CABRIGA LADY DIANE
GENERIC NAME/ MECHANISM OF ACTION
BRAND NAME
GENERIC NAME: Produces analgesia by
PARACETAMOL unknown mechanism,
perhaps by action on
BRAND NAME: peripheral nervous system.
Tempra Reduces fever by direct
action on hypothalamus
CLASSIFICATION: heat-regulating center with
CENTRAL NERVOUS consequent peripheral
SYSTEM vasodilation, sweating, and
AGENT; ANALGESIC, dissipation of heat. Unlike
aspirin, acetaminophen has
little effect on platelet
aggregation, does not affect
bleeding time, and generally
produces no gastric
bleeding.
INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSE INTERACTIONS
Fever reduction. Hypersensitivity to acetaminophen or Body as a
Temporary relief of phenacetin; use with alcohol. Whole: Negligible with
mild to moderate recommended dosage;
pain. Generally as rash. Acute
substitute for poisoning: Anorexia,
aspirin when the nausea, vomiting,
latter is not dizziness, lethargy,
tolerated or is diaphoresis, chills,
contraindicated. epigastric or abdominal
pain, diarrhea; onset
of hepatotoxicity—
elevation of serum
transaminases (ALT, AST)
and bilirubin;
hypoglycemia, hepatic
coma, acute renal
failure (rare). Chronic
ingestion: Neutropenia,
pancytopenia,
leukopenia,
thrombocytopenic
purpura, hepatotoxicity in
alcoholics, renal damage.
BSN-II
 Do not take other medications
(e.g., cold preparations)
containing acetaminophen
without medical advice;
overdosing and chronic use can
cause liver damage and other
toxic effects.
 Do not self-medicate adults for
pain more than 10 d (5 d in
children) without consulting a
physician.
 Do not use this medication
without medical direction for:
fever persisting longer than 3 d,
fever over 39.5° C (103° F), or
recurrent fever.
 Do not give children more than
5 doses in 24 h unless
prescribed by physician.
 Do not breast feed while taking
this drug without consulting
physician.
CABRIGA LADY DIANE BSN-II

GENERIC NAME/ MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSE INTERACTIONS

BRAND NAME ACTION

GENERIC NAME: Synthetic broad- Severe infections when History of Body as a  A bitter taste may occur 15–20 s
CHLORAMPHENICOL spectrum antibiotic other antibiotics are hypersensitivity or Whole: Hypersensitivity, angioedema, after IV injection; it usually lasts
formerly derived ineffective or are toxic reaction to dyspnea, only 2–3 min.
from Streptomyces contraindicated. Particularly chloramphenicol; fever, anaphylaxis, superinfections,  Report immediately sore throat,
BRAND NAME: venezuelae. Princip effective against Salmonella treatment of minor Gray syndrome. GI: Nausea, vomiting, fever, fatigue, petechiae, nose
ZINETT ally bacteriostatic typhi and infections, diarrhea, perianal irritation, bleeds, bleeding gums, or other
but may be other Salmonella sp, Strepto prophylactic use; enterocolitis, glossitis, stomatitis, unusual bleeding or bruising, or
CLASSIFICATION: bactericidal in coccus pneumoniae, typhoid carrier state, unpleasant taste, any other suspicious sign of
ANTIINFECTIVE; certain species Neisseria, meningeal history or family xerostomia. Hematologic: Bone symptom. Drug therapy should be
ANTIBIOTIC (e.g., Haemophilus infections caused by H. history of drug- marrow depression (dose-related and discontinued if abnormal bleeding
influenzae) or influenzae, and infections induced bone marrow reversible): reticulocytosis, leukopenia, occurs.
when given in involving Bacteroides depression, granulocytopenia, thrombocytopenia,  Watch for S&S of superinfection
higher fragilis and other anaerobic concomitant therapy increased plasma iron, reduced Hgb,
(see Appendix F).
concentrations. organisms, Rickettsia with drugs that hypoplastic anemia,
 Follow dosage and duration of
Believed to act by rickettsii (cause of Rocky produce bone marrow hypoprothrombinemia. Non-dose-
therapy as prescribed by physician.
binding to the 50S Mountain spotted fever) and depression; pregnancy related and irreversible pancytopenia,
 Avoid prolonged or frequent
ribosome of other rickettsiae, the (category C); lactation. agranulocytosis, aplastic anemia,
intermittent use of topical
bacteria and thus lymphogranuloma- paroxysmal nocturnal hemoglobinuria,
leukemia. CNS: Neurotoxicity:
preparations because systemic
interfering with psittacosis
headache, mental depression,
absorption and toxicity can occur.
protein synthesis. group (Chlamydia), and Myc
 Withhold medication and check
oplasma. Also used in cystic confusion, delirium, digital paresthesias,
fibrosis antiinfective peripheral neuritis. Skin: Urticaria, with physician immediately if signs
regimens and topically for contact dermatitis, maculopapular and of hypersensitivity reaction (see
infections of skin, eyes, and vesicular rashes, fixed-drug Appendix F), irritation,
external auditory canal. eruptions. Special Senses: Visual superinfection, or other adverse
disturbances, optic neuritis, optic nerve reactions appear.
atrophy, contact conjunctivitis.  Do not breast feed while taking this
drug.
CABRIGA, LADY DIANE BSN-II

