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Medication GENERIC NAME: Pyridostigmine BRAND NAME: Mestinon Anticholineste rase Improve muscle strength Preventing the breakdown of a certain natural substance (acetylcholine) in your body. Treatment of myasthenia gravis. Mechanical intestinal or urinary obstruction. Patients with bronchial asthma. extreme muscle weakness, muscle twicthing; slurred speech, vision problems; severe vomiting or diarrhea; cough with mucus; confusion, anxiety, panic attacks; seizure (convulsions); or Worsening or no improvement in your symptoms of myasthenia gravis. Patient & Family Education Be aware that duration of drug action may vary with physical and emotional stress, as well as with severity of disease. Report onset of rash to physician. Drug may be discontinued. Sustained release tablets may become mottled in appearance; this does not affect their potency. Do not breast feed while taking this drug without consulting physician. Classification Action Indication Contraindication Adverse Effect Nursing Consideration



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Establish baseline and

Prednisone inflammatory leukocyte infiltration at the site of inflammation, Interference in the function of mediators of inflammatory response and suppression of humoral immune response. , serious infections (except tuberculous meningitis), varicella, systemic fungal infections. nervousness, increased appetite, indigestion, dizziness/lighthead edness, headache, hirsutism, hypopigmentation, diabetes mellitus, glucose intolerance, hyperglycaemia, arthralgia, cataracts, glaucoma, epistaxis, diaphoresis, Cushing's syndrome, edema, fractures, hallucinations, hypertension, muscle-wasting, continuing data regarding BP, I&o ratio and pattern, weight and sleep pattern. Start flow chart as reference for planning individualized pharmacotherapeutic patient care. Check record BP during dose stabilization period at least 2 times daily. Report an ascending pattern. Monitor patient for evidence of HPA axis suppression during long term therapy by determining plasma cortisol levels at weekly intervals. Be alert to possibly of masked infection and delayed healing (anti-

osteoporosis, pancreatitis, pituitary-adrenal axis suppression, seizures. GENERIC NAME: Cyclophosphamid e BRAND NAME: Cytoxan Alkylating Agent Decreases the immune system's response to various diseases and conditions Treat various types of cancer and some autoimmune disorders Patients with severely depressed bone marrow function Acute myeloid leukemia, bladder cancer, and permanent infertility, especially at higher doses. Provide adequate daily fluid intake to avoid hemorrhagic cystitis. Monitor client for signs of hematological changes. Drug is potentially teratogenic. Avoid pregnancy during treatment and for 4 months after. Administered in the morning so that the kidneys can eliminate it by night time. GENERIC NAME: Omeprazole Gastric pump Increases GERD Pancreatitis, Evaluate for therapeutic inflammatory and immunosuppressive actins). Prednisone suppresses early classic signs of inflammation.

inhibitor gastric pH Reduces acid production Active duodenal ulcer Hepatotoxicity response. Report headache. Swallow capsule whole, do not chew or crush. Take before eating. GENERIC NAME: Ranitidine Histamine H2 receptor antagonist Inhibits acid secretion. Anti-ulcer Prevention and treatment to active duodenal ulcer, gastric ulcer. GENERIC NAME: Paracetamol Analgesics (Non-opioid) Antipyretics Inhibiting CNS prostaglandin synthesis. Temporary relief of pain and discomfort from headache, fever, cold, Hemolytic anemia, leukopenia, neutropenia, pancytopenia, thrombocytopenia. liver damage, jaundice Assess patients pain or temperature before therapy and regularly thereafter. Tell patient not to use drug for fever thats higher than 103.1 F, lasts longer than 3 days, or recurs. History of porphyria. Reversible hepatitis, blood dyscrasias. Obtain baseline hepatic/renal function tests. Monitor serum AST, ALT, levels. Avoid smoking. Report headache.

flu, minor muscular aches, overexertion, menstrual cramps, toothache, minor arthritic pain. GENERIC NAME: Tramadol Analgesic Reduces pain. Management of moderate to moderately severe pain. Acute alcohol intoxication, hypersensitivity to opioids. Seizure Assess onset, type, location of pain. Monitor pulse, BP. Palpate bladder for urinary retention. Monitor daily pattern of bowel activity and stool consistency. Avoid alcohol. Inform physician if severe constipation, DOB, excessive sedation, seizure, hypoglycemia Skin: rash, urticuria Warn patient that high doses or unsupervised longterm use can cause liver damage.

muscle weakness, tremors, chest pain, and palpitations occur.