Patient: Sainz, Marlon Date admitted: 10/03/2023 Case No.

137110230162

Chief Complaints: cough and fever Impression: CAP – MR with Pleural Effusion Ward: Medical 56A

DRUG STUDY

NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
GENERIC NAME: Decreases viscosity of 600mg 1 tab in Treatment of Contraindicated for Nausea and vomiting 1. Check the physicians order
N-acetylcysteine the respiratory tract ½ glass H2O OD respiratory affections patients with And other GI 2. Instruct patient to follow
secretions and characterized by hypersensitivity with the Symptoms, directions as to how to
promote removal by thick and viscous drug Generalized urticaria dissolve the drug in water
CLASSIFICATION: breaking disulfide hypersecretions, accompanied by mild 3. Assess respiratory function
Mucolytic bonds in acute and chronic fever, hypotension, (lung sound, dyspnea) and
NAME OF DRUG MECHANISM OF
acetaminophen DOSAGE & INDICATION
bronchitis and its CONTRAINDICATION ADVERSE
wheezing EFFECT
and NURSING CONSIDERATION
color, amount, and
overdose,ACTION
it protects FREQUENCY exacerbation, dyspnea consistency of secretions
GENERIC NAME: Cefixime inhibits
the liver from injury 200mg 1-tab Used to treat
pulmonary Cefixime is CNS: SEIZURES (very 1. Observe
before andpatient for signs
immediately
Cefixime bacterial cell wall and
by restoring BID infections
emphysema, caused
cysticby contraindicated in high doses) and
aftersymptoms
treatmentofand
binds with high
glutathione levels or bacteria such as
fibrosis and patients with known anaphylaxis
document the (rash, pruritus,
findings.
BRAND NAME: affinity to penicillin-
by acting as alternate pneumonia;
bronchiectasis. allergy to the GI: laryngeal edema, wheezing)
4. Monitor type of cough and
binding
substrate proteins
for in bronchitis gonorrhea; cephalosporin group of PSEUDOMEMBRANO 2. Watch for seizures; notify
frequency
the bacterial cell wall.
acetaminophen and ear, lung, throat antibiotics; US COLITIS, diarrhea, 5. physician
For maximumimmediately
effect, if
Hence, causing
metabolism and urinary tract contraindicated for nausea, vomiting, patient
instruct patient toorcough
develops
bacterial cell death. infections. Antibiotics hypersensitivity of the cramps. increases seizure
and clear his activity.
airway
CLASSIFICATION: Bactericidal action will not work for drug 3. Monitor signs of diarrhea,
Cephalosporin against susceptible cold, flue, or other Derm: rashes, abdominal pain, fever, pus
Antibiotic bacteria viral infections. urticaria. or mucus in stools, and
other severe or prolonged
Hemat: bleeding, GI problems (nausea,
blood dyscrasias, vomiting, heartburn). Notify
hemolytic anemia. physician or nursing staff
immediately of these signs.
4. Monitor signs of blood
dyscrasias, including
hemolytic anemia (unusual
weakness and fatigue,
Submitted by: Deborah Joy A. Maraveles BSN 4 Section 1
dizziness, jaundice,
abdominal pain) and
thrombocytopenia (bruising,
nose bleeds, bleeding gums,
other unusual bleeding).
Report these signs to the
physician.
 NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
GENERIC NAME: Piperacillin: Binds to 4.5g IV q8h Community-acquired Contraindicated in CNS: SEIZURES 1. Watch for seizures; notify
Piperacillin + bacterial cell wall and nosocomial patients with a history of (higher doses), physician immediately if
NAME
NAME OF
TazobactamOF DRUG
DRUG MECHANISM
MECHANISM
membrane, causingOF
OF DOSAGE
DOSAGE & & INDICATION
INDICATION
pneumonia caused CONTRAINDICATION
CONTRAINDICATION
allergic reactions to any ADVERSE EFFECT
ADVERSEdizziness,
confusion, EFFECT NURSING
patientCONSIDERATION
NURSING CONSIDERATION
develops or
ACTION
ACTION
cell death. Spectrum FREQUENCY
FREQUENCY by piperacillin- of the penicillins and/or headache, insomnia, increases seizure activity.
GENERIC
NAME OF NAME:
DRUG
CLASSIFICATION:
GENERIC NAME: Inhibits synthesis
MECHANISM
is extended
Inhibits bacterial OF
compared of
DNA PCM
500mg 300mg
1-tab&IV
DOSAGE Treatment
resistant,
Treatment of
of mild to Previous
INDICATION
beta- hypersensitivity
CONTRAINDICATION
cephalosporins
Contraindicated or
inβ- Symptoms
ADVERSE
lethargy.
CNS: GI:ofEFFECT
SEIZURES, 1. Assess
2.NURSING
1. overall
Watch CONSIDERATION
for seizures;healthnotify status
Paracetamol
NAME OF DRUG
anti-infectives,
Levofloxacin prostaglandins
MECHANISM
ACTION OFthat
with otherbypenicillins.
synthesis ACTION
inhibiting OD q4 rtc +> 37.8
FREQUENCY
