Medication Cards

Medication Cards
Xarelto

Medication Name: Rivaroxaban
Generic: Rivaroxaban film-coated oral tablets
Trade: Xarelto
Classification: Blood thinner.
Purpose of Medication: To block a clotting factor to help treat clotting. It also helps prevent
clotting (Cunha, 2022). It lowers the risk of stroke.
Pharmacologic Action: Prevents FXa-Driven Platelet activation to help prevent and treat
blood clotting.
Therapeutic Action: Prevents and treat blood clotting.
Medication Doses/Safe Routes Contraindications: People take various dosages based on
indications. For example, during the first three weeks one should take 15 mg twice every day
(WebMB, 2023). After three weeks one should take 20 mg once per day. However, for
pulmonary embolism and deep vein thrombosis prevention and treatment one can use it for
one years or six months. Safe Routes Contraindications: One should never take this drug if
they showed allergy when they used it before. Moreover, people with increased chances of
losing too much bleeding should never use it (Cunha, 2022). It is also not recommendable for
patients with liver impairment.
Nursing Considerations: Can harm a child during breastfeeding because it is excreted in the
milk. Based on the need for the drug, the healthcare provider should decide if the mother
should stop breastfeeding the child or not take the medicine.
Common Side Effects: Vaginal bleeding, back pains, coughing blood, bleeding gums, and
visible blood in stool.

3
Interactions: Can thwart functions of various antidepressants including venlafaxine due to
the interactions. It also interacts with mifepristone.
Nursing Interventions: The nurse should the right dosage a patient requires. They must also
know when to discontinue.
Evaluation of Medical Effectiveness: After taking this medicine, its inhibition effect should
begin after 1-2 hrs. The inhibition is at its climax during after 4-4 hours.
Client Education: The patient should know that it can cause too much bleeding which can
result in death (Cunha, 2022). Taking the 20mg dose with food is also recommended because
it helps improve its bioavailability.

References:

Cunha, J.P. (2022). Rivaroxaban. RxList.
https://www.rxlist.com/consumer_rivaroxaban_xarelto/drugs-condition.htm
WebMB. (2023). Xarelto- Uses, Side Effects, and More. WebMD.
https://www.webmd.com/drugs/2/drug-156265-1153/xarelto-oral/rivaroxaban-oral/details

Cefazolin

Medication Name: Ancef and Kefzol
Generic: Cefazolin
Trade: Kefzol and Cefazolin-AFT
Classification: Cephalosporin antibiotics
Purpose of Medication: Bacterial infections treatment.
Pharmacologic Action: It functions by killing bacteria by blocking their cell synthesis.
Therapeutic Action: Cefazolin has an increased therapeutic index that helps in fighting
various bacterial infections (Cunha, 2022).

4
Medication Doses/Safe Routes Contraindications: Adults Dosage: For urinary tract
infection, one should take 1g after every 12 hours. However, Individuals with severest
conditions should take the medicine after every 6hrs. They require 1 to 1.5g. Individuals with
moderate to severe infections should take the medicine after every 6 to 8hrs. They require
0.5-1g. On the other hand, patients with mild infections take the medicine after every 8 hours.
They take 0.25-0.5g. Children Dosage: Children below one month should not take cefazolin.
100mg/kg daily is recommended for those with severe infections. However, it should not go
past that quantity. Moderate to severe cases can take 3 or 4 doses daily. Max consumptions
should not exceed 25-50mg/kg daily. Safe Routes Contraindications: It can affect
breastfeeding children because excretion occurs as the infant breastfeeds (Cunha, 2022). It
can also cause complications in patients with kidney problems because the body eliminates it
through this organ.
Nursing Considerations: A patient can develop seizures when taking cefazolin. It also
worsens seizures. The physician should know if that happens. Patients can also develop signs
of pseudomembranous colitis and various prolonged or severe gastro intestinal complications
after taking it.
Common Side Effects: Diarrhoea, inflammation, gas, loss of appetite, stomach cramps, and
itchy genitals.
Interactions: it can cause laboratory tests to produce false results (Cunha, 2022). It can also
interact with chloramphenicol and aminoglycoside antibiotics.
Nursing Interventions: Administration can occur with or without food. The nurse must also
check if the patient has S/S infectio