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Drug Study

Drug Study

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Drug Study
Drug Study

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Published by: zbestgurl on Oct 16, 2013
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01/31/2015

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DRUG STUDIES

NSS.DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY 2 G IVTT Q12H ANST ( .Monitor CBC. promoting osmotic instability. renal and liver function tests DRUG PREPARATION 1. usually bactericidal COMMON S/E Diarrhea Rashes Pain @ injection site ADVERSE S/E Pseudomembranous Colitis Leukopenia Anaphylaxis BEFORE 1. or D5W 2.Obtain specimen for culture and sensitivity tests before giving first dose 3.Do not mix or coadminister Ceftriaxone with calcium-containing IV solutions DURING 1.Ask patient if he’s allergic to penicillins or cephalosporins 2.Dilute 2 G vial with 19.) PLS GIVE THRU IV DRIP MECHANISM OF ACTION SPECIFIC INDICATIO N UTI SIDE EFFECTS NURSING IMPLICATIONS CEFTRIAXONE SODIUM (ROCEPHIN) 8-7-2013 ANTIBIOTIC Inhibits cell wall synthesis.Give over 30 minutes .2 mL of sterile water.

DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS AFTER 1. Tell patient to report loose stools or diarrhea . Tell patient to report discomfort at IV insertion site 2.

Obtain specimen for sensitivity and culture test 2. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria COMPLICATED UTI COMMON S/E Drowsiness Dizziness Nausea Vomiting Abdominal pain BEFORE 1.DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENC Y 400 MG TAB 1 TAB BID PO MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS OFLOXACIN (FLOXIN) 8-7-2013 FLUOROQUINOLON E Interferes with DNA gyrase. Take antacids 1 hour before or 2 after after Ofloxacin 3. Take the drug 1 hour before or 2 hours after antacids AFTER 1. which is needed for synthesis of bacterial DNA. Warn patient that dizziness may occur 4. Take each dose with a full glass of water 3. Avoid sun exposure 2. Drug maybe taken with or without regard to meals 2. Tell patient to stop drug and report @ first sign of allergic reaction ADVERSE S/E Pseudomembranous Colitis Anaphylactic reaction Leukopenia . renal and liver function tests DURING 1. Monitor CBC.

Change position slowly to minimize effect of orthostatic hypotension 2.Rule out prostate cancer DURING 1. prostatic urethra.Avoid hazardous activities until CNS effects are known .Take drug 30 min after same meal each day 2.Do not open. or chew drug capsules AFTER 1. which improves the rate of urine flow & reduce symptoms of BPH TO TREAT BPH COMMON S/E Dizziness Drowsiness Orthostatic Hypotension Diarrhea BEFORE 1. and bladder neck.DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY 500 MG / 400 MG 1 TAB OD PO MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS DUTASTERIDE + TAMSULOSIN (DUODART) 8-87-2013 ALPHA ADRENORECEPTOR ANTAGONIST Blocks alpha – adrenergic receptors in the prostate. prostatic capsule. crush. This action inhibits smooth muscle contraction in the prostate.

CONSTIPATION COMMON S/E Abdominal cramps Belching Diarrhea Flatulence Gaseous distention Nausea Vomiting BEFORE 1. Also decreases ammonia. Advise patient to increase water intake at least 2-3 L / day to prevent dehydration 2. which lowers the pH of colon contents.DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY 30 CC QHS PO HOLD FOR BM GREATER THAN 2X / DAY MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS LACTULOSE (CEPHULAC) 8-8-2013 LAXATIVE Produces an osmotic effect in colon. Avoid using antacids and lactulose together 3. probably as a result of bacterial degradation. resulting distention promotes peristalsis. Assess pattern of bowel movement 2. Assess effectiveness of medicine 2. Monitor serum electrolytes especially sodium and potassium DURING 1. Tell patient not to use other laxatives during lactulose therapy AFTER 1. Document findings and interventions done .

DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY 500 MG TAB 1 TAB Q4H PRN FOR T > 38 C MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS ACETAMINOPHEN (PARACETAMOL) 8-7-2013 ANALGESIC Thought to produce analgesia by inhibiting prostaglandin & other substances that sensitize pain receptors. Monitor body temperature 2. Monitor CBC and U/A 3. Drug may relieve fever through central action in the hypothalamic heat-regulating center FOR FEVER COMMON S/E Drowsiness Nausea Vomiting Abdominal pain BEFORE 1. Monitor LFT DURING 1. Limit caffeine intake 3. Take only as directed and with food or milk to decrease GI upset 2. Recheck body temperature after 30 min of administration 2. Document findings and interventions done ADVERSE S/E Leukopenia Neutropenia Hypoglycemia Hemolytic anemia FOOD-DRUG INTERACTIONS CAFFEINE (Increase analgesic effect) ALCOHOL (Increase risk of liver damage) . Avoid alcohol as this may cause hepatotoxicity AFTER 1. Report any adverse reactions 3.

Report any adverse reactions 2. MECHANISM OF ACTION SPECIFIC INDICATION SIDE EFFECTS NURSING IMPLICATIONS DIOSMIN + HESPERIDIN (DAFLON) 8-10-2013 MULTIVITAMIN Daflon is phlebotonic. Daflon decreases venous capacitance. Note indication for therapy DURING 1. Thus. & venous emptying time ACUTE HEMORRHOIDAL ATTACKS AND CHRONIC HEMORRHOIDAL DISEASE Upset stomach Headache Nausea Vomiting Unusual taste in mouth BEFORE 1. Take with food AFTER 1. It reinforces venous tone by prolonging the activity of parietal noradrenaline. Document findings and interventions done .DRUG NAME DATE ORDERED CLASSIFICATION DOSE ROUTE FREQUENCY 2 TABS TID X 3 DAYS AND 1 TAB FOR NEXT SUCCEEDING DAYS P. venous distensibility.O.

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