Drug Order for prostatic cancr

8/8/2019 Drug Order for prostatic cancr

1/11

VIII. DRUG STUDY

A c a s e s t u d y o n P r o s t a t i c C a n c e r w i t h B o n e M e t a s t a s i s ( T h o r a x ) Page 1

DRUG ORDER(generic

name, brandname,

classification,frequency,

route,)

MECHANISM OFACTION

INDICATION CONTRAINDIATION ADVERSE EFFECTS NURSING RESPONSIBIL

Generic name:

Albuterol

Brand name:Comvibent

Classification:Bronchodilators

Dosage:1 neb

Route:Inhalation

Frequency:

q 4

Binds to beta2-

adrenergicreceptors inairway smoothmuscle, leading toactivation ofadenylcyclase andincreased levels ofcyclic.

Treatment for

bronchospasms

Contraindicated to

hypersensitivity ofalbuterol

CNS: nervousness,

restlessness

CV: chest pain,palpitations,

GI: nausea andvomiting.

1. Chest tapping after inh

2. Do not exceed recodosage.

3. Administer prinhalation drugs formsecond half of because the airways

wider lead to distribution is more ex

4. Use minimal doses foperiods drug toleraoccur if prolonged use


2/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Esomeprazolemagnesium

Brand name:Nexium

Classification:Proton pump

inhibitor

Route:IVTT

Dosage:40mg

Frequency:Q12

Blocks theformation step ofacid production.

GERD- treatmentof heartburn andother relatedsymptoms.

Contraindicated withallergy to nexium.

CNS: headache,dizziness

GI: diarrhea,abdominal pain,nausea, and vomiting.

Respiratory:URI symptoms

1. Obtain baseline of livetest and monitored pdosage therapy.

2. Maintain supportive as appropriate for uproblem

3. Provide additional measure to alleviate d

from GI effects and he

4. Arrange regular medicvisits when taking this


3/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Paracetamol

Brand name:Naprex

Classification:

Analgesia

Route:IVTT

Dosage:300mg

Frequency:Q 4

Reduces fever byacting directly onthe hypothalamusheat regulatingcenter tocausevasodilationand sweatingwhich helpsdissipate heat..

Analgesic-antipyretic inpatient withbleeding diathesesand upper GIdisorder

Contrainicated withallergy to naprex

CV: myocardialdamage

CNS: headache

GI: hepatic toxicityand failure.

1. Do not excerecommended dosage

2. Avoid using preparations acetaminophen.

3. Give drug with food ifoccurs.

4. Discontinue if hyperoccurs


4/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Dopamine

hydrochloride

Brand name:intropin

Classification:symphatomimetics

Route:IV

Dosage:14cc/hr

Frequency:Q1

Stimulatesdopaminrgic and

alpha and betareceptors of thesympatheticnervous system.

Action is dose-related; largedoses causemainly alphastimulation.

To correcthypotension thus,

improving tissueperfusion

Contraindicated inpatients with

uncorrectedtachyarrythmias,pheochromocytoma,or ventricularfibrillation.

CNS: headacheCV: ectopic beats,

tachycardia, angina,palpitations,hypotension,GI: nausea, vomitingGU: elevated urinarycatecholamine levels.Metabolic: azotemia,hyperglycemiaRespiratory: dyspnea,asthmatic episodes.Skin: necrosis andtissue sloughing withextravasation,piloerectionOther: anaphylactioc

reactions.

1. Use cautiously in patocclusive vascular dise

injuries, diabetic endartarterial embolism.

2. During infusion, frequentECG, blood pressure,output, central venous pulmonary artery wedge pulse rate, urine output, and temperature of limbs

3. Check urine output oftenflow decreases hypotension, notify because dosage may nreduced

4. After drug is discontinueclosely for sudden dec

blood pressure. Taperslowly to evaluate stabilitpressure

5. Instruct client that report of discomfort at the insert


5/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:Zolendronicacid

Brand name:Zometa

Classification:

Calciumregulator

Route:

Via vial

Dosage:200ml

Frequency:OD

Action leads todecrease in the

release of calciumfrom bone and adecrease in serumcalcium.

