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Drug Study Mechanism of Indication Used to prevent ulcer while patient is on NPO. Contraindication Adverse Nursing Responsibilities C - Gastointestinal agent; Antisecretory (H2-receptor antagonist) H - Reduced amount of acid in the stomach that may result to prevented ulcer incidence. on NPO. C - Instruct client to report any adverse reaction to the physician or nurse. Tell patient that antacids may decrease the absorption of ranitidine. K - Ranitidine can interfere with the metabolism of alcohol. Patients taking ranitidine who drink alcohol may have elevated blood alcohol levels. ◙ Instruct patient to avoid alcohol and follow diet as prescriber recommends. ◙ Instruct patient to avoid taking any new medication during therapy without consulting prescriber. Nursing Implication ◙ Inform patient that the medication may cause drowsiness, dizziness, or fatigue (use caution when driving or engaging in tasks Action Competitive inhibition of histamine at H2receptors of the gastric parietal cells, which inhibits gastric acid secretion, gastric volume, and hydrogen ion concentration are reduced. Does not affect pepsin secretion, pentagastrinstimulated intrinsic factor secretion, or serum gastrin. Reactions Hypersensitivity to ♣ Constipation ranitidine or any component of the formulation. ♣ Diarrhea ♣ Fatigue ♣ Headache ♣ Insomnia ♣ Muscle pain ♣ Nausea ♣ Vomiting ♣ Agitation ♣ Anemia ♣ Confusion ♣ Depression ♣ Easy bruising or bleeding
Generic Name: Ranitidine Brand name: Zantac Classification: Gastointestinal agent; Antisecretory (H2-receptor antagonist) Source: ◙ Nursing 2007 Drug Handbook 27th Edition, Lippincot Williams & Wilkins
Dosage: 50mg Frequency: Q8° Route: IVTT while on NPO
E - Every 8 hours while patient is requiring alertness).
or psychotropic drugs ♣ Rash ♣ Visual disturbances ♣ Vertigo Mechanism of Action Indication Contraindication Adverse Reactions Nursing Responsibilities Nursing Implication . E .You should not take Ultram if you have ever been addicted to drugs or alcohol.Every 6 hours x 6 doses. any component of the ♣ formulation.Analgesic H . May be taken with or without food.Instruct client to report any adverse reaction to the physician or nurse. which also modifies the ascending pain pathway. K . opioids. Tell patient that tolerance or drug dependence may result from extended use (withdrawal symptoms have been reported). ♣ hypnotics. abrupt discontinuation should be avoided. ♣ opioids. or Reactions ♣ Dizziness ♣ Nausea Drowsiness Dry mouth Constipation Headache Sweating Vomiting Itching C . Should be used only with extreme caution in patients receiving MAO inhibitors ◙ Inform client that medication may cause CNS depression and/or respiratory depression. Management of pain in the operation site. particularly when combined with other CNS depressants ◙ Instruct patient to repot cravings to physician immediately. Hypersensitivity to tramadol. opioid♣ dependent patients.Action Generic Name: Tramadol Brand name: Ultram Classification: Analgesic Source: ◙ Nursing 2007 Drug Handbook 27th Edition. Lippincot Williams & Wilkins Dosage: 50mg Frequency: Q6° Route: IVTT x 6 doses Binds to -opiate receptors in the CNS causing inhibition of ascending pain pathways. also inhibits the reuptake of norepinephrine and serotonin. altering the perception of and response to pain. C .Relief of pain in the operation site. ◙ Tell patient that driving or operating machinery should be avoided until the effect of drug wears off. centrally♣ acting analgesics. ♣ acute intoxication ♣ with alcohol.
