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Drug Study

Drug Study

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Published by May Dianne Bautista

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Published by: May Dianne Bautista on Aug 02, 2010
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08/18/2013

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DRUG ORDER PHARMACOLOGIC ACTIONINDICATIONSCONTRAINDICATIONSADVERSE EFFECTSDESIREDACTIONNURSINGRESPONSIBILITIESFurosemide(Lasix) 20mg/tab; 1 tabOD POPharmacologic class:Loop diureticInhibits thereabsorptionof sodiumchloride fromthe ascendinglimb of theloop of Henle,leading to asodium-richdiuresis. TE: Promoteswater andsodiumexcretion.Managementof hypertension; Edemaassociatedwith CHF asacomplicationof diabetesmellitus.Contraindicatedwith allergy tofurosemide,sulfonamides.Use cautiouslywith diabetesmellitus./ withmetabolicdisorders.CNS: dizziness,fever, vertigo,tinnitusCV: arrhythmias,orthostatichypotensionGI: nausea,vomiting,
constipation
,vomitingGU: frequenturination, nocturiaFordiuresis.Arrange tomonitor sodiumand potassiumserum electrolytes.Give early in theday so thatincreased urinationwill not disturbsleep.Blood glucoselevels maybecometemporarilyelevated inpatients withdiabetes afterstarting this drug.
Givemedications asordered that willhelp loosenstools in case of constipation.
Irbesartan(Aprovel) 150mg/tab; 1 tabOD POPharmacologic class:Angiotensin IIreceptorantagonistSelectivelyblocks thebinding of angiotensin IIto specifictissuereceptorsfound in thevascularsmoothmuscle andadrenalgland; thisaction blocksthevasoconstriction effect of the renin-angiotensinsystem aswell as therelease of  Treatment of hypertension.Contraindicatedwithhypersensitivityto irbesartan.CNS: headache,muscle weakness,anxietyCV: flushing,orthostatichypotension,chest painGI: nausea,
constipation,
diarrhea, vomitingResp: cough To decreasebloodpressure.Monitor patient’sblood pressureregularly becausedizziness andorthostatichypotension mayoccur.
Givemedications asordered that willhelp loosenstools in case of constipation.
Instruct thepatient to notifyprescriber if headache andother side effectsoccur.Maintain aquiet, comfortableenvironment to
 
Ipratropium+salbutamol(Combivent)neb200mcg/mlprnfor DOBPharmacologic class:Anticholinergic Theipratropiumingredient isananticholinergic drug whichrelaxessmoothmuscle in thelung. Thesalbutamolingredient isa beta-2agonist whichstimulatesbeta-2 sitesin the lungsto relax thebronchi. TE: Relievesbronchospasms.Bronchodilator formaintenance therapy of bronchospasm.Contraindicatedwithhypersensitivityto atropine or itsderivatives.CNS: dizziness,blurred visionGI: nausea, drymouthRespi: dyspnea,bronchospasms,horsenessCV: palpitations,chest pain To relievebronchospasms andopenairways.Monitor thepatient’s vitalsigns, notinghypotension andan irregular orabnormal pulse.Maintain aquiet, comfortableenvironment tominimize anxietyand perhapsdecreasepalpitations. Teach thepatient pursed-lipbreathing,diaphragmaticbreathing, andchest splinting.Clindamycinhydrochloride (Cleocin)300mg/cap; 1cap TID POPharmacoloInhibitsproteinsynthesis insusceptiblebacteria,causing celldeath. Treatmentof infectionscaused bysusceptiblestrains of bacteria.Contraindicatedwith allergy toclindamycin,history of asthmaor otherallergies.CV: hypotension,cardiac arrestGI: nausea,vomiting,diarrheaDermat: urticaria To treatinfection.Cultureinfection beforetherapy.Administer oraldrugs with a fullglass of water orwith food toprevent
 
gic class:Lincomycinderivative TE: Hindersor killssusceptiblebacteria.esophagealirritation.Check thepatient's vitalsigns frequentlyto determine if low bloodpressure isconstant orintermittent.Keep thepatient's roomclean-smelling byremovingbedpans andemesis basinspromptly afteruse.
Bumetanide(Bumex) 1 mgTIV q 12 w/BP precPharmacologicclass:Loop diureticInhibits thereabsorption ofsodium andchloride fromthe proximaland distal renaltubules and theloop of Henle,leading to anatriureticdiuresis.TE: Promotessodium andwater excretion.Treatment ofedemaassociatedwith CHF as acomplicationof DM.Contraindicated withallergy to bumetanideand anuria.Use cautiously withdiabetes mellitus.CNS: paresthesia,fatigue, tinnitusCV: orthostatichypotension,thrombophlebitisGI: nausea, vomiting,dry mouthGU: polyuriaFor diuresis. Provide informationabout avoidingexcessive noise.Give single doseearly in the day foincreased urinationwill not disturb sleep.Encourage orprovide regular oralhygiene.Record intake andoutput, and weigh thepatient daily.Monitor thepatient’s blood

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