Name of Drug

Action

Indication

Contraindication

Adverse Reaction

Nursing Consideration

Brand Name: - Zeptrigen Generic Name: - Ceftazidime Classification: - Antibiotic - Cephalosphorin (3rd Generation) Dosage: 16m Route: - IVTT Frequency: - every q8 - ANST (-)

- Interfere with a final step formation of the bacterial cell wall (inhibition of mucopeptide biosynthesis), resulting in unstable cell membranes that undergo lysis. Also, cell division and growth are inhibited. - More activity against gramnegative organisms and resistant organisms and less activity against gram- positive organisms than firstgeneration drugs (Spratto and Woods, 2008:1788)

- Serious UTI and lower respiratory tract infection and CNS infection.

- Contraindicated in patient hypersensitive to drug or other cephalosporin.

CNS: - Headache, dizziness, lethargies, paresthesia GI: - nausea, vomiting, anorexia, abdominal pain, flatulence, pseudo membranous colitis, liver toxicity GU: - Nephrotoxicity Hematologic: - bone marrow depression-decreased WBC, decreased platelets, decrease Hct

Before: 1. Assess for liver and renal dysfunction. 2. Obtain CBC, renal function studies; reduce dose with dysfunction. 3. Culture infection, and arrange sensitivity tests before and during therapy if expected response is not seen. During: 1. Do not mix with aminoglycoside solutions, administer these drugs separately.

2. Monitor prothrombin time in patients with renal or hepatic impairment, in a poor nutritional Hypersensitivity: - ranging from rash to state or are on prolonged fever to anaphylaxis, therapy. serum sickness reaction 3. Preparation of injectable solution, sites and methods of injection are treated with utmost care. Administer IV

Local: - Pain, abscess at injection site, phlebitis, inflammation at IV site

injection as slowly as possible. After: 1. Store at temperatures not exceeding 30C. 2. Have Vit. K available in case hypoprothrombinemia occurs. 3. Discontinue if hypersensitivity occurs.

Name of Drug

Action

Indication

Contraindication

Adverse Reaction

Nursing Consideration

Brand Name: - Salbutamol Generic Name: - Albuterol Classification: - Bronchodilator (Therapeutic) - Adrenergics (pharmacologic) Dosage:

- It relieves nasal congestion and reversible bronchospasm by relaxing the smooth muscles of the bronchioles.

- To control and prevent reversible airway obstruction caused by asthma or chronic obstructive pulmonary disorder (COPD)

- Hypersensitivity to adrenergic amines - Hypersensitivity to fluorocarbons

CNS: - Restlessness, apprehension, anxiety, fear, CNS stimulation, hyperkinesia, insomnia, tremor, drowsiness, irritability, weakness, vertigo, headache CV: - Cardiac arrhythmias,

- Assess lung sounds, PR and BP before drug administration and during peak of medication. - Observe for paradoxical spasm and withhold medication and notify physician if condition occurs. - Administer PO medications with meals to minimize gastric

- 2 inhalations Frequency: - every 4-6 hours - Quick relief for bronchospasm

tachycardia, palpitations, PVCs (rare), anginal pain Dermatologic: - Sweating, pallor, flushing GI: - Nausea, vomiting, heartburn, unusual or bad taste in mouth GU: - Increased incidence of leiomyomas of uterus when given in higher than human doses in preclinical studies Respiratory: - Respiratory difficulties, pulmonary edema, coughing, bronchospasm, paradoxical airway resistance with repeated, excessive use of inhalation preparations

irritation. - Extended-release tablet should be swallowed-whole. It should not be crushed or chewed. - If administering medication through inhalation, allow at least 1 minute between inhalation of aerosol medication. - Advise the patient to rinse mouth with water after each inhalation to minimize dry mouth. - Inform the patient that Albuterol may cause an unusual or bad taste.

Name of Drug

Action

Indication

Contraindication

Adverse Reaction

Nursing Consideration

Brand Name: - Multivitamin Generic Name: - Theravim Classification: - Vitamins Dosage: - 1 Tab Route: - PO Frequency: - 1 cap od

- Prevention of deficiency or replacement in patient whose nutritional status is questionable.

- Treatment and prevention of vitamin deficiencies.

- Hypersensitivity to preservative, colorants or additives, including tartrazine, saccharin, and aspartame.

-Allergic reactions to preservatives, additives or colorants

- Assess patient for signs of nutrition deficiency prior to and throughout therapy. - Instruct to notify side effects of medications to physician - Encourage to comply on medications - Encourage patient to comply with physicians reccomndations. Explain that the best source of vitamins is a well balanced diet with foods from the 4 basic food groups.