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MEDICAL MANAGEMENT

DRUG STUDY
NAME OF DRUG WITH DOSAGE Sodium Bicarbonate 650 mg 2 tab TID GENERIC NAME Sodium Bicarbonate ACTION/ CLASSIFICATION Antacid; Electrolyte MECHANISM OF ACTION Increases plasma bicarbonate; buffers excess H+ concentrations; raises blood pH; reverses the clinical manisfestation of Acidosis; increases the excretion of free bases in the urine. INDICATIONS Treatment of metabolic acidosis with measures to control the cause of the acidosis; Symptomatic relief of upset stomach from hyperacidity associated with peptic ulcer. • Indicated for my pt. to treat her metabolic acidosis. • SIDE EFFECTS Gastric rupture following ingestion Systemic alkalosis, hypokalemi a secondary to intracellular shifting of potassium. CONTRAINDICATIONS • Contraindicated to patients allergy to components of preparations. Use cautiously with impaired renal function, heart failure, edematous or Na- retaining states; oilguria or anuria, potassium depletion, pregnancy and lactation. NURSING RESPONSIBILITIES • Have patient chew oral tablets thoroughly before swallowing, and follow them with a full glass of water. Do not give oral NaHCO3 with 12 hr of other oral drugs to reduce risk of drug interactions.

NAME OF DRUG WITH DOSAGE Heraclene Forte 3 mg OD

GENERIC NAME Dibencozide

ACTION/ CLASSIFICATION Appetite Stimulant

MECHANISM OF ACTION
It facilitates optimum utilization of dietary protein intake; contributes to the formation and repair of body tissues and stimulates appetite

INDICATIONS
Premature babies, low birth weight, retarded growth, poor appetite in infants, children and adults, adjuvant to treatment of tuberculosis and other chronic ailments, convalescence from acute infection or surgery, faulty nutrition in older people.

SIDE EFFECTS • No side effects reported

CONTRAINDICATIONS • No contraindications were noted.

NURSING RESPONSIBILITIES • May administer drug with regards to meal.

NAME OF DRUG WITH DOSAGE Norvasc 5 mg

GENERIC NAME Amlodipine

ACTION/ CLASSIFICATION Antihypertensive; Angiotensin II Receptor Blocker

MECHANISM OF ACTION

INDICATIONS Treatment of Hypertensi on • • • • • • • • • • •

SIDE EFFECTS Headache Dizziness Insomnia Syncope Rash Urticaria Pruritus Alopecia Dry skin Diarrhea Abdominal pain

CONTRAINDICATIONS

NURSING RESPONSIBILITIES
• Administer drug without regards to meal

Selectively blocks • the binding of Angiotensin II to specific tissue receptor, this action blocks the vasoconstriction effect of the reninangiotensin system as well as the release of aldosterone leading to decrease BP.

Contraindicated with hypersensitivity to Amlodipine; pregnancy and lactation Use cautiously with hepatic or renal impairment, hypovolemia.

• •

Ensure patient is nor pregnant Monitor patient closely in any situation that may lead to a decrease in BP secondary to reduction in fluid volumeexcessive perspiration, dehydration, vomiting, diarrheaexcessive hypotension can occur.

NAME OF DRUG WITH DOSAGE

GENERIC NAME

ACTION/ MECHANISM INDICATIONS CLASSIFICATION OF ACTION Antibacterial; Fluoroquinolone Bactericidal action against sensitive organisms, inhibits synthesis of bacterial cell wall, causing cell death. Infections of the respiratory tract, middle ear, sinuses, eyes, kidneys and urinary tract, genital organs, abdomen, skin and soft tissues, bones and joints. • Indicated to treat my patient’s kidney infection. • • • • • • •

SIDE EFFECTS Headache Dizziness Insomnia Blurred vision Fatigue Ataxia Arrhytmia s
Hypotensio n

CONTRAINDICATIONS • Contraindicated with allergy to ciprofloxacin or other fluoroquinolones, pregnancy and lactation. Use cautiously with renal impairment, seizures, tendonitis or tendon rupture associated with fluroquinolones use.

NURSING RESPONSIBILITIES • . Ensure that the patient is hydrated before administering this drug.
Do not administer ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. May allow pt. to eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking ciprofloxacin. They could make the medication less effective.

Ciprofloxacin Ciprofloxacin 500mg 1 tab BID

• • • • •

Angina Abdomina l pain Fever Rush Nausea

NAME OF DRUG WITH DOSAGE Furosenamide 60 mg IV

GENERIC NAME Furosemide

ACTION/ CLASSIFICATIO N Loop Diuretics

MECHANIS M OF ACTION
Furosemide works by blocking the absorption of sodium, chloride, and water from the filtered fluid in the kidney tubules, causing a profound increase in the output of urine (diuresis).

INDICATIONS
Treatment of excessive accumulation of fluid and/or swelling (edema) of the body caused by heart failure,cirrhosis, chronic kidney failure, and the nephrotic syndrome.

SIDE EFFECTS • • •
low blood pressure dehydration electrolyte depleti on (for example, sodium, potassium) jaundice Tinnitus sensitivity to light rash pancreatitis, nausea, diarrhea abdominal pain Dizziness

CONTRAINDICATIONS • Contraindicated with allergy to Furosemide and other diuretics Use cautiously with pregnancy and lactation

NURSING RESPONSIBILITIES

• • • • • • • • •

Indicated to treat my patient with renal dysfunction.

