Case Pre Drug Study
Case Pre Drug Study
Name Route
● Generic Name: ● Analgesic ● 50 mg Refers to how the body works on a Indication ● Dizziness/vertigo, ● Identify the patient.
Tramadol ● IVTT ● headache
cellular level to produce the intended
● Q6 hours For the treatment and ● confusion ● Explain to the
● Brand Name: effects of a drug. In the case of prevention of moderate to ● Dreaming patient the purpose
Ultram severe pain. ● Anxiety of the drug.
Tramadol, the intended effect is pain
● Hypotension
relief. The mechanism of action for Contraindication ● Bradycardia ● Double check the
expiration date
Tramadol is not exactly known. But it
Pregnancy; allergy before
is known to act on the mu opioid to tramadol; acute administering the
Intoxication with drug.
receptors to produce pain relief.
alcohol, opioids,
Opioid receptors are located in the psychotropic ● Assess bowel
function routinely.
brain and there are three types, of
which the mu opioid receptor is one. ● Minimize
constipation.
Normally, when a painful stimulus
Assess previous
occurs, a neuron communicates to analgesic history.
Tramadol is not
the brain and the person feels pain.
recommended for
When a person takes Tramadol, it opiod dependent
patients
acts on the mu opioid receptor,
(withdrawal
blocking the neuron from symptoms)
communicating pain to the brain.
● Monitor patients for
seizures.
Generic Name/ Brand Drug Classification Dosage, Frequency, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Route
● Generic Name: ● Nonsteroidal ● 30g Responsible for ketorolac's anti- Indication ● Identify the patient.
Ketorolac ● IVTT inflammatory, antipyretic and ● Swelling of face,
anti-
tromethamine ● q6 hours analgesic effects is the inhibition Short-term management fingers, lower ● Explain to the
inflammatory of moderately severe, legs, ankles, patient the purpose
of prostaglandin synthesis by
● Brand Name: drug competitive blocking of the acute pain requiring and/or feet of the drug.
Ketorolac enzyme cyclooxygenase (COX). opioid-level analgesia. ● weight gain
● Double check the
Ketorolac is a non-selective COX (unusual) expiration date
inhibitor. Contraindication ● Bruising (not at before
place of injection) administering the
Aspirin allergy. Peptic ● high blood drug.
ulcer. GI bleed or pressure
● Advice patient to
perforation. As ● skin rash or have some
prophylactic analgesic itching adequate rest.
before any major ● small, red spots
surgery. Treatment of on skin ● Advice patient not
peri-op pain in CABG ● sores, ulcers, or to carry heavy
setting. Advanced renal white spots on objects.
impairment. lips or in mouth
Hypovolemia. ● Don’t forget to
● chest pain assess first the
Cerebrovascular
bleeding. Hemorrhagic ● convulsions patient before
● cough or administering this
diathesis. Incomplete
hoarseness drug: know the
hemostasis. Bleeding history and
disorders or high risk of ● dark urine physical condition
bleeding. ● decrease in of the patient
amount of urine
that is sudden ● Report any signs of
● fainting itching, swelling in
the ankles, sore
throat, easy
bruising.
Generic Name/ Brand Drug Classification Dosage, Frequency, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Route
● Generic Name: ● Analgesic ● 600 g Paracetamol has both analgesic Indication ● Vomiting ● Identify the patient.
Perfalgan ● IVTT and antipyretic actions. It inhibits ● Fever,
● Q4 hours Treatment of short term, ● Rash, ● Explain to the
● Brand Name: prostaglandin biosynthesis. Its mild to moderate pain ● Neutropenia, patient the purpose
Paracetamol half-life is approximately 3.5 and/or fever when enteral ● Leukopenia, of the drug.
hours. There is a paucity of trials route not available or ● Thrombocytopenia.
in neonates and as a result the contraindicated ● May cause liver ● Double check the
toxicity at high expiration date
safety and efficacy in preterm Contraindication plasma levels. before
infants is not established. administering the
Contraindicated in drug.
patients with
hypersensitivity to ● Double check
paracetamol or to physician’s order,
propacetamol
● Do not store above
hydrochloride (prodrug of 30°C. Do not
paracetamol) or to one of refrigerate or
the excipients. in cases freeze.
of severe hepatocellular
insufficiency. ● Before
administration,
product should be
visually inspected
for any particulate
matter and
discoloration. For
single use only.
Any unused
solution should be
discarded.
● Advised patient to
refer unusualities.
Generic Name/ Brand Drug Classification Dosage, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Frequency, Route
● Generic Name: ● anti infective ● 1.5mg A broad-spectrum semisynthetic Indication ● CNS: Convulsive ● Identify the patient.
Ampicillin Sodium ● Antibiotic ● IVTT aminopenicillin, is highly ● Infections of
seizures with high
● Brand Name: ● Aminopenicillin ● q3 hours bactericidal even at low respiratory tract ● Explain to the
● Infections of the doses. patient the purpose
Ampicillin concentrations, but is inactivated
Gastrointestinal ● GI: Diarrhea, of the drug.
by penicillinase (beta-lactamase).
tract
● Soft tissue nausea, vomiting, ● Double check the
infections pseudomembran expiration date
● Endocarditis before
ous colitis.
treatment administering the
● Bacterial Meningitis ● Other: Severe drug.
pain (following
Contraindication ● Monitor renal
IM); phlebitis function
Ampicillin is (following IV);
● Report diarrhea to
contraindicated in those ● Skin: Rash. physician; do not
with a hypersensitivity self-medicate.
to penicillins, as they can
cause fatal anaphylactic ● Adviced patient not
reactions. to breastfeed while
taking this drug
without consulting
physician