NAME CLASSIFICATIO MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT

OF N ACTION CONSIDERATION TEACHING

DRUG
Generic Loop Diuretic Furosemide is CNS: dizziness, Monitor Electrolytes: Take as Prescribed:
Name: Furosemide inhibits used to treat headache, vertigo, Regularly monitor Instruct the patient
furosemide the reabsorption of conditions such as weakness, lethargy, electrolyte levels, to take the
sodium and chloride edema (fluid paresthesia, especially potassium. medication exactly
Brand drowsiness, Replacement may be as prescribed by the
Names:
in the proximal and retention)
restlessness, light- necessary. healthcare provider.
distal tubules and associated with
headedness Assess Fluid Status: Importance of
Lasix the loop of Henle in congestive heart CV: hypotension, Monitor fluid Regular Monitoring:
the kidneys. This failure, liver orthostatic balance, intake and Emphasize the need
Dosage: results in increased cirrhosis, and renal hypotension, output, and signs of for regular
urine production disease. It is also tachycardia, volume dehydration or monitoring of blood
4g
and the excretion of prescribed for the depletion, overhydration. pressure,
Frequency: excess water, treatment of necrotizing angiitis, Blood Pressure electrolytes, and
sodium, chloride, hypertension. thrombophlebitis, Monitoring: Monitor hearing as directed
OD magnesium, and arrhythmias blood pressure by the healthcare
potassium. EENT: blurred vision, regularly. provider.
Timing: xanthopsia, Ototoxicity Dietary
hearing loss, tinnitus Monitoring: Assess Considerations:
8am GI: nausea, vomiting, hearing regularly, Encourage a diet rich
diarrhea, especially in patients in potassium-
Route: constipation, receiving high doses containing foods
dyspepsia, oral and or intravenous unless
IVTT gastric administration. contraindicated.
irritation, cramping, Blood Glucose Symptoms to
anorexia, dry Levels: Monitor Report: Teach the
mouth, acute blood glucose levels patient to report
pancreatitis in patients with symptoms of
GU: excessive and diabetes. electrolyte
frequent urination, imbalance
nocturia, glycosuria, (weakness, irregular
bladder spasm, heartbeat, muscle
oliguria, interstitial cramps) and
nephritis dehydration
Hematologic: (excessive thirst, dry
anemia, purpura, mouth, dark urine).
leukopenia,
thrombocytopenia, Avoid Rapid
hemolytic Changes: Advise
anemia against making rapid
Hepatic: jaundice changes in position
Metabolic: due to the risk of
hyperglycemia, orthostatic
hyperuricemia, hypotension.
dehydration, Avoid Alcohol:
hypokalemia, Advise against
hypomagnesemia, excessive alcohol
hypocalcemia, consumption, which
hypochloremic can potentiate the
alkalosis hypotensive effect.
Musculoskeletal: Inform Healthcare
muscle pain, muscle Providers: Remind
cramps the patient to inform
Skin: all healthcare
photosensitivity, providers about the
rash, diaphoresis, use of furosemide,
urticaria, pruritus, especially before any
exfoliative surgical procedures.
dermatitis, erythema
 multiforme
Other: fever,
transient pain at I.M.
injection site

NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE NURSING PATIENT

DRUG ACTION EFFECTS CONSIDERATION TEACHING
Generic Cephalosporins Ceftriaxone works by Susceptible Local reactions, Hepatic Function Explain that
Name: inhibiting the bacterial infections hematologic Monitoring: ceftriaxone is
ceftriaxone mucopeptide synthesis of the lower effects (eg, - Monitor hepatic an antibiotic
in the bacterial cell respiratory tract, eosinophilia), rash, function, as used to treat
Brand wall. The beta-lactam skin and skin diarrhea, elevated ceftriaxone can lead bacterial
Names: moiety of ceftriaxone structure, bone and liver enzymes; to elevated liver infections.
binds to joint, acute otitis hypersensitivity enzymes in some
Rocephin carboxypeptidases, reactions, cases. Emphasize the
media, UTIs,
endopeptidases, and septicemia, pelvic C.difficile- importance of
Dosage: transpeptidases in the associated Patient completing the
inflammatory
bacterial cytoplasmic diarrhea, hemolytic Assessment: entire
2 grams disease (PID), intra Obtain a thorough
membrane. These anemia, prescribed
abdominal patient history,
enzymes are involved in pancreatitis. course, even if
Frequency: infections,
cell-wall synthesis and including allergies, symptoms
cell division. Binding of meningitis, previous adverse improve before
q24h uncomplicated
ceftriaxone to these reactions to completion.
enzymes causes the gonorrhea. Surgical antibiotics, and
Timing:
enzyme to lose activity; prophylaxis. current medications. Clearly explain
8am - 8am therefore, the bacteria the prescribed
produce defective cell dosage and
Route: walls, causing cell schedule.
 death.
IV Instruct the
- Assess the patient not to
patient's renal and miss any doses
hepatic function, as and to take the
ceftriaxone is medication
primarily excreted exactly as
through the biliary prescribed.
system.
Educate the
Dosage and patient about
Administration: potential side
-Administer the effects such as
medication as diarrhea,
prescribed by the nausea, or
healthcare provider. allergic
-Follow the correct reactions.
dosage, frequency,
and route of Instruct the
administration. patient to
-Ceftriaxone is report any
usually administered unusual or
intravenously (IV) or severe side
intramuscularly (IM). effects
promptly to
their healthcare
provider.
 NAME CLASSIFICATION MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT
OF DRUG ACTION CONSIDERATION TEACHING
Generic Proton pump Omeprazole Gastroesophageal CNS: dizziness, -Obtain a detailed -Explain the
Name: inhibitor suppresses gastric Reflux Disease (GERD): headache, asthenia medical history, purpose of
omeprazole acid secretion by Omeprazole is GI: nausea, vomiting, including allergies and Omeprazole is
specific inhibition commonly prescribed diarrhea, past reactions to to reduce the
Brand of the (H+, K+)- to treat GERD, a constipation, medications production of
Names: ATPase enzyme condition where abdominal pain stomach acid.
system at the stomach acid regularly -Monitor for signs of
Prilosec secretory surface of flows back into the Metabolic: adverse reactions, such -Take
the gastric parietal esophagus, causing hypomagnesemia as allergic reactions, omeprazole
Dosage: cell. symptoms such as gastrointestinal exactly as
heartburn and Musculoskeletal: back symptoms (nausea, prescribed by
4g/tab pain; fractures of hip, vomiting, diarrhea), your healthcare
regurgitation.
wrist, spine (with and musculoskeletal provider.
Frequency: long-term daily use) pain.
Respiratory: cough, -Instruct
ODac
upper respiratory -Regularly assess liver patients to take
tract infection function, especially in the medication
Timing:
Skin:rash patients with existing at the same
6am liver conditions, as time each day,
omeprazole may affect preferably
Route: liver enzymes. before a meal.
 -Be vigilant for signs of -Emphasize the
Oral hypomagnesemia, importance of
which may lead to completing the
hypocalcemia and full course of
vitamin B12 deficiency. treatment as
Consider monitoring prescribed
magnesium levels in
patients on long-term
therapy.

- Recognize the
importance of
monitoring gastric pH
in patients using
omeprazole for acid
suppression

-Give or administer it
30 to 60 minutes
before a meal,
preferably in the
morning.

NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE NURSING PATIENT

 DRUG ACTION EFFECTS CONSIDERATION TEACHING
Generic Name: Ursodeoxycholic Ursodeoxycholic acid Primary Biliary Significant: Biliary -Conduct a thorough -Emphasize the
acid is a naturally occurring Cholangitis (PBC): obstruction. baseline assessment importance of
ursodeoxycholic bile acid. It reduces Hepatobiliary of the patient's liver taking UDCA
acid cholesterol secretion Cholestatic Liver disorders: Rarely, function, including exactly as
from the liver and Diseases: calcification of liver enzyme levels prescribed.
fractional reabsorption gallstones, and any existing liver
Brand Names: of the cholesterol by UDCA may be used decompensation of pathology. -Provide dietary
the intestine resulting in various liver cirrhosis. guidelines that
Urso in decreased cholestatic liver -Administer UDCA support liver
cholesterol content of diseases where GI disorders: according to the health, such as a
Dosage: there is a reduced
the bile and bile Diarrhea, pasty prescribed dosage low-fat diet.
stones. flow of bile from stools, nausea, and schedule.
250mg
the liver. This vomiting, -Educate
includes conditions constipation, -Monitor for any signs patients about
Frequency:
like primary dyspepsia; rarely, of overdose or potential side
TID sclerosing severe right upper adverse reactions. effects and the
cholangitis (PSC). abdominal pain (if importance of
Timing: used for primary -Monitor for reporting any
UDCA is a first-line biliary cirrhosis) gastrointestinal side adverse
8am- 1pm - treatment for effects such as reactions
8pm Primary Biliary Musculoskeletal and abdominal pain, promptly.
Cholangitis, connective tissue nausea, or diarrhea.
Route: It helps improve disorders: Back pain. -Maintain a
bile flow, reduce -Be aware of potential well-balanced
Oral liver inflammation, Nervous system drug interactions, diet and stay
and slow down the disorders: especially with hydrated.
progression of the Headache, dizziness. medications
disease. metabolized by the -Report for any
Respiratory, liver. unusualities or
Gallstone thoracic and reactions to
Dissolution: mediastinal -Monitor for signs of your body.
disorders: Upper allergic reactions,
UDCA can be used respiratory tract including rash,
to dissolve certain infection. itching, or swelling,
types of gallstones, and take appropriate
particularly those Skin and action if they occur.
made of subcutaneous tissue
cholesterol. disorders: Urticaria, -Monitor vital signs
It is not the first- pruritus.
line treatment for
gallstones.
 NAME CLASSIFICATION MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT
OF ACTION CONSIDERATION TEACHING
DRUG
Generic Osmotic Laxative Lactulose is a Hepatic CNS: headache, -Monitor the Intake -instruct a
Name: synthetic Encephalopathy: confusion, hemiparesis, and output of the patient to drink
lactulose disaccharide lethargy, paresthesia, patient sufficient
osmotic laxative. Lactulose is used to syncope, amounts of
Brand Through bacterial treat is a mainstay in seizures -Obtain a detailed fluids (1.5-2 L or
Names: degradation it is the treatment of CV: hypotension, patient history, 6-8 glasses
converted to low hepatic palpitations, chest including any daily).
Lactul molecular organic encephalopathy, a pain, vasodilation previous episodes of
acids; these acids neuropsychiatric constipation, hepatic -Instruct the
Dosage:
cause a decrease of complication of liver EENT: hearing loss encephalopathy, or patient to
pH in the colonic disease. In hepatic adverse reactions to dissolve
30 cc
lumen, and through encephalopathy, the GI: nausea, vomiting, laxatives. contents of the
an osmotic effect, liver is unable to diarrhea, single-use
Frequency:
an increase of the effectively process abdominal cramps, oral -Confirm the packet in 4 oz of
ODhs volume of colonic ammonia, leading to candidiasis, patient's allergies water or juice.
contents. elevated ammonia pseudomembranous and ensure that Suggest that the
Timing: levels in the blood. colitis, lactulose is a safe patient dilute
Lactulose works by pancreatitis,Clostridium option. syrup with water
8pm promoting the difficile–associated or juice to mask
