Drug Order Generic Name: Amlodipine Brand Name: Norvasc Classificati on: -Calcium channelblocker -Antianginal Drug Antihyperte nsive
Mechanis m of Action Inhibits the movement of calcium ions across the membrane s of cardiac and arterial muscle cells; inhibits transmemb rane calcium flow, which results in the depression of impulse formation in specialized cardiac pacemaker cells, slowing of the velocity of conduction of the cardiac impulse, depression of myocardial contractilit y, and dilation of coronary arteries and
Indication Angina pectoris due to coronary artery Spasm, Chronic stable angina, alone or in combinatio n with other agents, Essential hypertensio n, alone or in combinatio n with other antihyperte nsive
Contraindication The presence of any allergies to nitrates. These drugs are also contraindicated in the following conditions: Sever e anemia, head trauma or hemorrhage, preg nancy and lactation.
Adverse Effect CNS: Dizziness, lightheaded ness, headache, asthenia, fatigue, lethargy CV: Peripheral edema, arrhythmias Dermatolog ic: Flushing, rash GI: Nausea, abdominal Discomfort
Nursing Responsibil ities BEFORE: -Obtain patients history to allergy of amlodipine. -Assess vital signs before therapy. DURING: -Monitor patient’s BP, cardiac rhythm -Monitor intake and output. AFTER: -Monitor vital signs. -Be alert for adverse effect. >Advise patient to take medication as directed, even if feeling well. >Take missed doses as soon as possible unless almost time for next dose; do
and in patients with vasospastic angina. > Advise patient to notify health care professiona l if irregular heartbeats. these effects lead to decreased cardiac work. constipatio n. pronounced dizziness. increased delivery of oxygen to cardiac cells. nausea. decreased cardiac oxygen consumpti on.
. or hypotensio n occurs or if headache is severe or persistent. dyspnea. swelling of hands and feet.
not double doses. > Caution patient to wear protective clothing and use sunscreen to prevent photosensit ivity reactions.arterioles and peripheral arterioles. > Caution patient to change positions slowly to minimize orthostatic hypotensio n.
pseudomembran ous colitis. cramping. liver evaluation. culture and sensitivity tests of infection. cholestati c jaundice. headache. GI output. orientation.Drug Name Generic Name: Azithromyci n Brand Name: Zmax Classificati on: Antibiotic Dose: 500mg
Mechanis m of Action Bacteriosta tic or bactericida l insusceptib le bacteria. lesions. pseudomembran ous colitis. Mild to moderate nausea. hepatic or renal impairment. lactation -Physical: Site of infection. somnolen ce. bowel sounds. dizziness. gonorrhea or syphilis. urinalysis. community -acquired pneumonia due to S. vomiting.
Indication -Treatment of lower respiratory infections: Acute bacterial exacerbatio ns of COPD due to Haemophil us influenzae. Food affects the absorption of this drug. pneumonia e. -Take the full
. -Use cautiously with gonorrhea or syphilis. or any macrolide antibiotic. lactation. vertigo. -Administer on an empty stomach 1 hr before or 2–3 hr after meals. hepatic or renal impairment. erythromycin. flatulence. dyspepsia. abdominal pain. Streptococ cus pneumonia e.
Nursing Responsibilities -History: Hypersensitivity to azithromycin. influenzae -Treatment of lower respiratory infections: Streptococ cal pharyngitis and tonsillitis due to Streptococ cus pyogenes in those who cannot take
Contraindication Adverse Effect -Contraindicated with hypersensitivity to azithromycin. erythromycin. skin color. renal function tests -Culture site of infection before therapy. or any macrolide antibiotic. LFTs. diarrhea. Moraxella catarrhalis. transient elevations of liver enzyme values. H. angioede ma.
headache (medication may help). vaginal sores. -Prepare Zmax by adding 60 mL water to bottle. additional infections in the mouth or vagina (consult with health care provider for treatment). Do not take with antacids. Counsel patients -You may experience these side effects: Stomach cramping. severe nausea or vomiting. rash or itching. diarrhea.penicillin’s
course prescribed. mouth sores. discomfort. -Report severe or watery diarrhea. fatigue. shake well. Tablets and oral suspension can be taken with or without food.
Assess for possible superinfection: itching fever. meningitis
Contraindic ation Hypersensit ivity to cephalospor ins. intraabdominal infections. uncomplic ated gonorrhea. bone & joint infections. and transpeptidas es in the bacterial cytoplasmic membrane. -Assess patient for signs and symptoms of infection before and during the treatment -Obtain C&S before beginning drug therapy to identify if correct treatment has been initiated. Hypersensit ivity to lidocaine (IM inj)
Adverse Effect -Pain -Induration -Phlebitis -Rash -Diarrhea Thrombocyt osis -Leucopenia -Glossitis Respiratory superinfecti ons
Nursing Responsibilities -Assess patient’s previous sensitivity reaction to penicillin or other cephalosphorins. The beta-lactam moiety of Ceftriaxone binds to carboxypepti dases. -Monitor hematologic. endopeptidas es. acute bacterial otitis media. bacterial septicemia . diarhhea
. malaise. Ceftriaxone results in the formation of defective cell walls and cell death.
Indication Treatment of infections of the lower respirator y tract. By binding to these enzymes. pelvic inflammat ory disease. These enzymes are involved in cell-wall synthesis and cell division. -Assess for allergic reaction.elect rolytes.Drug Order Generic Name: Ceftriaxon e Brand Name: Forgram Classificat ion: Cephalosp orins Dose: 1g
Mechanism of Action Works by inhibiting the mucopeptide synthesis in the bacterial cell wall. redness. skin & skin structure infection. UTI. renal and hepatic function.