DRUG STUDY

DRUG
ORDER
(Generic
NURSING
name, ADVERSE EFFECTS CONTRAINDICATI
Classification INDICATIONS RESPONSIBILITIES
Dosage, OF THE DRUG ONS
/PRECAUTIONS
Route,
Frequency,
etc.)

Amikacin Amino glycoside Indications: CNS: Contraindications: • Obtain specimen

sulfate 500mg • Serious -neuromuscular • Contraindica for culture and
IV ANST(-) infection blockade ted in sensitivity test
q12 x 7 days cause by patients before giving
sensitive EENT: hypersensitiv first dose.
restrains of -ototoxicity e to drug or • Evaluate
Pseudomon other patient’s hearing
as aminogycosi before and
aeruginusa, des. during therapy if
E.coli, • Use he will be
Proteus, cautiously in receiving drug
Klebsiella, patients with for longer than 2
staphylococ impaired weeks. Notify
cus renal prescriber if
• Uncomplica function or patient has
ted UTI neuromuscul tinnitus, vertigo,
caused by ar disorders, or hearing loss.
organism in neonates • Correct
susceptible and infants dehydration
to less toxic and in before therapy
drugs. elderly because of
• Active patients. increase risk of
tuberculosis toxicity.
, with other • Watch for signs
antitubercul and symptoms
otics of super
• Mycobacteri infection
 um avium (especially
complex URT), such as
(MAC) continued fever,
infection. chills, and
increased pulse
rate.

Cefuroxime Cephalosporin Indications: CNS: Dizziness, Contraindications: • Assess patient

750mg IV (2nd Generation) • Urinary tract headache, fatigue, • Sensitivity to for signs and
ANST(-) q8 infections, paresthesia, fever, cephalospori symptoms of
Otitis media, chills, confusion ns infection
• Severe GI: Diarrhea, nausea, • Assess for
infections vomiting, anorexia, • Use anaphylaxis:
glossitis, bleeding, cautiously rash, urticaria,
increased AST, ALT, with renal chills, fever,
bilirubin, LDH, alkaline failure, dyspnea
phosphatase, lactation, • Identify urine
abdominal pain, loose pregnancy. output
stools, flatulence, • Assess bowel
heartburn, stomach pattern daily
cramps, colitis, jaundice • Monitor for
GU: vaginitis, pruritus, bleeding
candidiasis, increased
BUN, nephrotoxicity,
renal failure, pyuria,
dysuria, reversible
interstitial nephritis

Celecoxib NSAID (non- Indications CNS: Contraindications: • Tell patient to

200mg 1 cap steroidal anti- • Acute and headache, dizziness, • Hypersensiti report history of
BID inflammatory long-term somnolence, insomnia, vity to drugs allergic reaction
drug) treatment of fatigue, tiredness, • severe to
signs and dizziness, tinnitus, hepatic sulfonamides,
symptoms ophthamologic effects impairment aspirin,
 of GI: • 3rd trimester NSAIDS
rheumatoid Nausea, abdominal of pregnancy • Instruct patient
arthritis and pain,dyspepsia, to report signs
osteoarthriti flatulence, GI bleed of GI bleeding.
s
Dermatologic: • Advice patient
• Manageme Rash, pruritus, to immediately
nt and sweating, dry mucous report rash,
treatment membranes, stomatitis unexplains
of post- weight gain, or
surgical or swelling.
dental
pain, and
primary • Inform patient
dysmenorr that it may take
heal several days
. before he felt
consistent pain
relief.

Paracetamol Analgesic/Antipyr Indications: CNS: weakness, Contraindications: • Assess patient’s

500mg/tab etics • Relief of fatigue, • Contraindica fever or pain:
PRN mild-to- nervousness, ted with type of pain,
moderate sedation, allergy to location,
pain drowsiness, acetaminoph intensity,
dizziness, en duration,
• Temporary depression, tremor, temperature
reduction of headache, seizures • Use
fever cautiously • Assess allergic
GI: Anorexia, with reactions: rash,
nausea, vomiting, impaired urticaria; if these
constipation, hepatic hepatic occur, drug may
insufficiency function, have to be
chronic discontinued
alcoholism, • Give with food or
pregnancy, milk if GI upset
lactation. occurs