Drug Study - Cap

7/31/2019 Drug Study - Cap

1/5

DRUG STUDY

MEDICATION(include

dosage, route &frequency)

DRUGCLASSIFICATION

INDICATIONMECHANISM OF

ACTION

SIDEEFFECTS/ADVERS

E REACTIONS

NURSINGRESPONSIBILITIES

CONTRAINDICAIONS ANDCAUTIONS

Generic Name:

Meloxicam

Brand Name:MEL-OD

15 mg, PO, OD

NSAIDRelief from the s/sx

of osteoarthritis &rheumatoid arthritis

Relief from the s/sxof particular or polyarticular coarsejuvenile rheumatoidarthritis inpatients2yr or older

Anti-inflammatory;

analgesic & antipyreticactivities related toinhibition of theenzymecyclooxygenase(COX), which is required forthe synthesis ofprostaglandins &thromboxanes.Somewhat moreselective for COX-2sites than for COX-1

sites which are foundthroughout the tissues& are related toprotection if GImucosa.

headache, dizziness,

somnolence, rash,pruritus, sweating,nausea, GI pain,diarrhea, vomiting,dysuria, renalimpairment,bleeding, plateletinhibition, dyspnea,hemoptysis

1. Administer drug with

food or milk if GI upsetoccurs.2. Establish safetymeasures if CNSdisturbances occur.3. Monitor patientprolonged therapy or signsof bleeding or hepatictoxicity.4. Provide further comfortmeasures to reduce pain& reduce inflammation.

5. Establish safetymeasures if CNSdisturbances occur.

Contraindicated

with allergy toaspirin ormeloxicam; forperioperative painafter coronaryartery bypasssurgery. Usecautiously withallergies, renal,hepatic, CV, GIconditions;bleeding disorders


2/5

DRUG STUDY

MEDICATION(include


DRUGCLASSIFICATION


ACTION

SIDEEFFECTS/ADVERS

E REACTIONS



Generic Name:

Ceftriaxone

Brand Name:Rocephin

1 gram, IVTT, q8 hrs

Anti-microbial

Anti-parasitic

Treatment of LRIT(e.g. bronchitis,

pneumonia,bronchopneumonia,emphysema, lungabscess), skin andsoft tissueinfections. Pre-operativeprophylaxis toreduce chance ofpost-operativesurgical infections

Inhibits bacterial cellwall synthesis,

rendering cell wallosmotically unstable,leading to cell death

Leukopenia, serumsickness,

anaphylaxis,Phlebitis, rash,diarrhea, vomiting.

1. Instruct patient to takemedication as prescribed

for the length of timeordered even if he feelsbetter.2. Teach patient to reportsore throat, bruising,bleeding and joint pain.3. Advise patient to watchout for perineal itching,fever, malaise, redness,pain, swelling, rash, anddiarrhea.4.Assess patients

previous sensitivityreaction to penicillin orother cephalosporin.5. Obtain C&S beforebeginning drug therapy toidentify if correct treatmenthas been initiated.

Hypersensitivity tocephalosporin and

penicillin,lidocaine or anyother localanesthetic producof the amide type


3/5

DRUG STUDY

MEDICATION(include


DRUGCLASSIFICATION


ACTION

SIDEEFFECTS/ADVERS

E REACTIONS



Generic Name:

Albuterol Sulfate

Brand Name:Salbutamol

1 neb, inhalation,q 6 hrs

Sympathomimetic

drug

Beta2-selectiveadrenergic agonist

Bronchodilator

Antiasthmatic

Relief and

prevention ofbronchospasm inpatients withreversibleobstructiveairway disease

Inhalation:Treatment of acuteattacks ofbronchospasm

Prevention ofexercise-inducedbronchospasm

In low doses, acts

relatively selectively atbeta2-adrenergicreceptors to causebronchodilation andvasodilation; at higherdoses, beta2selectivity is lost, andthe drugacts at beta2 receptorsto cause typicalsympathomimeticcardiac effects

