A.

Medical Management

Date Ordered

08/19/16

Generic Name

Cetirizine

Brand Name

Classification

Zyrtec

Antihistamine
Antihistamine are structurally related chemical that compete with histamine for

Mode of Action

histamine 1 receptors site on smooth muscle of bronchi , GI tract and large blood
vessels binding to cellular receptors and preventing access to and subsequent
activity of histamine. They dont directly alter histamine or prevent its release.

Indication

Allergic rhinitis , urticaria, pruritus , vertigo , motion sickness

nausea and vomiting

Contraindication

Drug Interaction

Side / Effects

adverse

Cetirizine hydrochloride is contraindicated in those patients with a known

hypersensitivity to it or any of its ingredients or hydroxyzine.

CNS depressant may cause additive effect

Drowsiness; dry mouth; stomach pain (in children); tiredness; trouble

sleeping

Severe allergic reactions (rash; hives; itching; difficulty breathing;

tightness in the chest; swelling of the mouth, face, lips, or tongue; dark
urine; fainting; fast or irregular heartbeat; persistent fatigue; seizures;
severe dizziness; unusual bruising or bleeding; yellowing of eyes or skin.

if you have any medical conditions, especially if any of the following apply
to you:

Nursing
Responsibilities

if you have allergies to medicines, foods, or other

substances

take cetirizine syrup by mouth with or without food.

Use a measuring device marked for medicine dosing. Ask

your pharmacist for help if you are unsure of how to
measure your dose.

Inform patient that sugarless gum hard candy or ice chips

may relieve dry mouth

A. Medical Management

Date Ordered

8/16/16

Generic Name

Levocetirizine

Brand Name

Classification
Mode of Action

Xyzal

Antihistamine
Histamine H1-receptor antagonist

Indication

Documented hypersensitivity
Lower respiratory disease, eg, asthma (controversial)

Contraindication

Drug Interaction

Preemies and neonates

drug-drug ampicillin esters ,iron derivatives , ketoconazole . may cause poor

bioavailability of these drug because they need a low gastric Ph for optimal
absorption.

Side / Adverse
Effects

Nursing
Responsibilities

A. Medical Management

Date Ordered

8/16/16

Generic Name

Paracetamol

Brand Name

Classification

Biogesic

Analgesic , antipyretic
Though to produce analgesia by inhibiting prostaglandin and other substances that

Mode of Action

sensitize pain receptors . drug may relieve fever through central action in
hypothalamic heat regulating center

Relief of fever, minor aches & pains.

Indication

Contraindication
anemia, cardiac & pulmonary disease. Hepatic or severe renal disease.

Drug Interaction

Side /effects

Anticonvulsants, aspirin, INH, phenothiazines, alcohol

Hematologic: hemolyytic anemia , neutropenia,

Hepatic : jaundice

adverse

Metabolic: hypoglycaemia
Skin: rash ,

Nursing
Responsibilities

Date Ordered
Generic Name
Brand Name

Classification

Meropenam
Meronax

Other Beta-Lactams

Mode of Action

Indication

reatment of susceptible infections: Resp tract & skin infections, UTI, meningitis,
septicemia, infections in immunocompromised patients.

Contraindication
Hypersensitivity.

Drug Interaction

Side /effects

Valproate, OCs, probenecid.

adverse

Nursing
Responsibilities

Date Ordered
Generic Name
Brand Name

Classification

proton pump inhibitor

inhibits activity of acid proton pump and binds to hydrogen -potassium adenosine

Mode of Action

triphosphatase at secretory surface of gastric parietal cells to block formation of

gastric acid.

Indication

Contraindication

Drug Interaction

Side /effects

adverse

Take all of your medicines as your doctor tells you to.

report if severe diarrhea drug may need to be discontinued.
monitor intake and output

Nursing
Responsibilities

report if there are blood in the urine

encourage patient to avoid alcohol, aspirin product , ibuprofen , and food
that may increase gastric secretions during therapy
.tell the patient to swallow tablets or capsules whole not to crush or chew

Date Ordered
Generic Name
Brand Name

Classification

restime

GIT Regulators, Antiflatulents & Anti-Inflammatories

Mode of Action

Relief of discomfort due to gas accumulation in the stomach & intestines including

Indication

sensations of bloating, pressure, fullness or stuffed feeling which can be caused by

certain food, air swallowing, & dyspepsia.

Contraindication

Drug Interaction

Side /effects

adverse

Nursing
Responsibilities

Date Ordered
Generic Name

clarithromycin

Brand Name

Classification
Macrolides
Clarithromycin inhibits protein synthesis in susceptible organisms by penetrating the cell

Mode of Action

wall and binding to 50S ribosomal subunits . It has activity against a variety of aerobic
and anaerobic gm+ve and gm-ve bacteria.

Indication

Contraindication

Drug Interaction

Side /effects

adverse

Nursing
Responsibilities

Date Ordered
Generic Name
Brand Name

Classification
Mode of Action

Indication

Contraindication

Drug Interaction

Side /effects

adverse

Nursing
Responsibilities