drugstudy kp

8/7/2019 drugstudy kp

1/5

Name of

Drug

Classification Adverse

effect

Indication Contraindication Nursing

Responsiblities

Cefuroxime IV 50mg q6

Non-opioid analgesic

Body as a Whole:

Thrombophlebitis(IV site); pain,burning, cellulitis(IM site);superinfections,positive Coombs'test.

GI:Diarrhea,nausea, antibiotic-associated colitis.Skin:Ra sh ,

pruritus, urticaria.Urogenital:

Increased serumcreatinine andBUN, decreasedcreatinineclearance.

It is effective forthe treatment of penicillinase-producingNeisseria

gonorrhoea(PPNG).

Effectively treatsbone and jointinfections,bronchitis,meningitis,gonorrhea, otitismedia,pharyngitis/tonsillitis, sinusitis, lowerrespiratory tractinfections, skin andsoft tissueinfections, urinarytract infections, and

is used for surgicalprophylaxis,reducing oreliminatinginfection.

Hypersensitivity tocephalosporins andrelatedantibiotics; pregnancy(category B), lactation.

Determine historyof hypersensitivityreactions tocephalosporins,penicillins, and historyof allergies,particularly to drugs,

before therapy isinitiated.

Inspect IM and IVinjection sitesfrequently for signs of phlebitis.

Report onset of loose stools ordiarrhea. Althoughpseudomembranouscolitis.

Monitor I&O ratesand pattern:

Especially importantin severely ill patientsreceiving high doses.Report any significantchanges.


2/5

Name of

Drug


effect


ResponsiblitiesParacetamol drops60mg/ml 1.5ml q4

ANTIINFECTIVE;ANTIBIOTIC; SECOND-GENERATIONCEPHALOSPORIN

Side effects arerare withparacetamol whenit is taken at therecommendeddoses. Skin rashes,

blood disordersand acuteinflammation of thepancreas haveoccasionallyoccurred in peopletaking the drug ona regular basis fora long time. Oneadvantage of paracetamol overaspirin and NSAIDsis that it doesn'tirritate thestomach or causingit to bleed,potential Sideeffects of aspirinand NSAIDs.

To relieve mild tomoderate pain dueto things such asheadache, muscleand joint pain,backache and

period pains. It isalso used to bringdown a hightemperature. Forthis reason,paracetamol can begiven to childrenafter vaccinationsto prevent post-immunisationpyrexia (hightemperature).Paracetamol isoften included incough, cold and fluremedies.

Hypersensitivity toacetaminophen orphenacetin; use withalcohol.

Assessment & DrugEffects

Monitor for S&S of:

hepatotoxicity, evenwith moderate

acetaminophendoses,especially inindividuals with poornutrition.

Patient & Family

Education

Do not take other

medications (e.g.,coldpreparations)containingacetaminophenwithout medicaladvice; overdosingand chronic use cancause liver damageand other toxic


3/5

effects.

Do not self-medicate

children for painmorethan 5 d withoutconsulting aphysician.

Do not use for fever

persisting longer than3 d, fever over 39.5C (103 F), orrecurrent fever.

Do not give children

more than 5 doses in24 h unlessprescribedby physician.


4/5

Name of

Drug


effect


ResponsiblitiesRanitidine

I. DRUG CLASS:Histamine2antagonist

II. THERAPEUTICACTIONS:Competitivelyinhibits theaction of histamine atthe H2 receptorsof the parietal

cells of thestomach,inhibiting basalgastric acidsecretion andgastric acidsecretion that isstimulated byfood, insulin,histamine,cholinergicagonists,gastrin, andpentagastrin

ANTIINFECTIVE;ANTIBIOTIC; SECOND-GENERATIONCEPHALOSPORIN

CNS: headcahe,malaise,dizziness,somnolence,insomia,vertigo

CV:tachycardia,bradycardia

GI:constipation,diarrhea,

nausea,vomiting,abdominal pain

LOCAL: pain atIM site, localburning oritching at IVsite

Short-termtreatment of active duodenalulcer

Maintenancetherapy forduodenal ulcerat reduceddosage

Short-termtreatment of active, benign

gastric ulcer

Short-termtreatment of GERD

Treatment of heartburn, acidindigestion,sour stomach

Contrainidicatedwith allergy toranitidine,lactation

Use cautiouslywith impairedrenal or hepaticfunction,pregnancy

1. Administeroral drug withmeals and atbedtime.

2. Decreasedoses in renaland liver failure.

3. Provideconcurrentantacid therapyto relieve pain.

4. Adminsiter IMdose undiluted,deep into largemuscle group.

5. Arrange forregular follow-up, includingblood tests toevaluateeffects.

6. Report sorethroat, fever,unusual


5/5

III. DOSAGE:

12.5 mg TIV q12 hrs

blleding or bruising,severe

headcahe andetc

drugstudy kp

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