drug study.docx herpes

8/13/2019 Drug study.docx Herpes

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MEDICATION

DRUG DOSAGE CLASSIFICATION MECHANISMOF ACTION

INDICATION CONTRAINDICATION ADVERSEREACTION

NURSINGCONSIDERATIONS

Omeprazole

MupirocinOintment

Chloramphenicol

40g TSIVOD

On affectedarm.TID

1 tab q6

G.I.T drugs/ Anti-Ulcer

Topical drugs/ LocalAnti-Inffective

Anti-Infective/Miscellaneous Anti-Infective drug

-Inhibits ofactivity of acid(proton) pumpand binds tohydrogen-

potassiumadenosinetriphosphatase atsecretory surfaceof gastric parietalcell to blockformation of acid.

-Unknown-Inhbits bacterialCHON and RNAsynthesis.

-Inhibits bacterial protein synthesis by binding to the50S subunit ofthe ribosome,

bacteriostatic.

-GERD-Erosiveesophagitis-Duodenal ulcer.

-Traumatic skinlesion.

-Meningitis-Bacteremia-Gram-negativeorganism.

-Patient hypersensitive todrug and its component.

-Patient with metabolicalkalosis and hypocalcemia.

-Patient hypersensitive todrug and its component.-Use cautiously in patient the

burns or large open wound,impaired renal failure.

- Patient hypersensitive todrug.- Patient with impairedhepatic or renal function.-Acute intermittent polyuria.

-diarrhea-abdominal

pain-N/V-constipation

-headache-rhinitis, orstinging whenuse.

-headache-milddepression-confusion-delirium-peripheralneuropathywith prolongedtherapy.-aplasticleukemia.-jaundice

-Tell pt.to swallowtablets or capsule wholenot open, crush or chewon them.-Take 30 mins.beforemeal

-Cautious patient not touse other products.-Notify physician if thecondition doesntimprove or worse in 3-5days.

-Obtain specimen for C/Stest before giving firstdose.-Obtain drug level ofmeasurement andmaintain level at 5 tomcg/ml.-Monitor CBC, iron leveland platelet 2 days duringtherapy. Stop drug andnotify prescriberimmediately if anemia,leucopenia.-Monitor pt. for S/SX ofsuperinfection.


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Intravenous Fluid Type of Solution Mechanism of Action Indication Contraindication Nursing Responsibilities

D5NM(Dextrose 5% in

Normosol MSolution )

Hypertonic When administeredintravenously,

Normosol-M and 5%Dextrose Injection

provides water andelectrolytes (withdextrose as a readilyavailable source ofcarbohydrate) formaintenance of dailyfluid and electrolyterequirements, plusminimal carbohydratecalories.

The electrolytecomposition approachesthat of the principal ionsof normal plasma(extracellular fluid).

D5NM is indicated for parenteral maintenance ofroutine daily fluid andelectrolyte requirementswith minimal carbohydratecalories from dextrose.

Hypersensitivity to any ofthe components.

Do not administer unless solution isclear and container is undamaged.

Caution must be exercised in theadministration of parenteral fluids,especially those containing sodiumions to patients receivingcorticosteroids or corticotrophin.

Solution containing acetate should beused with caution as excessadministration may result in metabolicalkalosis.

Discard unused portion. Properly label the IV Fluid Observe aseptic technique when

changing IV fluid

D5LR(5 5 Dextrose inLactated Ringers)

Hypertonic Administration of thisfluidincreasesthesoluteconcentrationof

plasma,allowingwater outthecell and intotheextracellular compartmenttorestoreosmoticequilibrium,the cell willshrink

For replacementof fluidsandelectrolytesto

promoterehydrationstatustopatient hasfree water,saltandcalories

Hypersensitivity to any ofthe components.- Contraindicated to

patientswhohavecongestiveheartfailure(CHF),pulmonaryedema,urinaryobstruction,steroidtherapyand diabeticcoma

Do not administer unless solution is

clear and container is undamaged. Caution must be exercised in the

administration of parenteral fluids,especially those containing sodiumions to patients receivingcorticosteroids or corticotrophin.

Solution containing acetate should beused with caution as excessadministration may result in metabolic

alkalosis.


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changing IV fluid

PLR(Plain LactaedRingers)

Isotonic Rehydration from the waterin a Lactated Ringer'ssolution is vital, as the totalweight of the body is about70 percent water.

Lactated Ringer's is givenintravenously to a patientto replace fluids andelectrolytes lost fromillness or injury. Theconcentration ofelectrolytes and water isdesigned to mimic thecomposition of the blood

plasma. This solution may be prescribed along with asugar solution (typicallydextrose) to provide asource of calories. LactatedRinger's may also be usedin conjunction with avariety of intravenousmedications in order todilute the medication.

Hypersensitivity to any ofthe components. Do not administer unless solution is

clear and container is undamaged.

Caution must be exercised in theadministration of parenteral fluids,especially those containing sodiumions to patients receivingcorticosteroids or corticotrophin.

Solution containing acetate should beused with caution as excess

administration may result in metabolicalkalosis.


changing IV fluid


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DISCHARGE PLAN

MEDICATION

S AT HOME

EXERCISE TREATMENT HEALTH

TEACHNG

OUT PATIENT

FOLLOW-UP

DIET SEXUAL

ACTIVITY

-Acyclovir(Zovirax) -- treatsencephalitiscaused by HSV,VZV, and EBV

-Ganciclovir(Cytovene) --treats encephalitiscaused by

cytomegalovirusand HSV1

-Anticonvulsantmedications --

prevent and treatseizures that mayhappen withencephalitis

-Vitamin C, 500 -1,000 mg one tothree times daily,as an antioxidantand to boost theimmune system.

