drug study

Bleza, Jewella S. BSN 102-Group 8 RM. 415- Mary Anne Manolo

GENERIC NAME/ BRAND NAME /CLASSIFICATION Meropenem/ Merrem

DOSAGE/ FREQUENCY

ACTION

1gm TIV q8

>Inhibits cell-wall synthesis in bacteria. It readily penetrates cell wall of most gram positive and – negative bacteria to reach penicillinbinding protein targets. > By using loratadinebetamethasone in combination, tablets combine the antiinflammatory and antiallergic effect of the corticosteroid (betamethasone) with the nonsedating antihistamine (loratadine). Loratadine is a potent long-acting tricyclic antihistamine with selective peripheral

Anti-infectives

Loratidine + Betamethasone/ Claricort Antihistamine

February 22, 2011 Mam Sharon M. Bobier RN, MAN

Loratadine 5 mg, betamethason e 250 mcg.

ADVERSE REACTION

INDICATION

NURSING RESPONSIBILITIES

>Complicated appendicitis and peritonitis; bacterial meningitis

>Seizures, headache, diarrhea, nausea, vomiting, presence of RBC in urine.

> Fatigue, headache, somnolence, nervousness, dry mouth, GI disorders (eg nausea, gastritis) & allergic symptoms eg rash.

> Relief of symptoms of atopic dermatitis, angioedema, urticaria, seasonal & perennial allergic rhinitis, food & drug allergic reaction.

>Stop drug and notify prescriber if an allergic reaction occurs. >Drug may cause seizure and other CNS adverse reaction in patient with CNS disorder. >Advise patient to report loose stools to prescriber. > Use combination with caution. >Monitor patient clinically. >Take medication with food.

H1-receptor antagonistic activity. Glucocorticosteroids eg, betamethasone, cause profound and varied metabolic effects and modify the body's immune response to diverse stimuli. Dynatussin Capsule/ DEXTROMETHORP HAN HBr

25mg/cap TID

Cough and Cold Remedies

Benzydamine/ Difflam Mouth and Throat Preparation

1 tab TID

> serves to inhibit the release or action of histamine. Antihistamine can be used to describe any histamine antagonist, but it is usually reserved for the classical antihistamines that act upon the H1 histamine receptor. > It selectively binds to inflamed tissues (Prostaglandin synthetase inhibitor)

> GI disturbances, epigastric pain; headache, blurred vision, tinnitus, anorexia, difficulty in micturition, dry mouth, tightness of chest.

> Cough & cold due to resp infections &/or allergy. Relief of fever, pain & discomfort associated w/ colds & flu.

>Instruct the patient that it should take with or without meal.

> Lacking or deficient of physical sensation of the mouth (oral numbness)

> temporary relief from the pain associated with tonsillitis, mouth ulcers, pharyngitis, sore throats and local pain from dental surgery, mouth or throat surgery

> Do not exceed 12 lozenges a day.

>Occasional burning or stinging sensation

>Do not take Difflam Sugar-Free Lozenges continuously for more than seven days.

Bleza, Jewella S. BSN 102-Group 8 RM. 426- Michael Maleon

GENERIC NAME/ BRAND NAME /CLASSIFICATION Simethicone/ Disflatyl

DOSAGE/ FREQUENCY

ACTION

40ml/tab TID

>By its defoaming action, drug disperses or prevents formation of mucussurrounded gas pockets in the GI tract. > Thought to inhibit prostaglandin synthesis, impeding cyclooxygenase-2 (COX-2), to produce anti-inflammatory, analgesics and antipyretic effects.

Gastrointestinal drug

Celecoxib/Celebre x Nonsteroidal antiinflammatory drugs

February 22, 2011 Mam Sharon M. Bobier RN, MAN

100mg/cap BID

ADVERSE REACTION

INDICATION

NURSING RESPONSIBILITIES

>belching, flatus

>Flatulence, functional gastric bloating

> dizziness, headache, insomnia, abdominal pain, flatulence, nausea

> Relief from signs and symptoms of rheumatoid arthritis

>Drug doesn’t prevent formation of gas. >Tell patient to chew tablet before swallowing. >Advise patient that changing positions often and walking will help pass flatus. > Patients may be allergic to drug if they are allergic to or have had anaphylactic reactions to sulfonamides, aspirin or other NSAIDS. >It can cause fluid retention; Monitor patient with hypertension, edema or heart failure. >Before starting drug therapy, rehydrate the dehydrated patient. >Drug can be given without regard to meals, but food may decrease GI upset.

Omeprazole/Omep ron

40mg/cap OD

> Suppresses gastric acid secretion >Blocks the final step of acid production

Headache, dizziness, vertigo, insomnia, apathy, anxiety, paresthesias, dream abnormalities, dry skin, Diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth, tongue atrophy

> Active duodenal ulcer, GERD, active benign gastric ulcer, >severe erosive esophagitis >Treatment of pathologic hypersecretory conditions >Eradication of H. pylori

Assess: • Contraindications • Skin lesions Affect • Urinary output, Abdominal exam; Respiratory auscultation Interventions: • Administer before meals. • Caution patient to swallow capsules whole– not to open, chew, or crush them. Administer antacids if needed.

600mg/tab in ½ glass of water OD

> Mucolytic that reduces the viscosity of pulmonary secretions by splitting disulfide linkages between mucoprotein molecular complexes. Also, restores liver stores of glutathione to treat acetaminophen toxicity. >Reduces total acid load in GI tract, elevates gastric pH to reduce pepsin activity, strengthens

> Fever, drowsiness, tachycardia, hypotension, flushing, ear pain, eye pain, nausea, vomiting

> Adjunct therapy for abnormal thickened mucous secretions in patients with pneumonia, bronchitis.

> Drug smell strongly of sulfur. Mixing oral form with juice or cola improves its taste. >Monitor coughs type and frequency. >Warn patient that drug may have a foul taste or smell that some patients find distressing.

>constipation, intestinal obstruction

>Acid indigestion

>Instruct patient to shake suspension well and to follow with a small amount of milk or water to facilitate passage.

Anti-ulcer drug

Acetylcysteine /Fluimucil Miscellaneous respiratory tract drugs

Maalox Plus Antacids, adsorbents and antiflatulents

Suspension 30cc TID after meal at HS

Albumin/Albutein Blood derivatives

25% TIV q12

gastric mucosal barrier and increases esophageal sphincter tone. >Albumin 5% supplies colloid to the blood and expands plasma volume. Albumin 25% provides intravascular oncotic pressure in a 5:1 ratio, shifting fluid from interstitial spaces to the circulation and slightly increasing plasma protein level.

>headache, fever, tachycardia, pulmonary edema, chills.

> hypovolemic shock, hypoproteinemia. hyperbilirubinemi a

>Monitor v/s carefully. >Monitor fluid intake and output; protein electrolyte and hemoglobin levels and hematocrit during therapy.