Patient’s Initial: A.D.

O Admission Diagnosis: Ovarian New Growth, Left G1P1 (1001)

Date: September 19, 2013 Age: 26 years old

Drug name Generic name: Ampicillin Sodium Brand name: Sulbactam Classification: Antibiotic Penicillin Dosage: 750mg Route: IV Frequency: q8° Form: Ampule

Mechanism action Bacterial action against sensitive organisms; inhibits synthesis of bacterial cell wall, causing cell death.

Indication • Treatment of infections caused by susceptible strains of a Shigella, Salmonella, S. typhosa, Escherichia coli, Haemophilis influenzae, Proteus mirabilis, Neisseria gonorrhoeae, enterococci, gram-positive organisms (penicillin Gsensitive staphylococci, streptococci, pneumococci)

Contraindication • Contraindicated with allergies to penicillins, cephalosporins, or other allergens. • Use cautiously with renal disorders.

Side effects

Nursing Responsibilities • Nausea, vomiting, • Do hand washing diarrhea before giving medication. Adverse effects • Check the CNS: Lethargy, identification band hallucinations, or ask the name & seizures birth date of the CV: Heart failure patient before GI: Glossitis, giving medication. stomatitis, gastritis, sore mouth, furry • Check IV site tongue, black carefully for signs “hairy” tongue, of thrombosis or abdominal pain, drug reaction. bloody diarrhea, enterocolitis, • Teach the patient pseudomembranous that this antibiotic colitis, nonspecific is specific to her hepatitis problem & should GU: Nephritis not be used to Hematologic: self-treat other Anemia, infections. thrombocytopenia, leukopenia, • Teach the patient neutropenia,

severe diarrhea & difficulty breathing.prolonged bleeding time Hypersensitivity: Rash. GI upset & diarrhea. thrombosis at injection site (parenteral) that she might be experience common side effects after taking medication like nausea. hives. rash. vomiting. fever. mouth sores. unusual bleeding or bruising. . • Encourage the patient to report pain or discomfort at sites. phlebitis. itching. fever. wheezing. anaphylaxis Local: Pain.

Appendectomy Drug name Generic name: Mefenamic acid Brand name: Revalan Classification: NSAID Dosage: 500mg Route: Oral Frequency: q8° Form: Tablet Mechanism action Anti-inflammatory. heart failure. and antipyretic activities related to inhibition of prostaglandin synthesis. pruritis. pregnancy.D. Side effects Date: September 23. diarrhea Nursing Responsibilities • Give with milk or food to decrease GI upset. nausea. Indication • Relief of moderate pain when therapy will not exceed 1 week. pain. • Use cautiously with asthma. periodic insomnia. exact mechanisms of action are not known. one week. vomiting. 2013 Age: 26 years old • Headache. GI prescribed dosage. .O Discharge Diagnosis: Ovarian New Growth Left. renal • Discontinue drug impairment and consult your Hematologic: health care Bleeding. tinnitus. Left. Appendicitis Catarhal Stage Salpingooophorectomy. aspirin allergy. and as treatment of perioperative pain with coronary artery bypass grafting. or higher doses. dizziness. sweating.Patient’s Initial: A. ophthalmologic tiredness. inhibition with diarrhea. hypertension. Rash. platelet provider if rash. peptic ulcer disease. GI bleeding. Adverse effects: • Arrange for CNS: somnolence. analgesic. dry • Teach the patient mucous membranes. to take drug with stomatitis food. ulcers. Contraindication • Contraindicated with hypersensitivity to mefenamic acid. drug longer than flatulence. digestive neutropenia. lactation. take only the GI: dyspepsia. examinations ophthalmic effects during long-term Dermatologic: therapy. do not take the constipation. renal or hepatic impairment. fatigue. GI bleed GU: Dysuria.

itching. rhinitis problems occur. severe diarrhea. right upper abdominal pain. swelling in ankles or fingers. • Report sore throat. decreased Hgb or Hct. hemoptysis. granulocytopenia. fever. bone marrow depression. pancytopenia. rash. . black. menorrhagia Respiratory: Dyspnea. tarry stools. changes in vision. agranulocytes. bronchospasm. sthrombocytopenia. aplastic anemia. leukopenia. pharyngitis.eosinophilia. flulike symptoms. weight gain.

• Management of inflammatory acute pain activities related to inhibition of the COX-2 enzyme. perioperative pain post CABG surgery.O Discharge Diagnosis: Ovarian New Growth Left. Appendicitis Catarhal Stage Salpingooophorectomy. Side effects Date: September 23.D. dizziness Adverse effect: . pregnancy (third trimester). 2013 Age: 26 years old Nursing Responsibilities Analgesic and anti. Appendectomy Drug name Generic name: Celecoxib Brand name: Celebrex Classification: -Analgesic (nonopiod) -NSAID -Specific COX-2 enzyme inhibitor Dosage: 200mg Route: Oral Frequency: q12° Form: Capsules Mechanism action Indication Contraindication • Contraindicated with allergies to sulfonamides. which is activated in inflammation to cause the signs and symptoms associated with inflammation. significant renal impairment. lactation. or aspirim. does not affect the COX1 enzyme.Patient’s Initial: A. • Use cautiously with impaired hearing. hepatic and CV conditions. Left. NSAID’s. which protects the lining of the GI tract and has blood clotting and renal functions. • headache. celecoxib.

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