Medication Route of Mechanism of Indication Contradiction Client’s Nursing

Administration/ Action Response Responsibility

Dosage/
Frequency
1.  Adults. 20 mg Omeprazole  To treat Hypersensitivity Relieves  Give
Omeprazole daily for 4 wk. interferes with gastroesophagea to omeprazole, symptoms omeprazole
gastric acid l reflux disease other such as before meals,
 Adults. 20 mg secretion by (GERD) without proton pump heartburn, preferably
daily for 4 to 8 inhibiting the esophageal inhibitors, or difficulty in the morning
wk. hydrogen lesions, to their swallowing, for once-daily
Children age 1 potassium - prevent erosive components and cough. dosing. If
to 16 years of adenosine esophagitis , also give an
age weighing triphosphatase antacid, as
20 kg (44 lb) or (H + K + -ATPase)  To treat GERD prescribed.
more. 20 mg enzyme system, with erosive
daily. or esophagitis  Monitor patient
Children age 1 proton pump, in for bone
to 16 weighing gastric parietal  To treat pediatric fracture,
10 kg (22 cells. GERD and especially in
lb) to less than Normally, the maintenance of patients
20 kg (44 lb). proton pump healing of receiving
10 mg daily. uses energy erosive multiple
Children age 1 from hydrolysis esophagitis daily doses for
to 16 weighing of adenosine more than a
5 kg (11 lb) triphosphate  To provide short- year because
to less than 10 to drive term treatment proton pump
kg (22 lb). 5 mg hydrogen (H+) of active benign inhibitors, such
daily. and chloride (Cl−) gastric ulcer as
out of parietal omeprazole,
 Adults. 20 mg cells and into the  To treat increase risk for
daily for 4 to 8 stomach duodenal or osteoporosis-
wk, increased lumen in gastric ulcer related
to 40 mg daily, exchange for associated with fractures of the
as needed. potassium (K+), Helicobacter hip, wrist, or
which leaves the pylori spine.
stomach lumen
 Adults. 40 mg and  Know that
daily with enters parietal omeprazole
clarithromycin cells. After this therapy may
for 14 days, exchange, produce false
followed by 20 H+ and Cl− elevations of
mg daily alone combine in the serum
for stomach to chromogranin
another 14 form levels, used to
days. Or, 20 hydrochloric acid help
mg twice daily (HCl), as shown diagnosis
with below left. presence of
Omeprazole
 amoxicillin for irreversibly neuroendocrine
14 days. Or, 20 blocks tumors. If test
mg twice the exchange of results are high,
daily with intracellular H+ withhold
amoxicillin and and omeprazole
clarithromycin extracellular K+, therapy
for 10 days. as shown below temporarily and
right. By repeat test, as
 Adults. 20 mg preventing H+ ordered.
twice daily. from entering
With the stomach  Encourage
clarithromycin lumen, patient to avoid
and amoxicillin omeprazole alcohol, aspirin
or keeps additional products,
metronidazole HCl ibuprofen, and
for 7 days, from forming. foods that may
followed by 20 increase gastric
mg daily for up secretions
to 3 wk (for during therapy.
duodenal Tell him to
ulcer) or 20 to notify all
40 mg daily for prescribers
up to 12 wk about
(for gastric prescription
ulcer). drug use.

 Adults. 60 mg  Advise patient

daily or in to notify
divided doses, prescriber
as immediately
prescribed. about
Maximum: 120 abdominal pain
mg three times or
daily. diarrhea.

