83

IX. PHARMACOLOGICAL MANAGEMENT

Generic Name

Metoprolol

Brand

Classifi

Name

cation

Indication

Action

Adverse

Dosa

Nursing

Effect

ge

Consideration

Lopress Autono

Management

Beta-

CNS :

25mg, 1. Monitor BP,

or

mic

of mild to

adrenergic

dizziness,

50mg, HR, and ECG

Nervou

severe

blocking

headache,

100m

carefully during IV

s

hypertension (

agent with

tiredness

g

administration.

System

monotherapy

preferential

CV :

2. Take apical

Agent;

or in

effect on

shortness of

pulse and BP

Antihyp

combination

beta1

breath,

before

ertensiv

with a thiazide

adrenorece

bradycardia

administering

e

or vasodilator

ptors

,

drug. Report to

or both ); long

located

hypotension

physician

term treatment primarily on

Respiratory

significant

of angina

cardiac

: wheezing,

changes in rate,

pectoris and

muscle.

dyspnea

rhythm, or quality

prophylactic

GI : nausea,

of pulse or

management

constipation

variations in BP

diarrhea. prior to angina flatulence administration pectoris reduce the risk of mortality after an MI.84 of stable . .

diarrhea caused by bacteri pseudomembra ciprofloxacin Escherichia cidal nous colitis. * Lower ve.85 Generic Name Orpic Brand Classifi Indication Action Adverse Effect Dosa Nursing Name cation ge Consideration Karste Urinary Ciprofloxacin Ciprofl Digestive 250- n Anti- is indicated for oxacin system: 750 treatment Infectiv the treatment is a nausea. 1. During . In the Respiratory Ciprofl alkaline case of Tract oxacin phosphatase. 2. should not coli. increase amounts of organisms: derivati in liver liquids. bilirubin. receive ciprofloxacin- quinol abdominal enough sensitive one pain. transaminases. mg patients es of infections synthet vomiting. persistent Infections is LDH. Klebsiella and CNS: be taken. BID should caused by ic 4- diarrhea.

gyrase fainting. barbiturates Haemophilus (topois disorders of is necessary influenzae and omera vision. necessary to se) .86 pneumoniae. In the Tract al in polyuria. * Urinary essenti itis. parainfluenzae which crystalluria. same time of cloacae. course of Infections the albuminuria. acts by headache. ng the fatigue. dysuria. ECG. is glomerulonephr pressure. introduction Pseudomonas of DNA hallucinations. 3. At the Enterobacter inhibiti dizziness. subunit nightmares. treatment is caused by reprod hematuria. IV mirabilis. and aeruginosa. ciprofloxacin Proteus A insomnia. to monitor Haemophilus Urinary system: heart rate. blood .

Cardiovascular Citrobacter system: diversus.87 Escherichia uction transient monitor coli. Klebsiella of increase of blood pneumoniae. mirabilis. Citrobacter cardiac . transaminas Proteus leukopenia. cloacae.. tachycardia. es. bacteri serum concentratio Enterobacter al creatinine. morganii. ns of urea. number of Morganella platelets. Providencia changes in the rettgeri. eosinophilia. Serratia system: hepatic marcescens. Hemopoietic creatinine. neutropenia. DNA.

aeruginosa. Staphylococcu s epidermidis and Streptococcus faecalis. Pseudomonas hypotension. . arrhythmias.88 freundii.

vertigo. PO sensitivity tests should be Quinolone tract is a broad diarrhea. since drug may interfere infectious transcription. repair. structure DNA-gyrase. infections. malaise Ciprofloxacin Ciloxan Anti- . Replication phosphatase 3. increases in 2. Lab tests: culture and Infective. diarrhea. Monitor I&O ratio and infections. assess for joint bacterial DNA alkaline s&s of crystalluria. spectrum cramps BID Treatment may be skin and bactericidal Metabolic: implemented pending skin agent. Inhibits transient results. Monitor plasma GI infection and some CNS: theophylline concentrations.89 Generic Brand Name Name Classification Indication Action Adverse Dosage Nursing Consideration Effect UTI’s lower Synthetic GI: nausea. respiratory quinolone that vomiting. with half-life. well hydrated. Adult: 1. an enzyme liver patterns: Patients should be bone and necessary for transminases. Antibiotic infections. 250mg done prior to initial dose. or aspects of headache.

