MEDICINE Generic Name:  Ranitidine Hydrochloride Brand Name:  Dalycrid Classification:  Gastrointestinal Agent

DOSAGE & FREQUENCY Dosage:  50 mg Frequency:  Every 8 hours Route:  IVTT

MECHANISM OF ACTION 

DRUG STUDY INDICATIONS AND CONTRAINDICATIONS Indications:  This medication is a short-term treatment of active duodenal ulcer:Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of acute ulcers, The treatment of pathological hypersecretory conditions Contraindications:

ADVERSE REACTION/ SIDE EFFECT Adverse Reaction:  CNS: Rarely, malaise, dizziness, somnolence, insomnia, and vertigo.  GI: Constipation, diarrhea, nausea/vomiting, abdominal discomfort/ pain, and rare reports of pancreatitis.

NURSING INTERVENTION  Observe 11 rights in giving medication  Observe patient for Potential
toxicity results from decreased clearance (elimination) and therefore prolonged action; greatest in the older adult patients or those with hepatic or renal dysfunction.  Watch out for Be alert for early signs of hepatotoxicity (though low and thought to be a hypersensitivity reaction): jaundice (dark urine, pruritus, yellow sclera and skin), elevated transaminases (especially ALT) and LDH.  Inform the patient that even if symptomatic relief is provided by ranitidine, this should not be interpreted as absence of gastric malignancy. Followup examinations will be scheduled after therapy is discontinued.  Encourage patient to adhere to scheduled periodic laboratory checkups during ranitidine treatment.  Instruct the patient not to

Potent anti-ulcer drug that competitively and reversibly inhibits histamine action at H2-receptor sites on parietal cells, thus blocking gastric acid secretion but appears to have minimal effect on fasting postprandial serum gastrin concentrations or secretion of gastric intrinsic factor or mucus.

 Cardiovascular: As
with other H2blockers, rare reports of arrhythmias such as tachycardia, bradycardia, atrioventricular block, and premature ventricular beats. Musculoskeletal: Rare reports of arthralgias and myalgias. Hematologic: Reversible decrease in WBC count.

 Ranitidine is
contraindicated in patients known to have hypersensitivity to ranitidine bismuth citrate or any of its ingredients.

 Integumentary:
Rash, including rare cases of erythema multiforme. Rare cases of alopecia and vasculitis.

abdominal cramping  Observe  Hypersensitivity 11 rights in giving medication  Advise patient to avoid intake of alcohol or foods high in purine such as sardines and anchovy paste.  Advise patient to increase oral fluid intake to enhance excretion. with meals.  Avoid activities that may cause bruising or injury. diarrhea. (Colchicine may reduce the number of clotforming cells (platelets) in blood. ADVERSE REACTION/ SIDE EFFECT NURSING INTERVENTION Generic Name:  Colchicine Brand Name:  Colchicine Classification Salt:  Antigout Drug  GI: nausea and vomiting.  Instruct patient to take med.MEDICINE DOSAGE & FREQUENCY Dosage:  100mg Frequency:  1 tab TID Route:  Per Orem MECHANISM OF ACTION  Reduces the crystal induced inflammation by reducing lactic acid production by leukocytes DRUG STUDY INDICATIONS AND CONTRAINDICATIONS Indications:  This medication is a prophylaxis and treatment of acute attacks of gout. Contraindications:  Contraindicated in patients with blood dyscrasias.)  Avoid contact .

drowsiness. thus reducing the production of uric acid with a decrease in serum and sometimes in urinary uric acid levels. Encourage patient to drink 2. Route:  P er Orem  Inhibits the enzyme responsible for the conversion of purines to uric acid. gastritis. Monitor nutritional status: discourage organ meat. hepatomegaly.  Management of pt.     . bone marrow depression  Observe the 11 rights of administering drugs. paresthesias GI: Nausea.’s malignancies that result in elevation of serum & uric acid  Use for patients with recurrent Calcium Oxalate Calculi whose daily uric acid exceeds 800mg/day(male) 750mg/day(female CONTRAINDICATION  Contraindicated with allergy to allopurinol. hyperbilirubinemia GU: Exacerbation of gout and renal calculi. neuritis. sardines.blood dyscrasias and clients with hemochromatosis CNS: Headache. Assess patient for any allergic reactions towards drug. renal failure HEMATOLOGIC: Anemia.with people who have colds or infections.peripheral neuropathy. relieving the signs and symptoms of gout. Vomiting.D.  Management of signs and symptoms of primary and secondary gout. abdominal pain. DRUG STUDY MEDICINE DOSAGE & FREQUENCY MECHANISM OF ACTION INDICATION ADVERSE REACTION/ SIDE EFFECT NURSING INTERVENTION Generic Name  Allopurinol Brand Name  Zyloprim Classification  Anti-gout Drug Dosage  100 mg Frequency:  O. Report any unusualities like fever. chills and bruising. Diarrhea. discontinue on the first sign of rash. It may lower the ability of the body to fight infection. thrombocytopenia.5-3L of water to decrease the risk of renal stone development. Leukopenia.

 Use cautiously  GI: nausea. Indications:  Iron deficiency Contraindications:  Contraindicated in patients with hemosiderosis. an essential component in the formation of hemoglobin.  Provides elemental iron.  Other: temporarily stained teeth from liquid forms.O. constipation. or regional enteritis and in those in those receiving repeated blood transfutions. gravies. primary hemochromatosis. anorexia. vomiting. peptic ulceration. but not with milk or antacids to enhance its absorption.  Instruct patient not to crush or chew extended-release forms to maintain its effectivity. black stools.  Caution patient . hemolytic anemia (unless patient also has iron deficiency anemia). alcohol  Advise patient to take med. DRUG STUDY MEDICINE DOSAGE & FREQUENCY MECHANISM OF ACTION INDICATIONS AND CONTRAINDICATIONS ADVERSE REACTION/ SIDE EFFECT NURSING INTERVENTION Generic Name:  Ferrous Sulfate Brand Name: Fer-Iron Classification:  Iron Dosage:  1 tab Frequency:  TID Route:  P. epigastric pain.  Alert: Inform parents that as few as 3 to 4 tablets can cause serious iron poisoning in children.salmon. after meals.  Observe 11 rights in giving medication  Tell patient to take tablets with juice (preferably orange juice) or water. diarrhea. legumes (high purine). ulcerative colitis.

 Give between meals with water but may give with meals if gastrointestinal discomfort occurs.on long-term basis. . not to substitute one iron salt for another because amounts of elemental iron vary.  Advise patient to report constipation and change in stool color or consistency.

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