excretion of ammonia diarrhea -Educate the patient taste.
Route: in the stool, helping to about the purpose of
reduce ammonia GU: vaginal candidiasis lactulose, - Tell patients
Oral absorption and emphasizing its role drugs may cause
alleviate symptoms of Hematologic: in treating flatulence and
confusion and altered lymphocytosis, constipation or intestinal
mental status eosinophilia, bleeding reducing ammonia cramps at first,
associated with tendency, hemolytic levels in hepatic but these
hepatic anemia, encephalopathy. symptoms
encephalopathy. hypoprothrombinemia, usually subside.
neutropenia, -Provide clear
thrombocytopenia, instructions on how Inform the
agranulocytosis, bone to take lactulose, patient that
marrow depression including dosage, excessive use
timing, and any may cause
Hepatic: jaundice, specific diarrhea and
hepatomegaly recommendations excessive fluid
(e.g., taking with loss.
Musculoskeletal: water, mixing with
arthralgia juice). -Educate the
patient with
Respiratory: dyspnea signs of
dehydration,
Skin: urticaria, emphasizing the
maculopapular or importance of
erythematous rash maintaining
Other: chills, fever, adequate fluid
superinfection, intake.
pain at I.M. injection site, -Discuss
anaphylaxis, potential side
serum sickness effects, such as
gas, bloating, or
abdominal
cramps, and
reassure the
patient that
these effects are
generally
temporary.
 NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT
DRUG ACTION CONSIDERATION TEACHING
Generic Bactericidal and CNS: dizziness, -Obtain specimens -Tell the patient to
Name: Macrolide bacteriostatic; inhibits Azithromycin may drowsiness, fatigue, for culture and take the drug as
antibiotic protein synthesis after be used headache, vertigo sensitivity testing prescribed, even
azithromycin binding with 50S cautiously in before starting after he feels
ribosomal subunit of patients with liver CV: chest pain, therapy. better.
Brand susceptible organisms.
disease from palpitations EENT: eye
Demonstrates cross
Names: hepatitis B for irritation (with -If a patient vomits -Tell the patient to
resistance to
erythromycin-resistant bacterial ophthalmic use) within 60 minutes of report adverse
Zithromax infections, taking Zmax, notify reactions
gram-positive strains
and resistance to most adjusting dosage GI: nausea, diarrhea, the prescriber; promptly.
Dosage: strains of Enterococcus if necessary. abdominal pain, additional or different
faecalis and methicillin- cholestatic jaundice, therapy may be -Take azithromycin
500mg/tab resistant Staphylococcus dyspepsia, flatulence, needed. with food if
aureus. melena, stomach upset
Frequency:
pseudomembranous -Assess liver function occurs.
colitis through laboratory
OD
tests before and - Follow the
GU: nephritis, vaginitis, during treatment. specific
Timing:
candidiasis instructions
8am -Monitor for signs of provided by your
Metabolic: worsening liver healthcare
Route: hyperglycemia, function, such as provider.
hyperkalemia Skin: jaundice or elevated -Attend all
Oral photosensitivity, liver enzymes. scheduled
rashes, angioedema appointments for
-Use with caution, liver function tests.
Other: overgrowth of adjusting dosage, if
nonsusceptible necessary, based on - Inform your
organisms (with liver function. healthcare
prolonged use) provider about
-Educate the patient your hepatitis B
about potential side status.
effects and the
importance of -Refrain from
reporting any unusual consuming alcohol
symptoms promptly. and avoid
substances known
-Coordinate with the to be harmful to
healthcare team for the liver.
appropriate
monitoring and -Discuss any
adjustments in the concerns with your
treatment plan. healthcare
provider.
-Consider alternative
antibiotics if the liver -Be aware of signs
disease is severe or of liver problems
worsening. such as jaundice
(yellowing of the
-Communicate with skin or eyes), dark
the healthcare urine, or persistent
provider regarding nausea.
the patient's liver
disease status and -Report these
the appropriateness symptoms
of azithromycin use. immediately.
Understand
common side
effects of
azithromycin, such
as gastrointestinal
upset, and notify
your healthcare
provider if they
persist or worsen.

