DRUG SUMMARY

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

2 G IVTT Q12H ANST ( - ) PLS GIVE THRU IV DRIP

MECHANISM OF ACTION

SPECIFIC INDICATIO N
UTI

SIDE EFFECTS

NURSING IMPLICATIONS

CEFTRIAXONE SODIUM (ROCEPHIN)

8-7-2013

ANTIBIOTIC

Inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal

COMMON S/E Diarrhea Rashes Pain @ injection site

ADVERSE S/E Pseudomembranous Colitis Leukopenia Anaphylaxis

BEFORE 1.Ask patient if hes allergic to penicillins or cephalosporins 2.Obtain specimen for culture and sensitivity tests before giving first dose 3.Monitor CBC, renal and liver function tests DRUG PREPARATION 1.Dilute 2 G vial with 19.2 mL of sterile water, NSS, or D5W 2.Do not mix or coadminister Ceftriaxone with calcium-containing IV solutions DURING 1.Give over 30 minutes

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

AFTER 1. Tell patient to report discomfort at IV insertion site 2. Tell patient to report loose stools or diarrhea 3. Tell patient to stop drug and to report @ first sign of allergic reaction

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENC Y

400 MG TAB 1 TAB BID PO

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

OFLOXACIN (FLOXIN)

8-7-2013

FLUOROQUINOLON E

Interferes with DNA gyrase, which is needed for synthesis of bacterial DNA. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria

COMPLICATED UTI

COMMON S/E Drowsiness Dizziness Nausea Vomiting Abdominal pain

ADVERSE S/E Pseudomembranou s Colitis Anaphylaxis Leukopenia

BEFORE 1.Ask patient if hes allergic to fluoroquinolone drugs 2.Obtain specimen for culture and sensitivity test 3.Monitor CBC, renal and liver function tests DURING 1.Drug maybe taken with or without regard to meals 2.Take each dose with a full glass of water AFTER 1.Avoid sun exposure 2.Take antacids 6 hour before or 2 after after Ofloxacin 3.Warn patient that dizziness may occur 4.Tell patient to stop drug and report @ first sign of allergic reaction

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

500 MG / 400 MG 1 TAB OD PO

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DUTASTERIDE + TAMSULOSIN (DUODART)

8-7-2013

ALPHA ADRENORECEPTOR ANTAGONIST

Blocks alpha adrenergic receptors in the prostate. This action inhibits smooth muscle contraction in the prostate, prostatic capsule, prostatic urethra, and bladder neck, which improves the rate of urine flow & reduce symptoms of BPH

TO TREAT BPH

COMMON S/E Dizziness Drowsiness Orthostatic Hypotension Diarrhea

BEFORE 1.Rule out prostate cancer DURING 1.Take drug 30 min after same meal each day 2.Do not open, crush, or chew drug capsules AFTER 1.Change position slowly to minimize effect of orthostatic hypotension 2.Avoid hazardous activities until CNS effects are known

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

30 CC QHS P.O. HOLD FOR BM GREATER THAN 2X / DAY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

LACTULOSE (CEPHULAC)

8-8-2013

LAXATIVE

Lactulose is a disaccharide that consists of fructose and glucose. It is broken down In the colon into lactic and acetic acid. Acidification leads to increased osmotic pressure in the colon, and increases stool water content and softens stool.

CONSTIPATION

COMMON S/E Abdominal cramps Belching Diarrhea Flatulence Gaseous distention Nausea Vomiting

BEFORE 1. Assess pattern of bowel movement 2. Check latest serum electrolyte level DURING 1. Take lactulose with food or dilute with juice to reduce sweet taste 2. Avoid using antacids and lactulose together AFTER 1. Tell patient not to use other laxatives while taking lactulose 2. Instruct patient to increase fluid intake if frequent BM occur

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

500 MG TAB 1 TAB Q4H PRN FOR T > 38C P.O.

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

ACETAMINOPHEN (PARACETAMOL)

8-7-2013

ANALGESIC

ANTIPYRETIC Reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation & sweating, which helps dissipate heat ANALGESIC Produces analgesia by blocking prostaglandin production & interfering with pain impulse generation

FOR FEVER

COMMON S/E Drowsiness Nausea Vomiting Abdominal pain

ADVERSE S/E Leukopenia Neutropenia Hepatotoxicity

BEFORE 1.Assess for increase in body temp 2.Check latest CBC and liver function test results DURING 1.Take only as directed and with food or milk to decrease GI upset 2.Avoid alcohol as this increases risk for hepatic damage AFTER 1.Recheck body temperature after 30 min of administration 2.Tell patient to report if S/S of hepatotoxicity occurs such as bleeding, easy bruising, & malaise

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

2 TABS TID X 3 DAYS AND 1 TAB FOR NEXT SUCCEEDING DAYS P.O.

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DIOSMIN + HESPERIDIN (DAFLON)

8-10-2013

MULTIVITAMIN

It prolongs vasoconstrictor effect of noradrenaline, causing reduce venous capacitance, distensibility, and statis.

ACUTE HEMORRHOIDAL ATTACKS AND CHRONIC HEMORRHOIDAL DISEASE

Upset stomach Headache Nausea Vomiting Unusual taste in mouth

BEFORE 1. Note indication for therapy DURING 1. Take with food to reduce GI upset AFTER 1. Tell patient to report any unusualties