This action might not be possible to undo. Are you sure you want to continue?
Generic / Trade Name Piperacilin + Tazobacta m Piptaz Dosage / Frequen cy Piptaz 2.5g IV q6 (to complete 40 doses) Classificati on Piperacillin and enzyme inhibitor Belongs to the class of penicillin combination s, including betalactamase inhibitors. Used in the systemic treatment of infections. Indication Treatment of infections in the lower respiratory tract Ex: severe communityaquired pneum onia & healthcare pneumonia; uncomplicated & complicated skin & skin structure infections; intraabdominal infections w/ peritonitis. Contraindica tion Hypersensitiv ity to penicillins, cephalosporin s & β-lactam inhibitors Side effects Hypersensitivity Reactions: Rash, pruritus and fever have been reported Gastrointestinal Effects: melena, gastritis Hepatic Effects: Transient increases in aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase and bilirubin can occur. Renal Effects: Increases in serum concentrations of creatinine and blood urea nitrogen (BUN) may be observed. Effect on the Central Nervous System: Headache, Malaise Local Reactions: pain, inflammation, thrombophlebitis and edema. Nursing Responsibilities Piptaz should not be added to blood products or albumin hydrolysates and should not be mixed with other drugs in a syringe or infusion bottle due to possible problems with compatibility. Piptaz is not chemically stable in solutions that contain only sodium bicarbonate and solutions that significantly alter pH. Lactated Ringer's Solution is not compatible with Piptaz. Piptaz is stable in glass and plastic containers (plastic syringes, IV bags and tubing) once used with compatible diluents. Use Piptaz immediately after constitution. Discard properly any unused portion after 24 hrs if stored at room temperature (20-25°C) or after 48 hrs if stored at refrigerated temperature (2-8°C). Vials should not be
edema. urinary tract agent. frozen after constitution. Belongs to the class of combinations of sulfonamides and trimethoprim. Skin & wound infections. Prophylaxis against sensitive gm-ve organisms Contraindicatio n Hepatic or renal impairment. Co-Trimoxazole Generic / Dosage / Trade Frequency Name CoCotrimoxazole Trimoxazo forte 1tab BID le for 14 days Classification Sulfamethoxazo le and trimethoprim . Premature or newborn infant. sulfonamide Indication Respiratory tract. bradycardia. including derivatives. obtain C&S before starting therapy Assess blood dyscrasias . Mild & transient hematological disturbances. Other bacterial infections eg acute brucellosi s. hypotension. Nursing Responsibilities Assessment: Assess for allergic reactions Monitor I&O ratio Monitor Kidney Function Assess type of infection. Used in the systemic treatment of infections anti-infective. Tachycardia. Fungi & protozoal infection. heart failure. Stability in the IV bags has been demonstrated for up to 24 hrs while stability in an ambulatory IV infusion pump has been demonstrated for a period of 12 hrs at room temperature. Side effects Occasionally GI intolerance. chest pain. dyspnea. GIT & GUT infection.Other Adverse Effects: Hypertension. septicemia.
BP. lesions. baseline ECG. Nursing Responsibilities Assessment: History: Allergy to clopidogrel. peripheral perfusion. back/joint pain. peptic ulcer Physical: Skin color. Contraindica tion Active pathological bleeding eg. recent surgery. Pulse. Side effects Stomach upset/pain. rash. adventitious sounds Intervention: Provide small frequent feeding if . Respiratory. reflexes. MI.Clopidogrel Generic / Trade Name Clopidogr el / Clomex Tab Dosage / Frequen cy Clopidogr el 75mg/tab 1tab OD after lunch Classificatio n Adenosine diphosphate (ADP) receptopr antagonist Antiplatelet Belongs to the class of platelet aggregation inhibitors excluding heparin. constipation. hepatic impairement. pregnancy. dizziness. bleeding disorders. Used in the treatment of thrombosis. lactation. Peptic ulcer or intracranial hemorrhage. Inhibits Indication Prevention of atherosclerotic events in patients w/ atheroscleros is at risk of thromboembolic disorders eg. affect. orientation. temperature. peripheral arterial disease & stroke. Flu-like symptoms. diarrhea. Orthostatic BP. headache.
