Generic/ Brand name & Classification

Dose, strength & Formulation

Indication/Mechanism of Drug Action

Adverse/Side effects
y

Nursing Responsibilities .Do not exceed the recommended dosage. Consult physician if needed for children < 3 yr; if needed for longer than 10 d; if continued fever, severe or recurrent pain occurs (possible serious illness). Avoid using multiple preparations containing acetaminophen. Carefully check all OTC products. Give drug with food if GI upset is noted. Discontinue drug if hypersensitivity reactions occur. Treatment of

Generic:

Ordered:  300mg Timing:  Q4 Route:  IV

acetaminophen

Brand:  Paracetamol

Classification:

Indications: Analgesic±antipyretic in patients with aspirin allergy, hemostatic disturbances, bleeding diatheses, upper GI disease, gouty arthritis Arthritis and rheumatic disorders involving musculoskeletal pain (but lacks clinically significant antirheumatic and antiinflammatory effects) Common cold, flu, other viral and bacterial infections with pain and fever Mechanism of Action:  Antipyretic: reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation and sweating, which helps dissipate heat Analgesic: site and mechanism of action unclear.

y y

Antipyretic Analgesic (nonnarcotic)

Adverse reactions: y CNS: Headache y CV: Chest pain, dyspnea, myocardial damage when doses of 5±8 g/d are ingested daily for several weeks or when doses of 4 g/d are ingested for 1 year y GI: Hepatic toxicity and failure, jaundice y GU: Acute kidney failure, renal tubular necrosis

y

y

y

y

y

insomnia. dream abnormalities Dermatologic: Rash. vertigo. urticaria. inflammation. asthenia. Arrange for further evaluation of patient after 8 wk of therapy for gastroreflux disorders. or crush. Nacetylcysteine should be available as a specific antidote. Caution patient to swallow capsules whole² not to open. anxiety. basic life support measures may be necessary. paresthesias. strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects . Nursing Responsibilities Generic:  Omeprazole Ordered:  500mg Timing:  TID Classification: y y Antisecretory agent Proton pump Indications:  Short-term treatment of active duodenal ulcer  First-line therapy in treatment of heartburn or symptoms of gastroesophageal reflux disease (GERD)  Short-term treatment of active benign gastric ulcer Adverse reactions: y Mechanism of Action: CNS: Headache. y Administer before meals. not .overdose: Monitor serum levels regularly. apathy. alopecia. Generic/ Brand name & Classification Dose. chew. dizziness. pruritus. dry skin GI: Diarrhea.

abdominal pain. tongue atrophy y intended for maintenance therapy. if needed. Administer antacids with omeprazole. nausea.inhibitor  Gastric acid-pump inhibitor: suppresses gastric acid secretion by specific inhibition of the hydrogen/potassium ATPase enzyme system at the secretory surface of the gastric parietal cells. which did occur in preclinical studies. Generic/ Brand name & Classification Dose. dry mouth. Symptomatic improvement does not rule out gastric cancer. strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects Nursing Responsibilities . constipation. blocks the final step of acid production. vomiting.

Generic: Hexetidine Timing:  Q8 Route:  PO Classification: Oral antiseptic Indications: Adverse reactions:  Minor sore throat. bacterial and fungal  mouth or infection to give fast relief tongue from sore throat and mouth irritation. . halitosis. general oral hygiene. . First. bactidol quicly reduces bacteria in the affected areas to help relieve and prevent soreness.  Assess for any lesions in the mouth of the patient. Mechanism of Action:  transient  Protection against oral anesth. ulcers.  Allergic Improves appearance of contact mouth tissue. alterations. then hexetidine contains adheres to affected areas for extended period of time.  Caution the patient that the solution may be too harsh to taste. giving long lasting protection. toothe surfaces afaints  taste formation of decay acids. protects dermatitis.  Instruct patient not to swallow the medication.

salmonellosis.diarrhea. Classification: Laxatives Route:  NGT Mechanism of Action:  Inhibits bacterial DNA gyrase thus preventing replication in susceptible bacteria .Generic/ Brand name & Classification Dose.  vomiting. glucose level in diabetic pts .  diarrhea on prolonged use. Treatment of hepatic encephalopathy Adverse reactions:  Abdominal discomfort associated with flatulence and intestinal cramps. with hepatic encelopathy: regularly assess mental condition >monitor I & O >monitor for Inc. >Assess condition before therapy and reassess regularly thereafter to monitor drug¶s effectiveness >Monitor pt for any adverse GI reactions.  Nausea. >Assess for adverse reactions >for pt.vomiting. nausea. strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects Nursing Responsibilities Generic:  Lactulose Ordered:  30cc Timing:  BID Indications:  Constipation.

strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects Nursing Responsibilities Generic: Acetylcysteine Ordered:  200mg Timing:  TID Indications: Treatment of respiratory affections characterized by thick and viscous hypersecretions: acute bronchitis. disturbances of liver function. chronic bronchitis and its exacerbations. Adverse reactions:  Classification: Mucolytics Route:  NGT       . nausea and vomiting. may occur. fever. The exact mechanism of action in acetaminophen toxicity is unknown. rashes and pruritus. mucoviscidosis and bronchiectasis.Generic/ Brand name & Classification Dose. It is thought to act by providing substrate for conjugation with the toxic metabolite. angioedema.  Monitor effectiveness of therapy and Hypersensitivity advent of reactions have been adverse/allergic reported in patients effects. . syncope. sweating. pulmonary emphysema. arthralgia. receiving acetylcysteine including bronchospasm. Mechanism of Action: Exerts mucolytic action through its free sulfhydryl group which opens up the disulfide bonds in the mucoproteins thus lowering mucous viscosity.

GENERIC NAME Salbutamol BRAND NAME Ventolin vilmax INDICATION Reversible airway obstruction including bronchial asthma. cardiovascular disease ADVERSE RXN Fine tremor of skeletal muscle. a compensory small increase in heart rate. promote calmness and sleep CONTRAINDICAT ION Hypersensitivity PRECAUTION/ ADVERSE REACTION PRECAUTION: Hyperthyroidism. feeling of tension. headache. muscle cramps NURSING CONSIDERATION > drug may be decrese sensitivity of spirometry used for diagnosis of asthma >syrup may be taken as young as age 2 >monitor for evidence of allergic rxn .D M. chronic bronchitis ACTION Facilitates/ potentiates the inhibitory activity of GABA at the limbic system and reticular formation to reduce anxiety.

This prevents the normal functioning of the bacteria.  Report onset of loose stools or diarrhea. Adverse reactions:  Hypersensitivity reactions have been reported in patients receiving acetylcysteine including bronchospasm. Patient & Family Education  Direct sunlight (UV) exposure should be minimized during therapy with drug.  syncope. since pseudomembranous colitis (see Appendix F) must be ruled out.  fever. It is most commonly used for treating respiratory illnesses (pneumonia. It is also used in skin and soft tissue infections.  nausea and vomiting.  Take aluminum or magnesium antacids 2 h before or after drug. . rashes and pruritus. strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects  Nursing Responsibilities . Generic: Azithromycin Classification: antiinfective Ordered:  500mg Timing:  OD Route:  NGT Indications: Zithromax is effective against a wide variety of micro organisms. angioedema. Monitor for and report loose stools or diarrhea. Chlamydia and against organisms that often attack HIV positive patients.  disturbances of liver function.Generic/ Brand name & Classification Dose. Mechanism of Action: bacteriostatic action ± it prevents the bacteria from growing by binding to components inside the bacterial cell that manufacture proteins.  sweating. may occur.  Monitor PT and INR closely with concurrent warfarin use.  Do not breast feed while taking this drug without consulting physician.  arthralgia. throat infections).

Gliclazide also has effects outside the pancreas. weight gain constipation epigastric discomfort/heartburn skin itching    Assess blood glucose regularly Check the blood glucose level before eating Assess for the patience compliance in the medication Watch out for Hypoglycemia attack . combined with its continuing ability to stimulate insulin secretion. strength & Formulation Indication/Mechanism of Drug Action Adverse/Side effects Nursing Responsibilities Generic: Ordered:  30mg Timing:  BID Route:  NGT Indications: Gliclazide is used in the treatment of type II (non-insulin dependent) diabetes that cannot be controlled with diet and exercise. This.Generic/ Brand name & Classification Dose. Mechanism of Action: Adverse reactions:       Gliclazide Classification: Anti Diabetic Gliclazide is a blood glucoselowering agent. Non-insulin dependent diabetes (NIDDM) is due to a decreased sensitivity of the cells to insulin. where it improves insulin-stimulated usage of glucose. Gliclazide stimulates the islet cells of the pancreas to secrete insulin. allow Gliclazide to have long-term blood glucose-lowering ability. but the pancreas still has the ability to produce insulin. These effects restore the insulin secretion that has become diminished in NIDDM patients. glucose. and also increases their sensitivity to their normal stimulus.

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