NURSING
Generic Name ACTION
Generic name: Neurovascular enhancer.
Citicoline 1g tab Pharmacology:
Brand name: Piracetam acts selectively
Zynapse upon the telencephalon by
Drug Class: improving its associative
Neuroprotective function. It increases the
, CNS Drugs & energy output of the brain
Agents for cell and activates its
ADHD neurophysiological
potentialities, especially
in deficit conditions.
Nootropil is virtually
nontoxic and has no
stimulating, sedative or
neurovegetative activities.
Generic name: Decreases seizure activity
Phenytoin by increasing efflux or
100mg decreasing influx of
Brand name: sodium ions across cell
Dilantin membranes in the motor
Drug Class: cortex during generation
Therapeutic of nerve impulses;
category: prolongs effective
Anticonvulsants refractory period and
, Hydantoin, suppresses ventricular
Anti-arrhythmic pacemaker automaticity
shortens action potential
in the heart.
Generic Name ACTION
Clindamycin General Action:
300mg ANTIBIOTIC;
Anti- infectives
Specific Action:
- inhibits bacterial protein
synthesis by binding to
INDICATIONS
Treatment of
cerebrovascular accident in
acute and recovery phase,
symptoms and signs of
cerebral insufficiency eg,
dizziness, memory loss,
poor concentration,
disorientation, recent
cranial trauma and their
sequelae.
Dilantin is indicated for the
control of tonic-clonic
(grandmal)and
Psychomotor
( temporal lobe) seizures.
INDICATIONS
- infections caused by
sensitive staphylococci,
streptococci, pneumococci,
bacteroides, fusibacterium,
clostridium perfringens,
and other sensitive aerobic
CONTRAINDICATIONS ADVERSE EFFECTS
Patients with parasympathetic Gastrointestinal disorders.
hypertonia. Allergic reaction: Itching
or hives, swelling in your
face or hands, swelling or
tingling in your mouth or
throat, chest tightness,
trouble breathing, or rash,
Low blood pressure
(faintness, dizziness), Slow
or fast heart beat,
Headache, Nausea,
vomiting, or diarrhea
(loose BMs)
• Hypersensitivity to • allergic reaction
phenytoin • hallucinations
• other hydantoins, or • slurred speech or
any component staggering walk,
• heart block • rash
• sinus bradycardia • changes in vision,
agitation,
• low blood
pressure
• slow or irregular
heartbeats,
• abdominal pain,
• dark urine
• light colored
stools,
CONTRAINDICATIONS ADVERSE EFFECTS
• contraindicated in CNS: headache
patients CV: Thrombophlebitis
hypersensitive to EENT: pharyngitis
drug or lincomycin GI: abdominal pain,
• use cautiously in Anorexia, bloody or tarry
patients with renal or stools, constipation,
hepatic disease, diarrhea, dysphagia,
RESPONSIBILITIES
 Verify the doctor’s order.
 Assess allergy to warfarin.
 Do not use rug if the ptient is
pregnant (use contraceptives).
 Monitor closely PT ratio and
INR.
 Administer the drug in IV
form if the client can not take
it orally.
 Document the procedure.
 Obtain data relating to
the six cardinal signs of
cardiovascular disease to
be used as a baseline for
subsequent evaluation of
response therapy
 Record date relating to
any GI symptoms present
before initiation of
therapy
 Assess and record data
relating to the patient’s
mental status ( e.g.
orientation, agitation,
confusion).
 Instruct patient
to take this drug
as directed, with
food
NURSING
RESPONSIBILITIES
 assess patients infection
before and regularly
throughout therapy
 before giving first dose,
obtain specimen for
culture and sensitivity
test, begin therapy
 NURSING
Generic Name ACTION INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITIES

LEVOFLOXA >Chemical effect: Contraindicated in patients >CNS: headache, >Lab tests: Do C&S testprior
CIN Inhibits bacterial DNA Treatment of maxillary with primary insomnia, dizziness, to beginning therapyand
>Levaquin gyrase and prevents DNA sinusitis,acuteexacerbation hemochromatosis, encephalopathy, periodically.> Withhold therapy
replication, transcription, s of bacterial hemosiderosis, hemolytic paresthesia, pain, seizures. andreport to
Pharmacologic repair, and recombination bronchitis,community- anemia (unless iron deficiency >CV: Chest pain, physicianimmediately any of
class: in susceptible bacteria. acquiredpneumonia,uncom anemia is also present), peptic palpitations, vasodilation, thefollowing: Skinrash or other
fluorinated >Therapeutic effect: plicatedskin/skin ulcer disease, regional abnormal ECG. signs of
carboxyquinolo Kills susceptible bacteria.. structureinfections, enteritis, or ulcerative colitis, >GI: nausea, diarrhea, ahypersensitivity reaction;CNSsy
ne UTI,acutepyelonephritisca and in those receiving repeated constipation, vomiting, mptoms such asseizures,
used bysusceptiblebacteria; blood transfusions. abdominal pain, dyspepsia, restlessness,confusion, hallucinati
chronicbacterial >Use cautiously on long term flatulence. ons,depression;skin eruption
prostatitis;bacterialconjunc basis. Pseudomembranous following sunexposure;
tivitis. colitis. symptoms of colitis such as
>GU: vaginitis persistentdiarrhea; joint
>Hematologic : pain,inflammation, or rupture of a
eosinophilia, hemolytic tendon; hypoglycemicreactionin
anemia, lymphocytopenia. diabetic on an
>Metabolic: oralhypoglycemic agent.>Drink
Hypoglycemia liberal fluid daily> Avoid exposure
Muscoskeletal: back pain, toexcess sunlight or artificialUV
tendon rupture. light.
Respiratory: allergic
pneumonitis.
Skin: Rash,
photosensitivity reactions,
pruritis, erythema
multiforme, Stevens-
johnson syndrome.
Other: hypersensitivity
reactions, anaphylaxis,
multisystem organ failure.