-Inform all
healthcare
providers,, about
your hepatitis B
status and the
medications you
are taking.
 NAME CLASSIFICATION MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT
OF ACTION CONSIDERATION TEACHING
DRUG

Generic Bronchodilator Salbutamol Salbutamol is CNS: Restlessness, -Evaluate liver -Take salbutamol
name: and beta-2 involves indicated for apprehension, function through exactly as
adrenergic agonist stimulation of bronchospasm anxiety, fear, CNS appropriate tests prescribed by your
salbutamol beta-2 adrenergic relief in patients stimulation, vertigo, before initiating doctor. Follow the
receptors, leading with liver disease, headache, salbutamol and recommended
Brand to bronchodilation including hepatitis weakness, tremors, monitor regularly, dose and
Names: and improved B, with dosage drowsiness, adjusting treatment schedule.
airflow in the adjustments insomnia, as needed.
Ventolin lungs. guided by hyperactivity, -Be aware of any
healthcare malaise -Adjust salbutamol unusual shaking or
Dosage: dosage based on the tremors,
providers.
CV: Cardiac severity of liver especially in your
1 neb
arrhythmias, disease to prevent hands. Report to
palpitations, potential your doctor if you
Frequency:
tachycardia, chest complications. experience this.
q12hrs pain, hypertension
-Vigilantly observe -Pay attention to
Timing: EENT: dry and for adverse effects, your heart rate. If
8am-8pm irritated nose and especially tremors, you feel your
throat with inhaled palpitations, or heart beating fast
form, nasal other cardiovascular or irregularly,
congestion, symptoms, and inform your
epistaxis, hoarseness report to healthcare doctor promptly.
providers.
Dermatologic: -Keep your
Sweating, pallor, -Assess the risk of scheduled
flushing hypokalemia, as appointments to
salbutamol may monitor your liver
GI: Nausea, lower potassium and overall health.
vomiting, heartburn, levels. Monitor This helps your
unusual or bad taste electrolytes and doctor adjust your
in the mouth. intervene if treatment plan if
necessary. needed.
Metabolic:
hypokalemia. -Develop an -Report any
individualized muscle cramps or
treatment plan in weakness to your
collaboration with doctor, as
Musculoskeletal: healthcare salbutamol may
muscle cramps. providers, affect potassium
considering the levels.
Respiratory:
patient's specific
Respiratory -Avoid changing
liver disease status
difficulties, the dose on your
and overall health.
pulmonary edema, own. Consult your
coughing, -Educate the patient doctor before
bronchospasm, on potential side making any
paradoxical airway effects, the adjustments to
resistance with importance of your medication.
repeated, excessive adherence to
use of inhalation prescribed dosage, -If you experience
preparations. and reporting any nervousness or
unusual symptoms anxiety, let your
promptly. doctor know. It
could be a side
Others: increased
sputum production, -Identify and effect that needs
dyspnea bronchitis. minimize triggers attention
that may exacerbate
liver disease, and -Learn and avoid
discuss lifestyle factors that can
modifications with worsen your liver
the patient. condition. Discuss
lifestyle changes
-Schedule regular with your
follow-up healthcare team.
appointments to
assess the patient's -Understand when
response to to seek urgent
treatment and medical attention.
adjust the plan as Have a plan in
necessary. case your
symptoms worsen
-Collaborate with unexpectedly.
the hepatology
team to ensure -If you have any
comprehensive care doubts or
and coordination of concerns, don't
treatment for both hesitate to ask
respiratory and liver your doctor or
conditions. nurse. Clear
communication is
-Educate the patient essential for your
on recognizing signs well-being.
of worsening liver
disease and
respiratory distress,
and provide
guidance on seeking
prompt medical
attention.

-Monitor vital signs

of the patient
 NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE NURSING PATIENT
DRUG ACTION EFFECTS CONSIDERATION TEACHING