DOSAGE & moderate pain,
INDICATION
lactamase–producing
respiratory tract Products containing
CONTRAINDICATION
lactamase
persons with
inhibitors.
known overdose:
ADVERSE EFFECT
PSEUDOMEMBRANO
dizziness, and
NURSING alcohol
physician usage
CONSIDERATION
immediately if before
GENERIC NAME: may serve
Tazobactam:
DNA
Inhibits
gyrase asenzyme.
protein Inhibits degree
500mg 1Celsius
FREQUENCY
tab Moderate
bacteria. to
infections,
Respiratory severe
including
tract alcohol
hypersensitivity to
Documented Diarrhea
US COLITIS,
drowsiness,
CNS: headache. diarrhea, administering.
1. Advise
patientpatient
develops Patients
or thewho
about
GENERIC NAME:
Clarithromycin mediators
Ipratropium atofthe
betalactamase,
Death
synthesis ispain
of susceptible
aan and BID1 neb q12 PRN pain
level acutewith
infections
The opioid
sinusitis, acute is In
combination
including use with other
levofloxacin,
hypersensitivity
Hypersensitivity
or other
to increased sweating
Hypersensitivity
constipation,
headache,
Derm: pruritus,
insomnia,
drug-
rash, are malnourished
1. likelihood
Teach theseizure
increases of
patient or
GI reactions,
activity.
to
Salbutamol +
CLASSIFICATION: fever primarily
nonselective
enzyme
bacteria.
of the 50S that
Activecanin
bacterial the analgesics,
competitive for dyspnea streptococcal
exacerbations Fever
used to treat of medications
quinolone
salbutamol, with the
antibacterials loss of appetite
reactionshepatitis,
induced
agitation,
Stevens-Johnson
(e.g.
confusion. chronically
3. including
2. performdizziness
Assess
Monitor signs
oral abuse
nausea, alcohol
inhalation
of and diarrhea,
CLASSIFICATION:
Ipratropium
anti-infectives CNS. Hasgram-positive
no agent. It
antimuscarinic
destroy
against
ribosome. penicillins. chronic
pharyngitis,
conditions where same
bronchitis,
sinusitis, History drug
ipratropium
of cholestatic
or nausea
QTcor
urticaria,
nausea,
CV:
syndrome. vomiting
vomiting.
GI: are at higher
correctly.
confusion
hypersensitivity
indigestion, that risk
abnormal
mightof affect
reactions taste,
Antipyretic,
CLASSIFICATION: significant any-
causes bronchodilation
pathogens,
Therapeutic including
Effects: community-acquired
bronchitis,
breathingandis a Severe
jaundice hepatic
fenoterol,
or hepatic
atropine or stomach
angioedema,
GU: cramps
prolongation,
PSEUDOMEMBRANO
interstitialrash,or 2. developing
Advise
gait,
and anaphylaxis,
abdominal
balance,
patient hepatotoxicity
and
to
pain.
including
rinse
otherInstruct
Analgesia
anti-infectives inflammatory
by blocking
Death
Staphylococcus
Bacteriostatic
of susceptible
theaction.
action of pneumonia,
pneumonia.
problem,and such as impairment/active
dysfunction
its derivatives. liver
associated pain
anaphylaxis),
nephritis.
ARRHYTHMIAS.
US COLITIS,Derm: serious
GI: 2. Assess
mouth the
functional
pulmonary
patient with type,
to report
activities.
symptoms
water location,
severe
after
Reporteach
or
CLASSIFICATION: properties of GI
acetylcholine-induced
bacteria.
aureus,
Spectrum: S. Active nosocomial
Treatment
COPD, chronic
(with disease
with
Hypertrophic
previous use of swelling,
(↑pain,
hypokalemia,
rashes
HEPATOTOXICITY,
abdominal or
in cystic and intensity
inhalation
balance
(tightness
prolonged problems
in
dose of
GIthe pain
problems.
to
throat
and prior
minimizeandto
combination of toxicity
stimulation
epidermidis,
against these ofS.gram-
guanyl pneumonia
ethambutol)
bronchitisand and clarithromycin.
obstructive tenderness in the
gastrointestinal
fibrosis
PSEUDOMEMBRANO
pain/discomfort,
patients), 30-60
dry mouthmins
functional
chest, wheezing, following
limitations
and clean
cough, to the
adrenergic with cyclase, hence
saprophyticus,
positive aerobicreducing prevention
emphysema.of They cardiomyopathy, upper
motility
abnormalabdomen
urticaria.
US COLITIS, taste, or administration
2. Be
mouthpiece
physician
dyspnea)
alert for or
andsigns
skin
with
nursing
reactions
of
water staff,
at
anticholinergics formation of cyclic
Streptococcus
bacteria: disseminated
work by relaxing Coadministration
tachyarrhythmia. with stomach
abdominal
diarrhea, area
disturbances,
dyspepsia,
pain,
rapidly 3. Assess fever;
leastcaution
and
(rash,
pseudomembranous
once
angioedema, note
a the
week. presence
patientpruritus,
colitis,
and
guanosine S.
pyogenes,
Staphylococcus Mycobacterium
and opening up the colchicine in patients worseningnausea,
diarrhea,
nausea. dyspnea, of associated
3. including
Monitor respiratory
