DRUG STUDY:

Name of the drug Indication Action Contraindication Side Effects Nursing Interventions

Paracetamol IV q 4

: mild pain : fever

: Unknown. Thought to produce analgesia by blocking pain impulses by inhibiting synthesis of prostaglandin in the CNS or of the substances that sensitize pain receptors to stimulation. : The drug may relieve fever through central action in the hypothalamic heatregulating center.

: Contraindicated in patients hypersensitivity to drug : patients with long term alcohol use because therapeutic dose may cause hepatotoxicity in these patients

Hematologic: hemolytic anemia, leucopenia Hepatic: jaundice Metabolic: hypoglycemia Skin: rash, urticaria

: advise patient that drug is only for short-term use : if drug use for long-term, it may cause liver damage : tell patient to avoid drinking excessive alcohol : be aware of other OTC drugs that contains acetaminophen in calculating daily dose

Ranitidine 50mg IV q8

-Short term treatment -competitively inhibits foe duodenal and gastric action of histamine of ulcers the H2 at receptors sites -Heart Burn of parietal cells, -GERD decreasing gastric acid secretion

- Contraindicated in patients hypersensitive to drug and those with acute porphhyria -With hepatic dysfunction

CNSVertigo, Malaise, y Assess patient for Headache abdominal pain EENT- Blurred Vision y Note presence of blood in Hepatic-Jaundice emesis, stool or gastric Other: Burring and itching at aspirate injection Site It may be added to TPN Solutions

Amikacin 250 mg IV q 8

Esomeprazole 40 mg IV OD

Ceftazoline 1 gm IV ANST (-) Q8

OXaudin 1gm IV q 6

Hydrocortisone 100 g IV q 6

Digoxin 0.5mg IV now// Digoxin 0.25 mg IV x 2doses q 8// Digoxin 0.10 IV q 12

Lanoxin 0.25 g tab NGT q 12

Salbutamol neb q 6

IVIg (2500mg/50ml) 70ml as infusion for 3hours of 6hours (close PNSS while on IVIg =Revise IVIg infusion to 6 vials x 6 hours as continuous infusion OD