GENERIC NAME/ MECHANISM OF ACTION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSE INTERACTIONS
BRAND NAME

GENERIC NAME: Synthetic compound with Asymptomatic and Blood dyscrasias; active Body as a  Adhere closely to the established regimen
METRONIDAZOLE direct trichomonacidal symptomatic CNS disease; first Whole: Hypersensitivity without schedule interruption or changing
and amebicidal activity as trichomoniasis in trimester of pregnancy (rash, urticaria, pruritus, the dose.
well as antibacterial females and males; (category B), lactation. flushing), fever, fleeting joint  Refrain from intercourse during therapy for
BRAND NAME: activity against anaerobic acute intestinal pains, overgrowth trichomoniasis unless male partner wears a
FLAGYL bacteria and some gram- amebiasis and amebic of Candida. CNS: Vertigo, condom to prevent reinfection.
negative bacteria. liver abscess; headache, ataxia, confusion,  Have sexual partners receive concurrent
CLASSIFICATION: preoperative irritability, depression, treatment. Asymptomatic trichomoniasis in
ANTIINFECTIVE; prophylaxis in colorectal restlessness, weakness, the male is a frequent source of reinfection
ANTITRICHOMONAL; surgery, elective fatigue, drowsiness, insomnia, of the female.
AMEBICIDE; hysterectomy or vaginal paresthesias, sensory  Do not drink alcohol during therapy; may
ANTIBIOTIC repair, and emergency neuropathy induce a disulfiram-type reaction (see
appendectomy. IV (rare). GI: Nausea, vomiting,
Appendix F). Avoid alcohol or alcohol-
metronidazole is used anorexia, epigastric distress,
containing medications for at least 48 h
for the treatment of abdominal cramps, diarrhea,
after treatment is completed.
serious infections constipation, dry mouth,
 Urine may appear dark or reddish brown
caused by susceptible metallic or bitter taste,
(especially with higher than recommended
anaerobic bacteria in proctitis. Urogenital: Polyuri
a, dysuria, pyuria,
doses). This appears to have no clinical
intraabdominal
incontinence, cystitis, significance.
infections, skin
 Report symptoms of candidal overgrowth:
infections, gynecologic decreased libido, dyspareunia,
infections, septicemia, dryness of vagina and vulva, Furry tongue, color changes of tongue,
and for both pre- and sense of pelvic glossitis, stomatitis; vaginitis, curd-like,
postoperative pressure. Special milky vaginal discharge; proctitis.
prophylaxis, bacterial Senses: Nasal Treatment with a candidacidal agent may be
vaginosis. Topical: congestion. CV: ECG changes indicated.
Rosacea. (flattening of T wave).  Do not breast feed while taking this drug.