E . such as an increased appetite and activity ◙ Instruct client to avoid taking ketorolac with aspirin or other NSAIDs such as ibuprofen (Motrin. Naprosyn). ◙ Instruct client to avoid alcohol and maintain adequate hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake. which results in decreased formation of prostaglandin precursors. concurrent ASA or other NSAIDs. and pain are reduced. K . fever.Instruct client to report any adverse reaction to the physician or nurse. Alcohol can increase the risk of stomach bleeding caused by ketorolac. active or history of peptic ulcer disease. .Do not drink alcohol while taking ketorolac. angioedema. Hypersensitivity to ketorolac. or bronchospastic reactions to other NSAIDs. prophylaxis before major surgery. patients with advanced renal disease or risk of renal failure. and pain of inflammation and that also are believed to be important in the production of noninflammatory pain. Tell patient that adverse reactions can occur with overuse. aspirin. patients who have developed nasal polyps. Used for treating inflammation and pain in the operation site. ◙ Monitor for signs of pain relief. hemorrhagic diathesis. Advil).Generic Name: Ketorolac Brand name: Toradol Classification: Nonsteroidal AntiInflammatory Drugs (NSAIDs) Source: ◙ Nursing 2007 Drug Handbook 27th Edition. or any component of the formulation. etc. other NSAIDs. fever. suspected or confirmed cerebrovascular bleeding. nursing mothers. recent or history of GI bleeding or perforation.Nonsteroidal AntiInflammatory Drugs (NSAIDs) H . swelling. C . labor and delivery. naproxen (Aleve. chemicals that cells of the immune system make that cause the redness.Every 6 hours x 6 doses. concomitant probenecid. piroxicam (Feldene).Pain as well as inflammation and its signs and symptoms redness. epidural or intrathecal administration. pregnancy (3rd trimester ♣ Rash ♣ Ringing in the ears ♣ Headaches ♣ Dizziness ♣ Drowsiness ♣ Abdominal pain ♣ Nausea ♣ Diarrhea ♣ Constipation ♣ Heartburn ♣ Fluid retention C . cyclooxygenase. Lippincot Williams & Wilkins Dosage: 30mg Frequency: Q6° Route: IVTT x 6 doses Inhibits prostaglandin synthesis by decreasing the activity of the enzyme.
which may be a sign of a new infection. K . Mechanism of Indication Contraindication Adverse Nursing Nursing . swelling. which in turn inhibits the final transpeptidation step of peptidoglycan synthesis in bacterial cell walls. Polycillin. Principen Classification: Antibiotic (penicillins) Source: ◙ Nursing 2007 Drug Handbook 27th Edition. ◙ Instruct client to maintain adequate hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake.Antibiotic H . or yogurt may help).Mechanism of Generic Name: Ampicillin Brand name: Omnipen. E .Pain as well as inflammation and its signs and symptoms redness.Every 6 hours C . frequent mouth care. frequent meals. boiled milk. fever. and pain are reduced. thus inhibiting cell wall biosynthesis. sucking lozenges. Tell patient that Antibiotic medicines can cause diarrhea. Contraindication Hypersensitivity to ampicillin. Nursing Implication ◙ Tell patient that medication may cause nausea or vomiting (small. or chewing gum may help). or diarrhea (buttermilk. or other penicillins Adverse Reactions ♣ Nausea ♣ Vomiting ♣ Loss of appetite ♣ Diarrhea ♣ Abdominal pain ♣ Rash ♣ Itching ♣ Headache ♣ Confusion ♣ Dizziness Nursing Responsibilities C .Do not take the medication in larger amounts. Bacteria eventually lyse due to ongoing activity of cell wall autolytic enzymes (autolysins and murein hydrolases) while cell wall assembly is arrested. any component of the formulation. Indication Used for treating bacterial infection.Instruct client to report any adverse reaction to the physician or nurse. Lippincot Williams & Wilkins Dosage: 500mg Frequency: Q6° Route: IVTT Action Inhibits bacterial cell wall synthesis by binding to one or more of the penicillin binding proteins (PBPs). or take it for longer than recommended by your doctor.
