Treatment and Management A.

Drug study Trade Name Generic Name Classification Dosage Start and Completion of Medication Dosage: 366mg To 38.5oc and 1 tab Q2 for To 38.5 Date started: 04/22/2010 Mechanism of Action Thought to produce analgesia by blocking pain impulses by inhibiting synthesis of prostaglandin in the CNS or of other substances that synthesize pain receptors to stimulation. The drug may relieve fever through central actionin the hypothalamic heat regulating center. Inhibits bacterial protein synthesis by binding to the 50s subunit of the ribosome; bacteriostatic. Side Effects Hematologic: hemolytic anemia, leucopenia, neutropenia, pancytopenia Hepatic: jaundice Metabolic: hypoglycemia Skin: rash, urticaria Nursing Considerations >Use cautiously in patients with long term alcohol use because therapeutic doses cause hepatotoxicity in these patients. >Use liquid form for children and patients who have difficulty swallowing. >Advise parents that drug is only for short-term use; urge them to consult prescriber if giving to children for longer than 5 days or adults for longer than 10 days. >monitor patient for signs and symptoms of superinfection >Instruct patient and So to notify prescriber if adverse reactions occur, especially nausea, vomiting, diarrhea, fever, confusion, sore throat, or mouth sores. >Instruct patient to report signs and symptoms of superinfection. >Contraindicated in patients hypersensitive to durg or other cephalosporins > If large doses are given, therapy is prlonged, or patient is high risk, monitor patient for signs and symptoms of superinfection. >Tell patient and SO to report

Nonopioid analgesic Tylenol Acetaminophen Antipyretic

Pentamycetin

Chloramphenicol sodium succinate

Dichloroacetic acid derivative Miscellaneous antiinfectives

Dosage: 500mg 1cap TID x 14 days Date started: 04/24/10

Dosage: 1gm IV q12 Cefizox Ceftriaxone sodium Third generation cephalosporin Anti-infectives Date Started: 04/23/10

Third generation cephalosporin that inhibits cell wall synthesi, promoting osmotic instability; usually bactericidal.

CNS: Confusion, delirium, headache, mild depression, peripheral neuropathy with prolonged therapy EENT: decreased visual acuity GI: diarrhea, glossitis, nausea, vomiting, stomatitis Hematologic: aplastic anemia, thrombocytopenia Hepatic: jaundice CNS: fever CV: phlebitis, thrombophlebitis GI: diarrhea, colitis, nausea, anorexia Respiratory: dyspnea Skin: maculopapular and erythematous rashes,

urticaria

adverse reactions and signs and symptoms of superinfection promptly >Instruct patient to report discomfort at the IV site. >Tell patient to notify prescriber about loose stools or diarrhea. > tell patient not to be alarmed for black stools > Instruct patient to notify prescriber if signs and symptoms occur.

tsp BID

Lysine + Vit. B complex + iron

Vitamins and Minerals

Lysine: required in the body for the manufacture of carnitine, which is an amino acid used for the proper metabolism of fats. Lysine has also been found to stimulate the synthesis of cholesterol in the liver. Vit, B complex: Vitamins mainly function as catalysts for reactions within the body. They contain no useful energy, but as catalysts, they serve as essential links and regulators in metabolic reactions that release energy from food Iron: iron is the central atom of the heme group, a metal complex that binds molecular oxygen in the lungs and carries it to all of the other cells in the body that need oxygen to perform their activities

GI: nausea, epigastric pain, vomiting, constipation, black stools, anorexia.