Generic (Trade Name

)

Dosage Frequency

Classification

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities

Ipratropium Br, Salbutamol/ albuterol sulfate (Combivent )

Neb q 4 hours (12 am-4am8am-12pm4pm-8pm)

Antiasthmatic & COPD Preparations

Management of reversible bronchospasm associated with obstructive airway diseases in patients who require more than a single bronchodilator

1.) Patients who is allergic to the Drugs. 2.) Patients with Hypertropic obstructive cardiomyopath y 3.) Patients having tachyarrythmia .

Fine tremor of Skeletal Muscle; Palpitations; Headache, dizziness, nervousness; Dryness of the mouth, throat irritation; urinary retention.

1.) Use Cautiously to patients with known sensitivity to atropine, soybeans, soya lecithin, and peanuts. 2.) Assess Vital Signs Before drug administration 3.) Observe for paradoxical bronchospasm (Wheezing). If Condition occurs, withhold Medication and notify physician or other health care professional immediately. 4.) Instruct patient to contact health care professional immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain. 5.) Advise the patient to rinse mouth with water after using the nebulizer to minimize dry

mouth.

Generic (Trade Dosage Classification Name) Frequency

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities

Hydrocortisone Na Succinate (Hydrocort)

100 mg TIV q6h (12am-6am12pm-6pm)

Corticosteroid Hormones

Primary & Secondary adrenocortical insufficiency; other conditions requiring immediate metabolic & antiinflammatory actions of hydrocortison e; respiratory disease.

1.) Patients with Septic Shock 2.) Systematic Fungal Infection 3.) Psychosis 4.) Amebiases 5.) Nonasmathic bronchial disease

GIT & musculoskeletal effects; fluid & electrolyte imbalance; impaired wound healing, skin atrophy, increased sensitivity to skin lesions, striae, increased sweating, telangiectasis, acne. Endocrine & metabolic disorders; anaphylactoid reaction.

1.) Monitor patient s weight, blood pressure, glucose, and electrolyte levels. 2.) Monitor inputoutput ratio. 3.) Assess mental status: affect, mood, behavioral changes, aggression. 4.) Check for potassium

depletion: paresthesias, fatigue, nausea, vomiting, depression, polyuria, dysrrythmias, weakness.

Generic/ Trade Name

Dosage Frequency

Classification

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities

Doxofylline (Ansimar)

400 mg (8am8pm)

Antiasthmatic & COPD Preparations

Bronchial asthma & pulmonary disease with spastic bronchial component.

1.) Patient allergic to the drug. 2.) Patient with acute myocardial infarction. 3.) Hypotension 4.) lactation

Nausea, vomiting, epigastric pain, cephalalgia, irritability, insomnia, tachycardia, extrasystole, tachypnea, hyperglycemia, albuminuria

Use Cautiously with patients having Liver Disease, Chronic Heart Failure, Chronic obstructive lung disease, concominant infection and Pregnancy.

Generic/ Trade Name
Montelukast (Kastair)

Dosage Frequency
10 mg (8pm)

Classification

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities
1.) Assess eosinophil count 2.) Monitor temperatur e. Watch for fever and symptoms of infection. 3.) Inform patient to minimize GI upset by eating small, frequent servings of food and

Antiasthmatic & COPD Preparations

Treatment of bronchial asthma, allergic rhinitis, concomitant to bronchial asthma.

1.) Do not use for treatment of acute asthma attacks.

Rash, angioedema, pruritus, & urticaria. Dizziness, headache, dream abnormalities, hallucinations, paresthesia, drowsiness, infectious gastroenteritis, diarrhea, nausea & vomiting.

drinking plenty of fluids.

Generic/ Trade Name
Fluconazole (Funzela)- 340

Dosage Frequency
50 mg 1 tab ( 8 am)

Classification

Indication

Contraindication

Adverse Reaction
Headache, nausea, abdominal pain, diarrhea, dyspepsia, dizziness & taste perversion. Angioedema & anaphylactic reactions.

Nursing Responsibilities
1.) Assess for allergy to fluconazole

Antifungals

Treatment of oropharyngeal &esophageal candidiases

1.) Patients who are allergic to fluconazole. 2.) Impaired renal or hepatic function. 3.) Pregnant patients 4.) Lactating patients

Generic/ Trade Name
Protein, Fat, Carbohydrate, Vit. A, Vit D, Vit E, Vit K, Vit C, VIT B1, Vit B2, Vit B6, Vit B12, (Ensure) - 439

Dosage Frequency
5 scoops q8h (6 am-2pm-10pm)

Classification

Indication

Contraindication

Adverse Reaction
No known adverse reaction

Nursing Responsibilities
1.) Advise the patient to take this supplement as indicated.

Enteral and nutritional products

Ideally formulated for the elderly >60yr for boost in immunity, stronger bones, improved digestion & a healthy heart.

No known contraindication

Generic/ Trade Name
Ceftriaxone Na (Pneumosolv)250

Dosage Frequency
1 gm TIV q 12h (12nn-12mn)

Classification

Indication

Contraindication

Adverse Reaction

Nursing Responsibilities
1.) Assess for allergy to cephalospo rins.

Anti-infectives

Treatment of susceptible infection.

1.) History of previous allergic reactions (anaphylaxis) to penicillins or cephalosporins. 2.) History of GI disease especially ulcerative colitis, regional enteritis or antibiotic-

Hypoprothrombinemia, oral candidiasis, psedomembranous colitis (abdominal tenderness; watery,bloody or severe diarrhea.

associated colitis. 3.) Patient with renal function impairment

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