May be taken with or without meals Report skin rashes. disorientation. memory loss. fainting. Patients with symptoms and parasympath signs of cerebral etic insufficiency hypertonia. Some citicoline side effects include elevated body temperature restlessness. preventing clumping of platelets GI upset occurs Provide comfort measures and arrange for analgesics if headache occurs Teachings: Take daily as prescribed. Nursing Responsibilities Treatment of Hypersensitivi cerebrovascular ty to the drug.platelet aggregation by blocking ADP receptors on platelets. Indication Contraindica tion Side effects Citicoline has a low side effect profile. chest pain. recent cranial trauma and their Must not be administered along with medicaments containing meclophenoxate . abdominal bleeding Citicoline Generic / Trade Name Citicoline / Somazone Dosage / Frequen cy Citicoline 3ml BID Classificatio n Neuroprotecti ve CNS Drugs & Agents for ADHD MOA: stimulation of PtdCho synthesis in the injured brain. severe headache. and difficulty sleeping if the supplement is taken in the evening.dizziness. poor concentration. accident in acute and recovery phase. eg.
or diarrhea. Children Give this medicine on an empty stomach. Indication CVD in acute & recovery phase. Allergic reaction: itchng or hives. headache. nausea & vomiting. Patients with parasympath etic hypertonia. Nursing Responsibiliti es 1gm IV q12 Must not be administered along with medicaments containing meclophenoxate Rifampicin Generic / Trade Name Rifampici n / Rifampin Rifaldazin Dosage / Frequen cy 200mg/5 ml: 3ml 30 mins Classificat ion Anti. swelling or tingling in your mouth or throat. swelling in yout face or hands.TB agents Indicatio n Treatment of pulmonary and extrapulm onary Tuberculos Contraindicat ion Comprilex Previous Isoniazidassociated hepatic injury or other severe Side effects Feeling dizzy. poor concentration. trouble breathing. Side effects Gastroinstestinal disorders. Rising slowly over several minutes from sitting or lying position is recommended. dizziness) slow or fast heart beat. Give 1 hour before or 2 hours after meals.sequela To increase brain metabolism Cholinerv Generic / Trade Name Citicoline Na / Cholinerv Dosage / Frequen cy Classificatio n Neuroprotecti ve CNS Drugs & Agents for ADHD MOA: stimulation of PtdCho synthesis in the injured brain. symptoms & signs of cerebral insufficiency (dizziness. Nursing Responsibilities Note for any allergic reactions . cheat tightness. recent cranial trauma ) Contraindica tion Hypersensitivi ty to the drug. memory loss. low blood pressure (faintness. or rash.
Bifidobacterium bifidumlactobacillus acidophilus • Discoloration of contact lenses. should be extra careful climbing stairs. Shake well before use. Flush the feeding tube before and after medicine is given. Belly pain. acute gout. a medicine spoon. Measure liquid doses carefully. or a medicine cup (only for older children) from your pharmacist. • • Give this medicine with a full glass of water. get an oral syringe. Zinaplex Severe hepatic damage. shakes. • Change in color of body fluids to orange. Do not wear while taking this medicine. Mild pain medicine may help. a medicine dropper. pains. If none is available. Use measuring device that comes with the medicine.e Rifamycin is isoniazid adverse reactions. Children who have feeding tubes can also use the liquid. and sweating. Diarrhea. Ciprofloxacin Generic / Trade Name Dosage / Freque ncy Classificatio n Indication Contraindica tion Side effects Nursing Responsibilities . weakness. Flu-like symptoms. A liquid (suspension) is available if your child cannot swallow pills. aches. These include headache. fever. Yogurt.
rash. Administer 2 hrs before or 2 hrs after antacids . Cipro XR. Patients taking ciprofloxacin can develop sensitivity of the skin to direct sunlight (photosensitivity) and should avoid exposure to sunlight or use sun protection and sunscreens. Proquin XR 500 mg 1 tab every 12 hrs/ NG Antibiotic MOA: Inhibits bacterial DNA gyrase thus preventing replication in susceptible bacteria Treatment for infection of the respiratory tract Contraindicat ed in patients hypersensitivi ty to drugs The most frequent side effects of ciprofloxacin include nausea. diarrhea. vomiting. abdominal pain. and restlessness Ciprofloxacin should be avoided in pregnancy. headache. as safe use in these patients has not been established.Ciprofloxac in / Cipro. Ciprofloxacin should be avoided in children and adolescents less than 18 years of age.