Do not exceed the recommended dosage.Instruct client to report alcohol) of . E .Analgesic and Antipyretic H . chronis alcoholism. headaches. headaches.Action Generic Name: Paracetamol Classification: Analgesic and Antipyretic Route: Source: ◙ Nursing 2007 Drug Handbook 27th Edition. Implication ◙ Warn patient that acute overdoses (above 1000 mg per single dose and above 4000 mg per day for adults. Fever persisting longer than 3 days. allergy to acetaminophen ♣ Dyspnea or any component. in rare individuals. K . and pregnancy lactation. Contraindicated with Reactions ♣ Chest pain Responsibilities C . the risk is heightened by alcohol . Warn patient that high doses or unsupervised long –term use can cause liver damage. Use cautiously with impaired hepatic function.80C any adverse reaction like allergies to the physician or nurse. above 2000 mg per day if drinking paracetamol can cause potentially fatal liver damage and. Not to use for marked fever (temperature higher than 39. a normal dose can do the same.50C).Relief of fever. Lippincot Williams & Wilkins IVTT Dosage: 500mg Frequency: PRN Reduces fever by acting on the hypothalamus to cause vasodilatation & sweating. Used for the relief of fever. and other and pains regarding surgical wound. and other minor aches and pains.as necessary or when temperature is more than 37. ♣ Rash ♣ Fever ♣ Acute kidney failure ♣ Jaundice ♣ Acute kidney failure ♣ Hepatic toxicity and failure C.
Following exercises should be held for five to 10 seconds and repeated 10 times on a daily basis. compliance to medication Outpatient •Instruct patient to have follow up check up consultation and regular check ups.XIII. because the patient’s body •Instruct patient to follow good needs nutrients to heal (even if she doesn’t feel like it). Keep the drainage bag off the floor to prevent microorganisms from moving up from outside the •Instruct patient avoid climbing stairs or driving a car during this recuperation period (ask family and friends for •Avoid all lifting after the surgery and during the post hysterectomy period (ask for assistance). •The upper back and shoulder stretch is done while lying in bed or on a •The chin tuck can be performed while sitting in a chair or on the side of your bed. hysterectomy can weaken doctor . Health Teaching Plan Medication Ranitidine C .Gastointestinal agent. Look straight ahead and pull your chin as though you are attempting to create a double chin. Tell patient that antacids may decrease the absorption of ranitidine.Reduced amount of acid in the stomach that may result to prevented ulcer incidence. soups. maintain external cleanliness around the catheter.Eat healthy. •Keep sanitary environment one that would not allow microorganisms to multiply and cause infection. E . •Provide catheter care: Keep the catheter coiled by the client’s side to prevent the tubing to hang in a loop that allow the urine to sit in the tubing. K . salads. vegetables and broths.Ranitidine can interfere with the metabolism of alcohol. Diet •Try eating smaller meals than normal and have healthy snacks in between . flu’s and viruses less. • Take the best daily multiple premium vitamins recommend and vitamin C as well. C .Instruct client to report any adverse reaction to the physician or nurse. organic bread. These vitamins will help improve sleep. Patients taking ranitidine who drink alcohol may have elevated blood alcohol levels. Eat cold-water fish as well as turkey. •Instruct patient to limit her movement at the beginning or if her doctor authorizes it take some short walks to keep her blood circulating and prevent blood clots from forming in her legs. will increase energy levels and provide the patient with sharper and clearer mind. will make less susceptibility to colds. Exercise •The extended period of bed rest after a the muscles in the lower back and stomach. Keep your arms relaxed and by your side. chicken.Every 8 hours while patient is on NPO. •Indwelling catheter Treatment •Pain relievers prescribed by the Hygiene •Make sure you have enough sanitary pads for vaginal bleeding and discharge. You may have some discharge and bloody drainage for several days after your hysterectomy. Antisecretory (H2receptor antagonist) H .
