x. medical management

X. MEDICAL MANAGEMENTDRUG STUDY

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATIONMECHANISM OF ACTION

INDICATIONS SIDE

EFFECTS CONTRAINDICATIONS

NURSING RESPONSIBILITIES

Sodium Bicarbonate

650 mg 2 tab TID

Sodium Bicarbonate

Antacid;

Electrolyte

Increases plasma bicarbonate; buffers excess H+

concentrations; raises blood pH; reverses the clinical manisfestation of Acidosis; increases the excretion of free bases in the urine.

Treatment of metabolic acidosis with measures to control the cause of the acidosis;

Symptomatic relief of upset stomach from hyperacidity associated with peptic ulcer.

Indicated for my pt. to treat her metabolic acidosis.

Gastric rupture following ingestion

Systemic alkalosis, hypokalemia secondary to intracellular shifting of potassium.

Contraindicated to patients allergy to components of preparations.

Use cautiously with impaired renal function, heart failure, edematous or Na- retaining states; oilguria or anuria, potassium depletion, pregnancy and lactation.

Have patient chew oral tablets thoroughly before swallowing, and follow them with a full glass of water.

Do not give oral NaHCO3 with 1-2 hr of other oral drugs to reduce risk of drug interactions.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/


INDICATIONS SIDE



Heraclene Forte

3 mg OD

Dibencozide Appetite Stimulant It facilitates optimum utilization of dietary protein intake; contributes to the formation and repair of body tissues and stimulates appetite

Premature babies, low birth weight, retarded growth, poor appetite in infants, children and adults, adjuvant to treatment of tuberculosis and other chronic ailments, convalescence from acute infection or surgery, faulty nutrition in older people.

No side effects reported

No contraindications were noted.

May administer drug with regards to meal.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATION

MECHANISM OF ACTION

INDICATIONS SIDE EFFECTS CONTRAINDICATIONS NURSING

RESPONSIBILITIES

Norvasc

5 mg

Amlodipine Antihypertensive;

Angiotensin II

Receptor Blocker

Selectively blocks the binding of Angiotensin II to specific tissue receptor, this action blocks the vasoconstriction effect of the renin-angiotensin system as well as the release of aldosterone leading to decrease BP.

Treatment of Hypertension

Headache

Dizziness

Insomnia

Syncope

Rash

Urticaria

Pruritus

Alopecia

Dry skin

Diarrhea

Abdominal pain

Contraindicated with hypersensitivity to Amlodipine; pregnancy and lactation

Use cautiously with hepatic or renal impairment, hypovolemia.

Administer drug without regards to meal

Ensure patient is nor pregnant

Monitor patient closely in any situation that may lead to a decrease in BP secondary to reduction in fluid volume-excessive perspiration, dehydration, vomiting, diarrhea-excessive hypotension can occur.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/


INDICATIONS SIDE



Ciprofloxacin

500mg 1 tab BID

Ciprofloxacin Antibacterial;

Fluoroquinolone

Bactericidal action against sensitive organisms, inhibits synthesis of bacterial cell wall, causing cell death.

Infections of the respiratory tract, middle ear, sinuses, eyes, kidneys and urinary tract, genital organs, abdomen, skin and soft tissues, bones and joints.

Indicated to treat my patient’s kidney infection.

Headache

Dizziness

Insomnia

Blurred vision

Fatigue

Ataxia

Arrhytmias Hypotension

Angina

Abdominal pain

Fever

Rush

Nausea

Contraindicated with allergy to ciprofloxacin or other fluoroquinolones, pregnancy and lactation.

Use cautiously with renal impairment, seizures, tendonitis or tendon rupture associated with fluroquinolones use.

. Ensure that the patient is hydrated before administering this drug.

Do not administer ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. May allow pt. to eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking ciprofloxacin. They could make the medication less effective.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATION

MECHANISM OF

ACTION INDICATIONS SIDE EFFECTS CONTRAINDICATIONS


Furosenamide 60 mg IV

Furosemide Loop Diuretics Furosemide works by blocking the absorption of sodium, chloride, and water from the filtered fluid in the kidney tubules, causing a profound increase in the output of urine (diuresis).

Treatment of excessive accumulation of fluid and/or swelling (edema) of the body caused by heart failure,cirrhosis,

chronic kidney failure, and the nephrotic syndrome.