Restlessness,

apprehension,anxiety, fear, cardiacarrhythmias,tachycardia,palpitations,sweating, pallor,flushing, nausea,vomiting, heartburn,respiratorydifficulties,pulmonary edema

1. Use minimal doses for

minimal periods; drugtolerance can occur withprolonged use.2. Maintain a beta-adrenergic blocker(cardioselective beta-blocker, such as atenolol,should be used withrespiratory distress) onstandby in case cardiacarrhythmias occur.3. Prepare solution for

inhalation by diluting 0.5mL 0.5% solution with 2.5mL normal saline; deliverover 515 min bynebulization.4. Do not exceedrecommended dosage.5. Report chest pain,dizziness, insomnia,weakness, tremors orirregular heartbeat.

Contraindicated

withhypersensitivity toalbuterol;tachyarrhythmiastachycardiacaused by digitalisintoxication;general anestheswith halogenatedhydrocarbons orcyclopropane(these sensitize

the myocardium tocatecholamines);unstablevasomotor systemdisorders;hypertension;coronaryinsufficiency, CADhistory of stroke;COPD patientswith degenerativeheart disease.


4/5

DRUG STUDY

MEDICATION(include


DRUGCLASSIFICATION


ACTION

SIDEEFFECTS/ADVERS

E REACTIONS



Generic Name:

Levofloxacin

Brand Name:Levaquin

500 mg, IVTT,OD

Antibiotic

Fluoroquinolone

Treatment of adults

with community-acquiredpneumonia, acutemaxillarysinusitis caused bysusceptible bacteria

Treatment of acuteexacerbation ofchronic bronchitiscaused bysusceptible

bacteria

Bactericidal: Interferes

with DNA by inhibitingDNA synasereplication insusceptible gram-negative and gram-positive bacteria,preventing cellreproduction.

Headache,

dizziness, insomnia,fatigue, nausea,vomiting, dry mouth,elevated BUN, AST,ALT, serumcreatinine, fever,rash, photosensitivity

1. Arrange for culture and

sensitivity tests beforebeginning therapy.2. Continue therapy asindicated for conditionbeing treated.3. Ensure that patient iswell hydrated duringcourse of therapy.4. Discontinue drug at anysign of hypersensitivity(rash, photophobia) or atcomplaint of tendon pain,

inflammation, or rupture.5. Monitor clinicalresponse; if noimprovement is seen or arelapse occurs, repeatculture and sensitivity test.

Contraindicated

with allergy tofluoroquinolones.

Use cautiouslywith renaldysfunction,seizures.


5/5

DRUG STUDY

MEDICATION(include


DRUGCLASSIFICATION


ACTION

SIDEEFFECTS/ADVERS

E REACTIONS



Generic Name:Omeprazole

Brand Name:Losec

40 mg, IVTT, OD

Anti-secretory drug

Proton pumpinhibitor

Short-term

treatment of activeduodenal ulcer;First-line therapy intreatment ofheartburn orsymptoms ofgastroesophagealreflux disease(GERD);

Short-termtreatment of active

benign gastriculcer;

GERD, severeerosive esophagitis,poorly responsivesymptomatic

Gastric acid-pump

inhibitor: Suppressesgastric acid secretionby specific inhibition ofthe hydrogen-potassium ATPaseenzyme system at thesecretory surface ofthe gastric parietalcells; blocks the finalstep of acidproduction.

Headache,dizziness, asthenia,vertigo, insomnia,apathy, anxiety,paresthesias, rash,inflammation,urticaria, pruritus,alopecia, dry skin,diarrhea, abdominalpain, nausea,vomiting,constipation, cough,epistaxis

1. Administer before

meals.2. Administer antacids ifneeded.3. Have regular medicalfollow-up visits.4. Report severeheadache, worsening ofsymptoms, fever, chills.5. Report any changes inurinary elimination such aspain or discomfortassociated with urination,

or blood in urine.

Contraindicatedwithhypersensitivity toomeprazole or itscomponents.

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Drug Study - Cap