Treatment formyelomas and

documented bonemetastases fromsolid tumors inconjunction withstandardantineoplastictherapy.

Contraindicated with

allergy to zometa

CV: hypotension

GI: nausea andvomiting

Respi.: dyspnea

Make sure that patient is welbefore use; vigorous saline

to establish a urine output2L/day is suggested.

Monitor urinary output anpatient for hydration status c

Ensure that drug infuses arethan 15min.

Provide small meal if Goccurs

Assess for nutritional consultand vomiting persist.


6/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

calcium

gluconate

Brand name:Cal-lac

Classification:Elecrolytereplacementagent

Route:Via vial

Frequency:OD

Dosage:

10% solution

Increase serumlevel through

direct effects onbone.Decreaseosteoclastic byreduces mineralrelease andcollagenbreakdown inbones.

Hypocalcemicemergency

Hypersensitivity to

drug

CNS: headache


1. Instruct patient to conand dairy product

therapy

2. Refer patient to diehelp in meal planpreparation.

3. Review all other signilife threatening reaction and interactio


7/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

cefuroxime

Brand name:Zegen

Classification:

anti infective

Dosage:750mg

Route:PO

Frequency:Q8

.Interferes withbacterial cell wall

synthesis anddivision by bindingto all cell wallcausing cell to die.

Severe infectioninclude bone

infection

Hypersensitivity todrugs.

CNS: seizures


Hematologic disorder:hemolytic anemia.

1. Monitor neurologicparticularly sign of i

seizures.

2. Monitor kidney afunction.

3. Advise the patient CNC changes.

4. Advise patient to imreport rash or tendencies.


8/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Bicalutamide

Brand name:Casodex

Classification:

Antiandrogen

Dosage:50mg

Route:Po

Frequency:OD

Antagonizes theeffects of

androgen andcellular level bybinding toandrogen receptoron target bone

Treatment ofadvanced

prostaticcarcinoma incombination withLH-RH analogue

Contraindicated withallergy to

bicalutamide and itscomponent.

Hot flushes, breattenderness, nausea

and vomiting, dry skin, jaundice, anorexia,dry mouth.

1. Monitor liver function t

2. Administer LH_RH an

3. Tell the patient that anrelated to hair loss shoreport immediately.

4. As appropriate, reviewsignificant and life threadverse reaction andintervention especiallyto the drugs and test


9/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Sulperazone

Brand name:Cefobid

Classification:

antibiotic

Route:oral

Dosage:250mg

Frequency:Q12

Bactericidal:inhibits synthesis

of bacterial cellwall causing celldeath.

Treatment for intraabdominal

infection

Contraindicated withallergy to

sulperazone

CNS: headache


GU: nephrotoxicity

1. Report if some advermay worsens

2. Discontinue druhypersensitivity occur


10/11

VIII. DRUG STUDY


DRUG ORDER(generic

name, brandname,


route,)

MECHANISM OFACTION


Generic name:

Tranexemic

acid

Brand name:Hemostan

Classification:Antihemorrhagic

Route: IVTT

Dosage:500g

Frequency:ev

ery 6 hours

Forms a reversible

complex thatdisplaces

plasminogen from

fibrin resulting in

inhibition of

fibrinolysis; it also

inhibits the

proteolytic activity

of plasmin

Treatment forbleeding (lower

gastrointestinalbleeding).

Contraindicated withhypersensitivity to

hemostan and itscomponent

GI: nausea andvomiting, anorexia

also.

CNS: headache mayoccur

1. Report if some advermay worsens

2. Discontinue drug if

hypersensitivity occur


11/11

VIII. DRUG STUDY


Drug Order for prostatic cancr

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