 P.O  Instruct patient

(Capsules,Tabl to inform all
ets, prescribers of
Oral omeprazole
suspension) therapy.
2.  Administered Interferes with  To relieve signs Allergic Treat  Use cefuroxime
Cefuroxime by intravenous bacterial cell wall and symptoms of reaction (such certain cautiously in
injection over synthesis osteo-arthritis as anaphylaxis infections patients
a period of 3 by inhibiting the or caused by hypersensitive
to 5 minutes final step in the  To relieve signs angioedema) to bacteria, to penicillin
directly into a cross-linking of and symptoms of aspirin, other such as because cross-
vein or via a peptidoglycan rheumatoid arthritis NSAIDs, or bronchitis sensitivity has
(infection
 drip tube or strands.  To relieve signs sulfonamide of the about 10% of
infusion over Peptidoglycan and symptoms of derivatives or airway such patients.
30 to 60 makes the cell juvenile history of tubes
minutes, or by membrane rheumatoid aspirin- leading to  Give oral form
deep rigid and arthritis induced nasal the lungs); with food to
intramuscular protective. polyps with  gonorrhea decrease GI
injection. Without it,  To relieve pain bronchospasm; (a sexually distress, as
bacterial from ankylosing hypersensitivity transmitted needed.
 Adults and cells rupture and Spondylitis to celecoxib or disease);
teenagers— die. its Lyme  Remember that
250 to 500  As adjunct to components; disease (an oral forms—
milligrams reduce treatment of infection tablets and
(mg) two times adenomatous perioperative that may suspension—
a day for 10 colorectal polyps pain after develop aren’t
days. in patients with coronary artery after a bioequivalent.
Gonorrhea is familial bypass graft person is
treated with a adenomatous surgery bitten by a  For I.V. use,
single 1-gram polyposis tick); and reconstitute
(g) dose. infections using
 To manage acute of the skin, manufacturer’s
 Children (who pain, to treat ears, instructions
can swallow primary sinuses, according to
the tablets)— Dysmenorrhea throat, type of
250 mg two tonsils,, preparation
times a day for and urinary available.
10 days. tract. Solution
ranges in color
 Children (who from light
cannot yellow to
swallow the amber.
tablets)—Use
is not  For I.M. use,
recommended. add 3 or 3.6 ml
sterile water
 Children 3 for injection to
months to 12 each 750-mg
years of age— vial to yield
Dose is based 220 mg/ml.
on body
weight and
must be
determined by
your doctor.
The dose is
usually 20 to
30 milligrams
(mg) per
kilogram (kg)
 of body weight
per day
divided into
two doses,
taken for 10
days.
However, the
dose is usually
not more than
1000 mg.
 Infants up to 3
months—Use
and dose must
be determined
by your doctor.
3. Warfarin  Adults. Initial: Interferes with To prevent or treat Bleeding or Prevents  Expect to give
2 to 5 mg daily the liver’s ability pulmonary bleeding blood from another
for 2 to 4 days. to embolism; recurrent tendencies; clotting so parenteral
Usual: 2 to 10 synthesize MI; blood it may take anticoagulant,
mg daily based vitamin K– thromboembolic dyscrasias; longer than such as heparin
on dependent complications from cerebral or usual for or enoxaparin,
target PT and clotting atrial fibrillation, dissecting you to stop with oral
INR results. factors, depleting heart valve aneurysm; bleeding if warfarin for at
Maximum: clotting factors II replacement, or MI; cerebrovascular you are cut least 3 days, or
Determined by (prothrombin), and venous hemorrhage; or injured. until desired
target PT and VII, IX, and X. This thrombosis (and its diverticulitis; Avoid response
INR results, as action, extension) eclampsia or activities or occurs, before
prescribed. in turn, interferes preeclampsia; sports that giving warfarin
with the clotting history of have a high only.
 P.O ( Tablets, cascade. warfarin- risk of
Intravenous By depleting induced causing  Avoid I.M.
Vein Injection) vitamin K– necrosis; injury. injections
dependent hypersensitivity during warfarin
clotting to warfarin or therapy, if
factors and its possible,
interfering with components; because they
the clotting malignant or can result
cascade, warfarin severe in bleeding,
prevents uncontrolled bruising, and
coagulation. hypertension; hematoma.
malnutrition
and  Assess for
emaciation; occult bleeding
mental state if patient
or condition receives I.V.
that leads to lipid emulsion
lack of patient or other
cooperation;
 pericardial medical
effusion; product that
pericarditis; contains
polyarthritis; soybean oil.
pregnancy; Such products
prostatectomy; can decrease
recent or vitamin K
planned absorption and
neurosurgery, increase
ophthalmic warfarin’s
surgery, or anticoagulant
spinal effect.
puncture;
severe hepatic  Instruct patient
or renal disease to take drug
exactly as
prescribed at
the same time
each evening.
4. Ferrous PO: Acts to normal of  Used for the Hemo – Treat and  Advice
Sulfate ADULTS, hemlize RBC prevention and Chromatosis, prevent patient to
ELDERLY:65 mg 2– production by treatment of iron hemolytic iron take
4 times aday. binding with deficiency anemias, deficiency medicine as
CHILDREN: 3– hemoglobin or by anemia in adults hemosiderosis, anaemia. prescribed.
6mg/kg/day in 2– being oxidixed and children hypersensitivity
3divided doses. and stored as to iron salts or  Advice
PO: hemosiderin in or  To prevent iron their patient to
ADULTS, aggregated deficiency on components, consult
ELDERLY:65 ferritin in recommended other anemic physician if
mg/day. reticuloendo – daily allowance. conditions irregular
CHILDREN: 1– Thelial cells of unless heartbeat,
2mg/kg/day. the bone  To replace iron accompanied dsypnea,
marrow, liver, deficiency states. by iron swelling of
and spleen. Iron defieciency. hands and
is an essential  To treat iron feet and
component of deficiency in hypotensio
hemoglobin patient who have n occurs.
myogoblin and an intolerance to
several enzymes, oral iron, have  Inform
including had patients
catalase, unsatisfactory that angina
cytochromes and response to oral attacks may
peroxidase. Iron iron or who has occur 30
is needed have non- min, after
catecholamine dialysis- the adminis
metabolism and dependent – tration
normal chronic kidney due to
neutrophil
 function. disease. reflex
tachycardia.
 To provide iron
supplement
during
pregnancy.
5. i.v. injection Briefly and  To treat known Hypersensitivity  Keep
competitively or suspected to naloxone or resuscitation
 Adults and antagonizes mu, opioid overdose its equipment
children age 5 kappa, and sigma Components. readily
and over receptors in the  To treat available during
weighing more CNS, thus postoperative naloxone
than 20 kg (44 reversing opioid-induced administration.
lb). 0.4 to analgesia, respiratory
2 mg repeated hypotension, depression  Administer
every 2 to 3 respiratory drug by I.V.
min, as depression, and  To reverse route whenever
needed. sedation caused opioid-induced possible.
If no response by most asphyxia
after 10 mg, opioids. Mu  Give repeat
patient may receptors are  As adjunct to doses as
not have responsible for treat prescribed,
opioid-induced analgesia, hypotension depending
respiratory euphoria, miosis, caused on patient’s
depression. and respiratory by septic shock response.
depression.
 Infants and Kappa receptors  Anticipate that
children under are responsible rapid reversal
age 5. 0.01 for analgesia and of opioid
mg/ sedation. Sigma effects
kg as a single receptors can cause
dose; if no control dysphoria diaphoresis,
improvement, and other nausea, and
another 0.1 delusional states. vomiting.
mg/kg, given.
Or, 0.1 mg/kg  Inform patient
repeated every or family that
2 to 3 min, as naloxone will
needed. reverse opioid-
induced
adverse
reactions.

 Urge opioid-
dependent
patient to seek
drug
rehabilitation.