DRUG DESCRIPTION DOSAGE & FREQUENCY MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

ACTION RESPONSIBILITY
Rivotril 2 mg tab OD, prn Probably facilitate the  Lennox- Gaustat  Use cautiously in  Fatigue,  Use rivotril
effects of the inhibitory syndrome, patient with mixed somnolence, cautiously in
Classification: neurotransmitter GABA. atypical absence type seizures muscular patients with
Anticonvulsant, liver of seizures, because drug may hypotonia, renal failure,
enzyme inducer akinetic and cause generalized coordination mixed seizure
myoclonic tonic-clonic seizure. disturbances, disorder
seizures  Use cautiously in salivary or (because drg can
 Panic disorder children and in bronchial hyper increase the risk
 Acute manic patients with secretion; of generalized
episodes of chronic respiratory aggressiveness, tonic-clonic
bipolar disorder disease or open- irritability or seizures), or
 Adjunct angle glaucoma. agitation. respiratory
treatment for  Contraindicated in  Muscle decreased and
schizophrenia patients weaknesses, troublesome
 Periodic leg hypersensitive to confusion, secretions
movements benzodiazepines disorientation, (because rivotril
during sleep and I those with depression, increases
 Parkinsonian significant hepatic paradoxical salivation) and in
dysarthria reaction, elderly patients
nervousness, (because they’re
hostility, anxiety, more sensitive
sleep to drug’s CNS
disturbance, effect)
nightmares, and  Monitor blood
vivid dreams. drug level, CBC
and liver
function test
results during
the long-term or
high-dose
therapy, as
ordered
WARNING:
Don’t stop drug
abruptly; expect
to taper dosage
gradually to
avoid
 withdrawal
symptoms and
seizure.
 Monitor patient
closely for
evidence of
suicidal thinking
or behavior,
especially when
therapy starts or
dosage
exchange.
 Teach the
patient to take
the drug exactly
as prescribed.
Expalin that
stopping
abruptly cause
seizures and
withdrawal
symptoms.
 Warn the
patient about
positive
drowsiness.

DRUG DESCRIPTION DOSAGE & FREQUENCY MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
RESPONSIBILITY
PHENYTOIN ADULTS: A hydantoin derivative  Control of tonic- Contraindicated in  CNS: Ataxia,  Observe ten
(diphenylhy dantoin) 100 mg tab PO TID that probably stabilizes clonic (grand- patient slurred speech, rights in giving
Increased in increments neuronal membranes mal) and hypersensitive to dizziness, the medication
CLASSIFICATION:
CNS agent, of 100 mg q 2-4 weeks and limits seizure activity complex partial hydatoin and those insomnia,  Use cautiously in
anticonvulsants; until desired response by either increasing (temporal lobe) with sinus nervousness, patients with
hydantoin obtained. reflux or decreasing seizure. bradycardia, SA twitching heaptic
influx of sodium ions  For patient block, second or headache, dysfunction,
CHILDREN: across the cell requiring a third degree AV mental confusion hypotension,
5 mg/kg or 250 mg/m2 membranes in the motor loading dose. block or Adams- and decreased myocardial
PO divided BID or TID. cortex during generation Stokes syndrome coordination.
Maximum daily dose is of nerve impulse.  Prevention and  CV: Periartheritis infarction,
300mg treatment of nodosa diabetis or
seizure occurring  EENT: respiratory
during Nystagmus, depression in
neurosurgery. diplopia, blurred elderly or
 Status vision debilitated
epilepticus  GI: Gingival patients and in
hyperplasia, those receiving
nausea, other hydatoin
vomiting, derivatives.
constipation.  Elderly patients
 Heapatic: Toxic tend to
Hepatitis metabolize
 Skin: Purpuric phenytoin slowly
dermatitis, and may need to
photosensitivity reduced dosage.
reactions,  Stop drug if
necrosis, rashes appear
inflammation at  Use only clear
injection site, solution for
discoloration of injection. A slight
skin if given by IV yellow color is
push in back of acceptable.
the hand Don’t refrigerate.
 Divided doses
given with or
after meals may
decrease adverse
GI reaction.
 Don’t give IM
unless dosage
adjustments are
made. Drug may
precipitate at
injection site,
cause pain and
may be absorbed
erratically.
 Advice the
 patient to avoid
alcohol.
 Warn the patient
not to stop drug
abruptly because
seizure may
worsen.
 Stress
importance of
good oral
hygiene and
regular dental
examination.
 Caution patient
that drug may
have color pink,
red or reddish
brown urine.

DRUG DESCRIPTION DOSAGE & FREQUENCY MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ACTION RESPONSIBILITY
NAPROXEN SODIUM 500 MG/ 1 TAB Inhibits prostaglandin Naproxen tablet are  Hypersensitivity to  CNS: Dizziness,  Monitor the GI
PO BID synthesis. It can indicated: drug or other drowsiness, status
CLASSIFICATION:
decrease pain, reduce  For the relief of NSAIDs headache,  Stay alert for the
Nonsteroidal anti-
inflammatory drug fever and suppresses the signs and  Active GI bleeding vertigo, light- signs and
(NSAID), the inflammation symptoms of RA, or ulcer disease headedness symptoms of GI
Nonopoid analgesic, osteoarthritis,  Asthma  CV: Palpitations, bleeding
anti-infalmmatory ankylosing  Pregnancy (third tachycardia  In long term use,
spondylitis, pregnancy)  EENT: visual assess CBC with
juvenilearthritis disturbances, the white cell
 For relief of tinnitus, differential and
symptoms of auditory coagulation
tendonitis,  GI: Nausea, study
bursitis, acute diarrhea,  Monitor for
gout, pain and constipation, visual and
primary heartburn, hearing
dysmenorrhea abdominal pain, impairement
stomatitis  Monitor
  Skin: Rash, cardiovascular
pruritus, skin status for
eruptions, tachycardia,
sweating, palpitation and
photosensitivity edema
 Monitor blood
glucose level
closely on
diabetic patient.

DRUG DESCRIPTION DOSAGE & FREQUENCY MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ACTION RESPONSIBILITY
MYONAL 150 mg PO Suppresses the acivity of  Muscle relaxant.  History of  Shock and  Weakness,
afferent nerve fibers (la Improvement of hypersensitivity anaphylactoid lightheadedness,
CLASSIFICATION:
fibers) from human myotonic symptom to eperisone HCI Reaction: Sice sleepiness or
Muscle relaxant
muscle spindles e.g. in cervical and to any of the shock reaction other symptoms
syndrome, ingredients of and may occur. In
Relaxes musle periarthritis of the Myonal. anaphylactoid the event of
shoulder, lumbago, reaction may such symptoms,
etc. Spatic paralysis occur, patients the dosage
caused by CV should be should be
disorder, spatic carefully reduced or
spinal paralysis, observed. treatment
cervical spondylosis,  In the events of discontinued.
sequel of trauma, symptoms e.g.  Patient should
spinal vascular redness, itching, be cautioned
disorder and other urticarial, edema against engaging
encephalomyelopat of the face or in potentially
hies. other parts and hazardous
dyspnea. activities
 Nausea and requiring
vomiting alertness, such
 Elevated liver as operating
enzymes machinery or
 Blood clotting driving car.
disorder