Drug Generic Name:

Dosage

100 mg IV Every 8 Hydrocortisone hours Sodium Succinate

Brand Name: Solu-Cortef

Mechanism of Action Hydrocortisone Sodium Succinate is an adrenocortical Steroid with salt-retaining properties. Its synthetic analog form is mainly used for antiinflammatory effects in different disorders in many organ systems. It is also used as replacement therapy for adrenocortical deficient patients.

Indications -Allergic disorder -Collagen disease -Disorder of endocrine system -Disorder of eye -disorder of Gastrointestinal tract -Disorder of Respiratory System -Disorder of skin -Bells palsy -Breast Cancer -Burn -Cystic Fibrosis -Fever due to malignancy -Prostate Cancer -Severe acute respiratory syndrome

Contraindications -Fungal infections, systemic; use not recommended Unless controlling a drug reaction. -Hypersensitivity to Hydrocortisone or any other component of the product. -Intrathecal Administration; Serious medical events have been reported

Adverse Reaction Dermatologic: Atrophic condition of skin, impaired wound healing, sin ulcer. Endocrine Metabolic: Disorder of Protein Metabolism Gastrointestinal: Disorder of gastrointestinal tract. Musculoskeletal: Fracture of bone, muscle weakness, Osteoporosis Neurologic: Headache, raised intracranial pressure Ophthalmic: Cataract, Glaucoma Respiratory: Pulmonary tuberculosis

Nursing Responsibilities -Advise patient to avoid vaccines during therapy unless approved by a Physician. -This drug may cause hyperglycemia. Advise patients to report difficulties in glycemic control. -Instruct patients on prolonged therapy to report blurred vision or signs/symptoms of cataracts, infection, or hypothalamicpituitary-Axis (HPA) suppression ( fatigue, depression, anxiety, hyperglycemia, muscle weakness ,immunosuppression symptoms)

Generic Name: Cefuroxime Axetil

1gram IV Every 12 hours

Brand Name: Zegen

Cefuroxime Axetil is a bactericidal semisynthetic cephalosporin that binds to essential target proteins, thereby, preventing the synthesis of bacterial cell walls.

-Acute bacterial exacerbation of chronic bronchitis -Acute otitis media -Bronchitis, acute Secondary bacterial infection -Gonorrhea, Uncomplicated -Impetigo -Tonsillitis - Pharyngitis

. Hypersensitivity to the cephalosporin group of antibiotics.

Gastrointestinal: Diarrhea, Nausea and Vomiting Reproductive: Vaginitis Dermatologic: Erythema multiforme Immunologic: Anaphylaxis, Hypersensitivity reaction

-Obtain a careful history before giving/initiating therapy to determine previous use and reactions to penicillin or cephalosporin. -This drug may cause diarrhea, nausea and vomiting. The patient should be monitored by his/her watcher. -Assess patient for renal dysfunction and adjust accordingly. -Observe patient for signs and symptoms of anaphylaxis (rash, pruritus, laryngeal edema and wheezing)

Generic Name: Salmeterol Xinafoate

1 Oral Inhalation (50mcg) BID 12 hours Apart

Brand Name:

Seritide

Salmeterol Xinafoate is a long-acting beta (2)-adrenergic agonist. It stimulates adenyl cyclase resulting in increased intracellular cyclic AMP level which in turns triggers smooth muscles relaxation.

-Asthma -Chronic Obstructive Pulmonary Disease -Nocturnal Asthma -Allergic asthma -Cystic fibrosis

-Use for asthma symptoms without a longterm asthma control medication. -Hypersensitivity to salmeterol or any component of the product.

Musculoskeletal: Musculoskeletal pain Respiratory: Death Asthma Exacerbation of Asthma

-Advise patient that this drug is not indicated for acute asthma attack. -This drug may cause dizziness, headache, tremors and throat irritation. -Advise patient on proper inhalation technique, depending on the delivery device used. -Patient should immediately report severe asthma attack.

Blocks the action of acetylcholine at parasympathetic

Generic Name: Ipatropium Br, Salbutamol / Albuterol Sulfate

Neb every 6 hours

sites in bronchial smooth muscle causing bronchodilation.

-Relief and prevention of bronchospasm in patients with reversible obstructive pulmonary disease. -Ihalation: Treatment of acute attacks of bronchopasm. -Prevention of exercise induced bronchospasm.

-Patients who is allergic to the drugs. -Patients with Hypertropic obstructive cardiomyopathy. - Patients having tachyarrhythmia.

Brand Name: Combivent, Ventolin

Musculoskeletal: Fine tremor of skeletal muscle. Nervous system: Dizziness, Tremor, Nervousness and insomnia. Metabolic: Hypokalemia Cardiovascular: Hypertension, edema, palpitations and arrhythmia.

- Instruct patient to report immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain. - Advise the patient to rinse mouth with water after using the nebulizer to minimize Dry mouth.

Generic Name: Metformin Hydrochloride

1 tablet 500 mg OD

Brand Name:

Glumet-XR

Metformin hydrochloride is an oral antihyperglycemic agent. It lowers both basal and postprandial glucose levels in type 2 Diabetes patients through several mechanisms: Decreases hepatic glucose production, decreases intestinal absorption and increases peripheral glucose uptake and utilization by improving insulin sensitivity.

-Diabetes mellitus type 2 -diabetes mellitus: Prophylaxis -Gestational Diabetes mellitus -Polycystic ovary syndrome -Weight gain, Antipsychotic therapyinduced

-Hypersensitiity to metformin. -Metabolic acidosis, acute or chronic, including diabetic ketoacidosis - Renal impairement -Pregnancy -Hepatic impairment

Gastrointestinal: Diarrhea, flatulence, indigestion and nausea and vomiting. Endocrine Metabolic: Lactic acidosis Cobalamin deficiency

-Instruct patient to report signs/symptoms of lactic acidosis. -Patients should take tablets with meals and extended-release tablets with the evening meal. -Advise patient to maintain adequate hydration to prevent renal dysfunction. -Patient should not drink alcohol while taking this drug.