Related Treatment: Ceftriaxone Doctors order: 1g TN OD (-) ANST Action: Semi synthetic third generation cephalosporin antibiotic.

Preferentially binds to one or more of the penicillin-binding proteins (PBP) located on cell walls of susceptible organisms. This inhibits third and final stage of bacterial cell wall synthesis, thus killing the bacterium. Adverse Reactions: Inj site reactions, hematologic effects (eg, eosinophilia), rash, diarrhea, elevated liver enzymes; rare: allergic pneumonitis, seizures, anaphylaxis. Etoricoxib Doctors order: 120 mg/ cap OD PRN for pain Action: Blocking the production of substances that cause pain and inflammation. Adverse Reaction: Headache, dizziness, nervousness, depression, drowsiness, insomnia, vertigo and ringing in the ear, chest pain, high blood pressure and fluid retention, taste disturbances, mouth ulcer, loss of appetite and weight loss, kidney damage, fever, GI disorders, muscle pain and influenza-like syndrome. Tramadol Doctors order: 50 mg TIV q8h; PRN for pain Action: Decreases pain. Inhibits re-uptake of serotonin and norepinephrine in the CNS Adverse Reaction: Vasodilation; dizziness vertigo, headache, somnolence, stimulation, anxiety, confusion, coordination disturbances, euphoria, nervousness, Visual disturbances, dry mouth. Nausea, diarrhea, constipation, vomiting, abdominal pain, flatulence. Urinary retention.

Paracetamol Doctors order: 500g / tab; 1 tab PRN for temp 37.8C Action: Decreases fever by inhibiting the effects of pyrogens on the hypothalamus heat regulating centers & by a hypothalamic action leading to sweating & vasodilatation. Adverse Reaction: Stimulation, drowsiness, nausea, vomiting, abdominal pain, hepatotoxicity, hepatic seizure(overdose, Renal failure(high, prolonged doses), leucopenia, neutropenia, hemolytic anemia (long term use) thrombocytopenia, pancytopenia, rash, urticaria, hypersensitivity, cyanosis, anemia, jaundice, CNS, stimulation, delirium followed by vascular collaps, convulsions, coma, death. Cloxacillin Doctors order: 400 mg IV q6h for 7 days Action: Inhibits cell wall synthesis and causes cell lysis and death in bacteria that make rigid, cross linked cell walls in several steps. Adverse Reaction: Headache, glossitis, oral candidiasis, Abdominal pain, diarrhea, muscle twitching, pruritus, rash, urticaria, anaphylaxis. Cefuroxime Doctors order: 200 mg TIV q8h for 7 days Action: Cefuroxime binds to one or more of the penicillin-binding proteins (PBPs) which inhibits the final transpeptidation step of peptidoglycan synthesis in bacterial cell wall, thus inhibiting biosynthesis and arresting cell wall assembly resulting in bacterial cell death. Adverse Reaction: Large doses can cause cerebral irritation and convulsions; nausea, vomiting, diarrhea, GI disturbances; erythema multiforme, Stevens-Johnson syndrome, epidermal necrolysis. Potentially Fatal: Anaphylaxis, nephrotoxicity, pseudomembranous colitis.