Observe patients receiving parenteral drug carefully; closely monitor B P and vital signs. Sudden death from cardiac arrest has been reported. Monitor BP during periods of diuresis and through period of dosage adjustment. Observe older adults closely during period of brisk diuresis. Sudden alteration in fluid and electrolyte balanc e may precipitate significant adverse reactions. Report symptoms to physician.

NAME OF DRUG WITH DOSAGE Prosec 20 mg 1 tab OD

GENERIC NAME Omeprazole

ACTION/ CLASSIFICATION MECHANISM INDICATIONS OF ACTION Anti-secretory drug; Proton Pump Inhibitor Suppresses gastric acid secretion by specific inhibition of the hydrogenpotassium ATPase enzyme system at the secretory surface of the gastric parietal cells; blocks the final step of acid production. Duodenal ulcer, treatment of heartburn or symptoms of GERD, active benign gastric ulcer, GERD, sever erosive esophagitis. • Indicated for my pt. since she is suffering from chest pain or heartburn. • • • • • • • • • • • •

SIDE EFFECTS

CONTRAINDICATIONS

NURSING RESPONSIBILITIES • • Administer before meals. Caution pt. to swallow wholenot to open, chew or crush them. If using the oral suspension, empty packet into a small cup containing 2 tbsp. of water. Stir and have pt. drink immediately; fill cup with water and have this water. Do not use any other diluent. Administer antacid with, if necessary.

Headache Dizziness Diarrhea Abdominal pain Nausea,vomitin g Constipation Dry mouth Tongue atrophy URI symptoms Cough Epistaxis Vertigo

Contraindicated with hypersensitivity to omeprazole or its components Use cautiously with pregnancy and lactation.

NAME OF DRUG WITH DOSAGE Cozaar 50 mg 1 tab OD

GENERIC NAME Losartan

ACTION/ CLASSIFICATION
Angiotensin II Receptor Antagonist; Antihypertensive

MECHANISM OF ACTION
Angiotensin II receptor (type AT1) antagonist acts as a potent vasoconstrictor and primary vasoactive hormone of the renin– angiotensin– aldosterone system.

INDICATIONS
Hypertension • • • • • • • • • • •

SIDE EFFECTS
Headache Dizziness Insomnia Syncope Rash Urticaria Pruritus Alopecia Dry skin Diarrhea Abdominal pain

CONTRAINDICATIONS
• Contraindicated with hypersensitivity to Losartan; pregnancy and lactation Use cautiously with hepatic or renal impairment, hypovolemia.

NURSING RESPONSIBILITIES • Monitor patient closely, BP alterations due to effect of drug Monitor any allergic reactions

NAME OF DRUG WITH DOSAGE Rowatinex 2 caps QID

GENERIC NAME Natural Terpene

ACTION/ CLASSIFICATION Antiurolithic

MECHANISM OF ACTION Promotes a diuresis and relaxes urinary tract spasm, thus assisting the passage of stones. The therapeutic effects of the balanced combination of terpenes reduces urinary tract inflammation, stimulating renal blood flow through the kidneys and increasing the output of less concentrated urine.

INDICATIONS

SIDE EFFECTS No side effects have been reported

CONTRAINDICATION S • No contraindications noted.

NURSING RESPONSIBILITIE S • Liquid intake should be increased during therapy Store at temp. not exceeding 30oc.

Nephrolithiasis, • Urolithiasis,Cys tisis, Renal Colic, UTI, Post-op prophylaxis of calculi, treatment of urinary tract spasm and inflammation. • Indicated for my pt. since she has dysfunction al kidney. To promote her diuresis.

NAME OF DRUG WITH DOSAGE Nervilan 1 tab OD

GENERIC NAME Vitamin B complex

ACTION/ CLASSIFICATION Vitamin B

MECHANISM OF ACTION Vit.B acts as coenzyme in metabolic process; enzyme activatorinvolved in many oxidationreduction reactions.

INDICATIONS Neuritis, neulagia, polyneuritis, diabetic neuropathy, alcoholism, cervical and shoulder-arm syndrome and encephalopathy.

SIDE EFFECTS • No side effects reported.

CONTRAINDICATIONS • Use cautiously to pt. with liver dysfunction

NURSING RESPONSIBILITIES • May be taken with meals to reduce GI discomfort.

NAME OF DRUG WITH DOSAGE Iterax 25 mg 1 tab

GENERIC NAME Hydroxyzine

ACTION/ CLASSIFICATION

MECHANISM OF ACTION
Competes with histamine for H1-receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract. Possesses skeletal muscle relaxing, bronchodilator, antihistamine, antiemetic, and analgesic properties.

INDICATIONS

SIDE EFFECTS

CONTRAINDICATIONS

NURSING RESPONSIBILITIES •
Extravasation can result in sterile abscess and marked tissue induration; provide safety measures (ie, side rails, night light, and call button); remove smoking materials from area; supervise ambulation

Antiemetic; Antihistamine; Antixiolytic

Treatment of anxiety; preoperative sedative; antipruritic Allergy

• • • • •

Drowsiness Headache Fatigue Nervousness Dizziness

Hypersensitivity to hydroxyzine or any component of the formulation

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