Name of Drug Therapeutic Indication Adverse Effect Contraindication Nursing/Midwife

Action Consideration

Generic Name: Aspirin like drug Moderate to CNS: Dizziness Pregnancy and -Tell patient that drug works
Mefenamic Acid that has moderately CV: Vasodilation Lactation. best when
Brand Name: analgesic severe pain. EENT: Visual Hypersensitivity taken before pain becomes
Ponstan antipyretic and Relief of pain disturbances with drugs, severe
Classification: antiinflammatory including GI: Nausea and acute -Recommend abstinence from
Antiinflammatory; activities muscular, rheumatic, Vomiting intoxication with alcohol when taking medication
Analgesic. traumatic, dental, GU: Urinary alcohol, physical - Caution patient that drug can
Dosage and Frequency: postoperative retention opioid cause dependence
500mg 1 cap TID p.r.n. and postpartum pain, SKIN: Pruritus dependence - Tell patient to report
Route: per orem headache, migraine, Kidney or liver occurrence of drug induced
fever impairment. adverse reactions.
and dysmenorrhea, Children less - Advise patient to immediately
pain than 14 years report persistence or failure to
from rheumatoid old. relieve pain.
arthritis
including Still’s
disease,
soft tissue injuries.
Therapy should not
exceed 7 days.
Generic name: Amoxicillin Penicillin-like Amoxicillin alone is - Abdominal or Amoxicillin is - Culture infected area prior to
Brand name: Himox Antibiotic. indicated to treat stomach contraindicated in treatment; reculture area if
Dosage and Frequency: susceptible bacterial cramps or tenderness patients who have response is not as expected.
500mg BID for 7days infections of the ear, - Back, leg, or experienced a - Give in oral preparations only;
Route: per orem. nose, throat, stomach serious amoxicillin is not affected by
genitourinary tract, pains hypersensitivity food.
skin, skin structure, - Black, tarry stools reaction (e.g., - Continue therapy for at least 2
and lower respiratory - Bleeding gums anaphylaxis days after signs of infection
tract. Amoxicillin is - Blistering, peeling, or Stevens-Johnson have disappeared; continuation
given with clavulanic or loosening of the syndrome) to for 10 full days is
acid to treat acute skin Amoxicillin recommended.
bacterial sinusitis, - Bloating or to other β-lactam
community acquired - Blood in the urine antibiotics (e.g.,
pneumonia, lower - Bloody nose penicillins
respiratory tract - Chest pain
infections, - Chills
acute bacterial otitis - Clay-colored stools
media, skin and skin - Cough
structure infections, - Dark urine
and urinary tract - Diarrhea
infections. Amoxicillin - Diarrhea, watery
is given with and severe, which
omeprazole in may also be bloody
the treatment of H. - Difficulty with
Pylori. breathing, etc.
Generic Name: Ferrous Prevention/treatment Constipation, dark An essential mineral -Assess nutritional and dietary
Sulfate of iron deficiency stools, diarrhea, found in Hgb, hx to determine possible cause
Trade Name(s): ED-IN-SOL, epigastric pain, GI Myoglobin, and of anemia and need for pa-tient
Fe50, Feosol, Feratab, Fer- bleeding, staining of many enzymes. En- teaching
Iron teeth (liquid ters bloodstream •Assess bowel function for
preparations) and is transported constipation or diarrhea. Notify
to many organs of HCP if these occur
reticuloendothelial -Explain purpose of iron therapy
(phagocyte) system •Encourage patient to follow
(liver, spleen, bone medication regimen. Take
marrow) where it is missed doses as soon as
separated out and remem-bered within 12 hr;
becomes iron stores otherwise return to dosing
schedule. Do not double doses.
