University Pharmacology II Assignment: Drug Card Details

This assignment presents detailed drug cards for four different medications: Polysporin (topical), Isotretinoin, Clotrimazole, and Lindane. Each drug card includes information on the drug's classification, generic and trade names, action, indications, main and serious side effects, contraindications, interactions, and nursing considerations. The nursing considerations section covers assessments, administration, evaluation, and patient teaching. The assignment requires students to understand and present comprehensive information on each drug, including their uses, potential adverse effects, and the role of nurses in administering and educating patients about the medications. The included references support the information provided within each drug card.

Running head: DRUG CARD
DRUG CARD
Name of Student
Name of University
Author note

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Drug cards for Polysporin (Topical)
Classification: Antibiotics
Generic Name: Polymycin B sulfate and Bacitracin
Example of Trade Name: Polysporin
Action: It is a drug that interferes with the function of plasma membrane permeability
(Lammertink et al. 2015) and disrupts synthesis of bacterial wall in the plasma. In brief, it
can be said that it has bacteriostatic effect.
Contraindications: The drug has no disease contraindications, however the drug has
contraindications with Bacitracin, Polymyxins and colistin (Colantonio and Kirshen 2017).
Indications: It is indicated for use in minor wounds and to treat mild skin infections.
Main side effects: Some of the side-effects of the drug include redness and irritation of the
eyes (Esteban-Vives et al. 2016).
Main serious adverse effects: Some of the serious side-effects include fungal infection,
balance and hearing related problems. In addition, some serious allergic reactions to this drug
includes dizziness, rashes, itching and breathing problem.
Interactions: The drug has no serious interaction characteristics. However, before taking this
medication, details must be taken regarding other medications and herbal products taken by
the patient.
Nursing considerations:
a. Assessments: Before taking this medication, it is necessary to assess medical history
of patient and identify history of skin condition like eczema and chicken pox

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b. Administration: With the perspective of medication administration, there is a need to
instruct regarding topical use of the medications. Preventing entry of the product into the
mouth and eyes are important.
c. Evaluation: After giving the medication there is a need to conduct evaluation
regarding allergies and medical history of patients. Any possible changes in vital signs after
using the medications can also be done.
d. Patient teaching: Nurses need to give education regarding side-effects of the drug,
dose considerations and avoiding the medication during pregnancy.
Drug cards for Isotretinoin
Classification: Retinoid derivative of Vitamin A
Generic name: Isotretinoin
Example of trade name: Sotret
Action: The drug exhibits its action by altering the progress through cell cycle and apoptosis.
The initiation of this action prevents sebum production, blocks pores and reduces the growth
of acne. By this pathophysiological process, the drug aids in acne treatment (Cozzolino
Domingo and Soares 2018).
Indications: The drug is indicates for use to treat severe cystic acne when other treatments
options has not worked (Lee et al. 2016).
Main side-effects: Some of the side-effects associated with this drug include dry lips,
stomach pain, swelling of the eyelids and crusty skin (Sodhi et al. 2016)
Main serious-effects: Other adverse effects of the drug include mood changes, joint or muscle
pain, peeling of the skins and sore throat.

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Contradictions: The drug has contraindications with disease like diabetes, obesity, psychotic
disorder, and alcoholism, reduction of white blood cells and hearing loss.
Interaction – drug-drug
Nursing consideration:
a. Assessments: Assessment should be done regarding allergies and personal history of
blood fats, diabetes, depression and eating disorder in patient.
b. Administration: While administering this drug, it is necessary to divide the dose with
food and make dose adjustment as per the physician instruction.
c. Evaluation: There is a need to conduct assessment includes complete history of
allergies, drug history and possible drug interaction after taking the drugs.
d. Patient teaching: The patient must be educated regarding adverse effects of drugs,
possible drug-drug interactions and precautions to be taken while taking the drugs.
Drug cards for Clotrimazole
1. Classification (functional and chemical)
2. Generic Name - Clotrimazole
3. Trade Name – Canesten
4. Action – it acts by affecting the permeability of fungal cell- wall, allows the leakage of
cellular contents.
5. Indications – it is used to treat various and different cutaneous fungal infections and
especially that includes tinea pedis, cutaneous candidiasis, tinea cruris, ringworm and tinea
versicolor (de la Paz Cota et al. 2018).
6. Main Side effects – local reactions (hypersentivity), burning, itching, stinging, redness
7. Main Serious Adverse Effects -

