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Drug Classification Laxative, Stimulant

Indication Constipation; bowel cleansing for childbirth, surgery, and endoscopic examination

Contraindications Allergic reaction to any stimulant laxatives, intestinal blockage, signs of appendicitis (severe stomach pain, nausea, vomiting), or rectal bleeding of unknown cause.

Side Effects Irregular heartbeat Confusion Muscle aches Skin rash Weakness or tiredness If you notice these less serious side effects, talk with your doctor: Burping Diarrhea or cramps Nausea

Nursing Considerations Before giving drug for constipation, determine whether patient has adequate intake and diet. Monitor electrolyte levels during prolonged use. Drug is recommended for short-term use only. Suggest other ways to prevent constipation, such as by eating more fruits, vegetables, and whole grains to increase dietary bulk and by drinking 8 to 10 glasses of water daily. As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, and foods mentioned above.

Drug Classification Antibiotic

Indication To supress intestinal bacteria before surgery To prevent or treat superficia l bacterial infections

Action Generally bactericidal. Inhibits protein synthesis by binding directly to the 3OS ribosomal subunit

Contraindications Patients with hypersensitiv ity to other aminoglycosi des and in those with intestinal obstruction Use cautioustly with elderly patients and in those with impaired renal function, neuromuscul ar function, neuromuscul disorders, ulcerative bowel lesions.

Side Effects Nausea Vimitung Diarrhea Nephrotoxicity Malabsorption syndrome

Nursing Considerations Watch for signs and symptoms of infections, such as fever, chills, and increase pulse rate When using drug for preoperative disinfection, provide a low residue diet Instruct patient or parent to report adverse reactions promptly Encourage patients parent toassist child to maintain adequate fluid intake

Drug Classification NSAIDs

Indication Mild to moderate pain

Action Produces antiinflammatory, analgesic, and anti-pyretic effects possibly by inhibiting prostaglandin synthesis

Contraindications Patients with hypersensitiv ity to drug and those with anioedema, syndrome of nasal polyps or bronchospast ic reaction to aspirin or ther NSAIDs

Side Effects

Nursing Considerations

Headache tell patients parent to take with Dizziness meals or milk to reduce adverse Nervousness GI reactions Fluid retention Peripheral edema because of its ani-pyretic and anti-inflammatory actions. Tinnitus NSAIDs may mask signs and Epigastric distress symptoms of infection Nausea Peptic ulceration teach patient and/or parent signs and symptoms of GI bleeding, Diarrhea including blood in vomit, urine Constipation or stool Abdominal pain Bloating Flatulence Heartburn Pruritus rash