Name of Classification Dose Mechanism Specific Side Effects Nursing Implications

Drug Frequency of Action Indication

Generic Route
(Brand)

Vitamin B Vitamins A coenzyme that Pernicious CV: BEFORE:

complex and stimulate anemia peripheral ~ Determine reticulocyte
Minerals metabolic CONTRA: vascular count, hct, Vit. B12, iron,
function and is ~ hypersen- thrombosis, folate levels before
beginning therapy.
needed for cell sitive to heart failure.
~ Obtain a sensitivity test
replication, vitamin B12 GI: transient
history before
hematopoiesis, or cobalt. diarrhea. administration
and nucleoprotein ~ early Respi: ~ Avoid I.V. administration
and myelin Leber’s pulmonary bec. faster systemic
synthesis. disease edema. elimination will reduce
Skin: itching, effectiveness of vitamin.
transitory DURING:
exanthema, ~ Don’t give large doses of
urticaria. vitamin B12 routinely; drug
Other: is lost through excretion.
~ Don’t mix parenteral
anaphylaxis,
preparation in same
anaphylactoid
syringe with other drugs.
reactions with AFTER:
parenteral ~ Protect Vit. B12 from
administration light. Don’t refrigerate or
, pain or freeze.
burning at ~ Monitor patient for
injection site. hypokalemia for first 48
hours, as anemia correct
itself. Give potassium
supplements, as needed.
Name of Drug Classification Dose Mechanism Specific Side Effects Nursing Implications
Generic Frequency of Action Indication
(Brand) Route
Acetaminophen antipyretics, 1.2 mL Inhibits the Mild pain Hema: hemolytic BEFORE:
(Paracetamol) nonopioid q 4 hr PRN synthesis of Fever anemia, ~ Advise parents or
analgesics od prostaglandin neutropen caregivers to check
s that may ia, concentrations of liquid
serve as leukopeni preparations. Errors
a, have resulted in serious
mediators of
pancytope liver damage.
pain and
nia. ~ Assess fever; note
fever, Hepa: jaundice presence of associated
primarily in Metabolic: signs (diaphoresis,
the CNS hypoG tachycardia, and
GI: HEPATIC malaise).
FAILURE, DURING:
HEPATOT ~ Adults should not take
OXICITY acetaminophen longer
(overdose) than 10 days and
GU: renal children not longer than
failure 5 days unless directed
(high by health care
doses/chro professional.
nic use). ~ Advise mother or caregiver
Derm: to take medication
rash, exactly as directed and
urticaria. not to take more than
the recommended
amount.
AFTER:
~ Advise patient to consult
health care professional
if discomfort or fever is
not relieved by routine
doses of this drug or if
fever is greater than
39.5°C (103°F) or lasts
longer than 3 days.
DRUG TRAD PHARMAC INDICATIONS AND CONTRA- ADVERSE DESIRED Nursing Implications
ORDER E/ OLOGIC INDICATIONS EFFECTS OF ACTION ON THE
BRAN ACTION THE DRUG CLIENT
D OF DRUG
NAME

Omepra Omep Gastric INDICATIONS: CNS: Headache, Treatment of Assessment

zole ron acid-pump Short-term treatment of active dizziness, active benign History: Hypersensitivity to omeprazole or any of
20mg inhibitor: duodenal ulcer; First-line asthenia, vertigo, gastric ulcer its components; pregnancy, lactation
tab OD Suppresse therapy in treatment of insomnia, apathy, Physical: Skin lesions; T; reflexes, affect; urinary
s gastric heartburn or symptoms of anxiety, output, abdominal exam; respiratory auscultation
acid gastroesophageal reflux paresthesias, Interventions
secretion disease (GERD); Short-term dream Administer before meals. Caution patient to
by specific treatment of active benign abnormalities swallow capsules whole—not to open, chew, or
inhibition of gastric ulcer; GERD, severe Dermatologic: crush them.
the erosive esophagitis, poorly Rash, Arrange for further evaluation of patient after 8 wk
hydrogen- responsive symptomatic GERD; inflammation, of therapy for gastroreflux disorders; not intended
potassium Long-term therapy: Treatment urticaria, pruritus, for maintenance therapy. Symptomatic
ATPase of pathologic hypersecretory alopecia, dry skin improvement does not rule out gastric cancer,
enzyme conditions (Zollinger-Ellison GI: Diarrhea, which did occur in preclinical studies.
system at syndrome, multiple adenomas, abdominal pain, Administer antacids with omeprazole, if needed.
the systemic mastocytosis); nausea, vomiting, Teaching points
secretory Eradication of H. pylori with constipation, dry Take the drug before meals. Swallow the
surface of amoxicillin or metronidazole and mouth, tongue capsules whole; do not chew, open, or crush
the gastric clarithromycin; Prilosec OTC: atrophy them. This drug will need to be taken for up to 8
parietal Treatment of frequent heartburn Respiratory: URI wk (short-term therapy) or for a prolonged period
cells; (2 or more days per wk); symptoms, cough, (> 5 yr in some cases).
blocks the Unlabeled use: Posterior epistaxis Have regular medical follow-up visits.
final step of laryngitis; enhance efficacy of Other: Cancer in These side effects may occur: Dizziness (avoid
acid pancreatin for the treatment of preclinical studies, driving or performing hazardous tasks);
production. steatorrhea in cystic fibrosis back pain, fever headache (request medications); nausea,
CONTRAINDICATIONS: vomiting, diarrhea (maintain proper nutrition);
Contraindicated with symptoms of upper respiratory tract infection,
hypersensitivity to omeprazole cough (do not self-medicate; consult with your
or its components; health care provider if uncomfortable).
Use cautiously with pregnancy, Report severe headache, worsening of
lactation. symptoms, fever, chills.