DRUG STUDY

Name of Patient: ____________M.P. ___________ Attending Physician: ____________Dr. T______________

Age: ________ Ward/Bed Number: ________________ Impression/Diagnosis: _____________________________

Name of Drug Dosage, Route, Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Frequency and
Timing
Generic: Hemarate contains iron, Prevention and treatment Hypersensitivity ● Lactation: Observe 12 rights of drug
Multivitamins Dosage: 320 mg and vitamins B6 and B12 of iron deficiency reactions: hives; Distributed in administration
with Iron (Fe 1 tablet which are necessary for the anemia and vitamin B- difficulty breathing; breast milk.
fumarate + synthesis of hemoglobin. It complex deficiencies. swelling of your face, ● Avoid taking any Client education
nicotinamide + also contains other B- lips, tongue, or throat. other multivitamin ● Inform the client of
vitamin B1 + complex vitamins (B1, B2) product or possible adverse
Vitamin B2 + Route: PO and nicotinamide which antibiotics within 2 reactions and
Vitamin C + aids in the conversion of hours before or promptly report if
Vitamin E) food to energy. It has after taking reactions occur.
Frequency: O.D. vitamin C which enhances multivitamins with ● Teach client to avoid
Brand: iron absorption. Both iron taking with milk
Hemarate vitamin C and E functions ● Calcium affects other dairy products,
Timing: 8:00 as the protection of the the absorbability calcium
AM body against harmful of the multivitamin supplements, or
effects of free radicals. antacids that contain
calcium.
● Inform patient of
Onset: Unknown certain foods (fish,
meat, liver, and
Peak effect: Unknown whole grain or
"fortified" breads or
Duration: Unknown cereals) interferes
with the absorption
and must be taken 1
hour before or 2
hours after meals,
● Instruct client to
Classification Contraindications Side Effects report if there is
 DRUG STUDY

Functional: Hypersensitivity Temporary staining of bright red blood in

Antianemics teeth. stools or when
experiencing
Darker Stools diarrhea or
constipation
Nausea, vomiting, ● Ascorbic acid
bloating, upper increases absorption
Chemical: abdominal discomfort of iron; Consuming
Vitamins and (high iron doses), citrus fruit or tomato
minerals diarrhea or juice with the
constipation. supplement

Name of Drug Dosage, Route, Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Frequency and
Timing
Generic: Dosage: 1 tab Calcium plays a pivotal This combined ● Anaphylactic ● Should be taken ● Observe the 12
Calcium + role in the physiology and medication is used to reactions with food. rights of drug
Vitamin D Route: PO biochemistry of organisms, prevent or treat low ● Renal ● Consume 600 mg administration.
particularly in signal blood calcium levels in problems (note or less at one time. ● Assess client for
Brand: Frequency: O.D. transduction pathways. people who do not get for changes in ● Foods rich in history of
Caltrate Plus Many enzymes require enough calcium from kidney oxalic acid (e.g. intolerance or
Timing: calcium ions as a cofactor their diets. It may also function) spinach) an phytic hypersensitivity to
8:00 AM and extracellular calcium is be used in certain ● Hypercalcaemi acid (e.g. whole the drug.
important in the patients to make sure a cereals) may ● Monitor client’s
maintenance of the they are getting enough reduce calcium calcium levels.
potential difference across calcium (including absorption by ● Instruct client to take
 DRUG STUDY

excitable cell membranes lactating women). formation of medication as

and proper bone formation. calcium salts. directed by the
Meanwhile, Vitamin D prescription of the
functions similarly to a physician.
hormone on vitamin d ● With missed doses,
receptors to regulate instruct the client to
calcium in opposition to take medicine as
the parathyroid hormone. It soon as possible but
plays and essential skip missed dose if
physiological role in it’s almost time for
maintaining calcium the next dose.
Classification homeostasis and Contraindications Side Effects
Functional: metabolism. ● Hypersensitivity ● nausea
Calcium: to the drug ● vomiting
Nutritional ● Hypercalcemia ● constipation
Supplement, or Vitamin D ● increased thirst
Antacid toxicity or urination
● muscle
Vitamin D: weakness,
Fat-soluble bone pain
vitamin ● confusion
● lack of energy,
Chemical: or feeling tired
Calcium:

Vitamin D:
Cholecalciferol
(D3)

