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Generic name: Amoxicillin trihydrate Brand name: amoxil, amoxial pediatric drops, apo-amoxi (CAN), dispermox, novamoxin

(CAN), Nuamoxi (CAN), trimox General Action: antibiotic (penicillin-ampicillin type) Specific Action: bacteriacidal: inhibits synthesis of cell wall of sensitive organisms, causing cell death. Indications  Infections due to susceptible strains of haemophilusinfluenza, e.coli, proteus mirabilis, neisserria gonorrhea, streptococcus pneumonia, enterococcus faecalis, streptococci, non penicillinaseproducing staphylococci.  Helicobacter pylori infection in combination with other agents  Postexposure prophylaxis against. Bacillus anthracis Contraindications & Cautions  Contraindicated with allergies to penicilllins, cephalosporins, or other allergens.  Use cautiously with renal disorders, lactation. Side Effects/Adverse effects lethargy, hallucinations, seizures, glositis, stomatitis, gastritis, sore mouth, furry tongue, black hairy tongue , nausea and vomiting, diarrhea, abdominal pain, bloody diarrhea, enterocolitis, pdesudomemebranous colitis specific hepatis. Nursing Responsibilities  Culture infected area prior to treatment; re-culture area if response is not as expected.  Give in oral preparations only; amoxicillin is no taffected by food  Continue therapy for at least 2 days after signs of infection have disappeared; continuation for 10 full days is recommended.  Use corticosteroids or antihistamines for skin reaction.  Report any side effects  If GI upset occurs, take with meals

to report immediately persistence or failure to relieve pain . poor platelet function. fever.¶s pain before therapy >monitor for possible drug induced adverse reactions >advice pt.Mefenamic acid BRANDNAME Dolfenal DOSAGE Adult: start with 75150mcg BID Severe HPN 300mg BID Indication Relief of pain including muscular. drowsiness > assess pt. Hx of liver and kidney disease ADVERSE RXN GI discomfort. asthmatics. gas pain.antipyretic. blood disorders. administration should be stopped.op and postpartum pain. vomiting. diarrhea or constipation. children < 14 yrs PRECAUTION: If rash occurs. nausea. rheumatic. & anti-inflammatory activities Contraindication: Pregnancy & lactation. headache. traumatic. migraine. dysmenorrhea Action: Aspirin-like drug that has analgesic. post. dental. kidney or liver impairment. active ulceration or chronic inflammation of either upper or lower GIT. hypersensitivity. not to take drug for more than 7 days >advice pt.

‡ Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician. ‡ Advise patient to consult physician if irregular heartbeat. lifestyle changes and stress management. ‡ Inform patient that angina attacks may occur 30 min. ‡ Encourage patient to comply with additional intervention for hypertension like proper diet. swelling of hands and feet and hypotension occurs. regular exercise. ‡ Dietary supplement for iron. dyspnea. . after administration due reflex tachycardia. ADVERSE EFFECT ‡ Dizziness ‡N&V ‡ Nasal Congestion ‡ Dyspnea ‡ Hypotension ‡ CHF ‡ MI ‡ Muscle cramps ‡ Flushing NURSING RESPONSIBILITIES ‡ Advise patient to take medicine as prescribed. CONTRAINDICATIONS ‡ Hypersensitivity ‡ Severe hypotension. INDICATIONS ‡ Prevention and treatment of iron deficiency anemias. ‡ Caution patient to make position changes slowly to minimize orhtostatic hypotension.Ferrous sulfate Generic Name: Ferrous sulfate Classification: Iron Preparation MECHANISM OF ACTION Elevates the serum iron concentration which then helps to form High or trapped in the reticuloendothelial cells for storage and eventual conversion to a usable form of iron.

>This drug should be used extremely carefully because of it's potent vasoconstrictor action. dizziness. diarrhea. seizure. give I. hypertension. and some macrolide antibiotics). As a last resort. pregnancy Nursing Responsibilities: >Be alert for adverse reactions and drug interactions. palpitation CNS Hallucinations. azole antifungals.V. foul taste Local: Thrombophlebitis Otic: Tinnitus Renal: Hematuria Respiratory: Dyspnea. slowly over several minutes and monitor blood pressure closely. temporary chest pain. lactation stimulant Indication: Prevention and treatment of postpartum and postabortion hemorrhage caused by uterine atony or subinvolution Mechanism of action: Methergin Stimulates uterine smooth muscles producing sustained contractions thereby shortens the third stage of labor Adverse Rxn:Cardiovascular: hypertension. vomiting.MEM / Methergine Drug classification: PC: Ergot Alkaloid and Derivative TC: oxytocic.V. nasal congestion Miscellaneous: Diaphoresis Contraindication: > contraindicated in patients hypersensitive to methylergonovine or any component of the formulation. I. use may induce sudden hypertension and cerebrovascular accidents. . toxemia. >ergot alkaloids are contraindicated with potent inhibitors of CYP3A4 (includes protease inhibitors. headache Gastrointestinal: Nausea.