CITICOLINE

Brand Name: Brainact,Cholinerv,Nicholin Drug Classification: Nootropic agent

Dosage: 1g Route: IV

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITIES

 Citicoline is  CVA in acute and  Hypertonia of the  Headache  Monitor blood

derivative of recovery parasympathetic  Dizziness presure,pulse rate
choline and phase.Symptoms nervous system.  Shaking of hands and heart rate.
cytidine involved and signs of or feet  Monitor for adverse
in the cerebral  Sleepness effect; instruct patient
biosynthesis of insufficiency  Change in pulse to report immediately
lecithin. It is i.e.,dizziness rate if she develops chest
claimed to headache,poor  Change in blood tightness,tingling in
increase blood concentration,mem pressure mouth and
flow and oxygen ory loss,  Diarrhea throat,headache,diarr
consumption in disorientation,.Rec  Nausea hea and blurring
the brain ent cranial trauma vision.
 Stomach pain
and their
 Blurred vision
sequence.
 OMEPRAZOLE

Brand Name: Prilosec OTC., Losec Drug Classification: Proton pump inhibitor

Dosage: 40g Route: IV

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITIES

 Supresses  Short- term  hypertensives,  CNS:asthenia,dizziness,  Assess other

gastirc secretion treatment of combination headache medications
by inhibiting active therapy with  GI: abdominal patient may be
hydrogen/potass duodenal clarithromycin pain,constipation,diarrhea, taking for
ium ATPase ulcer, should not be used Flatulence,nausea,vomiting effectiveness and
enzyme system gastroesophag in patients with  MUSCULOSKELETAL: interactions.
in the gastric eal reflux hepatic impaired back pain  Assess GI
parietal cell: disease.  RESPIRATORY: cough, system: bowel
characterized as Including upper respiratory tract sounds
a gastric acid erosive infection abdominal pain
pump esophagitis.  SKIN: rash and swelling,
inhibitor,since it appetite loss.
blocks the final  Monitor urinalysis
step of acid for hematuria and
production. proteinuria.
Periodic liver
function tests
with prolonged
use.
 Assess
knowledge/
teaching
appropriate use
of this
medication.
 LOZARTAN

Brand Name: Angiocard,Bepsar,Cozaar Drug Classification: Angiotensin II receptor antagonist

Dosage: 50mg Route: PO

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITIES

 Inhibits  Treatment of  Hypersensitivity to  CNS:dizziness,asthenia,  Monitor patient’s

vasocontrictive hypertension; drugs. fatigue,headache, BP closely to
and In heart and insomnia evalaute
aldosterone- myocardial  CV: edema,chestpain effectiveness of
secreting action infarction,it may  EENT: nasal congestion therapy.
of angiotensin II be used alone or Sinusitis,pharyngitis,  Advise patient to
by blocking in combination w/ Sinus disorder. comply with
angiotensin II other  GI: abdominal dosage schedule,
receptor on the antihypertensive pain,nausea,diarrhea, even if feeling
surface of agents.Renal Dyspepsia better.
vascular protection in Type  MUSCULOSKELETAL:  Inform patient that
smooth muscle 2 diabetic muscle a drug may cause
and other patients w/ cramps,myalgia,back or dizziness,fainting
tissue cells. proteinuria. leg pain or light-
Reduction in the headedness.Cauti
risk of cardio on patient to rise
vascular slowly to sitting
morbidity and position to
mortality in minimize
hypertensive orthostatic
patients w/ left hypotension.
ventricular
hypertrophy
 AMLODIPINE

Brand Name: Amcal,Amvasc,Lopicard Drug Classification: Calcium Channel Blocker

Dosage: 10mg Route: PO

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION CONSIDERATION

 Inhibits calcium  Hypertension;  Contraindicated in  CNS: headache,  Monitor blood

ion influx Chronic stable patients somnolence, pressure
across cardiac angina. hypersensitivity to fatigue,dizziness, frequently during
and smooth- drug. light-headedness, initiation of
muscle paresthesia. therapy.
cells,dilates  CV:edema,  Teach patient to
coronary Flushing, use as directed
arteries and Palpitations even if feeling
arterioles and  GI: nausea,abdo- better.
decreases Minal pain  Advise patient to
blood pressure  GU: sexual avoid hazardous
and myocardial Difficulties activities until
oxygen  MUSCULOSKELETAL: stabilized on drug
demand. Muscle pain and dizziness is
 RESPIRATORY:dyspnea no longer a
 SKIN: rash problem.Report
symptoms of
chestpain,sweelin
g of
extremities,irregul
ar pulse,altered
vision,shortness
of breath or
hypotension.
 Advise patient to
comply in all
areas of medical
regimen;diet
stress reduction
and drug therapy
 CEFUROXIME

Brand Name: Cefttin Drug Classification: Cephalosporin,second generation

Dosage: 750mg Route: TIV

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITIES

 Second-  Susceptible  Contraindicated in  CV:phlebitis,  Obtain specimen

generation mild to patients Thrombophlebitis for culture and
cephalosphorin moderate hypersensitivity to  GI:diarrhea, sensitivity tests
that inhibits cell- infections. drug or other pseudomembranous before giving first
wall cephalosporins. colitis,nausea,anorexia dose.
synthesis,promoti vomiting  Instruct patient to
ng osmotic  HEMATOLOGIC:hemo- notify physician
instability;usually Lytic anemia,thrombo about rash,loose
bactericidal. Cytopenia,transient stools,diarrhea or
neutropenia,eosinophilia evidence of
superinfection.
 METFORMIN

Brand Name: Fortamet,Glucophage,Riomet Drug Classification: Antidiabetic

Dosage: 500mg Route: PO

MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITIES

 Decreases  Adjunct to diet  Contraindicated in  GI:diarrhea,nausea,  Before therapy

hepatic glucose and exercise in patients Vomiting,abdominal begins and atleast
production and type 2 diabetes. hypersensitive to Bloating,flatulence, annually
intestinal drug and in those Anorexia,taste thereafter,assess
absorption of with hepatic perversion. patients renal
glucose and disease or  HEMATOLOGIC: function.
improves insulin metabolic acidosis. Megaloblastic anemia  Monitor glucose
sensitivity  METABOLIC:lactic level regularly to
(increases Acidosis,hypoglycemia evaluate
peripheral effectiveness of
glucose uptake therapy.Notify
and use.) physician if
glucose level
increases despite
therapy.
 Advice patient to
take with food to
decrease gI upset.
 POTASSIUM CHLORIDE

Brand Name: Apo-K,Cena-k,K-lyte Drug Classification: potassium salt

Dosage: 200g Route:PO

MECHANIS INDICATION CONTRAINDICATIO ADVERSE EFFECT NURSING

M OF N RESPONSIBILITIE
ACTION S

 Replaces  Hypokalemia,includin  Contraindicated in  CNS:paresthesia of limbs,  Teach patient

Potassiu g that caused by patients with restless- how to prepare
m and diuretics. severe renal Ness,confusion, powders and
maintains impairment. Weakness or how to take
potassium Heaviness of limbs, flaccid drug.Tell patient
level. pralysis to take with or
 CV:postinfusion, without
Phlebitis, arrhytmias,heart mealswith full
block,cardiac arrest, ECG glass of water or
changes,hypotension fruit juice to
 GI:nausea,vomiting, lessen GI
Abdominal pain,diarrhea distress.
 METABOLIC:hyperkalemi
a
 RESPIRATORY:respirator
y
paralysis