And since most of life is "consumption and elimination". You will notice your pelvis or hip bones roll backward. •Instruct patient to avoid aspirin and dairy foods during the post hysterectomy time because dairy products will not help you with constipation. help lower cholesterol and thin the blood. help).Tramadol C . change catheter every 2 weeks to prevent infection. Press your arms back into the bed. Tell patient that tolerance or drug dependence may result from extended use (withdrawal symptoms have been reported). Wiping from front to back. the patient needs to consume 8-10 glasses of water daily to adequately "flush" her system of toxins which would otherwise build up and cause some level of discomfort or illness. abrupt discontinuation should be avoided. C . . May be taken with or without food. • Taking omega-3 and fatty acids should be taken daily because it has shown that it reduces inflammation. •The pelvic tilt can also be achieved in a lyingdown position. reduces the risk of strokes and heart attacks.Every 6 hours x 6 doses. bag and into the catheter. You can place your hands on your stomach or put one hand under your lower back and keep the remaining hand on your stomach. • • Instruct patient to drink filtered water. Keep the wound area clean by washing it with mild soap and water. The pain medicine you will be taking during the post hysterectomy time will tend to make you constipated. Bring your hands over your head and rest with your palms up. K . Lightly tighten your buttocks and stomach muscles to pull your lower back down. Should be used only with extreme caution in patients receiving MAO inhibitors mat. Change off perineal pad at least twice a day.Analgesic H .Instruct client to report any adverse reaction to the physician or nurse. • Instruct patient to change the dressing over her incision once a day or sooner if it gets dirty or wet. E . •Maintain good oral hygiene •Provide good perineal care.You should not take Ultram if you have ever been addicted to drugs or alcohol. •Tell patient to avoid drinking alcoholic beverages for a few weeks (especially while taking medication).Relief of pain in the operation site.
or glue were used to close her skin. keep the rest of your body still while tightening your stomach muscles.Do not drink alcohol while taking ketorolac. until her doctor tells her it is okay. E . If they are still there after 10 days. •If tape strips (Steri-Strips) •Exercise as soon as the doctor authorizes it. C . and pain are reduced. Alcohol can increase the risk of stomach bleeding caused by ketorolac •You will have to get on your hands and knees to carry out the stomachstrengthening movement. swelling. Do not try to wash off the Steri-Strips or glue. Instruct her not to soak in a bathtub or hot tub. she can remove them. were used to close her incision.Pain as well as inflammation and its signs and symptoms redness.Nonsteroidal AntiInflammatory Drugs (NSAIDs) H . staples.Instruct client to report any adverse reaction to the physician or nurse. As you slowly exhale. They should fall off in about a week. K . Tell patient that adverse reactions can occur with overuse. . unless her doctor tells her not to.Every 6 hours x 6 doses. Moderate exercise will improve immune defenses and antioxidant levels. fever.Ketorolac C . or go swimming. cover them with plastic wrap before showering for the first week. •Tell patient that she may remove her wound dressings (bandages) and take showers if sutures (stitches). Start by taking a deep breath.
swelling.Antibiotic H .Do not take the medication in larger amounts. which may be a sign of a new infection.Instruct client to report any adverse reaction to the physician or nurse. Tell patient that Antibiotic medicines can cause diarrhea.Pain as well as inflammation and its signs and symptoms redness. or take it for longer than recommended by your doctor.Ampicillin C .Every 6 hours C . . K . and pain are reduced. fever. E .
E .80C C.Relief of fever.Do not exceed the recommended dosage.50C). K . Not to use for marked fever (temperature higher than 39.Instruct client to report any adverse reaction like allergies to the physician or nurse. headaches.Paracetamol C . and other minor aches and pains.Analgesic and Antipyretic H . . Warn patient that high doses or unsupervised long –term use can cause liver damage. Fever persisting longer than 3 days.as necessary or when temperature is more than 37.
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