Discuss all drugs the patient is on. Include all PRN drugs.

Name of Med Classification

Dose
Action
(trade and
brand name)
Acetaminophen
650mg/20.3 mL
(Tylenol GEq)

Antipyretic

Inhibits the synthesis

of
prostaglandins
that may serve as
mediators of pain
and fever, primarily
in the CNS.

Side effects

Correlation.
Why is patient
on drug?

Teaching

Hypertension
Hypokalemia
Dyspnea
Neutropenia
Constipation
Nausea
Vomiting

To lower down
body temperature
if the patient has
mild fever. Given
if body
temperature is
greater than
100.4F(38C); To
treat, relieve, and
control pain.

Maximum daily dose of

Acetaminophen 4Gm; For
stroke patient treat fever if
greater than 99.6 (37.5C)
Advise patient and family
to
discontinue
acetaminophen and notify
health care professional of
rash occurs.
Advise patient and family
to consult health care
professional if discomfort
or fever is not relieved by
routine doses of this drug
or if fever is greater than
39.5C or last longer than 3
days.
ormalities.

Albuterol/Iprat
ropium
(DuoNeb)
2.5mg/0.5mg/3
mL

3 mL
Inh/q4h

Nervousness
Restlessness
Tremor
Chest pain
Palpitations
Nausea
Vomiting

To help client to
breathe easier.
Used as a quickrelief agent for
acute
bronchospasm

Bisacodyl
(Dulcolax)
10mg

1 Suppos
PRN

Abdo 2nd choice if

minal lactulose is
cram ineffective;
ps
Naus
ea
Hypo
kalem
ia
Musc
le
weak
ness
Diarr
hea

Rectal
burning
Chlorhexidine
(Peridex)
0.12% 15mL

15 mL
Oral
Liq/BID

Itchin
g or
hives
Tingli
ng in
the
mout
h
Bad
taste
Stained teeth

To hydrate oral
mucosa;
Substitute for oral
swab

May cause drowsiness.

Caution patient and family
to avoid activities requiring
alertness. Advise family to
not leave patient alone.
Advise patient and family
to report symptoms of chest
pain,
palpitations,
yellowing of eyes or skin or
rash.

Instruct patient and family

to notify health care
professional if fever and
diarrhea develop, especially
if stool contains blood, pus
or mucus. Advices not to
treat without advise of
health care professional.
Bisacodyl
5mg tab EC
(Dulcolax
GEq)

Laxative

2 tabs
PO
BID
PRN

Stimulates
peristalsis.
Alters
fluid and electrolyte
transport producing
fluid accumulation
in the colon.

Abdominal
cramps
Nausea
Diarrhea
Hypokalemia
Muscle
weakness

Given if Milk of Advise patient and family

Magnesia
is to drink fluids to prevent
ineffective after 1 dehydration.
day.
Advise patient and family
this medication is for shortterm use only. Long-term
use can cause electrolyte
imbalances.

Carvedilol
25 mg tab
(Coreg GEq)

Beta Blocker

1 tab
PO
BID

Blocks stimulation
of
beta1
(myocardial)-and
beta2 (pulmonary,
vascular,
and
uterine)-adrenergic
receptor sites.

Fatigue
Weakness
Anxiety
Dizziness
Insomnia
Constipation

Patient has a past May cause drowsiness.

medical history of Caution patient and family
hypertension.
to avoid activities requiring
alertness. Advise family to
not leave patient alone.

Bronchospasm

Wheezing

Also has alpha1- Hyperglycemia

adrenergic blocking Itching
activity, which may Rashes
result
in
more

Caution patient and family

that this medication may
increase sensitivity to cold.
Advise patient and family
to notify health care

orthostatic
hypotension.

Dextrose 50%
Syringe 25Gm/
50mL
(Dextrose 50%
Syringe*)

Carbohydrates

12.5 mL
IVP
PRN

DiphenhydrA
MINE 25mg
tab (Benadryl
GEq)

Antihistamine

1 tab
PO
Q6h
PRN

professional of slow pulse,

difficulty
breathing,
wheezing, cold hands and
feet,
dizziness,
lightheadedness,
confusion,
depression, rash, fever, sore
throat, unusual bleeding or
bruising occurs.

Provides calories

Fluid
overload
Hypokalemia
Hypomagnes
ia
Hyperglycem
ia

Given STAT PRN Explain to patient and

for blood glucose family purpose of dextrose
of 41-69 mg/dL administration.
and
patient
responsive but not
able to eat.

