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DRUGS Generic Name: Digoxin Brand Name: Lanoxin Dose:

ACTIONS Digoxin increases the strength and vigor of heart contractions, and is useful in the treatment of heart failure.

INDICATIONS LANOXIN is indicated for the treatment of mild to moderate heart failure.

CONTRAINDICATIONS Digitalis glycosides are contraindicated in patients withventricular fibrillation or in patients with a known hypersensitivity to digoxin. A hypersensitivity reaction to other digitalis preparations usually constitutes a contraindication to digoxin.

SPECIAL CONSIDERATIONS

Report to physician if pulse falls below 60 or rises above 110 or if you detect skipped beats or other changes in rhythm, when

digoxin is prescribed for atrial fibrillation. Suspect toxicity and report to physician if any of the following occur: Anorexia, nausea, vomiting, diarrhea, or visual

disturbances. Weigh each day under standard conditions. Report weight gain >1 kg (2 lb)/d. Take digoxin PRECISELY as prescribed, do not skip or double a dose or change dose intervals, and take it at same time each day.

Do not to take OTC medications, especially those for coughs, colds, allergy, GI upset, or obesity, without prior approval of physician. Continue with brand originally prescribed unless otherwise directed by physician. Do not breast feed while taking this drug without consulting physician.

Generic Name: Lactulose Brand Name: Cephulac, Chronulac ,Movelax,Lila


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Reduces blood ammonia; appears to involve metabolism of lactose to organic acids by resident intestinal bacteria.

Constipation,salmonellosis . Treatmentof hepaticencephalopathy

Diabetes mellitus;

Dose:

concomitant use with electrocautery procedures (proctoscopy, colonoscopy) ; older adult and debilitated patients; pediatric use.

>Assess conditionbefore therapy andreassess regularlythereafter to monitordrugs effectiveness>Monitor pt for anyadverse GI reactions,nausea,vomiting,diarrhea,>Asses s for adversereactions>for pt. with hepaticencelopathy:regularly assessmental condition>monitor I & O>monitor for Inc.glucose level indiabetic

Generic Name: Ceftriaxone Brand Name: Forgram Dose:

Works by inhibiting themucopeptide synthesisin the bacterial cell wall.

Treatment of infections of the lower respiratory tract, acute bacterial otitis media, skin and skin structure infection, UTI, uncomplicated gonorrhea, pelvic inflammatory disease, bacterial septicemia, bone & joint infections, intra-abdominal infections, meningitis

Hypersensitivity to cephalosporins. Hypersensitivity to lidocaine (IM inj)

Generic Name: Carvedilol Brand Name: Coreg Dose:

Carvedilol is used for treating high blood pressure and congestiv e heart failure

Hypertension, alone or with other oral drugs, especially diuretics Treatment of mild to severe CHF of ischemic or cardiomyopathic origin with digitalis, diuretics, ACE inhibitors Left ventricular dysfunction (LVD) after MI

Hypersensitivity; severe chronic heart failure, bronchial asthma or related bronchospastic conditions; severe hepatic impairment. Patients with NYHA class IV cardiac failure, 2nd or 3rd AV block, sick sinus syndrome (unless a permanent pacemaker is in place), cardiogenic shock or severe bradycardia. Lactation.

pts Assess patientsprevious sensitivityreaction to penicillin or other cephalosphorins. Assess patient for signs and symptoms of infection before andduring the treatment Obtain C&Sbefore beginning drugtherapy to identify if correct treatment hasbeen initiated. Assess for allergicreaction. Monitor hematologic,electrolytes,renal and hepaticfunction. Assess for possible superinfection:itching fever, malaise,redness, diarhhea History: CHF, bronchial asthma, heart block, cardiogenic shock, hypersensitivity to carvedilol, pregnancy, lactation, hepatic impairment, peripheral vascular disease, thyrotoxicosis, diabetes, anesthesia or major surgery Do not discontinue drug abruptly after chronic therapy (hypersensitivity to catecholamines may have developed, causing exacerbation of angina, MI, and ventricular arrhythmias); taper drug gradually over 2 wk with monitoring. Consult with physician about withdrawing drug if patient is to undergo surgery

Unlabeled uses: Angina (2550 mg bid)

(withdrawal is controversial). Give with food to decrease orthostatic hypotension and adverse effects. Monitor for orthostatic hypotension and provide safety precautions. Monitor diabetic patient closely; drug may mask hypoglycemia or worsen hyperglycemia. WARNING: Monitor patient for any sign of hepatic impairment (pruritus, dark urine or stools, anorexia, jaundice, pain); arrange for LFTs and discontinue drug if tests indicate liver injury. Do not restart carvedilol. Take drug with meals. Do not stop taking drug unless instructed to do so by a health care provider. Avoid use of over-the-counter medications. Advise the diabetic patient to promptly report changes in glucose. You may experience these side effects: Depression, dizziness, light-headedness (avoid driving or performing dangerous activities; getting up and changing positions slowly may help ease dizziness). Report difficulty breathing, swelling of extremities, changes in color of stool or urine, very slow heart rate, continued dizziness.