90 chronic recombination. transposition. acute sinusitis. Skin: rash. bacterial and prostitis. pain . nosocomial pneumonia. phlebitis.

Report any significant changes. e also used for . in the with pruritus. particular to drugs.91 Generic Brand Classificati Name Name on Cefuroxi Ceftin Anti- Infections Semisyntheti GI: Adult: 1. increase tract. urinary penicillins. before e cephalospho Skin: 500m therapy is initiated. for signs of phlebitis. g BID 2. penicillins. PO reactions to cephalosphorins. Determine history of hypersensitivity Infective. Inspect IM and IV injection sites frequently me Indication Action Adverse Dosa Effect ge Nursing Considration organisms rin antibiotic rash. that of the al: doses. and Antibiotic susceptibl generation nausea 250- history alllrergies. lower structure uticaria 3. caused by c second- diarrhea. Monitor I&0 rates and patterns: especially respirator similar to Urogenit important in severely ill patients receiving high y tract. skin d serum and skin creatinin structures.

and otitis media. gonorrhea .92 treatment o meningitis . .

Advice bed rest and BP monitoring for the n: in blood dizzine PO first three hour after the initial dose. or 3. interrupts weight conversion loss consequenc Respira e initiated by tory: Name nephropathy. (ACE). converting . Lab tests: Establish baseline urinary Antihyperte with digitalis specific fainting 25mg protein levels before initiation of therapy and nsive and diuretics inhibition of GI: TID check at monthly intervals for the first 8 in CHF. 6. This taste. conjunction pressure by ss. the persiste month of treatment and then periodically diabetic angiotensin- nt salt thereafter.25- 2. Consult physician promptly if vomiting or enzyme metallic diarrhea occur. Action Advers Dosa Nursing Consideration e Effect ge Lowers CV: Adult: 1.93 Generi Brand Classificati Indication c Name on Captop Capote Cardiovasc Hypertensio ril n ular Agent .

94 rennin that cough lead to Skin: formation of urticaria angiotensin . II. . a potent pruritus endogenous vasoconstrict or.

95 .

Monitor for s&s Ketorolac does pain of Gi distress or not have any Other: edema. bleeding known effects on sweating. diarrhea. 10mg fluid retention pain. pain including nausea. GI 2. Short term It inhibits CNS: PO: 1. melena. opiate receptors GI pain. analgesic. GI ulceration with perforation can occur anytime . or hematemesis. history of CHF conjunctivitis.96 Generic Brand Name Name Ketorolac Toradol Classification Indication Action Adverse Effect Dosage Nursing Consideration Analgesic. Monitor for Antipyretic management of synthesis of drowsiness. dyspepsia. ocular prostaglandins dizziness. every 6h and edema in itching due to and is a headache prn patients with a seasonal allergic peripherally acting GI: nausea.

Drug decreases platelet aggregation and thus may prolong bleeding time. .97 during treatment.

Periodic liver function tests Agent gastric etory dizziness. esophagiti proteinuria s (4-8wks treatment) . including pump nausea severe inhibitor. week blood in urine. 20mg with prolonged use. PO and proteinuria . reflux gastric abdominal disease aid pain. ulcer. Lab tests: Monitor urinalysis for hematuria le stinal and antisecr headache. Urogenital: erosive Hematuria. compou fatigue OD for 2 Report any changes in elimination such as Gastroeso nd that GI: 4-8 pain or comforted associated with urination or phageal is a diarrhea.98 Generic Brand Classificati Name Name on Indication Action Adverse Dosage Nursing Consideration Effect Omeprazo Losec Gastrointe Duodenal An CNS: Adult: 1.

99 .