Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
DRUGS Pleural Effusion 2ndary to CAP

DRUGS Pleural Effusion 2ndary to CAP

Ratings: (0)|Views: 9|Likes:
Published by Iris Caberte

More info:

Published by: Iris Caberte on Sep 06, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less

01/14/2013

pdf

text

original

 
DRUG INDICATION ACTIONSIDE EFFECTS ANDADVERSE REACTIONNURSINGCONSIDERATIONPATIENT TEACHINGGeneric Name:
Cefuroxime
Brand Name:
Zinacef 
Classification
AntibioticCephalosporin(second generation)
Dosage
750 mg
Frequency
q8h
Route
IV (-) ANST
Date Started:
June 28, 2011Helps intreating lowerrespiratoyinfectionscaused by
 H.influenzae.
 Bactericidal:Inhibitssynthesis of bacterial cellwall of gram-negativebacteria
 H.influenzae
 causingweakened cellwall because of defectivestructure thusosmotic lysisoccurs resultingto cell death.
Side Effects:
CNS
: headache, dizziness,paresthesia
GI:
stomach upset, moderateto severe diarrhea, nausea,vomiting, abdominal pain,flatulence
 Adverse Effects:
GI:
hepatotoxicity,pseudomembranous colitis
GU:
nephrotoxicity
HEMATOLOGIC:
bonemarrow depression (decreasedWBC, decreased platelets,decreased Hct)
LOCAL:
Pain, abcess atinjection site, phlebitis,inflammation at IV site
History:
Allergicreaction, hepatic andrenal impairment
Physical:
Skin status,liver & renal functiontest, CBC, sensitivitytest, signs of dehydration
 
Take it on full course asprescribed even if you arefeeling better to avoiddrug resistance.
 
Avoid alcohol whiletaking this drug and forthree days after becausesevere reactions oftenoccur.
 
Avoid activities thatrequire alertness untilresponse to medication isknown.
 
Give without regards tomeals. If GI upset occursgive with food or milk.
 
Instruct patient to reportimmediately to healthcareprovider if he/sheexperience any side oradverse effects.
 
 
DRUG INDICATION ACTIONSIDE EFFECTS ANDADVERSE REACTIONNURSINGCONSIDERATIONPATIENT TEACHINGGeneric Name:
Azithromycin
Brand Name:
Zithromax
Classification
Macrolide antibiotic
Dosage
500 mg
Frequency
OD for 3 days
Route
Oral
Date Started:
June 28, 2011Treatment of mild tomoderatecommunityacquiredpneumoniacaused by
 H.influenzae.
 Bacteriostatic andbacteriocidalagainst gram-negative bacteria
 H. influenzae
:Inhibits proteinsynthesis bybinding with thebacterial ribosomeand mRNA hencestopping the cell toproduce moreamino acid chains.In addition to that,it has a higherconcentration of phagocytes whichthe components of the drug areactivelytransported to thesite of infectionright away.
Side Effects:
CNS
: headache, dizziness,vertigo, fatigue
GI:
stomach cramping,diarrhea, nausea, vomiting,abdominal pain, flatulence,dyspepsia, abnormal taste
 Adverse Effects:
GI:
pseudomembranouscolitis, hepatotoxicity
History:
Hypersensitivity toazithromycin or anymacrolide antibiotics,hepatic or renalimpairment
Physical:
skin color,lesions, orientation,GI output, culture andsensitivity tests of infection, urinalysis,renal function test
 
Take it on full course asprescribed even if you arefeeling better to avoiddrug resistance.
 
Take oral medication with8 oz water at least 1 hourbefore or 2 hours aftermeals.
 
Do not take azithromycinwith foods or antacids.
 
Avoid activities thatrequire alertness untilresponse to medication isknown.
 
Instruct patient to reportimmediately to healthcareprovider if he/sheexperience any side oradverse effects.
 
DRUG INDICATION ACTIONSIDE EFFECTS ANDADVERSE REACTIONNURSINGCONSIDERATIONPATIENT TEACHINGGeneric Name:
KetorolacTrometamol
Brand Name:
Tral
Classification
Nonopioid analgesicNSAID
Dosage
30 mg
Frequency
Q8h
Route
IV (-) ANST
Date Started:
June 28, 2011Short-termmanagement of pain up to 5days
 
It inhibitsprostaglandinsynthesis byblocking COX-1(Cyclooxygenase-1) which results tothe reduction of pain perceived bythe client(analgesic) andreduction of signsof inflammation(anti-inflammatory).
Side Effects:
CNS
: headache, dizziness,drowsiness, fatigue
GI:
diarrhea, nausea,vomiting, flatulence,dyspepsia, constipation
 
Respiratory:
dyspnea,bronchospasm
 Adverse Effects:
GI:
gastric or duodenalulcer, dark tarry stool,hematemesis (brightred/coffee ground emesis),hepatotoxicity
GU:
nephrotoxicity
Hematologic:
bonemarrow depression(decreased WBC,decreased platelets,decreased Hct)
LOCAL:
Pain, abcess atinjection site, phlebitis,inflammation at IV site
History:
Impairedhearing, allergies,renal impairment;hepatic, CV, and GIconditions
Physical:
skin colorand lesions,orientation, reflexes,opthalmologic andaudiometricevaluation,adventitious sounds,liver evaluation,CBC, renal functiontests, serum test
 
Avoid activities thatrequire alertness untilresponse to medication isknown.
 
Advise patient tominimize GI upset byeating small, frequentservings of healthy foods.
 
Instruct patient to avoidaspirin products and herbsduring therapy.
 
Instruct patient to reportimmediately to healthcareprovider if he/sheexperience any side oradverse effects.

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->