DRUG STUDY Source: Name of Drug Classification Mechanism of Action Indication Contraindication Mefenamic acid Mefenamic acid is Mefenamic acid should primarily works by prescribed to relieve not be used under Mefenamic Acid NSAIDs inhibiting the enzymes pain and certain circumstances, cyclooxygenase-l (COX- inflammation in such as: I) and cyclooxygenase-2 various conditions, -hypersensitivity (COX-2). These including: -active peptic ulcers enzymes are responsible - menstrual cramps for the production of - pain and Trade Name: prostaglandins, which inflammation Ponstel play a role in inflammation, pain, and Functional fever. By inhibiting Classification COX-1 and COX-2 COX-I and COX-2, mefenamic acid reduces the production of prostaglandins, leading to decreased pain, inflammation, and fever. Generic Name: General Classification Patient’s Dose: Patient’s Indication: -treat for mild to moderate pain Maximum Dose: Minimum Dose: Adverse Reactions Nursing Responsibilities CNS: headache, dizziness, Before insomnia -Check doctor's order DERMATOLOGIC: rash, -Assess pain score pruritus, sweating Gl: nausea, Gl pain, diarrhea -Assess for history of allergic to NSAID -Educate patients regarding desired adverse constipation GU: dysuria, renal, impairment effect HEMATOLOGIC: bleeding, -Educate patient that prolonged use of drug platelet inhibition with higher can damage the liver dose neutropenia RESPIRATORY: dyspnea, During hemoptysis, pharyngitis -Do not increase or double the dose follow the exactly the prescribe and indicated -Administer the drugs with full glass of water -Do not break, chew or crush capsule or tablet -Do not administer with anticoagulants and other drug that causes GI upset After -Document accordingly Monitor for adverse effects -Instruct discontinuation of medication if adverse effect occurs -Assess for occurrence of GI ulcers after taking