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ROUTE IV DIV
DOSAGE 100 mg=2ml dilution 100mg/vial 250mg/vial 500mg/vial
ACTION Hydrocortisone is one of the steroid hormones produced by the adrenal gland (adrenal cortex) which plays a complex role in regulating body functions and without it, survival would not be possible. Hydrocortisone Tablets are taken as a replacement for the natural hormone where this is deficient either because there is a primary failure (or insufficiency) of Hydrocortisone production by the adrenal cortex gland (Addison’s Disease) or adrenal failure (or insufficiency) results from a pituitary deficiency of ACTH (the hormone that stimulates production of Hydrocortisone by the adrenal gland). Replacement therapy is also required for people who have a congenital adrenal hyperplasia (a birth defect) or in cases where surgical removal of the gland (adrenalectomy) has been performed For the treatment and management of congestive cardiac insufficiency, arrhythmias and heart failure.
CONTRAINDICATION Perforation of the tympanic membrane, herpes Simplex, H.Zoster and Fungal infections.
SIDE EFFECTS 1.Indigestion or abdominal discomfort is a relatively common side effect and the reason why each dose of Hydrocortisone should be taken with food. 2. Thinning of the bones 3. Cushing’s Syndrome
DIGOXIN (Cardiac Glycoside)
Digitalis glycosides are contraindicated in patients with ventricular fibrillation or in patients with a known hypersensitivity to digoxin. A hypersensitivity reaction to other digitalis preparations usually constitutes a contraindication to digoxin.
- diarrhea; - difficulty breathing; - dizziness or lightheadedness; - drowsiness; - irregular heartbeat; - loss of appetite; - rash;
hypotension.vomiting. vertigo. anxiety reactions due to stress conditions and anxiety states with somatic expression. nausea. headache. generalized exfoliative dermatitis. .. hypoactivity. Myasthenia gravis. . dysarthria.swelling of the feet or hands. excitation. euphoria. Not recommended for children under 6 months of age The most common adverse effects reported are drowsiness and ataxia. fear or aggressiveness. diplopia. Other reactions noted less frequently are fatigue. . incontinence or urinary retention. slurred speech. such as may occur in psychoneurosis. .vision changes (blurred or yellow). tremors. impairment of memory. agitation. blurred vision.unusual weight gain. . known hypersensitivity to benzodiazepines. dizziness. constipation. DIAZEPAM (Anxiolytic) IV IM 5mg/ml 10mg/2ml The short-term symptomatic management of mild to moderate degrees of anxiety in conditions dominated by tension. confusion.upset stomach. skin rash. depression.
liver disease Tremor Excitability Vomiting liver disease. woman in labor drowsiness. Use in Nursing Mothers: Because of the higher risk of antihistamines for infants generally. Dry Mouth Thirst .loss of appetite. DIPHENHYDRAMINE (Anti-Histamine) IM IV 500mg/ml For the treatment of symptoms associated with Vertigo/Meniere's disease. narrow-angle glaucoma. opens up the airways (bronchioles) in the lungs and has numerous other effects.increased chest congestion. Gout. . severe hypertension. Tachycardia of >140 bpm. strengthens the force of the heart's contraction. Fluid retention in people with Congestive Heart Failure.dry mouth. antihistamine therapy is contraindicated in nursing mothers. .nervousness. .headache. .muscle weakness. Use in Newborn or Premature Infants: Diphenhydramine should not be used in newborn or premature infants.excitement (especially in children). motion sickness and insect bite. and throat. . .nausea. . nausea and vomiting. It causes quickening of the heart beat.changes in libido. and for newborns and prematures in particular. EPINEPHRINE (Cardiac stimulant) IV SQ Direct to the Heart 3 DOSE= 5 Minutes Apart 1 Amp=1 Adult Dose 20mg/mL FUROSEMIDE IV Oral epinephrine is a sympathomimetic catecholamine. Antihistamines are also contraindicated in the following conditions: Hypersensitivity to diphenhydramine hydrochloride and other antihistamines of similar chemical structure Cardiac Arrhytmia. . nose.
(Diuretic) or a kidney disorder such as Nephrotic Syndrome. Diabetes and an allergy to sulfa drugs. Myalgia and Neuralgia. Hematologic Anaphylaxis. flu. It also helps to treat high blood pressure. Discomforts and fever in common cold. Toothache. GI Disturbances. Skin Rashes and other allergic reactions. Headache. Nephropathy. Pregnancy and Lactation. viral and RTI. . Lupus. Tinnitus. Nausea/Vomiting Muscle Pain weakness PARACETAMOL (Anti-Pyretic) (Analgesic) Oral IM IV DIV Oral= 500mg/tab Syrup= 250mg/5ml 125mg/5ml Ampule= 150mg/ml x 2ml Pain.
For oxygen to reach further the alveoli and to expectorate sputum. To enhance more Oxygen to reach the farthest alveolis and to promote gas exchange. Objective: BP= 150/90 Ineffective Cough Difficulty Vocalizing DIAGNOSIS Ineffective Airway Clearance related to retained secretions in the bronchi as manifested by ineffective cough and dyspnea.” as verbalized by the client. EVALUATION After our Nursing Interventions. Elevate head of the bed or change position q2 hours and prn Encourage deep breathing and coughing exercises Administer Oxygen at 3LPM Administer Analgesics Observe for other signs/ symptoms of infection . the client manifested attainment of patent airway clearance and able to verbalize understanding of cause and therapeutic management regimen. PLANNING After 4 hours of Nursing intervention. To take advantage of gravity decreasing pressure on the diaphragm and enhancing drainage. To improve cough when pain is inhibiting effort. expectorate secretions readily and demonstrate behaviors to maintain and improve clear airways.ASSESSMENT Subjective: “Nahihirapan ako huminga simula pa kanina. To identify infectious process and promote timely intervention. INTERVENTION Position the patient in HighFowlers Position RATIONALE To maintain and open airway in atrest and for lung expansion. the client will able to maintain airway patency.