For maintenance & restoration of intestinal microbial balance during and after treatment w/ antibiotics. chemotherapy. Dietary/ Combination Supplements Indication Immune booster. Contraindica tion None None Side effects Nursing Responsibiliti es Preferably be taken 1 hr before meal .OMX Generic / Trade Name Food Suppleme nt / OMX Dosage / Frequen cy 1-3 caps/day for 5 days Classificatio n Supplements. diarrhea. & other digestive disorder.
systemic mastocytosis) Eradication of H. Side effects Headache. lactation. Monitor hepatic enzymes. upper respiratory tract infection Rash Nursing Responsibilities Assess other medications patient maybe taking for effectiveness and interaction. and other symptoms to report. abdomen for pain and swelling. Assess knowledge/teach appropriate use of this medication. poorly responsive symptomatic GERD Long-term therapy: Treatment of pathologic hypersecretory conditions (ZollingerEllison syndrome. multiple adenomas.Omepron Generic / Trade Name Omeprazo le / Omepron Dosage / Frequen cy 20mg 1 cap OD PB Classificatio n Anti-secretory agent Proton pump inhibitor Action: Suppresses gastric secretion by inhibiting hydrogen/pota ssium Atpase enzyme system in the gastric parietal cell. vomiting. severe erosive esophagitis. Diarrhea. flatulence Back pain. Monitor therapeutic effectiveness and adverse reaction at the beginning of therapy and periodically throughout the therapy. . Assess GI system: bowel sounds 8 hourly. dizziness. Cough. interventions to reduce side effects. appetite loss. nausea. Use cautiously with pregnancy. asthenia. abdominal pain. pylori with amoxicillin or metronidazole and clarithromycin Prilosec OTC: Treatment of frequent heartburn (2 or more days per wk) Contraindicati on Contraindicated with hypersensitivity to omeprazole or its components. characterized as a gastric acid pump inhibitor since it block the final step of acid production Indication Short-term treatment of active duodenal ulcer First-line therapy in treatment of heartburn or symptoms of gastroesophageal reflux disease (GERD) Short-term treatment of active benign gastric ulcer GERD.
apathy. Monitor for CNS depression (somnolence and fatigue). behavioral abnormalities (psychosis. Monitor therapeutic effectiveness. • • • • Dryness or soreness of throat Fever Sleepiness or unusual drowsiness tender. and adverse reactions at beginning of therapy and periodically with long-term use. and other behavioral symptoms (agitation. hostility. psychotic depression). enhance efficacy of pancreatin for the treatment of steatorrhea in cystic fibrosis Keppra Generic / Trade Name Leviteracet am / Keppra Dosage / Freque ncy 500mg / tab 1tab HS Classificatio n it does appear to attenuate fully kindled seizures and the development of kindling Indication Contraindica tion Hypersensitivi ty to the components of the drug Avoid adrupt withdrawal Pregnancy With renal impairments Caution if psychiatric disorder and geriatrics Side effects Nursing Responsibilities adjunctive treatment for partial seizures levetiracetam may also be useful in some patients with generalized. swollen glands in . absence. depersonalization. and depression). laboratory values.Unlabeled use: Posterior laryngitis. aggression. or myoclonic seizures. and muscle weakness are the most frequently reported side effects of levetiracetam. hallucinations. irritability. anxiety. Other possible side effects that do not usually require medical attention include: Assess effectiveness and interactions of other medications patient may be taking. emotional lability. anger. and in patients with Lennox-Gastaut syndrome Dizziness.
" or tingling feelings loss of appetite or weight loss Taper dosage slowly when discontinuing.g. "pins and needles. pruritus. prickling. sore throat) immediately. nausea. radioactive iodine or surgery. Inform patient of liver failure risk and to report any signs of liver dysfunction (e. light coloured stools. Observe and teach seizure/safety precautions. fever.g. PTU Generic / Trade Name Propylthioura cil (PTU) Dosage / Frequen cy 50mg /tab 1tab BID HR < 70 Classifica tion AntiThyroid Agents Indication Indicated to patients suffering from hyperthyroidi sm Contraindica tion Hypersensitivi ty to the drug and its components Pregnancy Lactation Lupus-like syndrome Cutaneous vasculitis Thrombocytopenia Skin rash Urticaria arthralgia and fever Side effects Nursing Responsibilities Mild leukopenia Reserve use for patients unable to tolerate any other treatments e. right upperquadrant pain) or agranulocytosis (e. . dark coloured urine. loss of appetite. vomiting. jaundice.g. methimazole. and adverse symptoms to report. interventions to reduce side effects.• • neck numbness. Assess knowledge/teach patient appropriate use.