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8. Contraindications - Hypersensitivity to active ingredients, additives, preservatives, or
bases. Should be used cautiously in scalp and nail infections (may require additional systemic
therapy). Its safety is not established in lactation.
9. Interactions - Drug-Drug
10. Nursing Considerations – acute pain related to local drug effects
11. Assessments –the affected areas of skin and the mucous membranes should be inspected,
before and while administering the therapy.
b. Administration – oral or trans-mucosal lozenges, intravaginally or topically.
c. Evaluation – reduced skin irritation, resolution in infection.
d. Patient Teaching – i) the patient should be instructed to apply medication in the full
therapeutic course. Eyes should be avoided. Label information should be checked. The basic
hygiene and hand hygiene education must be given to the patient.
ii) Patients who has athlete's foot should be using well-fitting, taught to wear ventilated shoes
and guided to wash the affected areas thoroughly and to change socks and shoes at least one
time a day.
Drug cards for Lindane
1. Classification (functional and chemical) - pediculicides, scabicides
2. Generic Name – lindane
3. Example of Trade Name - Scabene
4. Action – it cures infestation caused by the parasitic arthropods (causes seizures in them).
5. Indications – it is used as a second-line treatment in parasitic infestations by arthropods
(such as scabies and crab lice).
6. Main Side effects – in CNS – it can cause seizures and headache. In cardiovascular system
– it can cause tachycardia. In gastrointestinal system – it can cause nausea and vomiting. It
also causes contact dermatitis by repeated application and local irritation.
7. Main Serious Adverse effects – cardiac symptoms
8. Contraindications – include hypersensitivity, skin rash, inflammation and abrasion. Highly
contraindicated in patient with history of seizures and in lactating females.

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9. Interactions - Drug-Drug
10. Nursing Considerations – Identification and treatment of the sex partner simultaneously.
a. Assessments – Suspecting scabies with nocturnal itching (which is a classic symptom).
b. Administration – topical
c. Evaluation – signs of toxicity and systemic involvement should be checked. Seizures,
headache, tachycardia (Cices et al. 2017) and nausea, vomiting should be checked
beforehand. Administration site for infection and other issues. Severe and prolonged skin
reactions should be communicated to the physicians immediately.
d. Patient Teaching – the patient and his family and caregivers should know about the topical
application method and also adhere to dosing schedule. The patient must be instructed about
proper hygiene, hand hygiene, non-sharing of combs, brushes and other personal items.

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References
Boozalis, E., Grossberg, A.L., Püttgen, K.B., Cohen, B.A. and Kwatra, S.G., 2018. Itching at
night: A review on reducing nocturnal pruritus in children. Pediatric dermatology, 35(5),
pp.560-565.
Cices, A., Bayers, S., Verzì, A.E., Schachner, L.A., West, D.P. and Micali, G., 2017.
Poisoning through pediatric skin: cases from the literature. American journal of clinical
dermatology, 18(3), pp.391-403.
Colantonio, S. and Kirshen, C., 2017. Severe allergic contact dermatitis due to Polysporin.
CMAJ, 189(31), pp.E1018-E1018.
de la Paz Cota, B.R., Vega, P.P.C., Navarrete, J.J.M., Mulgado, G.E.A., Huerta, J.J.N.,
Bautista, E.L. and Chauteco, E.F., 2018. Efficacy and safety of eberconazole 1% otic solution
compared to clotrimazole 1% solution in patients with otomycosis. American journal of
otolaryngology, 39(3), pp.307-312.
Esteban-Vives, R., Choi, M.S., Young, M.T., Over, P., Ziembicki, J., Corcos, A. and Gerlach,
J.C., 2016. Second-degree burns with six etiologies treated with autologous noncultured cell-
spray grafting. Burns, 42(7), pp.e99-e106.
Lammertink, B., Deckers, R., Storm, G., Moonen, C. and Bos, C., 2015. Duration of
ultrasound-mediated enhanced plasma membrane permeability. International journal of
pharmaceutics, 482(1-2), pp.92-98.
Lee, Y.H., Scharnitz, T.P., Muscat, J., Chen, A., Gupta-Elera, G. and Kirby, J.S., 2016.
Laboratory monitoring during isotretinoin therapy for acne: a systematic review and meta-
analysis. JAMA dermatology, 152(1), pp.35-44.

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Sodhi, G., Liu, E., Renz, J., Heher, K. and Kapadia, M., 2016. Infections of the Eyelids,
Orbit, and Ocular Adnexa. In The Infected Eye (pp. 163-175). Springer, Cham.
.