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Drug Study

Drug Study

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Published by marie

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Published by: marie on May 11, 2010
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 Name of Drug Classification and Mechanism of ActionIndication and DosageContraindicationSide Effects / Adverse Reaction Nursing Responsibility1.Dynastat  Parecoxib Non-steroidal anti-inflammatory drugsNSAIDs inhibit cyclooxygenase (COX)enzymes, which areinvolved in the synthesis of  prostaglandins and thereby reduce painand inflammation.Oral NSAIDs are used  post-operatively but when patients areunable to tolerate oral medications or requirea faster onset of analgesia, parenteral administration may be preferred. Indicated for the short-term treatment of  postoperative pain inadults. Adult: 40 mg IVTT q 12hoursYou have or have had anymedical conditions,especially the following:
kid ney or liver disease
heart problems,heart surgery,or other blood vessel disease
heart attack 
hig h cholesterol levels
changes in blood  pressure
dizziness or light-headedness due to lowblood pressure
back pain
a reduced sense of touch
 stomach upset including nausea(feeling sick), vomiting,heartburn, indigestion,cramps
constipation,diarrhoea, pain in the stomach, wind 
 sore throat 
1.Tell your doctor if you have anyallergies like medication, foods, preservatives or dyes2.Tell patient that dizziness or light headedness is the most common3.Instruct the patient to report if he/she notice any of the following 
* skin rash, including hives, raised red, itchy spots* other signs of allergic reaction such as wheezing, swelling of the face, lips,mouth, tongue or throat which may causedifficulty in swallowing or breathing 
 Name of Drug Classification and Mechanism of ActionIndication an DosageContraindicationSide Effects / Adverse Reaction Nursing Responsibility
Cefuroxime – axetil  Zinnat Cepha-losporin, second  genera-tion It interferes to the final stepin the formation of thebacterial cell wall (inhibitionof mucopeptidebiosynthesis), resulting inunstable cell membranes that undergo lysis (samemechanism of actions as penicillins). Also, cell division and growth areinhibited. The cephalos- porins are most effectiveagainst young, rapidlydividing organisms and areconsidered bactericidal.(Spratto, et al; 2008: 1788)
Uncomplicated  Skin and Skin- Structure Infections5oo mg tab p.o.
 Hypersen-sitivityto cephalos-porinsor related antibiotics.GI: nausea, vomiting,diarrhea, dyspepsia,heartburn Allergic: urticaria, rashes, fever, chills, myalgiaCNS: headache, fatigue,vertigo, dizziness, malaiseMiscella-neous:hypotension, sweating, flushing, dyspnea, hepatitis,bone marrow depression Before:- List reason for therapy.-List allergy history-Verify physician’s order. During :-Administer as directed.-Explain effects of the drug and its sideeffects.-Administer on an empty stomach, but if GI upset is present, may administer with meal. After:-Document administration on medication-Assess patient’s response to medication.-Monitor for occurrence of side effects.
 Name of Drug Classification and Mechanism of  Action Indication and DosageContraindicationSide Effects / Adverse Reaction Nursing Responsibility
etoricoxib ARCOXIA(etoricoxib) is amember of a classof arthritis/analgesiamedicationscalled Coxibs. ARCOXIA is ahighly selectiveinhibitor of cyclooxygenase-2(COX-2). Arcoxia(Etoricoxib) is thenewset of theCOX-II inhibitorsreleased onto themarket by Merck  Frosst. Arcoxia(Etoricoxib) canbe used to treat acute goutyarthritis,osteoarthirtis and other conditionsas determined by your doctor.
 Relief of acute pain120 mg table,t p.o, ODUse with caution in
 Elderly people
 History of disordersaffecting the stomach or intestines, such asulcerationor bleeding 
 Decreased kidney function
 Decreased liver functionMedicines and their  possible side effects canaffect individual people indifferent ways. The following are some of the side effects that are knownto be associated with thismedicine. Because a sideeffect is stated here, it doesnot mean that all peopleusing this medicine will experience that or any sideeffect.
 Disturbances of the gut such asdiarrhoea,constipation,nausea, vomiting,indigestion, flatulence or abdominal pain
 Excessive fluid retention in thebody tissues,resulting in swelling (oedema)
 High blood pressure(hypertension)
Weakness or loss of  strength (asthenia)1.Teach patient to take medicine or medications as physiciansordered.2.Tell the patient for the possibleeffects of drug prior to its adversereactions and consider suchreactions mentioned as normal.3.Provide the patient with the proper management upon taking medications.4.Tell the patient to seek for help ino such effects of drug are noted or that if symptoms prior to hisconditions are still noted.5.Tell patient to maintain hisnormal diet and the possibleconsequences of the drugs effect concerning on his appetite.

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