Generic Name Cefazolin

Brand Name Ancef

Classification Therapeutic: Anti-infectives Pharmacologic: First generation cephalosphorins

Dosage

Mech. Of action Bind to bacterial cell wall membrane, causing cell death. Active against many gram-positive cocci including: Streptococcus pneumoniae, Group A betahemolytic streptococci; Penicillinasproducing staphylococci.

Adverse effect CNS: Seizures (high doses) GI: Pseudomembranous colitis, diarrhea, nausea, vomiting, cramps GU: Interstitial nephritis DERM: Rashes, urticaria HEMAT: Blood dyscrasias, hemolytic anemia LOCAL: Pain at IM site, phlebitis at IV site

Indication Treatment of: Skin & skin structure infections; pneumonia; urinary tract infections; bone & joint infections

Contraindication Hypersensitivity to cephalosphorins. Serious hypersensitivity to penicillin. Use Cautiously in: Renal impairment History of GI disease, especially colitis Geriatric patients Pregnancy or Lactation

Nursing Consideration Assess patient for infection (vital signs; appearance of surgical site, urine; WBC) at beginning and during therapy. Before initiating therapy, obtain a history to determine previous use of and reactions to penicillins or cephalosphorins. Persons with a negative history of penicillin sensitivity may still have an allergic response. Obtain specimens for culture and sensitivity before initiating therapy.

Generic Name Paracetamol

Brand Name biogesic

Classification

Dosage

Mech. Of action .

Adverse effect Hematologic: hemolytic anemia, neutropenia, leucopenia, pancytopenia. Hepatic: Jaundice Metabolic: Hypoglycemia Skin: rash, urticaria.

Indication Symptomatic relief of pain and fever.

Anti-pyretic

Nursing Consideration Contraindicated in Use liquid form patients for children and hypersensitive to patients who have difficulty drug. swallowing. In children, Use cautiously in don t exceed five patients with long doses term alcohol use in 24 hours. because Advise patient therapeutic doses causehepatotoxicity that drug is only for short term in these patients use and to consult the physician if giving to children for longer than 5 days or adults for longer than 10 days. Advise patient or caregiver that many over the counter products contain acetaminophen; be aware of this when calculating total

Contraindication

Generic Name

Brand Name

Classification

Dosage

Mech. Of action
This medication is used with other medications to treat active tuberculosis (TB) infections or alone to prevent those who have a positive TB test from developing symptoms of TB. Isoniazid belongs to a class of drugs known as antibiotics that are active against tuberculosis. Interferes with lipid and nucleic acid biosynthesis in actively growing tubercle bacilli.

Adverse effect

Indication


Contraindication

Nursing Consideration

Isoniazid

Niazid

Antituberculotic

Peripheral neuropathy Nausea and vomiting Thrombocytopenia Local irritation at IM site Epigastric distress Elevated AST

Tuberculosis of all forms Prophylaxis specific reactors in

patients (positive

who are tuberculin Mantoux test)) or who are considered to be high risk for TB.

Isoniazid is contraindicated in patients who develop severe hypersensitivity reactions, including drug induced hepatitis; previous isoniazidassociated hepatic injury; severe adverse reactions to isoniazid such as drug fever, chills, arthritis; and acute liver disease of any etiology.

-Give in an empty stomach 1 hr before or 2 after meals; may be given with food if GI UPSET OCCURS. -Give in a single daily dose. Reverse parenteral dose for pt unable to take oral meds. -Take this drug regularly, avoid missing doses, do not discontinue without first consulting your health care provider. -Do not drink alcohol or drink as little as possible.

Generic Name

Brand Name

Classification

Dosage

Mech. Of action

Adverse effect

Indication

Contraindication

Nursing Consideration

Rifampicin

Rifadin

Antibiotic

Inhibits DNAdependent RNA polymerase activity in susceptible bacterial cells.

CNS: headache, drowsiness, fatigue, dizziness, inability to concentrate, mental confusion, generalized numbness, muscle weakness, visual disturbances.

treatment of Pulmonary TB in conjunction with at least one other effective antituberculotic.

. Contraindicated with allergy to any rifamycin, acute hepatic disease, lactation.

Neisseria meningitidis carriers, for asymptomatic carriers to eliminate meningococci from nasopharynx; not for Dermatologic: Rash, treatment of meningitis. pruritus, urticaria, Unlabeled flushing, reddish discoloration of uses: Infections caused by Staphylococcus body fluids tears, aureus and Staphylococcus saliva, urine, sweat, sputum. epidermis, usually in combination GI: heartburn, therapy; gram-negative bacteremia in distress, anorexia, vomiting gas, infancy; Legionella cramps, diaarhea, pneumophilia, not responsive to hepatitis, pancreatitis. erythromycin; leprosy (in combination with GU: hemoglobinuria, dapsone); prophylaxis of hematuria, renal meningitis caused insufficiency, acute by Haemophilis influenzae. renal failure, menstrual disturbances.

-Administer on an empty stomach, 1 hr before or 2 hr after meals. -Administer in a single daily Use cautiously dose. with pregnancy (teratogenic -Consult effects have been pharmacist for reported in rifamoin preclinical suspension for studies; safest patients unable antituberculous to swallow regimen for use in capsules. pregnancy is -Prepare condidered to be patient for the rifampin, reddish-orange isoniazid, and coloring of ethambutol). body fluids (urine, sweat, sputum, tears, feces, saliva); soft contact lenses may be permanently stained; advise patients not to wear them during therapy.

ASESSMENT Subjective: hindi ko masyado magalaw kasi sumasakit Objective: -Limited range of motion -can t extend the right leg -inflammation on right knee -tenderness on the right and left ankle VS: temp- 36.8c RR- 23bpm PR- 86 cpm BP- 90/60 mm/Hg

DIAGNOSIS Impaired physical mobility related to pain and discomfort

INFERENCE
Fibromyalgia is a syndrome characterized by fatigue, diffuse musculoskeletal pain and stiffness, sleep disturbance, and the presence of tender points on physical examination. There is no known etiology, but theories have suggested a variety of possible pathophysiologi c mechanisms, such as neuralhormonal disturbance, antecedent physical trauma, viral infection, immune dysregulation, psychiatric

PLANNING After 4 hours of nursing interventions, the patient will increase strength and function of the affected site.

INTERVENTION
Independent: Continuously monitor degree of inflammation or pain. Maintain bed rest or chair rest when indicated. Schedule activities providing frequent rest periods and uninterrupted night time sleep. Assist with active or passive range of motion exercises. Encourage patient to maintain upright and erect posture when sitting, standing, and walking. Discuss and provide safety needs. Reposition patient frequently

RATIONALE
Level of activity or exercise depends on progression and resolution of inflammation process. Systemic rest is mandatory and important throughout all phases of disease to reduce fatigue, and improve strength. Maintains or improve joint function, muscle strength. Maximize joint function and maintains mobility. Helps prevent accidental injuries or falls. Relieves pressure on tissues and promotes circulatio

EVALUATION After 4 hours of nursing interventions, the patient was able to increase strength and function of the affected site.