Question

medication trade or generic name

dose and route per drug book (drug frequency and administration instruction)

drug classification

indications/uses

Action/effect (what is expected patient response to MOA

main side affect/adverse reaction (any significant, medical alerts, warnings/percutions, drug interactions, contraindications

Nursing intervention ( assessment-BP, AP, resp, I7O, weight, finger stick) and lab values to be moniyored pre/post med. admin & patient teaching) of the following:

Ondansetron

Acetaminophen

docusate sodium

folic acid

Lorazepam

APA reference

Answer 1

	Ondansetron	Acetaminophen	docusate sodium	Folic acid	Lorazepam
Generic Name	Zofran, Zophren	Paracetamol Acatol, calpol, tylenol,Anacin,Dolanex	dulcolax stool softner	Folate sodium. folacin, Folvite Novofolacid	Ativan
Dose and Route	Injection 2mg/mL IV/IM. Tab. 24mg/day is recommended. available in 8mg.	Tablets: 80mg,120mg,325mg,500mg. Suppositories: 80mg,120mg,125mg,300mg,325mg,650mg. Injections: 80mg/0.8mL, 80mg/0.25mL,120mg/5mL, 160mg/5mL,500mg/5mL IM/IV	Tablet: 100mg Capsules: 50mg,100mg,240mg,250mg. Syrup: 50mg/15mL,60mg/15mL,150mg/15mL	Tablet: 0.4mg,0.8mg,1mg. Injection: 5mg/mL.	Tablets: 0.5mg,1mg,2mg Oral solution: 2mg/mL Injection: 2mg/mL.
Drug classification	Antiemetic	NonNarcotic Analgesic, Antipyrectic	Laxatives	Vitamin B9	Anxiolytic, sedative-hypnotic.
Indication/uses	Prevention of nausea and vomiting	Fever, minor aches, pains	Constipation, avoid straining during defecation.	folate deficiency, macrocytic anemia, megaloblastic anemia, inadequate dietary intake, pregnancy.	anxiety disorders, status epileptics.
Side effects	Headache, constipation, painful urination, fatigue.	Nausea, itching, rashes, headache, clay-colored stool.	abdominal cramps, diarrhea, nausea, rash.	Nausea, fatigue, trouble sleeping, weight loss, muscular pains, mental depression.	Increased sleeping, confusion, hallucinations, muscle weakness, trouble in swallowing.
General alerts	Avoid in patients hypersensitivity to ondansetron and liver disease patient.	Hypertoxicity, acute poisoning, and chronic ingestion lead to neutropenia, leukopenia.	hepertoxicity.		CNS depression, Gi disorders, Sensory impairment.
Warnings/precautions	Not recommended for pregnant, breastfeeding woman and children under 4 years.	Cholestyramine may decrease the acetaminophen absorption.	warnings with congestive heart failure, DM, edema.	use with caution during lactation.	Renal, hepatic impairment, myasthenia gravis, narrow-angle glaucoma, GI disorders
Drug Interaction	Interaction with alcohol and medicines like Amitriptyline, carbamazepine, Amiodarone, apomorphine.	Interact with alcohol. Interact with drugs such as carbamazepine, phenytoin, rifampicin.	Interact with mineral oil.	Interact with chloramphenicol, phenytoin	Interact with alcohol, cimetidine. Interact with clozapine, sodium oxybate.
Contraindications	Ecg changes, pregnancy, breastfeeding, hepatic impairment.	Hypersensitivity, allergies.	Atonic constipation, sodium restricted patient, fecal impaction, intestinal obstruction, colon, structural anomalies of the colon.	pernicious anemia, aplastic anemia, undiagnosed anemia	Pregnancy, lactation, narrow-angle glaucoma, alcohol intoxication.
Nursing intervention	Monitor fluid and electrolyte status. check vital signs. Monitor cardiovascular status.	Check vital signs. Assess for signs and symptoms. Check for hepatotoxicity.	Use periodically with the interval of 3 days. Check for diarrhea.	Obtain a detailed history of drug intake, alcohol usage, oral contraceptives, barbiturates. Assess for fatigue, weakness, dyspnea. Monitor patient's therapeutic plasma levels.	Check for signs and symptoms. Check CBC count and liver function periodically in long-term therapy. Check for mood disorders or changes.
Patient teaching	Aware of side effects and allergies to Ondansetron.	Do not self-medicate without doctor prescription. Educate about the drug overdose and side effects.	Encourage more amounts of fluids. Avoid use of mineral oil. Do not take for prolonged periods of time.	Educate about the diet rich in folic acid. Inform that the urine in yellowish color. Look for rash or any side effects.	Educate about the side effects. Give warnings about sleepiness during the daytime. Do not withdraw from the medication suddenly.