Generic Name, Trade Name & Form of Drug

Tramadol + Paracetamol (Dolcet)

Date Ordered

Classification

Dose/Frequency

Mechanism of Action

Indications

Contraindications

Adverse Reactions

Nursing Responsibilities
1 .Assess onset, type, location, and duration of pain. 2. Effect of medication is reduced if full pain recurs before next dose. 3. Review past medical history, especially epilepsy or seizures. 4. Give without regards to meals. 5. Monitor pulse and blood pressure. 6. Assist with ambulation if dizziness or vertigo occurs. 7. Dry crackers or cola may relieve nausea. 8. Assess for

12/28/11

Analgesic

1 tab TID 6-12-6

Tramadol binds to µopiate receptors and inhibits reuptake of norepinephrin e and serotonin. It reduces intensity of pain stimuli incoming from sensory nerve endings, altering pain perception and emotional response to pain.

Moderate to severe pain

Acute intoxication with alcohol, hypnotics, narcotics, centrallyacting analgesics,opioids or psychotropic drugs. Hypersensitivity

CNS & GI disturbances. Nausea, dizziness, somnolence. Asthenia, fatigue, hot flushes, constipation, diarrhea, flatulence, dry mouth, pruritus, increased sweating, tinnitus

Generic Name. Nausea Vomiting Abdomina l Pain Headache . repair. The bactericidal action of moxifloxacin results from inhibition of the topoisomerase II (DNA gyrase) and topoisomerase IV required for bacterial DNA replication.clinical improvement and record onset of relief from pain. transcription. and recombination. community acquired pneumonia Hypersensitivity to quinolones. It appears that the C8-methoxy moiety contributes to Treatment of upper & lower respiratory tract infections e. Macrolides Anti-infectives 400mg 1 tab OD Moxifloxacin has in vitro activity against a wide range of Grampositive and Gram-negative microorganisms.g. Date Trade Name Ordered & Form of Drug Moxifloxacin (Avelox) 12/28/11 Classification Dose/Frequency Mechanism of Action Indications Contraindications Adverse Reactions Nursing Responsibilities Observe 10 rights in giving medications.

strepcocci. fusibacteriu Contraindicated in patients hypersensitive to drug or lincomycin . CNS: headache CV: Thrombop hlebitis EENT: pharyngiti s GI: abdominal . pneumococc i.enhanced activity and lower selection of resistant mutants of Gram-positive bacteria compared to the C8-H moiety.hinders or kill susceptible Infections caused by sensitive staphylococ ci. be alert for adverse reactions and drug interactions 12/29/11 Antibiotic 300 mg 1 capsule every 6 hrs. The presence of the bulky bicycloamine substituent at the C-7 position prevents active efflux. . Trade Name & Form of Drug Clindamycin (Indamix) Date Ordered Classification Dose/Frequency Mechanism of Action Indications Contraindications Adverse Reactions Nursing Responsibilities 1. associated with the NorA or pmrA genes seen in certain Gram-positive bacteria.inhibits bacterial protein synthesis by binding to 50S unit of ribosome . bacteroides. Generic Name.use cautiously in patients with renal or hepatic disease.

vomi ting. unpleasant or bitter taste. dysphagia. transient leukopeni a SKIN: maculopa pular rash. nausea. ps eudomem branuscoli tis. esophagiti s. thrombocy topenia.bacteria m. Anorexia. and other sensitive aerobic and anaerobic organisms. GU: UTI HEMATO LOGIC: Eosinophil ia. flatulence. urticaria . or significant allergies pain. clostridium perfringens. constipati on. diarrhea. pneumocysti s pneumonia asthma. history of GI disease. bloody or tarry stools.

and improved grip strength. Do not crush or break capsules.Generic Name. Patients with allergic reactions to NSAIDs GI discomfort . location. decreased tenderness. increased joint mobility. Trade Name & Form of Drug Celecoxib (Celebrex) Date Ordered Classification Dose/Frequency Mechanism of Action Indications Contraindications Adverse Reactions Nursing Responsibilities 1. 12/28/11 Nonsteroidal Antiinflammatory Drugs (NSAIDs) 200 mg 1 cap BID 8-8 Celecoxib inhibits cyclooxygenase-2. 4. 3. Evaluate for therapeutic response: relief of pain. type. decreased stiffness. May give without regard to food. It produces antiinflammatory effect. swelling. and duration of pain or inflammation. Assess onset. Management of acute pain Allergy to NSAIDs. nausea & diarrhea . an enzyme responsible for producing prostagladin which causes pain and inflammation. 2.

renal/urinary. Pregnancy and Lactation. . optic neuritis. retrobulbar neuritis. Fever. jaundice. malaise. skin tissues. metabolism & nutrition.Generic Name. gouty arthritis. connective tissue & bone. hepatobiliary. Trade Name & Form of Drug Myrin-P Forte Date Ordered Classification Dose/Frequency Mechanism of Action Indications Contraindications Adverse Reactions Nursing Responsibilities Observe 10 rights of giving medications 1/1/2012 Anti-TB Agents 3 tabs OD The mechanism of action of ethambutol is not fully known. reproductive system & breast. dryness of mouth. eye. CNS. hyperuricemia. Disorders of the blood & lymphatic system. severe renal insufficiency. Rifampicin inhibits bacterial RNA synthesis by bonding strongly to the β-subunit of DNAdependent Initial phase treatment & re-treatment of all forms of TB in category I & II patients caused by susceptible strains of mycobacteri a Alcoholism. immune system. musculoskeletal. It is effective only against mycobacteria that are actively dividing. GI. impaired hepatic function. It diffuses into mycobacteria and appears to suppress multiplication by interfering with RNA synthesis. flu-like syndrome.

blocking initiation of RNA transcription.RNA polymerase. preventing the attachment of the enzyme to DNA and thus. and its mode of action may relate to inhibition of mycolic acid synthesis and the disruption of the cell wall in susceptible organisms. which is active against actively dividing mycobacteria. Isoniazid is a bactericidal antitubercular agent. The mechanism of action of pyrazinamide .

Generic Name.is unknown. Question if . Evaluate for therapeutic response like relief of Gastrointestinal symptoms. Trade Name & Form of Drug Omeprazole (Losec) Date Ordered Classification Dose/Frequency Mechanism of Action Omeprazole is converted to active metabolites that irreversibly bind and inhibit H+-K+ATPase (an enzyme on the surface of gastric parietal cells). It inhibits transport of hydrogen ions Indications Contraindications Adverse Reactions Nursing Responsibilities 1/1/2012 Antacid 40mg 1 cap OD It is used in the prevention and treatment of NSAIDinduced ulcers. 4. 2. Pyrazinamide may be bacteriostatic or bactericidal depending on its concentration and the susceptibility of the organism. Give before meals. swallow whole. Hypersensitivity to omeprazole Headache Diarrhea Constipation Abdominal Pain Nausea Vomiting Flatulence 1. 3. Do not crush or chew tablets.

. and diarrhea occurs.into the gastric lumen. Omeprazole increases the gastric pH and reduces gastric acid formation. nausea. Gastrointestinal discomfort.

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