Generic Name Classification Dosage Indication/ Nursing Responsibilities

(Brand Name) Contraindication

Edema, HPN, fluid Monitor BP prior to giving
volume excess. drug. Monitor I & O

Furosemide 20 mg / tab 1 tab CONTRA:

Loop Diuretic
(Lasix) OD (8am) Hypersensitivity to the
drug, anuria, renal
problems & allergies to
sulfonamides.
Short-term Taper dosage.
inflammatory and Take with meals if GI upset
allergic disorders occurs.
Adrenocortical
steroid, short
CONTRA: fungal Prevent infection. (Drug
Hydrocortisone acting
200 mg IV infections, causes immuno-suppression)
(Solucortef) corticosteroid,
amebiasis, Hepa B,
glucocorticoid,
vaccinia, or
hormone
varicella, and
antibiotic-resistant
infections,
HPN, Diabetic Monitor for hypotension.
Neuropathy, stroke
reduction Check for excessive loss of
fluids (diarrhea, vomiting,
Angiotensin II receptor
Losartan 25 – 100mg/ tab OD or CONTRA: excessive sweating)
blocker (ARB)
(Cozaar) BID. hypersensitivity to the
Antihypertensive
drug, pregnancy, Take without regards to
lactation, hepatic meals.
dysfunction and renal
dysfunction.
Nasal congestion, Assess for presents of
urinary incontinence, contraindicating factors.
relive symptoms of
Adults: 25-50 mg/tab
some allergic disorders Caution patient not to exceed
Sympathomimetic; q 8’
Phenypropanolamine HCL such as asthma and the recommended dosage of
vasoconstrictor (with
(Nafarin A, Neozep) hay fever. the drug.
decongestant action) Children: 12.5 – 25
mg/ml q 8’
CONTRA: HPN, thyroid
disorders, CAD, those
taking antidepressants.
infections caused by WOF allergic reactions.
staphylococci and
streptococci of Gram- Continue med as prescribed
positive bacteria. by physician.
Cefazolin Sodium First generation 250 mg – 1 g/ ml (IV
(Keflex, Ancef) cephalosporin injection) CONTRA:
Hypersensitivity to
cephalosporic
components and
penicillins
Diclofenac Sodium Non-Steroidal anti- 50 mg/tab BID or TID Relief from NSAID medicines may
(Voltren) inflammatory drug; 75 mg BID osteoarthritis, arthritis, increase the chance of a heart
Benzene-acetic acid alkylosing spondylitis, attack or stroke that can lead
derivative. Or and other inflammatory to death.
states.
100-150 mg/day in This chance increases:
divided doses CONTRA:
hypersensitivity to * with longer use of NSAID
diclofenac, experienced medicines
asthma, urticaria, or * in people who have heart
other allergic-type disease
reactions after taking
aspirin or other NSAIDs. The chance of a person
treatment of getting an ulcer or bleeding
perioperative pain in the increases with:
 setting of coronary
artery bypass graft * taking medicines called
(CABG) surgery “corticosteroids” and
“anticoagulants”
* longer use
* smoking
* drinking alcohol
* older age
* having poor health
Prevention of ulcer With or without food.
formation. Duodenal Take as prescribed.
ulcerations, GERD, and
25, 150, & 300 mg/tab erosive esophagitis. For acidity (non-prescribed)
Ranitidine HCL take one tablet by mouth 30-
H2 receptor antagonist depending on severity
(Zantac) CONTRA: 60 minutes before meals. Do
of the disease
hypersensitivity not take for more than 14
days in a row without telling
doctor.
For treatment of HTN Check BP prior to giving the
and angina pectoris. drug.
Antihypertensive; Monitor BP while taking the
Amlopidine CONTRA: BP (systolic) of drug. Be aware that drug
Calcium channel 5-10 mg/tab PO OD
(Norvasc) less than 90 mmHg. induced hypotension is RARE.
blocker.
Hypersensitivity Monitor I&O
Assess for signs of CHF.
Acute inflammation. Chronic use with
Relief from pain. acetaminophen may ↑ risk of
adverse renal reactions
CONTRA: Cardiovascular
disease or risk factors Instruct patient to take
for cardiovascular medication exactly as
disease (may ↑ risk of directed. Take missed doses
serious cardiovascular as soon as remembered if not
Ketorolac Non-steroidal anti- thrombotic events, almost time for next dose. Do
15 mg IV q 6’
(Toradol) inflammatory drug. myocardial infarction, not double doses, May cause
and stroke, especially drowsiness or dizziness.
with prolonged use) Advise patient to avoid
Hypersensitivity driving or other activities
requiring alertness until
response to the medication is
known, Caution patient to
avoid the concurrent use of
alcohol.
Cerebrovascular Watch out for
Diseases, accelerates hypotensive
the recovery of effects.
consciousness
Citicoline Psychostimulant/ 500mg IV and overcoming Drug must not be
(Zynapse) Nootropic q8 motor deficit. administered
along with
CONTRA: medicaments
hypersensitivity. containing other
psychostimulants.
Clindamycin HCL Lincosamide antibiotic PO: 75, 150, & 300 Serious infections Culture infection before
(Cleocin) mg/tab caused by susceptible therapy.
strains of
IV: 150mg/ml anaerobes, streptococci, Administer oral drug with a
staphylococci, full glass of water or with
pneumococci; reserve food to prevent esophageal
use for penicillin- irritation.
allergic patients or when
penicillin is Do not give IM injections of
inappropriate; less toxic more than 600 mg; inject
antibiotics deep into large muscle to
(erythromycin) should avoid serious problems.
 be considered
Do not use for minor bacterial
CONTRA: allergy to or viral infections.
clindamycin, history of
asthma or other Monitor renal and liver
allergies, function tests, and blood
tartrazine (in 75- and counts with prolonged
150-mg capsules); therapy.
hepatic or renal
dysfunction; lactation.
Use cautiously in
newborns and infants
due to benzyl alcohol
content; associated
with gasping syndrome.
Sepsis, meningitis, Assess patient for infection at
abdominal, biliary tract, the beginning of and
GIT, bone, joint, soft throughout therapy.
tissue, renal,
respiratory tract, ENT, Observe patient for signs &
Adults: 1-2 g once daily.
genital and skin and symptoms of anaphylaxis
Antibiotic
wound infections. UTI, (rash, pruritus,
Ceftrioxone (Aminoglycosides) Children: 20- 80 mg/kg
gonorrhea. laryngeal edema, wheezing).
(Rocephin) Third-Generation daily
Periop prophylaxis of
Cephalosporin. ** Neonates do not
infections. Obtain specimens for culture
exceed 50 mg/kg.
and sensitivity before
CONTRA: Known initiating therapy
hypersensitivity to
cephalosphorins and
penicillins