significant
urticaria). signs
diarrhea,
Notify
othersphysician
to rate,
guard
monophosphate
pneumoniae,
aureus, Streptococcus (cGMP) avium
air complex
passages, with kidney (renal) or urinary retention,
vomiting. GU: (diaphoresis,
oxygen
against
or
abdominal
nursing tachycardia,
saturation,
fallsstaff
pain,
and immediately
trauma.
fever,
and puslungs
at parasympathetic
Enterococcus
pneumoniae, S.s
faecalis,site. (MAC)
making breathing liver (hepatic) Palpitations,
vaginitis. Derm: 4. and
soundsmalaise)
Monitor
if
or these
mucus before
reactions
injection
in stools,
andoccur.
site
after
andfor
Salbutamol
Bacillus
pyogenes anthracis.
(group
activatesA easier and impairment. tachycardia.
photosensitivity, 4.
3. Assess for
forsigns
administration
pain,
Be
other
alert
swelling,
severe signs
orand and
prolonged
ofirritation.
adenyl Active
Gram-negative
strep). cyclase,against
the improving rash. 4. symptoms
Check
Report
hepatotoxicity,
GI problems
inhaler of(nausea,
prolonged drug toxicity
technique.
including
or
enzyme
spectrum
these gram-negative
that
notable
stimulates
for shortness of and overdose
Ensure that
excessive
anorexia,
vomiting, abdominal
heartburn).
injection
patientssite are
pain,
Notify
able
the production
activity
aerobic against:
bacteria: of cyclic breath, chest to correctly
reactions
severe
physician nausea
to
oruse
the
nursing
and
the
physician.
vomiting,
delivery
staff
adenosine-3’,
Escherichia
Haemophilus coli,
5’- tightness and 5. immediately
device for
Always
yellow skin
wash their
orof
hands
eyes,
these
medication
fever,
signs.
monophosphate
Klebsiella
influenzae, Moraxella(cAMP). wheezing. and consider
thoroughly
sore throat,and malaise,
usedisinfect
of a space
Increased cAMP
pneumoniae,
catarrhalis. Also active
leads to 3. Monitor
if appropriate
equipment
weakness, rashes
facial
(whirlpools,
oredema,
other skin
activation
Enterobacter
against Mycoplasma,
of protein
cloacae, electrotherapeutic
lethargy,
reactions and
(pruritus,
unusual devices,
hives,
kinase A,mirabilis,
Proteus
Legionella, which
H. pylori,
inhibits treatment
bleeding
acne, abnormal
ortables,
bruising.
sweating,
andReport
so
phosphorylation
Pseudomonas
M. avium. of forth) signs
these
exfoliation).
to help toNotify
prevent
the physician.
physician
the
myosin and lowers
aeruginosa, Serratia 4. immediately
spread dizziness
Assess of infection.
becauseandUse certain
intracellular ionic Ca
marcescens, universal
drowsiness
skin reactionsprecautions
that may might
indicate
or
affect
concentrations, resulting
Haemophilus isolation
gait,
seriousbalance,
hypersensitivity
procedures
and other as
in smooth muscle
influenzae, Moraxella indicated (Stevens-Johnson
functional
reactions for
activities
specific
relaxation.
catarrhalis. patients.
syndrome).
 NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
GENERIC NAME: Binds to the bacterial 2gm IVTT now Ceftriaxone is used Documented CNS: SEIZURES (HIGH 1. Monitor signs of blood
Ceftriaxone cell wall membrane, (-) ANST OD for the treatment of hypersensitivity DOSES). GI: dyscrasias, including
causing cell death. the infections PSEUDOMEMBRANO eosinophilia (fatigue,
Bactericidal action (respiratory, skin, Intravenous US COLITIS, diarrhea, weakness, myalgia),
CLASSIFICATION: against susceptible soft tissue, UTI, ENT) administration of cholelithiasis, hemolytic anemia (malaise,
Anti-infectives bacteria caused by susceptible ceftriaxone solutions sludging in the dizziness, jaundice,
organisms. containing lidocaine. gallbladder. Derm: abdominal pain), leukopenia
Organisms that are rashes, urticaria. (fever, sore throat, mucosal
generally susceptible Hemat: bleeding, lesions, signs of infection),
to ceftriaxone eosinophilia, thrombocytopenia (bruising,
include S. hemolytic anemia, nose bleeds, bleeding gums,
pneumoniae, S. leukopenia, other unusual bleeding), or
pyogenes thrombocytosis. thrombocytosis (headache,
Local: pain at IM site, dizziness, chest pain,
phlebitis at IV site. fainting, visual disturbances,
numbness or tingling in the
hands and feet). Report
these signs to the physician.

2. Monitor injection site for

pain, swelling, and irritation.
Report prolonged or
excessive injection site
reactions to the physician.

3. Instruct patient to notify

physician immediately of
signs of superinfection,
including black, furry
overgrowth on tongue,
vaginal itching or discharge,
and loose or foul-smelling
stools.