tremor. Emphysema. especially before surgical procedures. Cardiac arrhythmia associated w/ tachycardia caused by digitalis intoxication. and skin rashes can be observed. liver injury. rarely nausea and vomiting. Monitor prothrombin time regularly during treatment. anxiety. aplastic anaemia. fever. Regular monitoring of thyroid function and CBC is advisable. Nursing Responsibilities Dilution: May be diluted with sterile normal saline. tachycardia. Serum potassium levels should be monitored Bronchial Clapping may be performed after each neb if prescribed by the Physician (with bronchial clapping after Neb) Acetylcysteine Generic / Dosage / Classifica Indication Contraindication Side effects Nursing . Contraindica tion Hypersensitivi ty to any components of ventolin. and other reversible Obstructive Pulmonary Diseases. Side effects Headache. elevated LFT above 3 times the upper limit of normal or exfoliative dermatitis. Stop treatment upon signs of agranulocytosis. Chronic bronchitis. hypertension.GI discomfort Vomiting Headache. Any unused solution in the chamber of the nebulizer must be discarded. Ventolin Generic / Trade Name Ventolin (Nebule) / Albuterol Dosage / Frequen cy q1 for 4hrs Classificatio n Respiratory drugs Anti-asthmatic Indication Relief of Bronchospasm in Bronchial asthma.
Flushing. Coronary artery disease. acute psychoses & latent. hypersensitivity to pseudoedephrine. pulmonary emphysema. chronic bronchitis and its exacerbations. hypokalemia. disturbances of liver function. mucoviscidosis and bronchiectasis MAO inhibitor therapy within 14 days initiating therapy. GI ulcers. keratitits.Trade Name Acetylcystei ne (nebule) / Broncoflem Frequen cy ½ amp q6 tion Mucolytics Treatment of respiratory affections characterized by thick and viscous hypersecretions: acute bronchitis. arthralgia. cardiac & respiratory arrest. Instruct patient in appropriate use and adverse effects to report Use with caution in patients > 60 years of age Hydrocortisone Generic / Dosage / Trade Frequen Name cy Hydrocortiso 100g IV ne q8 (IV) / Hydrocorton e. herpetica. rashes & pruritus. vomiting. Responsibilities Monitor effectiveness of therapy and advent of adverse/allergic effects. CHF. Classificat ion Adrenal cortical steroid Indication Contraindication Side effects Fluid retention. fever. angio-edema. acrivastine or any component. nausea. psychic disturbances. Nursing Responsibilities Give daily before 9am to mimic normal peak diurnal corticosteroid levels. Severe hypertension. renal impairment Hypersensitivity reactions including bronchospasm. blurred vision. GI & acute Corticostero hypersensitivity id reactions Hormones Glucocortic . impaired wound healing. osteoporosis. For acute adrenal cortical insufficiency Hypersensitivity to corticosteroids. muscular atrophy. Hypotension. and convulsions. syncope. Cortenema. acidosis. cured or manifest TB. Hypertension. convulsions.
hypotension. latent DM. Hypertension. myasthenia gravis & renal insufficiency headache & papillo edema. exopthalmia & cataract. lactation . Glaucoma. Nursing Responsibilities Assess lung sounds. Hypersensitivity reactions (anaphylactic shock) Space multiple doses evenly throughout the day. Use minimal doses for minimal duration to minimize adverse effects. Cushing's syndrome.Cortef oid ulcer. osteoporosis. Doxofylline Generic / Trade Name Doxofylline (tablet) Dosage / Frequen cy 400mg ½ tab q8 Classificat ion Antiasthma tic & COPD Indication Contraindication Side effects Nausea. vomiting. Do not give IM injections if patient has thrombocytopenic purpura. Taper doses when discontinuing highdose or long-term therapy. pulse and blood pressure before Reversible airways Acute MI.
/ Ansimar Preparation s obstruction epigastric pain. tachypnea. withhold medication and notify physician immediately. extrasystole. albuminuria administration and during peak of medication. Observe for paradoxical bronchospasm (wheezing). and character of sputum produced. insomnia. Note amount. hyperglycemia. . cephalalgia. color. If conditions occur. tachycardia. Monitor pulmonary function tests before initiating therapy and periodically during therapy to determine effectiveness of medication. irritability.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue listening from where you left off, or restart the preview.