Doctor’s Order: Atorvastatin
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing Responsibilites
Adverse Effects
Generic: Inhibits Used to lower Hypersensitivity to None 1. Monitor liver function
Atorvastatin HMG-CoA high cholesterol statins tests, CK levels (for
reductase leves muscle damage)
Brand: enzyme in the 2. Advise the patient on
Lipitor liver muscle pain or
weakness and notify
Classification: the healthcare provider
HMG-CoA Reduces 3. Educate on taking with
Reductase Inhibitor cholesterol or without food,
(Statin) synthesis avoiding grapefruit
juice
Dosage: 4. Report unexplained
40mg Increases LDL muscle pain or dark
receptor activity, urine to the healthcare
Route: lowering LDL provider
PO and total
cholesterol
Frequency:
ODHS
Doctor’s Order: Omeprazole
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Inhibits H+/K+ Used for stomach Hypersensitivity to None
Omeprazole ATPase pump in acid PPI 1. Administer before
parietal cells meals for maximum
Brand: efficacy
Prilosec Reduces gastric 2. Educate on possible
acid secretion side effects like
Classification: headache or
Proton Pump gastrointestinal
Inhibitor disturbances
3. Advise on taking a
Dosage: multivitamin,
40mg especially if using for
long periods
Route: 4. Monitor for any signs
PO of infection (e.g.,
diarrhea)
Frequency:
OD
Doctor’s Order: Levofloxacin
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Inhibits bacterial Used for Hypersensitivity to None
Levofloxacin DNA gyrase and respiratory quinolones 1. Advise the patient to
topoisomerase IV infections take the full course
Brand: of antibiotics
Levaquin Prevents DNA 2. Educate on possible
replication in tendon pain or
bacteria swelling and seek
Classification:
Fluoroquinolone medical attention if
Leading to cell
Antibiotic this occurs
death
3. Monitor for signs of
Dosage: severe diarrhea
750mg (may indicate
Clostridium difficile
Route: infection)
IV 4. Take with plenty of
fluids and avoid
Frequency: dairy products or
OD antacids at the same
time
Doctor’s Order: Carvedilol
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Blocks beta -1 Used for None None
Carvedilol and beta - 2 hypertension 1. Monitor blood
adrenergic pressure and
Brand: receptors, and heart rate
Coreg alpha-1 regularly
receptors 2. Advise the
Classification: patient to rise
Beta blocker slowly from a
Reduces heart sitting
Dosage: rate, blood position (to
6.25mg pressure, and prevent
myocardial dizziness)
Route: oxygen demand 3. Educate on
PO recognizing
signs of fluid
Frequency: retention or
BID difficulty
breathing
4. Inform the
patient about
the
importance of
consistent
medication
intake
Doctor’s Order: Metoclopramide
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Increases gastric Used for nausea None None
Metoclopramide motility and vomiting 1. Monitor for signs of
involuntary
Brand: antagonizing movements (e.g.,
Reglan dopamine tardive dyskinesia)
receptors in the
2. Educate on taking
gut
Classification: the medication 30
Antiemetic minutes before
Reduces nausea meals
Dosage: and vomiting 3. Advise the patient to
10mg avoid alcohol, which
can enhance
Route: sedative effects
IV
Frequency:
q8
Doctor’s Order: Paracetamol
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Inhibits Used for fever None None
Paracetamol prostaglandin 1. Advise on proper
synthesis in the dosing to avoid liver
Brand: brain toxicity
Tylenol 2. Educate on not
reducing pain
exceeding the
Classification: and fever
maximum daily dose
Antipyretic (4g/day)
3. Monitor liver function
Dosage: in long-term use
300mg
Route:
IV
Frequency:
q4
Doctor’s Order: Tramadol
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Binds to opioid None None
Tramadol receptors in the Moderate to severe 1. Monitor for signs of
brain and spinal pain addiction or misuse
Brand: cord 2. Advise on taking
Ultram with food to reduce
gastrointestinal
Inhibits reuptake
Classification: upset
of serotonin and
Opioid Analgesic 3. Educate on avoiding
norepinephrine
alcohol and other
Dosage: modulating pain sedatives
50mg 4. Monitor for any signs
of seizure activity
Route:
IV
Frequency:
q8
Doctor’s Order: Insulin
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Used for Diabetes Hypersensitivity to None
Insulin Isophane Insulin binds to Mellitus insulin 1. Monitor blood
(NPH) and Insulin insulin receptors glucose levels
Regular on cell surfaces regularly and adjust
insulin dose as per
Brand: Stimulates the doctor's advice.
Humulin 70/30 glucose uptake 2. Rotate injection sites
into cells to avoid
Classification: lipodystrophy and
Antidiabetic Agent Inhibits hepatic local skin reactions.
glucose 3. Administer Humulin
Dosage: production 70/30 30 minutes
33 iu before meals.
18 iu 4.
Route:
SQ Promotes
glycogen
Frequency: synthesis
AM & PM
Decreases blood
glucose levels
Doctor’s Order: Telmisartan
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Blocks Used treat Hypersensitivity to None
Telmisartan angiotensin II hypertension ARBs 1. Monitor kidney
receptors function (serum
Brand: creatinine,
Micardis potassium levels)
leading to
vasodilation and
Classification: 2. Educate the patient
Angiotensin II on signs of
Receptor Blocker reduced dehydration,
(ARB) aldosterone hyperkalemia (e.g.,
secretion muscle weakness)
3. Advise taking at the
Dosage: same time each day,
Lowers blood
80mg with or without food
pressure
Route:
PO
Frequency:
ODAM
Doctor’s Order: Amlodipine
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Inhibits calcium Used for Hypersensitivity to None
Amlodipine ion influx into hypertension amlodipine 1. Monitor blood
vascular smooth pressure regularly
Brand: muscle and 2. Educate the patient
Norvasc cardiac muscle on the possibility of
swelling in the legs
Classification: or ankles
Calcium Channel Relaxes blood 3. Instruct the patient to
Blocker vessels, lowers take the medication
blood pressure, at the same time
reduces heart
Dosage: each day
workload
10mg
Route:
PO
Frequency:
ODHS
Doctor’s Order: Epoetin Alpha
Drug Name Mechanism Indication Contraindication Side Effects/ Nursing
Adverse Effects Responsibilities
Generic: Stimulates red Used for anemia Hypersensitivity to None
Epoetin Alpha blood cell epoetin 1. Monitor hemoglobin
production levels regularly to
Brand: avoid over-correction
Epogen Binds to 2. Educate the patient
erythropoietin on signs of clotting
Classification: receptors in or stroke (e.g., chest
Erythropoiesis bone marrow pain, sudden
Stimulating Agent weakness)
3. Instruct the patient to
Dosage: Increases red report any symptoms
blood cell count of high blood
pressure
Route:
SQ
Frequency:
Sat/Wed
