand
Name
Furosemide June 23, Loop diuretic Dose:40mg Inhibits Indicated to CNS: Dizziness, Before:
2023 reabsorption treat edema vertigo, 1. Obtain history
Frequency: OD of sodium caused by heart paresthesias, of allergic
and chloride failure. xanthopsia, reaction to
Route: PO ½ tab from the weakness, medications.
proximal headache, 2. Assess BP
and distal drowsiness, prior to giving
tubules and fatigue, blurred the
ascending vision, tinnitus, medication.
limb of the irreversible 3. Review
loop of hearing loss electrolyte
Henle, ● CV: Orthostatic levels prior to
leading to hypotension, giving the
a sodium- volume depletion, medication.
rich cardiac 4. Weigh pt
diuresis. arrhythmias, before giving
thrombophlebitis the
● Dermatologic: medication
Photosensitivity, 5. Check pt. CBC
rash, results prior to
pruritus, urticaria, giving the
purpura, exfoliative medication.
dermatitis, During:
erythema 1. Monitor pt. for
multiforme unusualities.
● GI: Nausea, After:
anorexia, vomiting, 1. Report to the
oral and physician if
gastric irritation, weight loss of
constipation, greater than
diarrhea, 1.5kg per day
acute pancreatitis, occur.
jaundice 2. Remind pt. of
● GU: Polyuria, the common
nocturia, side effects of
glycosuria, urinary the drug.
bladder spasm
● Hematologic:
Leukopenia,
anemia,
thrombocytopenia,
fluid and electrolyte
 imbalances,
hyperglycemia,
hyperuricemia
● Other: Muscle
cramps and muscle
spasms

Name of Date DoseFrequencyRout Mechanism Specific

Drug Ordere e &Time of Action Indication
Classification SideEffects Nursing Responsibilities
Generic d
and Brand
Name
Amiodaron June Class III Dose:200mg Acts directly Indicated to CNS: Malaise, Before:
e 23, on cardiac treat 1. Obtain history
2023 Antiarrhythmi Frequency: OD cell dysrhythmias fatigue, of allergic
c medication membrane; . dizziness, reaction to
Route: PO 1 tab prolongs medications.
tremors,
repolarizatio 2. Assess heart
n ataxia, rate prior to
and paresthesias, giving the
refractory medication.
period;
lack of 3. Review pt ECG
increases coordination tracing prior to
ventricular ● CV: Cardiac giving the
fibrillation medication
threshold; arrhythmias, 4. Auscultate for lung
acts on heart failure, sounds before
peripheral giving the
smooth
cardiac arrest, medication.
muscle to hypotension, During:
decrease bradycardia 1. Monitor pt. for
peripheral unusualities.
resistance.
● EENT: After:
Corneal 1. Report
microdeposits unusual
bleeding or
(photophobia, bruising;
dry eyes, halos, fever,
chills;
blurred vision); intolerance
ophthalmic to heat or
abnormalities cold;
shortness
including of breath,
permanent difficulty
breathing,
blindness cough;
● Endocrine: swelling of
ankles or
Hypothyroidism
fingers;
or palpitations
hyperthyroidis ;
difficulty
m with vision.
● GI: Nausea, 2. Remind pt.
vomiting, of the
common
anorexia, side effects
constipation, of the
drug.
abnormal LFT,
hepatotoxicity
● Respiratory:
Pulmonary
toxicity—
pneumonitis,
infiltrates
(shortness of
breath,
cough, rales,
wheezes)
● Other:
Photosensitivity
, angioedema,
fever
Name of Drug Date DoseFrequencyRout Mechanism of Specific
Generic and Ordered e &Time Action Indication
Classification SideEffects Nursing
Brand Name
Responsibilities
Spironolactone June 23, Potassium Dose:25mg Competitively Indicated to CNS: Dizziness, Before:
2023 sparing blocks the treat edema 1. Obtain
diuretic Frequency: OD effects of caused by headache, history of
aldosterone heart failure. drowsiness, allergic
Route: PO 1tab in the renal reaction to
fatigue,
tubule, medications.
causing loss ataxia, confusion 2. Assess BP
of sodium ● Dermatologic: prior to
and water giving the
and retention
Rash, urticaria medication.
of potassium. ● GI: Cramping, 3. Review
diarrhea, dry electrolyte
levels prior to
mouth, thirst, giving the
vomiting medication.
4. Weigh pt
● GU: before giving
Impotence, the
irregular menses, medication
5. Check pt.
amenorrhea, CBC results
postmenopausal prior to
bleeding, renal giving the
medication.
dysfunction During:
● Hematologic: 1. Monitor pt.
for
Hyperkalemia, unusualities.
hyponatremia, After:
agranulocytosis 1. Report to the
physician if
weight loss of
greater than
3 kg per day
occur.
2. Remind pt. of
the common
side effects
of the drug.