•Advise patient that stools may
turn green or dark black and
that this change is harmless
Generic: oxytocin Therapeutic: IV: Induction of Redness or irritation Hypersensitivity Monitor maternal BP
Brand: Pitocin, Hormone labor at term. at the injection site, and anticipated and pulse frequently and fetal
Syntocinon Pharmacologic: IV: Facilitation of loss of appetite, non- vaginal heart rate
Oxytocic threatened abortion. nausea, vomiting, delivery continuously throughout
Dosage: Postpartum Pregnancy Category X IV, IM: Postpartum cramping, stomach administration. May cause
Hemorrhage 10 unit IM control of bleeding pain, more intense or water intoxication so the
after delivery of placenta after expulsion of more frequent midwife or nurse should assess
Add 10-40 units; not to the placenta. contractions (this is for signs and symptoms
exceed 40 units; to 1000 an expected effect of (drowsiness,
mL of nonhydrating IV oxytocin), runny restlessness, confusion,
solution and infuse at nose, sinus pain or headache, and anuria)
necessary rate to control irritation, or memory Fetal maturity,
uterine atony Labor problems. presentation, and pelvic
Induction 0.5-1 mUnit/min Hypertension adequacy should be
IV, titrate 1-2 mUnit/min Excessive uterine assessed prior to
q15-60min until contractility administration of
contraction pattern oxytocin for induction
reached that is similiar to of labor
normal labor (usually 6
mUnits/min); may
decrease dose after
desired frequency of
contraction reached and
labor has progressed to 5-6
cm dilation
Generic Name: calcium Therapeutic Uses: CNS: headche, Essential for Calcium
carbonate Trade Replacement of tingling. CV: nervous, muscular, Supplement/Replacement:
Name(s): Alka-Mints, calcium in deficiency arrhythmias, and skeletal Observe patient closely for
Amitone, Calcarb states. Control of bradycardia. GI: systems. Maintain symptoms of hypocalcemia
hyperphosphatemia constipation, nau- cell mem-brane and (paresthesia, muscle twitching,
Drug Classification: inend-stage renal sea, capillary laryngospasm, colic, cardiac
Therapeutic:mineral and disease without vomiting.GU:calculi, permeability. Act as arrhythmias, Chvostek’s or
electrolyte promoting aluminum hypercalciuria. an activator in the Trousseau’s sign).
replacements/supplements absorption transmission of -Notify physician or other
nerve impulses and health care professional if these
contraction of occur. Protect symptomatic
cardiac, skeletal, patients byelevating and
and smooth muscle. padding siderails and keeping
Essential for bone bed in low position. Monitor
formation and patient on digitalis glycosides
blood co-agulation. for signs of toxicity.
Drug name: Pharmacologic:Water To prevent the - Constipation Patient with iron -Midwife or Nurse must assess
MULTIVITAMINS soluble Vitamin occurrence of - complain of nausea. metabolism the patient for signs and
Brand name: Pregnancy category: pregnancy included - diarrhea, dark stools disorder causing symptoms of vitamin deficiency
Folgard Risk A anemia and keep - vomiting increased iron before beginning vitamin
Dosage:125 mg mother nutritionally - Low appetite storage Patient with therapy because vitamin
Frequency:Once a day balanced. Prevention - Stomach upset or an ulcer from too therapy could result in a toxic
Route: PO Oral treatment of vitamin cramps. much stomach acid effect if the patient does not
and dietary deficiency Patient with have a vitamin deficiency.
causes anemia, also ulcerative colitis, an -Assessed for debilitating
used in anemia due to inflammatory diseases and GI disorders that
blood loss during condition of the may disrupt the absorption,
menstruation and intestines metabolism, and excretion of
during delivery of vitamins used to treat vitamin
baby. deficiency
For pregnant women -Assess bowel function for
to have their bodies constipation or diarrhea Inform
the vitamins and patient about dark stool as side
minerals needed. effects to avoid panic
- Assess and monitor patient if
side effects happens report to
Physician for further evaluation.
-Assess any allergic reaction ,if
it happens terminate the
supplement.