VIII.

DRUG STUDY

DRUG NAME INDICATION ACTION ADVERSE EFFECTS NURSING CONSIDERATIONS PATIENT TEACHINGS

Treatment of metabolic acidosis. The antacid action is due to the Rebound hyperacidity, milk-alkali  Assess for edema, which  Teach SO/relative the risk
Date Ordered: neutralization of hydrochloric syndrome. may indicate inability to that continuous, routine
July 31, 2009 Treatment of acute mild to acid by forming sodium chloride utilize sodium bicarbonate. ingestion of sodium
moderate metabolic acidosis due and carbon dioxide.
bicarbonate may cause
Generic Name: to uncontrolled diabetes or renal  Record I&O. Observe for dry formation of phosphate
Sodium Bicarbonate disease. skin and mucous crystals in the kidney,
membranes, polydipsia, kidney stones, and fluid
Classification: polyuria, and air hunger; retention.
Alkalinizing agent; Antacid; may indicate a reversal of
Electrolyte metabolic acidosis. With  Teach SO/relative that
acidosis, assess for the relief consuming this drug with
Dosage: of dyspnea and hyperpnea. milk or calcium may result in
625 mg 1 tab TID
a milk-alkali syndrome.
 If prescribed to counteract
metabolic acidosis, monitor
electrolytes and ABGs.

 Watch out for the signs and

symptoms of milk-alkali
syndrome (excessive
urination).

Acute & chronic respiratory tract
affections w/ abundant mucus
secretions.
Fluimucil exerts its mucolytic
action through its free sulfhydryl
group, which opens the disulfide
bonds and lowers mucus
viscosity. It is used as a
mucolytic agent to reduce the
viscosity of mucous secretions.
Urticaria, bronchospasm, Cold,
clammy skin
 Should be given with food.
 Have suction machine at
bedside for removal of
increased secretions.
 Position to facilitate removal
of secretions.
 Insruct SO to tell the nurse if
patient is allergic to any
ingredient in Acetylcysteine
Solution
 tell the SO the possible side
effects

 Monitor effectiveness of
therapy and advent of
adverse / allergic effect (e.g.
rash)

 Report if there are changes

in sputum color,
consistency, characteristics
or new onset of fever.
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