Generic (Trade Name)

Dosage Classification Frequency

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities

Ipratropium Br, Salbutamol/ albuterol sulfate (Combivent )

Neb q 8 hours

Antiasthmatic & COPD Preparations

Management of reversible bronchospasm associated with obstructive airway diseases in patients who require more than a single bronchodilator

1.) Patients who is allergic to the Drugs. 2.) Patients with Hypertropic obstructive cardiomyopathy 3.) Patients having tachyarrythmia.

Fine tremor of Skeletal Muscle; Palpitations; Headache, dizziness, nervousness; Dryness of the mouth, throat irritation; urinary retention.

1.) Use Cautiously to patients with known sensitivity to atropine, soybeans, soya lecithin, and peanuts. 2.) Assess Vital Signs Before drug administration 3.) Observe for paradoxical bronchospasm (Wheezing). If Condition occurs, withhold Medication and notify physician or other health care professional immediately. 4.) Instruct patient to contact health care professional immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain. 5.) Advise the patient to rinse mouth with water after using the nebulizer to minimize dry mouth.

Generic/ Trade Name

Dosage Frequency

Classification

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities

Doxofylline (Ansimar)

400 mg BID

Antiasthmatic & COPD Preparations

Bronchial asthma & pulmonary disease with spastic bronchial component.

1.) Patient allergic to the drug. 2.) Patient with acute myocardial infarction. 3.) Hypotension 4.) lactation

Nausea, vomiting, epigastric pain, cephalalgia, irritability, insomnia, tachycardia, extrasystole, tachypnea, hyperglycemia, albuminuria

Use Cautiously with patients having Liver Disease, Chronic Heart Failure, Chronic obstructive lung disease, concominant infection and Pregnancy.

Drug name Dosage Action

Indication

Contraindica Adverse effect Nursing responsibilities tion

Ferrous Sulfate (FeSO4)

200mg/d ay PO

ACTION: Iron is absorbed from the duodenum and upper jejunum by an active mechanism through the mucosal cells where it combines with the protein transferrin.

>Prophylaxis and treatment of iron deficiency and irondeficiency anemias. >Dietary supplement for iron. Optimum therapeutic responses are usually noted within 2-4 weeks.

CLASSIFICATI ON: Antianemic, Iron

Hemosiderosis, hemochromatosi s, peptic ulcer, regional enteritis, and ulcerative colitis. Hemolytic anemia, pyridoxineresponsive anemia, and cirrhosis of the liver. Use in those with normal iron balance.

Constipation, gastric irritation, nausea, abdominal cramps, anorexia, diarrhea, dark colored stools.

>Substitution of one iron salt for another without proper adjustment may result in serious over or under dosing. >Eggs, milk, coffee, or tea consumed with a meal or 1 hr after may significantly inhibit absorption of dietary iron. >Ingestion of calcium and iron supplements with food can decrease iron absorption by one-third; iron absorption is not decreased if calcium carbonate is used and taken between meals. >Do not crush or chew sustained-release products.

Drug Name
Generic Name: Paracetamol Brand Name: Biogesic

Classificati on
Anti-pyretic

Dosage
Dosage: Adults and children 5001000 mg orally every 4-6 hours.

Action

Indication

Contraindicatio n
Contraindicated in patients hypersensitive to drug. Use cautiously in patients with long term alcohol use because therapeutic doses cause hepatotoxicity in these patients. Hematologic: hemolytic anemia, neutropenia, leucopenia, pancytopenia. Hepatic: Jaundice Metabolic: Hypoglycemia Skin: rash, urticaria.

Adverse effect
CNS: headache CV: chest pain Respi: dyspnea hypersensitivity: rash, urticaria

Nursing Responsibilities
Use liquid form for children and patients who have difficulty swallowing. In children, dont exceed five doses in 24 hours. Advise patient that drug is only for short term use and to consult the physician if giving to children for longer than 5 days or adults for longer than 10 days. Advise patient or caregiver that many over the counter products contain acetaminophen; be aware of this when calculating total daily dose. Warn patient that high doses or unsupervised long term use can cause liver damage.

Antipyretic: Treatment of Reduces fever fever. by acting directly on the hypothalamic heat-regulating center to cause vasodilation and sweating, which helps dissipate heat. TE: Reduces fever.

Drug Name
Mupirocin (Bactroban) 2 % ointment apply on plantar surface R foot BID Pharmacologic class: Topical antibiotic

Classificatio n
Pharmacologic class: Topical antibiotic

Action
Bactericidal; interferes with DNA replication in susceptible bacteria preventing cell reproduction. TE: Kills susceptible bacteria.

Indications
For the treatment of infections caused by susceptible gram-negative bacteria.

Contraindication Adverse effects s

Contraindicated with allergy to mupirocin . Derm: itching, rashes

Nursing Responsibilities
Arrange for culture and sensitivity tests before beginning therapy. Encourage patient to complete full course of therapy. Instruct patient to report rashes.