Pius Troy D.

Macapaz Level III – N32

Name of Classification Dose Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Drug

Cefuroxime Cephalosporin 750mg IVTT Cefuroxime is a bactericidal agent Susceptible bacterial It is contraindicated in patients Swelling, redness, pain, or  Inform that the patient may
(Zinacef) antibiotics every 8 hours that acts by inhibition of bacterial septicemia , Lower with known allergy to the soreness at the injection site experience these side effects:
ANST(-) cell wall synthesis. Cefuroxime has respiratory or urinary tract , cephalosporin group of may occur. This medication Stomach upset or diarrhea.
activity in the presence of some Skin and skin structure ,
antibiotics. may also infrequently cause  Report severe diarrhea, difficulty
loss of appetite, nausea, breathing, unusual tiredness
betalactamases, both Meningitis ,Bone and joint vomiting, diarrhea,  Observe for signs and symptoms of
penicillinases and infections , Gonorrhea , irritability, or headache. anaphylaxis during first dose.
cephalosporinases, of Gram- Surgical prophylaxis.  Give oral drug to children who can
negative and Gram-positive swallow tablets; crushing the drug
bacteri results in a bitter, unpleasant taste.
Metronidaz Antibiotics s 500 mg IV drip Metronidazole diffuses into the Prophylaxis and prevention Hypersensitivity to Dizziness, headache,  Tell patient that metallic taste and
ole every 8 hours organism, inhibits protein of postoperative infection metronidazole or other stomach upset, nausea, dark or red brown urine may occur
(Dazomet) ANST(-) synthesis by interacting with DNA due to anaerobic bacteria, nitroimidazoles (although vomiting, loss of appetite,  Instruct to complete full course of
cautious desensitization has diarrhea, constipation, or therapy
and causing a loss of helical DNA particularly species of
been applied) metallic taste in your mouth  Instruct that it may cause dizziness/
structure and strand breakage. Bacteroides and anaerobic may occur. This medication light headedness
Therefore, it causes cell death in streptococci. may cause your urine to
susceptible organisms. turn darker in color.
Ketorolac NSAIDs 30mg/amp 1 Ketorolac, a pyrrolizine carboxylic
(Kortezor) ampule every 8 acid derivative, is an NSAID that
hours reversibly inhibits cyclooxygenase-
1 and - 2 (COX-1 and -2) enzymes,
resulting in decreased formation
of prostaglandin precursors. It has
antipyretic, antiinflammatory and
analgesic properties.
Used for the shortterm
treatment of moderate to
severe pain. It is usually
used before or after medical
procedures or after surgery.
Reducing pain helps you
recover more comfortably
so that you can return to
your normal daily activities.
Dizziness, drowsiness, visual  Monitor for S&S of GI distress or
 Known hypersensitivity disturbance, headache, bleeding including nausea, GI pain,
to ketorolac trometamol vertigo, insomnia and diarrhea, melena, or hematemesis. GI
or other ingredients in depression have been ulceration with perforation can occur
the product. reported with ketorolac use. anytime during treatment. Drug
 Patients with active decreases platelet aggregation and
peptic ulcer disease, thus may prolong bleeding time.
recent gastrointestinal  Monitor urine output in older adults
(GI) bleeding or and patients with a history of cardiac
perforation, or a history decompensation, renal impairment,
of recurrent ulceration heart failure, or liver dysfunction as
or active inflammatory well as those taking diuretics.
disease of the Gl Discontinuation of drug will return
system. urine output to pretreatment level.
 Monitor for fluid retention and
edema in patients with a history of
CHF
Name of Classification Dose Mechanism of Action Indication Contraindication Adverse Effect Nursing Responsibilities
Drug

Cefuroxime
(Zinacef)