DRUG SUMMARY

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATIO

NSIDE EFFECTS

NURSING IMPLICATIONS

CEFTRIAXONE SODIUM

(ROCEPHIN)

8-7-2013 ANTIBIOTIC 2 G IVTT Q12H ANST ( - )

PLS GIVE THRU IV DRIP

Inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal

UTI COMMON S/EDiarrheaRashesPain @ injection site

ADVERSE S/EPseudomembranous ColitisLeukopeniaAnaphylaxis

BEFORE1.Ask patient if he’s allergic to penicillins or cephalosporins2.Obtain specimen for culture and sensitivity tests before giving first dose3.Monitor CBC, renal and liver function tests

DRUG PREPARATION1.Dilute 2 G vial with 19.2 mL of sterile water, NSS, or D5W2.Do not mix or co-administer Ceftriaxone with calcium-containing IV solutions

DURING1.Give over 30 minutes

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTSNURSING

IMPLICATIONS

AFTER1.Tell patient to report discomfort at IV insertion site2.Tell patient to report loose stools or diarrhea3.Tell patient to stop drug and to report @ first sign of allergic reaction

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTSNURSING

IMPLICATIONS

OFLOXACIN(FLOXIN)

8-7-2013 FLUOROQUINOLONE 400 MG TAB1 TAB BID

PO

Interferes with DNA gyrase, which is needed for synthesis of bacterial DNA. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria

COMPLICATED UTI

COMMON S/EDrowsinessDizzinessNauseaVomitingAbdominal pain

ADVERSE S/EPseudomembranous ColitisAnaphylaxisLeukopenia

BEFORE1.Ask patient if he’s allergic to fluoroquinolone drugs2.Obtain specimen for culture and sensitivity test3.Monitor CBC, renal and liver function tests

DURING1.Drug maybe taken with or without regard to meals2.Take each dose with a full glass of water

AFTER1.Avoid sun exposure2.Take antacids 6 hour before or 2 after after Ofloxacin3.Warn patient that dizziness may occur4.Tell patient to stop drug and report @ first sign of allergic reaction

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DUTASTERIDE + TAMSULOSIN(DUODART)

8-7-2013 ALPHA ADRENORECEPTOR

ANTAGONIST

500 MG / 400 MG1 TAB OD

PO

Blocks alpha – adrenergic receptors in the prostate. This action inhibits smooth muscle contraction in the prostate, prostatic capsule, prostatic urethra, and bladder neck, which improves the rate of urine flow & reduce symptoms of BPH

TO TREAT BPH COMMON S/EDizzinessDrowsinessOrthostatic HypotensionDiarrhea

BEFORE1.Rule out prostate cancer

DURING1.Take drug 30 min after same meal each day2.Do not open, crush, or chew drug capsules

AFTER1.Change position slowly to minimize effect of orthostatic hypotension2.Avoid hazardous activities until CNS effects are known

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

LACTULOSE(CEPHULAC)

8-8-2013 LAXATIVE 30 CC QHSP.O.

HOLD FOR BM GREATER THAN

2X / DAY

Lactulose is a disaccharide that consists of fructose and glucose. It is broken down In the colon into lactic and acetic acid. Acidification leads to increased osmotic pressure in the colon, and increases stool water content and softens stool.

CONSTIPATION COMMON S/EAbdominal crampsBelchingDiarrheaFlatulenceGaseous distentionNauseaVomiting

BEFORE1.Assess pattern of bowel movement 2.Check latest serum electrolyte level

DURING1.Take lactulose with food or dilute with juice to reduce sweet taste2.Avoid using antacids and lactulose together

AFTER1.Tell patient not to use other laxatives while taking lactulose2.Instruct patient to increase fluid intake if frequent BM occur

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

ACETAMINOPHEN(PARACETAMOL)

8-7-2013 ANALGESIC 500 MG TAB1 TAB Q4H PRN

FOR T > 38°CP.O.

ANTIPYRETICReduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation & sweating, which helps dissipate heat

ANALGESICProduces analgesia by blocking prostaglandin production & interfering with pain impulse generation

FOR FEVER COMMON S/EDrowsinessNauseaVomitingAbdominal pain

ADVERSE S/ELeukopeniaNeutropeniaHepatotoxicity

BEFORE1.Assess for increase in body temp2.Check latest CBC and liver function test results

DURING1.Take only as directed and with food or milk to decrease GI upset2.Avoid alcohol as this increases risk for hepatic damage

AFTER1.Recheck body temperature after 30 min of administration2.Tell patient to report if S/S of hepatotoxicity occurs such as bleeding, easy bruising, & malaise

DRUG NAMEDATE

ORDEREDCLASSIFICATION

DOSEROUTE

FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DIOSMIN + HESPERIDIN

(DAFLON)

8-10-2013 MULTIVITAMIN 2 TABS TID X 3 DAYS

AND1 TAB FOR

NEXT SUCCEEDING

DAYSP.O.

It prolongs vasoconstrictor effect of noradrenaline, causing reduce venous capacitance, distensibility, and statis.

ACUTE HEMORRHOIDAL

ATTACKS AND CHRONIC

HEMORRHOIDAL DISEASE

Upset stomachHeadacheNauseaVomitingUnusual taste in mouth

BEFORE1.Note indication for therapy

DURING1.Take with food to reduce GI upset

AFTER1.Tell patient to report any unusualties