Antagonizes
the
effects of histamine
at H1-receptor sites;
does not bind to or
inactive histamine.

Drowsiness
Dizziness
Anorexia
Chest
tightness
Photosensitiv
ity
Hypotension
Palpitations

Given to patient if May cause drowsiness.

experiencing
Caution patient and family
itching/Pruritus
to avoid activities requiring
alertness. Advise family to
not leave patient alone.
May cause dry mouth.
Inform patient and family
that frequent oral rinses,
good oral hygiene and
sugarless gum or candy
may minimize this effect.
Notify
health
care
professional if dry mouth
persists for more than 2

wks.
Teach
sleep
hygiene
techniques (dark room,
quiet, bedtime ritual, limit
daytime
napping,
avoidance of nicotine and
caffeine) to patient to aid
sleep.
Febuxostat
40mg tab
(Uloric GEq)

Antigout
agents

1 tab
PO
OD

Decreases
production of uric
acid by inhibiting
xanthine oxidase.

Increase liver Patient has a past

function test medical history of
Nausea
Gout
Rash
Gout flare
Arthralgia

Advise patient and family

if rash, chest pain, SOB or
stroke
symptoms
(weakness,
headache,
confusion, slurred speech)
occur or if side effects are
persistent or bothersome.

Furosemide 10
mg/mL Vial
4mL
(Lasix GEq)

Diuretics

4mL
IVP
BID

Inhibits
the
reabsorption
of
sodium and chloride
from the loop of
Henle and distal
renal tubule.

Dizziness
Patient is has a
Headache
past
medical
Hypotension history of ESRD.
Anorexia
Constipation
Hyperglycem
ia

Advise patient and family

members to contact health
care professional of weight
gain more than 3 lbs in 1
day.
Advise patient and family
members to contact health
care
professional
immediately if rash, muscle
weakness, cramps, nausea,
dizziness, numbness or
tingling of extremities

occurs.
Glucagon 1mg
vial (Glucagen
GEq)

Pancreatics

1mg
PRN

Stimulates hepatic
production
of
glucose
from
glycogen
stores
(glycogenolysis)

Hypotension
Nausea
Vomiting
Hypersensiti
vity reactions

Give STAT IM or
Subcutaneous
PRN for blood
glucose
0-69
mg/dL
Acute
management of
severe
hypoglycemia;
Patient
blood
glucose was 31
mg/dL

GuaiFENesin/
DM
200mg/20mg/
10mL Syrup
10mL
(Robitussin
DM GE

Allergy, cold
and cough
remedies
expectorant

5mL
PO
Q4h
PRN

Reduces viscosity of
tenacious secretions
by
increasing
respiratory
tract
fluid.

Dizziness
Given is patient is
Headache
experiencing
Nausea
cough
Vomiting
Stomach pain
Rash

Teach patient and family

signs and symptoms of
hypoglycemia.
Instruct
patient to take oral glucose
as soon as symptoms of
hypoglycemia occur.
Instruct family to position
patient on side until fully
alert. Explain that glucagon
may cause nausea and
vomiting. Aspiration may
occur if patient vomits
while lying on back.
Instruct patient to cough
effectively. Patient should
sit upright and take several
deep
breaths
before
attempting to cough.
Advise patient to limit
talking, stop smoking,
maintain
moisture
in
environmental air, and take
some sugarless gum or hard
candy to help alleviate the
discomfort caused by a
chronic non productive

cough.
HYDROcodon
e/
Acetaminophe
n 5mg/325 mg
tab (Norco 5
GEq)

Insulin Aspart
100U/mL 3mL
Pen
(NovoLOG
GEq)

Magnesium
Hydroxide 8%
Susp 30mL

Opioid
agonist
non-opioid
analgesic
combination

Anti diabetic

Laxative

1 tab
PO
Q4h
PRN

Dependin
g on
sliding
scale

30 mL
PO
Bedtime

Bind
to
opiate
receptors in the
CNS. Alter
the
perception of and
response to painful
stimuli
while
producing
generalized
CNS
depression; Suppress
the cough reflex via
a
direct
central
action.

Confusion
Dizziness
Sedation
Hypotension
Constipation
Dyspepsia
Nausea

Lowers
blood
glucose
by
stimulating glucose
uptake in skeletal
muscle and fat;
inhibiting
hepatic
glucose production.

Hypoglycemi
a
Pruritis
Erythema
Swelling

For
pain

Moderate Maximum daily dose of

Acetaminophen 4Gm.
May cause drowsiness.
Caution patient and family
to avoid activities requiring
alertness. Advise family to
not leave patient alone.
Advise patient to notify
health care professional if
pain control is not adequate
or if side effects occur.

