Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more ➡
Download
Standard view
Full view
of .
Add note
Save to My Library
Sync to mobile
Look up keyword
Like this
0Activity
×
0 of .
Results for:
No results containing your search query
P. 1
Drugs Osmac for nurses

Drugs Osmac for nurses

Ratings: (0)|Views: 56|Likes:
Drug Order Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Generic Name:
Amlodipine

Brand Name:
Norvasc

Classification:
-Calcium
channel-blocker
-Anti-anginal
Drug Antihypertensive











Inhibits the movement of calcium ions across the membranes of cardiac and arterial muscle cells; inhibits transmembrane calcium flow, which results in the depression of impulse formation in specialized cardiac pacemaker cells, slowing of the velocity of conduction of the cardiac impulse, depression of myocardial contractility, and dilation of coronary arteries and arterioles and peripheral arterioles; these effects lead to decreased cardiac work, decreased cardiac oxygen consumption, and in patients with vasospastic angina, increased delivery of oxygen to cardiac cells. Angina pectoris due to coronary artery Spasm, Chronic stable angina, alone or in combination with other agents, Essential hypertension, alone or in combination with other antihypertensive The presence of any allergies to nitrates. These drugs are also contraindicated in the following conditions: Severe anemia, head trauma or hemorrhage, pregnancy and lactation. CNS: Dizziness, lightheadedness, headache, asthenia, fatigue, lethargy
CV: Peripheral edema, arrhythmias
Dermatologic: Flushing, rash
GI: Nausea, abdominal
Discomfort
BEFORE:
-Obtain patients history to allergy of amlodipine.
-Assess vital signs before therapy.

DURING:
-Monitor patient’s BP, cardiac rhythm
-Monitor intake and output.

AFTER:
-Monitor vital signs.
-Be alert for adverse effect.
>Advise patient to take medication as directed, even if feeling well.
>Take missed doses as soon as possible unless
almost time for next dose; do not double doses.
> Caution
patient to change positions slowly to minimize orthostatic
hypotension.
> Advise patient to notify health care professional if irregular heartbeats, dyspnea, swelling of hands and feet, pronounced dizziness, nausea, constipation, or hypotension
occurs or if headache is severe or persistent.
> Caution patient to wear protective clothing and use sunscreen to prevent photosensitivity reactions.

Drug Name Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Generic Name:
Azithromycin

Brand Name:
Zmax

Classification:
Antibiotic

Dose:
500mg Bacteriostatic or bactericidal insusceptible bacteria. -Treatment of lower respiratory infections: Acute bacterial exacerbations of COPD due to Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumoniae; community-acquired pneumonia due to S. pneumoniae, H. influenzae
-Treatment of lower respiratory infections: Streptococcal pharyngitis and tonsillitis due to Streptococcus pyogenes in those who cannot take penicillin’s
-Contraindicated with hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic.
-Use cautiously with gonorrhea or syphilis, pseudomembranous colitis, hepatic or renal impairment, lactation.
Mild to moderate nausea, vomiting, abdominal pain, dyspepsia, flatulence, diarrhea, cramping; angioedema, cholestatic jaundice; dizziness, headache, vertigo, somnolence; transient elevations of liver enzyme values. -History: Hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic; gonorrhea or syphilis, pseudomembranous colitis, hepatic or renal impairment, lactation
-Physical: Site of infection; skin color, lesions; orientation, GI output, bowel sounds, liver evaluation; culture and sensitivity tests of infection, urinalysis, LFTs, renal function tests
-Culture site of infection before therapy.
-Administer on an empty stomach 1 hr before or 2–3 hr after meals. Food affects the absorption of this drug.
-Take the full course prescribed. Do not take with antacids. Tablets and oral suspension can be taken with or without food.
-Prepare Zmax by adding 60 mL water to bottle, shake well.
Counsel patients
-You may e
Drug Order Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Generic Name:
Amlodipine

Brand Name:
Norvasc

Classification:
-Calcium
channel-blocker
-Anti-anginal
Drug Antihypertensive











Inhibits the movement of calcium ions across the membranes of cardiac and arterial muscle cells; inhibits transmembrane calcium flow, which results in the depression of impulse formation in specialized cardiac pacemaker cells, slowing of the velocity of conduction of the cardiac impulse, depression of myocardial contractility, and dilation of coronary arteries and arterioles and peripheral arterioles; these effects lead to decreased cardiac work, decreased cardiac oxygen consumption, and in patients with vasospastic angina, increased delivery of oxygen to cardiac cells. Angina pectoris due to coronary artery Spasm, Chronic stable angina, alone or in combination with other agents, Essential hypertension, alone or in combination with other antihypertensive The presence of any allergies to nitrates. These drugs are also contraindicated in the following conditions: Severe anemia, head trauma or hemorrhage, pregnancy and lactation. CNS: Dizziness, lightheadedness, headache, asthenia, fatigue, lethargy
CV: Peripheral edema, arrhythmias
Dermatologic: Flushing, rash
GI: Nausea, abdominal
Discomfort
BEFORE:
-Obtain patients history to allergy of amlodipine.
-Assess vital signs before therapy.

DURING:
-Monitor patient’s BP, cardiac rhythm
-Monitor intake and output.

AFTER:
-Monitor vital signs.
-Be alert for adverse effect.
>Advise patient to take medication as directed, even if feeling well.
>Take missed doses as soon as possible unless
almost time for next dose; do not double doses.
> Caution
patient to change positions slowly to minimize orthostatic
hypotension.
> Advise patient to notify health care professional if irregular heartbeats, dyspnea, swelling of hands and feet, pronounced dizziness, nausea, constipation, or hypotension
occurs or if headache is severe or persistent.
> Caution patient to wear protective clothing and use sunscreen to prevent photosensitivity reactions.

Drug Name Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Generic Name:
Azithromycin

Brand Name:
Zmax

Classification:
Antibiotic

Dose:
500mg Bacteriostatic or bactericidal insusceptible bacteria. -Treatment of lower respiratory infections: Acute bacterial exacerbations of COPD due to Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumoniae; community-acquired pneumonia due to S. pneumoniae, H. influenzae
-Treatment of lower respiratory infections: Streptococcal pharyngitis and tonsillitis due to Streptococcus pyogenes in those who cannot take penicillin’s
-Contraindicated with hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic.
-Use cautiously with gonorrhea or syphilis, pseudomembranous colitis, hepatic or renal impairment, lactation.
Mild to moderate nausea, vomiting, abdominal pain, dyspepsia, flatulence, diarrhea, cramping; angioedema, cholestatic jaundice; dizziness, headache, vertigo, somnolence; transient elevations of liver enzyme values. -History: Hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic; gonorrhea or syphilis, pseudomembranous colitis, hepatic or renal impairment, lactation
-Physical: Site of infection; skin color, lesions; orientation, GI output, bowel sounds, liver evaluation; culture and sensitivity tests of infection, urinalysis, LFTs, renal function tests
-Culture site of infection before therapy.
-Administer on an empty stomach 1 hr before or 2–3 hr after meals. Food affects the absorption of this drug.
-Take the full course prescribed. Do not take with antacids. Tablets and oral suspension can be taken with or without food.
-Prepare Zmax by adding 60 mL water to bottle, shake well.
Counsel patients
-You may e

More info:

Published by: Erickson Caisido Garcia on Feb 28, 2013
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, DOC, TXT or read online from Scribd
See More
See less

02/28/2013

pdf

text

original

You're Reading a Free Preview
Pages 2 to 5 are not shown in this preview.

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->