Indicated to treat my patient with renal dysfunction.

low blood pressure

dehydration

electrolyte depletion (for example, sodium, potassium)

jaundice

Tinnitus

sensitivity to light

rash

pancreatitis,

nausea,

diarrhea

abdominal pain

Dizziness

Contraindicated with allergy to Furosemide and other diuretics

Use cautiously with pregnancy and lactation

Observe patients receiving parenteral drug carefully; closely monitor BP and vital signs. Sudden death from cardiac arrest has been reported.

Monitor BP during periods of diuresis and through period of dosage adjustment.

Observe older adults closely during period of brisk diuresis. Sudden alteration in fluid and electrolyte balance may precipitate significant adverse reactions. Report symptoms to physician.

NAME OF

DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATION MECHANISM OF ACTION


RESPONSIBILITIES

Prosec

20 mg 1 tab OD

Omeprazole Anti-secretory drug;

Proton 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.

Duodenal ulcer, treatment of heartburn or symptoms of GERD, active benign gastric ulcer, GERD, sever erosive esophagitis.

Indicated for my pt. since she is suffering from chest pain or heartburn.

Headache

Dizziness

Diarrhea

Abdominal pain

Nausea,vomiting

Constipation

Dry mouth

Tongue atrophy

URI symptoms

Cough

Epistaxis

Vertigo

Contraindicated with hypersensitivity to omeprazole or its components

Use cautiously with pregnancy and lactation.

Administer before meals.

Caution pt. to swallow whole-not to open, chew or crush them.

If using the oral suspension, empty packet into a small cup containing 2 tbsp. of water. Stir and have pt. drink immediately; fill cup with water and have this water. Do not use any other diluent.

Administer antacid with, if necessary.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/


INDICATIONS SIDE



Cozaar

50 mg 1 tab OD

Losartan Angiotensin II Receptor

Antagonist; Antihypertensive

Angiotensin II receptor (type AT1) antagonist acts as a potent vasoconstrictor and primary vasoactive hormone of the renin–angiotensin–aldosterone system.

Hypertension Headache

Dizziness

Insomnia

Syncope

Rash

Urticaria

Pruritus

Alopecia

Dry skin

Diarrhea

Abdominal pain

Contraindicated with hypersensitivity to Losartan; pregnancy and lactation

Use cautiously with hepatic or renal impairment, hypovolemia.

Monitor patient closely, BP alterations due to effect of drug

Monitor any allergic reactions

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATIONMECHANISM OF

ACTION INDICATIONS

SIDE EFFECTS

CONTRAINDICATIONS

NURSING RESPONSIBILITIE

S

Rowatinex 2 caps QID

Natural Terpene

Antiurolithic Promotes a diuresis and relaxes urinary tract spasm, thus assisting the passage of stones. The therapeutic effects of the balanced combination of terpenes reduces urinary tract inflammation, stimulating renal blood flow through the kidneys and increasing the output of less concentrated urine.

Nephrolithiasis, Urolithiasis,Cystisis, Renal Colic, UTI, Post-op prophylaxis of calculi, treatment of urinary tract spasm and inflammation.

Indicated for my pt. since she has dysfunctional kidney. To promote her diuresis.

No side effects have been reported

No contraindications noted.

Liquid intake should be increased during therapy

Store at temp. not exceeding 30oc.

NAME OF DRUG WITH

DOSAGE

GENERIC NAME

ACTION/


INDICATIONS SIDE



Nervilan 1 tab OD

Vitamin B complex

Vitamin B Vit.B acts as coenzyme in metabolic process; enzyme activator-involved in many oxidation-reduction reactions.

Neuritis, neulagia, polyneuritis, diabetic neuropathy, alcoholism, cervical and shoulder-arm syndrome and encephalopathy.

No side effects reported.

Use cautiously to pt. with liver dysfunction

May be taken with meals to reduce GI discomfort.

NAME OF

DRUG WITH

DOSAGE

GENERIC NAME

ACTION/

CLASSIFICATION MECHANISM OF ACTION


RESPONSIBILITIES

Iterax 25 mg 1 tab

Hydroxyzine Antiemetic;

Antihistamine;

Antixiolytic

Competes with histamine for H1-receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract. Possesses skeletal muscle relaxing, bronchodilator, antihistamine, antiemetic, and analgesic properties.

Treatment of anxiety; preoperative sedative; antipruriticAllergy

Drowsiness

Headache

Fatigue

Nervousness

Dizziness

Hypersensitivity to hydroxyzine or any component of the formulation

Extravasation can result in sterile abscess and marked tissue induration; provide safety measures (ie, side rails, night light, and call button); remove smoking materials from area; supervise ambulation

x. medical management

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