Lyceum of the Philippines University
College of Nursing
Drug Name
Brand Name:
Methergine
Generic Name:
Methylergometrine
Dosage:
0.2 mg
Route:
Orally
Frequency:
1 tab TID
Classification and
Mechanism of
Actions
Ergot Alkaloids
Methylergometrine
acts directly on the
smooth muscle of
the
uterus
and
increases the tone,
rate, and amplitude
of
rhythmic
contractions through
binding and the
resultant
antagonism of the
dopamine
D1
receptor. Thus, it
induces a rapid and
sustained
tetanic
uterotonic
effect
which shortens the
third stage of labor
and reduces blood
loss.
Indication
Prevention and
treatment of
postpartum
hemorrhage
Contraindication




Side
Effects/Adverse
Reaction
CNS: dizziness,
headache,
hallucination,
seizures, CVA (with
I.V. use)
Hypersensitivi
ty to drug
Hypertension
Toxemia
Pregnancy
(except
during
the CV: hypertension,
third stage of hypotension,
transient chest
labor)
pain, palpitations,
thrombophlebitis
EENT: tinnitus,
nasal congestion
GI: nausea,
vomiting, diarrhea
GU: hematuria
Musculoskeletal:
leg cramps
Respiratory:
dyspnea Skin:
diaphoresis, rash,
allergic reactions
Other: foul taste
Nursing
Responsibilities



Watch out for
uterine
contractions
and bleeding.
Inform patient
and family of
reason
for
using
drug,
and provide
reassurance.
Tell
patient
drug
may
cause
nausea,
vomiting,
dizziness,
increased
blood
pressure,
headache,
ringing
in
ears,
chest
pain,
or
shortness of
breath..
Monitoring
Parameters



CBC
BP
Pulse
rate
Drug Name
Brand Name:
Buscopan
Generic Name:
Hyoscine
Butylbromide
Dosage:
20-40 mg
Route:
IV
Frequency:
PRN
Classification
and Mechanism
of Actions
Antispasmodic
Hyoscine is used
to relieve smooth
muscle spasms
(cramps) in the
stomach and
intestines and in
the bladder and
urethra.
Indication


Postoperati
ve nausea
and
vomiting
Motion
sickness
Contraindication
Hypersensitivity
Side
Effects/Adverse
Reaction
CNS: drowsiness,
dizziness, confusion,
restlessness, fatigue
CV: tachycardia,
palpitations,
hypotension,
transient heart rate
changes
EENT: blurred
vision, mydriasis,
photophobia,
conjunctivitis
GI: constipation, dry
mouth
GU: urinary
hesitancy or
retention
Skin: decreased
sweating, rash
Nursing
Responsibilities


Caution patient
to avoid alcohol
because it may
increase
CNS
depression.
As appropriate,
review all other
significant
adverse
reactions
and
interactions,
especially those
related to the
drugs,
herbs,
and
behaviors
mentioned
above.
Monitoring
Parameters


Assess
vital
signs
and
neurologic,
cardiovascular
,
and
respiratory
status.
Monitor patient
for
urinary
hesitancy or
retention
Drug Name
Brand Name:
Feosol,
Hemovit
Generic
Name:
Ferrous
Sulfate
Dosage:
300 to 325
mg; 1 Tab
Classification and
Mechanism of
Actions
 Replaces iron
stores needed for
red blood cell
development as
well as energy
and O2 transport
and use.

Iron deficiency
anemia,
prophylaxis for
iron deficiency in
pregnancy,
nutritional
supplementation.
Indication


Contraindication
Prevention

and
treatment
of iron
deficiency

anemias
Dietary
supplement
for iron
Side
Effects/Adverse
Reaction
GI: Nausea,
Contraindicated constipation,
with allergy to
epigastric pain,
any ingredient; black and red
sulfite allergy
tarry stools,
Use cautiously vomiting,
with normal
diarrhea
iron balance;
peptic ulcer,
INTEG:
regional
Temporarily
enteritis,
discolored tooth
ulcerative
enamel and
colitis.
eyes
Nursing
Responsibilities



Route:
Oral
Frequency:
OD
for
1
month

Inform the
patient that
taking this drug
will cause their
stools to turn
dark green or
black.
Educate the
patient that this
medication
should be taken
between meals
for best
absorption.
Encourage the
patient to take
this medication
with orange
juice.
Tell the patient
to avoid reclining
position for 1530 minutes after
taking to avoid
esophageal
corrosion.
Monitoring
Parameters






Fluids &
Electrolytes
BP, RR, HR, PR
Hct
Hemoglobin
Reticulocytes
Bilirubin
Drug Name
Classification
and Mechanism
of Actions
Brand
Co-amoxiclav is
Name:
an antibiotic used
Augmentin for bacterial
infections. It
contains
Generic
amoxicillin (an
Name: Co- antibiotic from the
Amoxiclav
penicillin group of
medicines) mixed
with clavulanic
Dosage:
acid. The
625mg
clavulanic acid
stops bacteria
from breaking
Route:
down amoxicillin,
Orally
allowing the
antibiotic to work
better.
Frequency:
1 tab q12
Indication
Contraindication
Infections
Hypersensitivity to
penicillins. Crosssensitivity w/ other
β-lactam
antibiotics eg,
cephalosporins.
Previous history of
jaundice/liver
impairment
associated w/
penicillins.
Glandular fever or
lymphatic
lymphoma.
Side
Effects/Adverse
Reaction
 Diarrhea
 Thrush
 Feeling of
being sick
 Pain or
tenderness in
the upper
stomach
 Nausea
 Pale stools
 Dark urine
 Vomiting
Nursing
Responsibilities



Watch out
for seizures
Monitor
signs of
pseudomem
branous
colitis
Monitor for
signs of
allergic
reactions
Monitoring
Parameters


Perform
Culture
and
sensitivity
test
Monitor
CBC with
differential
renal
function
test