Generic mucolytic and Reduces the Acetylcysteine is CNS: abnormal -Monitor cough -Warn the
name: antidote viscosity of indicated for thinking, fever, type and patient that the
pulmonary treating drowsiness, frequency. drug may have a
N- secretions by paracetamol gait foul taste or
acetylcysteine splitting disulfide (acetaminophen) disturbances. -assess baseline smell that may
linkages between overdose and, as a liver function and be distressing.
Brand mucoprotein mucolytic, for CV: chest monitor
Names: molecular respiratory tightness, throughout -For maximum
complexes. Also, conditions in flushing, acetylcysteine effect, instruct
Parvolex restores liver patients with liver hypertension, therapy, especially the patient to
stores of disease, including hypotension, in patients with cough to clear
Dosage: tachycardia. hepatitis B. his airway before
glutathione to hepatitis B.
treat aerosol
6mg/tab, 2 EENT: -Individualize the
acetaminophen administration.
Tablet x 3 rhinorrhea, ear acetylcysteine
toxicity.
days pain, eye pain, dosage based on -Explain that
pharyngitis, the severity of acetylcysteine is
Frequency:
throat liver disease to given to treat
tightness. prevent adverse acetaminophen
BID
effects. overdose or
GI: nausea, respiratory
Timing:
stomatitis, -Monitor for conditions,
8:00 am – vomiting. adverse reactions, depending on
6:00 pm Respiratory: including the situation.
bronchospasm, hypersensitivity
Route: cough, reactions, and be -Emphasize the
dyspnea, prepared to importance of
Oral rhonchi. manage them taking
promptly. acetylcysteine
Skin: exactly as
clamminess, -Ensure adequate prescribed by
diaphoresis, hydration to the healthcare
pruritus, rash, reduce the risk of provider.
urticaria. renal
complications, -instruct the
Other: particularly in patient to report
anaphylactoid patients with any adverse
reaction, compromised liver effects, such as
angioedema, function. allergic reactions
chills. or breathing
-Monitor difficulties,
electrolytes, promptly to the
especially healthcare team.
potassium, during
acetylcysteine -Encourage
administration, as adequate fluid
it can affect intake to prevent
electrolyte dehydration,
balance. particularly in
patients with
-Be vigilant for liver disease.
respiratory
distress, especially -Explain that the
in patients with medication may
underlying be adjusted
respiratory based on the
conditions, and severity of liver
intervene disease, and the
promptly if treatment plan is
needed. personalized for
the patient.
-Educate the
patient about the -Teach patients
purpose of with respiratory
acetylcysteine conditions to be
therapy, potential vigilant for any
side effects, and changes in
the importance of breathing and to
adherence to the seek medical
treatment plan. attention if
respiratory
-Be prepared to distress occurs.
manage
emergency -Discuss the
situations, such as importance of
severe monitoring
hypersensitivity electrolytes and
reactions, and inform patients
have appropriate about potential
interventions imbalances,
readily available. especially in
potassium levels.

-Encourage open
communication
 with the
healthcare team.
Patients should
feel comfortable
discussing
concerns or
asking questions
about their
treatment.

NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE EFFECTS NURSING PATIENT

DRUG ACTION CONSIDERATION TEACHING
Non-selective Propranolol works indicated for CNS: Fatigue, -Conduct a thorough -Emphasize the
Generic beta-adrenergic by blocking the various conditions, Weakness,Dizziness, assessment of the importance of
name: blocking agent effects of including Headache, Depression or patient's medical taking
adrenaline on hypertension, mood changes, Confusion history, especially propranolol as
propanolol beta receptors, angina, cardiac (especially in elderly focusing on liver prescribed and
thus reducing the arrhythmias, patients) function and any not skipping
Brand heart rate, blood migraine contraindications. doses.
Names: pressure, and prevention, and CV:
workload on the essential tremors. Bradycardia,Hypotension, -Regularly monitor -Instruct the
Inderal Aggravation of heart failure blood pressure and patient to
heart. It also has In the context of
anti-arrhythmic liver disease from in susceptible individuals, heart rate to assess report any
Dosage:
and anti- Hepatitis B Palpitations, Peripheral the drug's unusual side
hypertensive infection, it may vascular insufficiency (may effectiveness and effects, such as
20mg/tab
properties. be prescribed to lead to cold extremities) potential adverse fatigue,
Frequency: reduce portal effects. dizziness, or
 hypertension and EENT: Blurred vision,Dry changes in
OD prevent bleeding eyes, Nasal stuffiness -Monitor liver function heart rate,
from esophageal tests regularly, given promptly to the
Timing: varices. GI:Nausea, Vomiting, the patient's healthcare
Abdominal discomfort or diagnosed liver provider.
8:00 am pain, Diarrhea disease. Propranolol
- Constipation may affect liver -Teach the
Route: enzyme levels. patient to rise
Respiratory: slowly from a
Oral - Bronchoconstriction -Assess fluid and sitting or lying
(especially in patients with electrolyte balance, position to
asthma or chronic especially in patients minimize the
obstructive pulmonary with liver disease who risk of
disease) may be prone to fluid orthostatic
- Dyspnea (difficulty retention. hypotension.
breathing)
-In patients with liver -Educate the
Skin: disease and varices, patient about
- Skin rash closely monitor for signs of
- Psoriasis exacerbation or signs of bleeding. bleeding and
initiation Propranolol is used to the importance
reduce the risk of of seeking
Other: bleeding from immediate
- Hypoglycemia (especially esophageal varices. medical
in diabetic patients on attention if
insulin or sulfonylureas) -Monitor respiratory they occur.
- Masking of symptoms of status, especially in
hypoglycemia (tremors, patients with -Teach the
tachycardia) respiratory conditions, patient to
- Elevated liver enzymes as beta-blockers can recognize
(rare) cause symptoms of
 - Impotence or sexual bronchoconstriction. worsening liver
dysfunction disease and
report them
promptly.