Name of Drug Dosage, Route, Mechanism of Action Indications Adverse Reactions Special Precautions Nursing Responsibilities
Frequency and
Timing
 DRUG STUDY

Generic: Dosage: 500 mg Cefuroxime inhibits Treatment of susceptible CV: phlebitis Use cautiously in lactating ● Observe 12 rights of
Cefuroxime bacterial cell wall synthesis infections due to group GI: mothers. drug administration
Route: PO by binding to one or more B streptococci, pseudomembranous ● Obtain CBC, renal
penicillin-binding proteins pneumococci, colitis, anorexia Enhance absorption with function tests.
Brand: Ceftin, Frequency: bid (PBPs) thus inhibit the staphylococci, H. food ● Assess for history of
Zinacef for 7 days final transpeptidation cell influenzae, E. coli, Hematologic: allergies,
wall biosynthesis in Enterobacter, Klebsiella. hemolytic anemia, particularly
Timing: PRN for bacterial cell walls, thrombocytopenia, cephalosporins,
pain stopping cell wall assembly transient neutropenia, penicillins.
resulting in bacterial cell eosinophilia ● Assess oral cavity
death. for white patches on
Skin: urticaria, sterile mucous membranes,
Peak effect: 2-3 hr abscesses tongue (thrush).
● Monitor daily
Other: anaphylaxis, pattern of bowel
hypersensitivity activity, stool
reactions, serum consistency.
sickness ● Monitor I&O, renal
Classification Contraindications Side Effects function tests for
Functional: Hypersensitivity to Frequent: nephrotoxicity.
Anti-infectives cephalosporins and ● Oral ● Be alert for
related antibiotics candidiasis superinfection.
Chemical: (thrush) ● Tell the patient that
Cephalosporins ● Mild diarrhea there may be GI
● Mild upset (may take with
abdominal food, milk).
● Cramping
● Vaginal
candidiasis

Occasional:
● Nausea
● Serum
sickness–like
reaction
 DRUG STUDY

Name of Drug Dosage, Route, Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Frequency and
Timing
Generic: Dosage: 500 mg Mefenamic acid binds the Treatment of mild to CNS: aseptic Drinking alcoholic ● Obbserve 12 righs of
Mefenamic acid (1 tab) prostaglandin synthetase moderate pain and meningitis beverages while using this drug administration
receptors COX-1 and inflammation medicine may cause ● Observe patient for
Brand: Fenox, Route: PO COX-2, inhibiting the CV: MI, stroke, stomach pain, nausea, edema
Mefenamic acid action of prostaglandin anemia, hyperkalemia vomiting, headache, or ● Assess for allergic
synthetase. As these flushing or redness of the reactions
Frequency: q6h receptors have a role as a Eye, ear, nose, throat: face. ● Monitor, BP, CBC,
major mediator of tinnitus. chemistry profile,
inflammation and/or a role Use cautiously with occult blood loss,
for prostanoid signaling in GI: gastritis lactating women renal and liver
activity-dependent function
plasticity, the symptoms of GU: dysuria, cystitis Increased risk of bleeding
pain are temporarily with other NSAIDs and Patient Teaching:
reduced. Skin: Pruritus, salicylates ● Site of
erythematous rash, administration and
Peak effect: 2-4 hrs urticaria May result to false purpose of the drug.
positive urinary bilirubin ● Taken with food
Half-life: 2 hrs Respiratory: Asthma in diazo table test. ● Do not drive or
operate machinery
Immunologic: ● Promptly report any
Hypersensitivity adverse reactions
reactions, purpura, ● Do not take more
agranulocytosis, than the prescribed
leukopenia, dose
thrombocytopenia
Classification Contraindication Side Effects
 DRUG STUDY

Functional: ● Contraindicated Headache

Nonsteroidal in patients Dizziness
Anti- hypersensitive to Drowsiness
inflammatory aspirin and other Visual disturbances
drugs (NSAIDs) NSAIDs GI upset
heartburn
diarrhea
Chemical: hypertension
Benzenoids

References:
Kizior, R. J. (2017). Saunders Nursing Drug Handbook 2021 [PDF]. Elsevier.
Skidmore-Roth, L. (2018). 2021 Nursing Drug Reference (34th ed.) [PDF]. Elsevier.