DRUG STUDY

DRUG

INDICATION

ACTION

ADVERSE EFFECTS
Peripheral edema, hypotension, syncope, atrioventiculat block, myocardial infraction, arrhythmias, angina, tachycardia, headache, dizziness, lightheadedness, nervousness

CONTRAINDICATION

NURSING RESPONSIBILITY
Caution patient to avoid hazardous activities until stabilized on drug. Instruct patient to limit caffeine consumption. Urge patient to comply in all areas of medical regimen.

Felodipine (Dilofen ER) -antihypertensives

Treatment of hypertension

Inhibits calcium ion influx across cell membrane, resulting in inhibition of excitation/contraction.

Sick sinus syndrome; second- or third degree AV block except with functioning pacemaker; hypotension with systolic BP <90 mmHg.

Lansoprazole (Pylison) -acid-peptic disease

Treatment of duodenal ulcer, gastric ulcer, stomal ulcer, H. Pylori associated peptic ulcer, reflux esophagitis, ZollingerEllison Syndrome and non-steroidal anti-

Suppresses gastric secretion by inhibiting hydrofen/potassium ATPase enzyme system located in the secretory surface of the parietal cells of the stomach.

Hypersensitivity reactions, flatulence, abdominal pain, distention or discomfort, nausea and vomiting, constipation, tiredness, drowsiness or dizziness, unexplained fever, dry mouth

Those in whom constipation must be avoided, acute dysentery. Children less than 1 year. Hypersensitvity. Abdominal distension and acute ulcerative colitis. Patients with anti-biotic-associated pseudomembranous colitis, with diarrhea caused by Salmonella, Shigella and campylobacter infections.

Advise patient not to exceed recommended dosage. Advice patient to avoid hazardous activities. Inform patient that dry mouth can be relieved by frequent sips of water.

inflammatory drug. Fluticasone (Flixotide) -drug for asthma/COPD It is used by inhalation for the prophylaxis of the symptoms of asthma; also, is administered by nasal spray in the prophylaxis and treatment of allergic rhinitis. It is applied topically in the treatment of various skin diorders. Glucocorticoid with a high topical antiinflammatory potency. It has a strong affinity for and agonist activity at human glucocorticoid receptors. Candidiasis or dryness of mouth and throat. Hoarseness. Paradoxical bronchospasm. Cutaneous hypersensitivity reactions. Possible systemic effects include suppression of adrenal function, growth retardation in children and adolescents, decrease in bone mineral density, cataract and glaucoma. Nausea, vomitting and other GI symptoms, generalized urticaria accompanied by mild fever, hypotension, wheezing, dyspnea and stomatitis. Primary treatment of severe acute asthmatic attacks or status asthmaticus when intensive measures are required. When applied topically: rosacea, acne vulgaris, perioral dermatitis, perianal and genital pruritus. Cutaneous viral infections. Advice patient that drug is for long term maintenance. Tell the patient not to stop oral or inhaled long acting beta agonist. Instruct patient on the proper way of drug inhalation and not to exceed dose under any circumstances. Instruct to rinse mouth after inhalation. Hypersensitivity. Phenylketonuria. Instruct the patient to follow directions exactly. Teach patient how to use and clean nebulizer. Inform patient that drug may have foul smell or taste. Tell patient to avoid driving or other hazardous activities.

Acetylcysteine (Fluimucil) -cough & cold preparation

Treatment of respiratory affections characterized by thick and viscous hypersecretions: acute and chronic bronchitis and its exacerbation, pulmonary emphysema, mucoviscidosis and

Decreases viscosity of respiratory tract secretions and promote their removal by breaking disulfide bonds. In acetaminophen overdose, it protects the liver from injury by restoring glutathione levels or by acting as alternate substrate for

bronchiectasis. Antidote in poisoning caused by paracetamol.

acetaminophen metabolism. Duavent

Kalium Durale
drug for asthma/COPD

Hypokalemia. As prophylaxis during treatment with diuretics.

Provides a direct replacement of potassium in the body.

N/V, ECG changes in Hyperkalemia.

Those who are Renal insufficiency. Hyperkalemia.

Do not self prescribe laxatives. Report weakness, fatigue, polyuria, polydispia could be sign k+ deficit Advice patient that tablet carcass may appear on stool- do not be alarmed. Avoid licorice, large amount cause both cause hypokalemia and Na+ retention

Ansimar drug for asthma/COPD

Treatment of Bronchodilator bronchial asthma and pulmonary disease with spastic bronchial component.

Nausea, vomiting epigastric pain,cephalalgia Pregnancy and elderly, insomia, tachycardia, Hyperglycemia, albunuria

Those who are Hypersensitivity, Acute MI, hypotension, Lactation

May be taken with or without food Store at room temperature not succeeding 30c

Duavent Plasma volume expanders

Management of reversible bronchospasm associated obstructive airway disease Patient with chronic obstructive pulmonary disease on a regular enhaled bronchospasm and who required a 2nd bronchodilator

Treatment of obstructive airway diseases. Bronchodilator

Headache, pain, influenza, chest pain, nausea.Bronchitis, dyspnea, coughing, pneumonia, bronchospasm pharyngitis, sinusitis, rhinitis, edema, fatigue, hypertension,dizziness , nervousness, paresthesia, tremor, dyspepsia, vomiting, arrhythmia, palpitation, tachycardia, arthralgia, angina, increased sputum, taste perversion and UTI/dysuria, allergictype reactions.

Hypertrophic obstructive cardiomyopathy or tachyarrhythmia. Hypersensitiviity to atropine and its derivatives.

Drugs should be given only if the potential benefit justifies the potential risk to the foetus.

Position patient on high back rest position. Do back tapping after you nebulize the patient. do not give a food immediately it can cause vomiting