Drug Name

Generic or Brand Dose, Mechanism of Indication Contraindication Side Effect Nursing Intervention
Name Route and Action
Frequency
To relief smooth Contraindications:  Blurred vision 1. Be alert for adverse
Hyoscine muscle spasm of  Hypersensitivity to  Chest pain or reactions and drug
Butylbromide is the Hyoscine discomfort interactions.
20 mg, 1 a quaternary gastrointestinal Butylbromide  Difficulty with 2. Assess for eye pain
ampule IV ammonium and genitourinary  Poryphyria urinating 3. Assess for urinary
q2 antimuscarinic systems  Myasthenia gravis  Dilation of the pupils hesitancy
agent. Hyoscine  Prostatic  Dizziness, faintness, 4. Assess for constipation
Butylbromide enlargement, or lightheadedness 5. Monitor urine output
does not readily paralytic ileus or when getting up from 6. Encourage patient to
pass the blood- pyloric stenosis a lying or sitting void
drain barrier. It’s and fever position suddenly 7. Monitor BP for
a competitive  Closed angle  Eye pain possible hypertension
anragonist of glaucoma, or  Flushing or redness of 8. For pregnant women,
Hyoscine the actions of narrow angle the skin monitor cervical
Butylbromide acetylcholine between the iris  Mood or mental effacement and
(Buscopan) and other and cornea, as changes dilatation
muscarinic hyoscine increases  Muscle weakness
agonists. The intraocular  Nausea or vomiting
receptors pressure  Rash
affected are  Pregnant and  Redness of the white
those of lactating mothers part of the eyes
peripheral Cautions: Severe renal  Restlessness
structures that impairment, history of
are either  Seeing, hearing, or
penicillin allergy. feeling things that are
stimulated or
inhibited by not there
muscarine, ie.  Shortness of breath
Exocrine glands,  Slow or irregular
smooth and heartbeat
cardiac muscle.  Sweating
 Unusual tiredness
 Unusually warm skin
 Drug Name
Generic or Brand Dose, Mechanism of Indication Contraindication Side Effect Nursing Intervention
Name Route and Action
Frequency
 Treatment of Contraindications: Frequent: Pain at IM 1. Assess for allergies
Inhibits cell wall infections Hypersensitivity to any injection site, GI to penicillins or
synthesis in caused by Penicillin. disturbances (mild other allergens
2g IV susceptible susceptible Cautions: History of diarrhea, nausea, 2. Assess for renal
(ANST) microorganisms. strains of
then q6 Therapeutic allergies, vomiting), oral or vaginal disorders, lactation
shigella,
Effect: salmonella, Esp. cephalosporins, candidiasis. 3. Check the patency
Bactericidal in Escherichia coli, renal impairment, Occasional: Generalized of the IV site and IV
susceptible haemophilus asthmatic pts., rash, urticaria, phlebitis, line
microorganisms influenza, infectious thrombophlebitis (with IV 4. Administer drug on
proteus mononucleosis. administration), and an empty stomach
mirabilis,
headache. 5. Check IV site for
Neisseria
gonorrhoeae, Rare: Dizziness, seizures thrombosis or drug
Ampicillin gram positive (esp. with IV therapy). reaction
organism 6. Report pain or
 Meningitis unusual bleeding,
caused by bruising mouth
neiseria sores, hives, fever or
meningitides
difficulty breathing
 Prophylaxis in
caesarean
section in
certain high risk
patients.
 Prevention of
bacterial
endocarditis
following dental
procedures or
respiratory
procedures in
very high risk
patients