DRUG STUDY

Student’s name: Area : Patient’s name : L. B. P. Room/bed No. : OB Ward Age : 36 years old Date of Submission Clinical Instructor Physician Date of Admission Hospital No. : September 26, 2008 : : : August 8, 2008 :

GENERIC NAME

BRAND NAME

CLASSIFICATION

MECHANISM OF ACTION

CONTRAINDICATION

SIDE EFFECTS

HOW SUPPLIED

DOSAGE AND FREQUENCY

NURSING RESPONSIBILITIES

Ferrous Sulfate

Sorbifer

Antianemic

Iron is absorbed from the duodenum and upper jejunum by an active mechanism through the mucosal cells where it combines with the protein transferring. Iron is stored in the body

Hemosiderosis, hemochromatosis, peptic ulcer, regional enteritis, and ulcerative colitis, hemolytic anemia, pyridoxine responsive anemia, and cirrhosis of

GI: Constipation, gastric irritation, N&V, abdominal cramps, anorexia, diarrhea, and dark-colored stools. These effects may be minimized by administering preparations as a coated

Tablets: 325 mg Drops:
75mg/0.6ml

1 tab OD P.O.

Elixir: 220mg/5ml Liquid: 300mg/5ml

Before: -Perform hand washing -Verify physician’s order -Prepare medication During : -Identify patient -Assess client in semi-fowler’s position -Assess in administering the medication

as hemosiderin or aggregated ferritin which is found in reticuloendothelial cells of the liver, spleen, and bone marrow. About twothirds of total body iron is in the circulating RBCs in hemoglobin. (Spratto, et al; 2008: 619) Cefalexin Panixine Cephalosporin Interferes with the final step in cell wall formation (inhibition of

the liver. Use in those with normal iron balance.

tablet. Soluble iron preparations may stain the teeth.

to the patient -Position client in comfortable position After: -Document administration on medication -Assess patient 30-60 minutes after administration and document the patient’s response to medication

Hypersensitivity to cephalosporins or related antibiotics.

GI: N&V, diarrhea, abdominal cramps or pain, sore

Capsules: 250 mg, 333 mg, 500 mg, 750 mg

1 cap 500 mg TID P.O.

Before: - Assess patient’s condition -Perform hand washing

mucopeptide biosynthesis) , resulting in unstable cell membranes that undergo lysis. In addition, cell division and growth are inhibited. (Spratto, et al; 2008: 278)

mouth or tongue, anorexia Allergic: Urticaria rashes, pruritus, fever, chills, joint pain, chills, myalgia Hematologic: Leukopenia, neutropenia, eosinophilia CNS: Headache, malaise, fatigue, dizziness, confusion Hepatic: Hepatomegaly, hepatitis

Powder for oral suspension 125mg/5ml 250mg/5ml Tablets: 250 mg, 500 mg Tablets for oral suspension 125 mg, 250 mg

-Verify physician’s order -Prepare medication During : -Identify patient -Assess client in semi-fowler’s position -Assess in administering the medication to the patient -Position client in comfortable position After: -Document administration on medication -Assess patient 30-60 minutes after administration and document the patient’s response to medication

Mefenamic acid

Ponstan

Nonsteroidal antiinflammatory drug

Possesses antiinflammatory , antipyretic and analgesic properties. Known to inhibit both prostaglandi n and leukotriene synthesis, to have antibradykinin activity and to stabilize lysosomal membranes. (Spratto, et al; 2008: 1845)

Hypersensit ivity to ketorolac; individuals with complete or partial syndrome of nasal polyps, angioedema, and bronchospastic reaction to aspirin

GI: Peptic ulcer, GI bleeding, nausea, diarrhea, constipation, abdominal pain, anorexia, vomiting, stomatitis CNS: Headache CV: Peripheral edema, fluid retention

Capsules: 250 mg

1 cap 500 mg every 6 hours P.O

Before: - Assess patient’s condition -Perform hand washing -Verify physician’s order -Prepare medication During : -Identify patient -Assess client in semi-fowler’s position -Assess in administering the medication to the patient After: -Document -Assess patient 30-60 mins. after administration and document response to medication

Pitocin Oxytocin Oxytocic drug Acts on smooth muscle of the uterus to stimulate contractions: response depends on the uterine threshold of excitability. It is selective for the uterus, especially toward the end of pregnancy, during labor, and immediately following delivery. Oxytocin

Mother: CV: Cardiac arrhythmia, Hypersensit hypertensive ivity to drug. episodes Significant cephalopelv GI: ic N&V, disproportio abdominal n; pain, unfavorable cramping fetal positions or CNS: presentatio headache, ns that are dizziness undeliverabl e without GU: conversion Pelvic prior to hematoma, delivery. post-partum hemorrhage Fetus: CV: Bradycardia, arrythmias

Injection: 10 units/ml

Before: - Assess patient’s condition -Perform hand washing -Verify physician’s order -Prepare medication During : -Identify patient -Assess client in semi-fowler’s position -Assess in administering the medication to the patient -Position client in comfortable position After: -Document administration on medication

.

stimulates rhythmic contractions of the uterus, increases the frequency of existing contractions and raises the tone of uterine musculature. (Spratto, et al; 2008: 1181)

CNS: Permanent CNS or brain damage, neonatal seizures GI: Peptic ulcer, GI bleeding, nausea, diarrhea, constipation, abdominal pain, anorexia, vomiting, stomatitis CNS: Headache CV: Peripheral edema, fluid retention

-Assess patient 30-60 minutes after administration and document the patient’s response to medication

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