Name of Drug Date Ordered

Classification

Dose Frequency Route

Mechanism of Action

Specific Indication

Side Effects Nursing Implications

Generic Name: Tramadol

Brand Name: Ultram

O6- 28- 2013 Analgesics

50mg IVTT Every 8 hours

Inhibits reuptake of serotonin and norepinephrine in the CNS.

Moderate to moderately severe pain.

CNS: dizziness, headache, malaise,

EENT: visual disturbance

GI: abdominal pain, nausea, dry mouth,

Before:1. Assess type, location, and intensity of pain before administering.2. Monitor for V/ S especially BP before giving the drug.3. Explain therapeutic value of medication before administration to enhance the analgesic effect.4. Do not administer drug if sign and symptoms of hypersensitivity occur.During:5. Assess for level of pain and administer PRN drugs as needed6.After:6. Advice pt. to slowly change position slowly to avoid orthostatic hypotension.7. Instruct pt. to notify the health care provider if pain does not relieve.

Name of Drug Date Ordered Classification

Dose Frequency Route

Mechanism of Action

Specific Indication

Side Effects Nursing Implications

Generic Name: Metronidazole

Brand Name: Anerbizol

06- 29- 13

Anti- infectives

500 mg IVTT Every 8 hours

Disrupts DNA and prtotien synthesis in susceptible organisns.

Perioperative prophylactic agent in colorectal cancer.

CNS: headache, dizziness

GI: abdominal pain, dry mouth

Before:1. Obtain baseline on patient’s wound characteristics and WBC count before the treatment.2. Obtain C & S before before drug therapy to identify correct treatment has been initiated.3. Tell patient that urine may be darker in color that usual.During:4. Administer IV dose as a slow infusion.

After:6. Caution pt. to avoid driving or other activities requiring alertness can cause dizziness or light headedness.7. Advise pt. to report health care provider if sign and symptoms of superinfection occurs.

Name of Drug Date Ordered Classification

Dose Frequency Route

Mechanism of Action

Specific Indication

Side Effects Nursing Implications

Generic Name: Cefuroxime

Brand Name:Zegen

06- 29- 13 Anti- infectives

750 mg IVTT Every 8 hours

Binds to bacterial cell wall causing cell death.

Prophylactic for surgical infection

CNS: headache, dizzinessGI: nausea, cramps

Before:1. Determine history of hypersensitivity reactions to cephalosporins, penicillin’s, and history of allergies before therapy is initiated.2. Perform culture and sensitivity test before initiation of the therapy and periodically during the therapy.During:3. Inspect IV injection site frequently to sign of phlebitis.4. Monitor for manifestations of hypersensitivity.After: 5. Advice pt. to notify health care professional if fever and diarrhea.6. Instruct pt. to report signs of super infection occur.