Drug Cefuroxi me Axetil (Zegen)

Dosage 500mg

Classification
secondgeneration cephalosporin

Action
Interferes with bacterial cell-wall synthesis and division by binding to cell wall, causing cell to die. Active against gramnegative and gram-positive bacteria, with expanded activity against gram-negative bacteria. Exhibits minimal immunosuppress ant activity.

Contraindication
Hypersensitivity to cephalosporins or penicillins Carnitine deficiency

Adverse Effect
CNS: headache, hyperactivity, hypertonia, seizures GI: nausea, vomiting, diarrhea, abdominal pain, dyspepsia, pseudomembrano us colitis GU: hematuria, vaginal candidiasis, renal dysfunction, acute renal failure Hematologic: hemolytic anemia, aplastic anemia, hemorrhage Hepatic: hepatic dysfunction Metabolic: hyperglycemia Skin: toxic epidermal necrolysis, erythema multiforme, StevensJohnson syndrome Other: allergic reaction, drug fever, superinfection, anaphylaxis

Nursing responsibilities
Advise patient to immediately report rash or bleeding tendency. Instruct patient to take drug with food every 12 hours as prescribed. Teach patient how to recognize signs and symptoms of superinfection. Instruct him to report these right away. Advise patient to report CNS changes. As appropriate, review all other significant and lifethreatening adverse reactions and interactions, especially those related to the drugs, tests, and foods mentioned above.

Drug Dosage Metronid 500mg azole (Dazomet )

Classification Antiinfectives, Antiprotozoals

Action Contraindication Disrupts hypersensitivi DNA and ty protein synthesis in susceptible organisms Bactericidal, or amebicidal action

Adverse effect CNS: seizures, dizziness, headache GI: abdominal pain, anorexia, nausea, diarrhea, dry mouth, furry tongue, glossitis, unpleasant taste, vomiting Hematologic: leukopenia Skin: rashes, urticaria

Nursing Responsibilities Administer with food or milk to minimize GI irritation. Tablets may be crushed for patients with difficulty swallowing. Instruct patient to take medication exactly as directed evenly spaced times between dose, even if feeling better. Do not skip doses or double up on missed doses. If a dose is missed, take as soon as remembered if not almost time for next dose. May cause dizziness or lightheadedness. Caution patient or other activities requiring alertness until response to medication is known. Inform patient that medication may cause an unpleasant metallic taste. Inform patient that medication may cause urine to turn dark. Advise patient to consult health care professional if no improvement in a few days or if signs and symptoms of superinfection (black furry overgrowth on tongue; loose or foul-smelling stools develop).

Drug Iberet (Multivita

mins with iron

Dosage 500mg 1 tab daily

Classification various combinations ; Belongs to the class of iron in other combinations. Used in the treatment of anemia.

Action This medication is a multivitamin and iron product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnanc y. Vitamins and iron are important building blocks of the body and help keep you in good health.

Contraindication Known hypersensitivity to any components of Iberet-Folic-500. Patients with thalassemia, sideroblastic anemia, hemochromatosi s and hemosiderosis. Rare instance of hypersensitivity to folic acid.

Side effect Constipation, di arrhea, or upset stomach may occur.

Adverse effect rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Nursing Responsibilities Let the patient take this medication by mouth, usually once daily or as directed. Tell the patient not to crush or chew this medication. Tell the patient that this medication is best taken on an empty stomach 1 hour before or 2 hours after meals.

Drug

Dosage

Classification

Action

Contraindication

Adverse effect

Nursing Responsibilities

Paraceta mol (biogesic )

500mg

Analgesics Muscle Relaxants

Decreases fever by inhibiting the effects of pyrogens on the hypothalamus heat regulating centers & by a hypothalamic action leading to sweating & vasodilatation. Relieves pain by inhibiting prostaglandin synthesis at the CNS but does not have antiinflammatory action because of its minimal effect on peripheral prostaglandin synthesis.

Contraindicated to patients with: Hypersensitivity intolerance to tartrazine (yellow dye #5), alcohol, table sugar, saccharin Contraindicated with allergy to acetaminophen

Stimulation, drowsiness, nausea, vomiting, abdominal pain, hepatotoxicity, hepatic seizure(overdose, Renal failure(high, prolonged doses), leucopenia, neutropenia, hemolytic anemia (long term use) thrombocytopenia, pancytopenia, rash, urticaria, hypersensitivity, cyanosis, anemia, jaundice, CNS, stimulation, delirium followed by vascular collaps, convulsions, coma, death.

- Check that the patient is not taking any other medication containing paracetamol. - For children who may refuse medicine off a spoon try using a medicine syringe to squirt liquid slowly into the side of the childs mouth or use soluble paracetamol mixed with a drink. - Some children may be happy to take one paracetamol product but dislike the taste of another. - There are no known harmful effects when used during pregnancy. - Small amounts may pass into breast milk. However, there are no known harmful effects when used by breastfeeding mothers. - Alcohol increases the risk of liver damage that can occur if an overdose of paracetamol is taken. The hazards of paracetamol overdose are greater in persistent heavy drinkers and in people with alcoholic liver disease.

- Evaluate therapeutic response.