-Advise the
patient on
proper
medication
storage,
keeping it away
from moisture
and heat.

NAME OF CLASSIFICATION MECHANISM OF INDICATION ADVERSE NURSING PATIENT

DRUG ACTION EFFECTS CONSIDERATION TEACHING
Calcium and Calcium is an Calci-D3 is CNS: confusion, -Conduct a thorough -Teach the patient
Generic Vitamin D3 essential mineral prescribed for lethargy, and even assessment of the how to take Calci-
name: supplement that plays a key role patients with liver coma in severe patient's liver D3, including the
in various disease due to cases. function, calcium correct dosage,
Calcium + physiological Hepatitis B infection CV: Hypercalcemia levels, and vitamin D timing, and
Vit.D3 processes, including to address potential and increase the risk status before starting whether it should
bone formation and deficiencies in of cardiovascular the supplement. be taken with or
Brand maintenance, blood calcium and vitamin events. without food.
Names: clotting, and nerve D3, which are GI: constipation, -Monitor serum
function. Vitamin D3 common in bloating, and calcium and vitamin -Educate the
D levels regularly to patient about the
 helps the body individuals with liver abdominal assess the signs and
Dosage: absorb calcium from dysfunction. The discomfort. effectiveness of the symptoms of
the digestive tract supplement aims to Respiratory: supplementation and vitamin D or
1tab and supports proper support bone health Excessive calcium adjust the dosage if calcium toxicity
bone health. and prevent intake and necessary. and instruct them
Frequency: conditions like hypercalcemia may to seek medical
osteoporosis. result in respiratory -Continuously attention if these
BID monitor liver
distress. occur.
function tests to
Timing:
assess the -Encourage the
progression of liver patient to have a
8:00 am-
disease and adjust balanced diet rich
6pm
the treatment plan in calcium and
Route: accordingly. vitamin D.

Oral -assess renal -Provide guidance

function, as impaired on fall prevention
kidney function can measures to
affect calcium reduce the risk of
metabolism. Adjust fractures, as
the dosage based on individuals with
renal function if liver disease may
needed. have
compromised
-Monitor vital signs bone health.
and MIO
-Instruct the
-Be aware of patient to report
potential drug any adverse
interactions, effects promptly,
especially with including
medications that may gastrointestinal
impact calcium symptoms or signs
absorption or of vitamin D
metabolism. toxicity.
ddress and manage
any adverse effects, -Emphasize the
such as constipation, importance of
by promoting dietary consistent
fiber intake and adherence to the
adequate fluid prescribed
intake. medication
regimen and
-Provide dietary attending follow-
education on foods up appointments.
rich in calcium and
vitamin D to
complement the
supplementation.