-Probioticsupplement -(containing

-The need formovement andexercise: if thereis weakness ofthe trainingexercise,

positive motion.Efforts jointmovement: ifthere is muscle

atrophy inmalnourished patient then do passiveexercisesaccording ROM

Source:http://garest.net/nursing-care-

plan-for-encephalitis-at-children.html

- Avoidactivitieswherehaving aseizure.

- aneuropsychologist aspecialist in

brain injuryand cognitiverehabilitation

-anoccupational

therapist theycan identify

problem areasin a person'severyday lifeand help workout practicalsolutions

-a physiotherapist a therapistwho uses

physicalmethods, suchas massage,manipulationand exercise

- Wash handsfrequentlyandthoroughlywith soap andwater,

particularlyafter using therestroom and

before andafter meals.

- Don't sharetableware and

beverages.

- Teach to

practice goodhygiene andto avoidsharingutensils athome

Source:

http://www.mayoclinic.com/health/

Call the Doctor ifyou have:

-Seizures moreoften, or whenthey have beencontrolled for along period

-Side effects frommedications

-Unusual behaviorthat was not

present before

-Weakness, problems withseeing, or balance

problems that arenew

-Eat antioxidantfoods, includingfruits (such as

blueberries, cherries,and tomatoes), andvegetables (such assquash and bell

peppers).

-Avoid refined foods,

such as white breads, pastas, and especiallysugar.

-Eat fewer red meatsand more lean meats,cold-water fish, tofu(soy, if no allergy),or beans for protein.Use healthy oils infoods, such as oliveoil or vegetable oil.

-Avoid caffeine,alcohol, and tobacco.Drink 6 - 8 glasses offiltered water daily.

-Omega-3 fattyacids, such as fishoil, one to threetimes daily, to help

-Use a latexcondom for sexualintercourse

-Limit your numberof sexual partners

-Be aware thatnonoxynol-9, thechemical

spermicide used ingel and foamcontraceptive

products and somelubricatedcondoms, does not

protect against anysexuallytransmitteddiseases

Source:http://umm.edu/health/medical/reports/articles/herpes-simplex
http://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://www.nhs.uk/conditions/occupational-therapy/Pages/introduction.aspxhttp://www.nhs.uk/conditions/occupational-therapy/Pages/introduction.aspxhttp://www.nhs.uk/Conditions/Physiotherapy/Pages/Introduction.aspxhttp://www.nhs.uk/Conditions/Physiotherapy/Pages/Introduction.aspxhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.nhs.uk/Conditions/Physiotherapy/Pages/Introduction.aspxhttp://www.nhs.uk/Conditions/Physiotherapy/Pages/Introduction.aspxhttp://www.nhs.uk/conditions/occupational-therapy/Pages/introduction.aspxhttp://www.nhs.uk/conditions/occupational-therapy/Pages/introduction.aspxhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.htmlhttp://garest.net/nursing-care-plan-for-encephalitis-at-children.html


6/7

Lactobacillusacidophilus ), 5 -10 billion CFUs(colony formingunits) a day, fordigestive andimmune system

health. If you aretaking antibiotics,taking probioticsas well may helpyou avoid someside effects suchas diarrhea.People withautoimmunediseases, such as

rheumatoidarthritis or

psoriasis, shouldask their doctor

before taking probiotics.

Source:http://umm.edu/h

ealth/medical/altmed/condition/vir al-encephalitis-Antibiotics -- ifthe infection iscaused by certain

bacteria

- There shouldalways be alifeguard or

buddy present whengo

swimming.

Source:http://www.nlm.nih.gov/medline

plus/ency/patientinstructions/000128.htm

- a speech andlanguage therapist

they usespecialisttechniques toimprove all

aspects ofcommunication

http://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspx

-Supportive care,as well asantiviral therapywith a drug suchas acyclovir.Other treatmentsmay be used tolower fever,

providehydration, treatseizures if theydevelop, andreduce any

pressure in theskull.

encephalitis/DS00226/DSECTION=prevention

-Comfortmeasures to

reduce headacheinclude dimmingthe lights,limiting noise andvisitors.

-Seizures andaltered LOCrequire caredirected at injury

prevention andsafety.

-Describesstrategies toavoid infection(eg, avoidtouching lesionsduring anoutbreak)

Source: MedicalSurgical in

Nursing (Brunnerand Suddarth)12 th editionVolume 2

-Sudden fever

-Other symptomsof encephalitis

Source:http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000128.htm

decreaseinflammation and

boost the immunesystem. Fish oil mayincrease the risk of

bleeding, especiallyif you take blood-

thinners such aswarfarin(Coumadin),clopidogrel (Plavix),or aspirin.

Source:http://umm.edu/health/medical/altmed/condition/viral-

encephalitis
http://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=preventionhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspxhttp://www.nhs.uk/Conditions/Encephalitis/Pages/Complications.aspx


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-Anti-seizuremedications (suchas phenytoin) --to preventseizures

-Sedatives -- totreat irritability orrestlessness

-Acetaminophen -- for fever andheadache

Source:

http://www.nlm.nih.gov/medlineplus/ency/article/001415.htm

Source:http://www.webmd.com/a-to-z-guides/understanding-encephalitis-treatment
http://www.nlm.nih.gov/medlineplus/ency/article/003200.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/003200.htm

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