Essential for the Diarrhea

activity of many Flushing
enzymes.
Sweating

Given to patient
when
blood
glucose is above
sliding
scale;
Patient has a past
medical history of
DM

Explain to patient and

family that this medication
controls hyperglycemia not
cures it.
Instruct family and client to
check first blood glucose
before administration.

For Constipation; Advise patient and family

1st choice
that laxatives should be
used only for short-term

(Milk of
Magnesia)

Metoclopramide

10mg tab
(Reglan GEq)

Play an important
role
in
neurotransmission
and
muscular
excitability

Antiemetic

Metoclopramide

5mg/mL Vial 2
mL (Reglan
GEq)

Mylanta/Maalox

Plus Susp
30mL (GEq)
(Mylanta)

therapy. Long term may

cause electrolyte imbalance
and dependence.

Antacids

Patient is confused. Instruct

family to call for help if
needed to help client use
bed pan.
2nd
choice
if
Zofran is given
and
ineffective
after 1 hr

2mL IV
Q6h
PRN

Drowsiness
Extrapyrami
dal reactions
Anxiety
Arrythmias
Restlessness
Stimulates motility Constipation
of the upper GI tract Dry mouth
and
accelerates
gastric emptying.

30mL
PO
Q4h
PRN

Neutralize
gastric Constipation
acid
following Diarrhea
dissolution in gastric
contents.

Given if patient is
experiencing
Indigestion
or
Heartburn

1 tab
PO
Before
meals
TID
PRN

Blocks
dopamine
receptors
in
chemoreceptor
trigger zone of the
CNS.

Inactive pepsin if pH

May cause drowsiness.

Caution patient and family
to avoid activities requiring
alertness. Advise family to
not leave patient alone.

Inform patient and family

Patient refuses to of risk of extrapyramidal
tardive
take oral meds; symptoms,
IV
meds
as dyskinesia, and neuroleptic
malignant
syndrome.
alternative.
Advise patient to notify
health care professional
immediately if involuntary
or repetitive movements of
eyes, face or limbs occur.
Caution patient and family
to consult health care
professional before taking
antacids for more than 2
wks if problem is recurring,
if relief is not obtained, or

is raised to >4

Nitroglycerin
Subl tab 0.4
mg #25
(Nitrostat GEq)

Antianginals

1 tab
Under the
tongue
Every 5
mins
PRN

Increases coronary
blood
flow
by
dilating
coronary
arteries
and
improving collateral
flow to ischemic
regions.

if symptoms of gastric
bleeding
(black,
tarry
stools,
coffee-ground
emesis) occur.
Dizziness
Headache
Restlessness
Hypotension
Tachycardia

Instruct patient and family

to change position slowly
to minimize orthostatic
hypotension

Produces
vasodilation

Advise patient and family

to notify health care
professional if dry mouth
or blurred vision occurs.

Reduces myocardial
oxygen
consumption.
Ondasteron
2mg/mL Inj 2
mL (Zofran
GEq)
Ondansetron
4mg tab
(Zofran GEq)

Antiemetic

2 mL IVP Blocks the effects of

Q6h
serotonin at 5-HT3PRN
receptor
sites
(selective
1 tab PO antagonist) located
in
vagal
nerve
TID
terminals and the
PRN
chemoreceptor
trigger zone in the
CNS.

Given if patient is Home Instruction: Not to

experiencing
exceed 3 doses/15 mins. If
Chest Pain
pain persists, seek medical
attention.

Headache
Dizziness
Drowsiness
Constipation
Diarrhea
Dry mouth
Abdominal
pain

1st choice. Given

if patient refuses Advice patient and family
to take oral meds. to notify health care
professional immediately if
st
1
choice
if symptoms of irregular heart
or
involuntary
patient
is beat
movement of eyes, face or
experiencing
nausea
and limbs occur.
vomiting

Spironolactone
25mg tab
(Aldactone
GEq)

Potassium
Sparing
Diuretic

1 tab
PO
OD

Causes
loss
of
sodium bicarbonate
and calcium white
saving
potassium
and hydrogen ions
by
antagonizing
aldosterone.

Hyperkalemia

Muscle
cramps
Dizziness
Clumsiness
Headache
Sedation

Patient is has a Advise patient and family

past
medical to notify health care
history of ESRD
professional if rash, muscle
weakness
or
cramps,
fatigue or severe nausea,
vomiting
or
diarrhea
occurs.