Classification Name of Drug

Adverse effect

Indication

Contraindication

Nursing Consideration

Ascorbic acid 0.5 bid

Vitamins

GI: Nausea, vomiting, heartburn, diarrhea. Hematologic: Acute hemolytic anemia (patients with deficiency of G6PD); sickle cell crisis. CNS: Headache (high doses). Urogenital: Urethritis, dysuria, crystalluria (high doses). Other: Mild soreness at injection site; dizziness and temporary faintness with rapid IV administration.

Assessment & Drug Effects Prophylaxis and treatment of scurvy and as a dietary supplement. Increases protection mechanism of the immune system, thus supporting wound healing. Necessary for wound healing and resistance to infection. Use of sodium ascorbate in patients on sodium restriction; use of calcium ascorbate in patients receiving digitalis. Safety during pregnancy (category C) or lactation is not established.   Lab tests: Periodic Hct & Hgb, serum electrolytes. Monitor for S&S of acute hemolytic anemia, sickle cell crisis.

Patient & Family Education Take large doses of vitamin C in divided amounts because the body uses only what is needed at a particular time and excretes the rest in urine.  Megadoses can interfere with absorption of vitamin B12.

Note: Vitamin C increases the absorption of iron when taken at the same time as iron-rich foods.

eg gonorrhoea. Pneumonia.Sumapen Generic name: Phenoxymethylpenicillin potassium Classification: Anti-infectives (Systemic) Indications: It is used for: Bacterial infections of the ear. Bacterial infections in the abdomen (peritonitis). Typhoid and paratyphoid fever. Bacterial infections of the stomach and intestines. Bacterial infection of the blood (septicaemia or blood poisoning). Bacterial meningitis. Vomiting. Liver or kidney disorders. Inflammation of the large intestine (colitis). Contraindications: Ampicillin is contraindicated for patients known to have hypersensitivity to any of the penicillins. Diarrhoea. nose and throat. Blood disorders. Itching (pruritus). sinusitis. please read the information provided with the medicine or consult your doctor or pharmaci . The side effects listed above may not include all of the side effects reported by the drug’s manufacturer. Nausea. Bacterial infections of the urinary tract.For more information about any other possible risks associated with this medicine. Bronchitis. Adverse reactions: . eg otitis media. Rash. Bacterial infection of the heart valves and the lining surrounding the heart (bacterial endocarditis). Gynaecological infections.

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