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Drug Name Carbociste ine

Mode of Action Reduces the viscosity of bronchial secretions and facilitate prostaglandin synthesis at the CNS but does not have antiinflamma tory action because of its minimal effect on peripheral prostaglandin synthesis.

Dosage 1-3 yr 1-1 ½ tsp 8 hrly. (5ml)

Indication Adjunctive therapy for chronic disorder of the resp tract associated w/ excessive or viscous mucus eg in chronic bronchitis, COPD & otitis media w/ effusions including glue ear.

Contraindicatio n Active peptic ulcer.

Side Effects rash, bleeding from the stomach or intestine, diarrhea, nausea and vomiting, headache, stomach upset, allergic, sore throat, weight gain and also pain in the muscles and the joints

Nursing Responsibilities Obtain pt s history of cough before therapy and reassess after giving the drug Assess cough: type, frequency, character, including sputum: provide adequate hydration to 2L/day to decrease viscosity of secretions Monitor for possible adverse reactions: CNS: drowsiness, dizziness GI: nausea, vomiting, abdominal pain Discuss on detail all information regarding the drug Assess pt. s fever or pain. Assess allergic reactions.

Paracetam ol

Decreases fever by inhibiting the effects of pyrogens on the

0-20 mg/kg 46 hrly.

Mild to moderate pain eg headache, to othache, myalgias. Fever. As alternative to aspirin in patients w/ viral infection,peptic

Hypersensitivity .

hives, rash, short breath

Ampicillin

hypothalamic heat regulating centers and by a hypothalamic action leading to sweating and vasodilation Ampicillin is used to treat a wide variety of bacterial infections. It is a penicillintype antibiotic. It works by stopping the growth of bacteria.

ulcer disease, bronchial asthma & bleeding disorders

Monitor liver and renal functions. Check input and output ratio. Assess for chronic poisoning.

150-300 mg/kg body wt daily in divided doses

Treatment of UTI, otitis media, sinusitis, bronchitis, uncomplicated communityacquired pneumonia, Haemophilus influenzae infections, invasive salmonellosis & listerial meningitis.

Hypersensitivity to penicillin. Glandular fever of lymphatic leukemia.

nausea, vomiting, los s of appetite, diarrhea, abdominal pain, rash, itching, headach e, confusion and dizziness.

Culture infected area before treatment; reculture area if response is not as expected. Check IV site carefully for signs of thrombosis or drug reaction. Do not give IM injections in the same site; atrophy can occur. Monitor injection site. Administer oral drumg on an empty stomach, 1 hr before o 2 hrs after meals with a full glass of water;

Gentamici n

Gentamicin belongs to a class of drugs known as aminoglycosi de antibiotics. It works by killing the bacteria that causes the infection.

Children: 6 to 7.5 mg/kg/day. (2 to 2.5 mg/kg administered every 8 hours.) Infants and Neonates: 7.5 mg/kg/day. (2.5 mg/kg administered every 8 hours.)

To reduce the development of drug-resistant bacteria and maintain the effectiveness of Gentamicin Injection

Hypersensitivity to gentamicin is a contraindicati on to its use

Nausea, vomiting, stomach upset, or loss of appetite may occur. Pain/irritation/rednes s may occur at the injection site.

do not give with fruit juice or soft drinks Before injecting the drug check for Site of infection; skin color, lesions; orientation, reflexes, eighth cranial nerve function; P, BP; R, adventitious sounds; bowel sounds, liver evaluation; urinalysis, BUN, serum creatinine, serum electrolytes, liver function tests, CBC Cleanse area before application of dermatologic preparations. Ensure adequate hydration of patient before and during therapy. Monitor renal function tests, CBCs, serum drug levels during long-term therapy. Consult with prescriber to adjust dosage