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Date Ordered: January 9, 2012 Generic Name: Cefuroxime Sodium Brand Name: Zinacef Classification: Antibiotic Dosage, Route

& Frequency: 750 mg IV every 8 hours Mechanism of Action: Bactericidal: Inhibits synthesis of bacterial cell wall, causing cell death. Side Effects: Headache, Dizziness Desired Effect: This drug is given to our patient to treat infection

Nursing Responsibilities: 1. Administer the drug before meal. 2. Before administering, make sure patient is not allergic to penicillins or cephalosporins. 3. Monitor manifestations of hypersensitivity of the drug. 4. Inspect IM and IV injection sites frequently for signs of phlebitis. 5. Report onset of loose stools or diarrhea. 6. Monitor I&O rates and pattern especially in severly ill patients receiving high doses of the drug.

Date Ordered: January 16, 2012 Generic Name: Omeprazole Brand Name: Losec Classification: Proton pump inhibitor Dosage, Route and Frequency: 40 mg IV every 8 hrs. Mechanism of Action: 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; blocks the final step of acid production. Side Effects: Headache, Dizziness, Abdominal Pain Desired Effect: to suppress gastric acid secretion

Nursing responsibilities: 1. Take drugs before meals. 2. Explain the nature of the drug to the client to ensure cooperation from the client 3. Explain the side effects of the drug and give some precautionary measures to increase the awareness of the patient about the drugs and how to manage such when it occurs 4. Turn patient side to side if abdominal pain occurs

Date Ordered: January 10, 2012 Generic Name: Tramadol Brand Name: Ultram Classification: Analgesic Dosage, Route and Frequency: 100 mg incorporated first 2 IVF Mechanism of Action: Binds to mu opioid receptors and inhibits the reuptake of norepinephrine and serotonin, which may accounts for tramadol analgesic effect Side Effect: Dizziness, Nausea, Loss of appetite Desired Effect: This drug is given to our patient to relief the pain

Nursing Responsibilities: 1. After patient receives first tramadol dose watch for allergic reactions 2. Check first BP before administering medication as ordered to prevent hypotension 3. Explain the nature of the drug to the client to ensure cooperation from the client 4. Explain the side effects of the drug and give some precautionary measures to increase the awareness of the patient about the drugs and how to manage such when it occurs

Date & Time Ordered: January 9, 2012

Generic Name: Ranitidine

Brand Name: Zantac

Classification: Histamine2 (h2) antagonist

Dosage, Route & Frequency: 50 g IV every 8 hours

Mechanism of Action: Competitively inhibits the action of histamine at the h2 receptors of the parietal cells of the stomach, inhibiting basal gastric secretion and gastric acid secretion the is stimulated by food, insulin, histamine, cholinergic agonists, gastrin, and pentagastrin

Side Effects: Diarrhea, N&V, Headache, Dizziness Desired Effect: This drug is given to our patient to inhibit gastric acid secretion

Nursing Responsibilities: 1. Administer drug before meal 2. Assess patient for epigastric or abdominal pain and blood in the stool. 3. Inform patient that it may cause drowsiness or dizziness. 4. Inform patient that increased fluid and fiber intake may minimize constipation.