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DRUG STUDY

DRUGNAME

CLASSIFICATION INDICATION/CONTRAINDICATION

MECHANISMOF ACTION

SIDE EFFECTS NURSINGCONSIDERATION

Genericname:Tramadol

HCl

Brand name:Ultram

Analgesics Indication:Relief of moderate tomoderately severe

pain

It inhibitsreuptake ofnorepinephrine,

serotonin andenhancesserotoninrelease. It altersperception andresponse topain by bindingto mu-opiatereceptor in theCNS.

Skin: itching

GI: Nausea and

Heartburn.

Assess type, location,and intensity of painbefore and 2-3 hr (peak)

after administration. Assess BP & RR before

and periodically duringadministration.Respiratory depressionhas not occurred withrecommended doses.

Prolonged use may leadto physical andpsychological

dependence andtolerance

Genericname:Omeprazole

Brand name:Losec,Prilosec

Proton pumpinhibitor

Indication:Treatment ofheartburn orsymptoms ofGERD

Contraindication:

Hypersensitivity tosubstitutedbenzimidazoles or toany component of theformulation.

It suppressesgastric acidsecretion byspecificinhibition of thehydrogen-potassium

ATPase enzymesystem atthe secretorysurface ofthe gastricparietal

Dermatologic: dryskin

GI: abdominalpain, nausea anddry mouth

Administer on an emptystomach at least 1 hourbefore a meal.

Advise patient to notifydoctor immediately if theyhave abdominal pain or

diarrhea because drugcan interfere withabsorption of vitaminB12, monitor for anemia.

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DRUGNAME

CLASSIFICATION INDICATION/CONTRAINDICATION

MECHANISMOF ACTION

SIDE EFFECTS NURSINGCONSIDERATION

Genericname:Hyoscine-N-butylbromide

Brand name:Buscopan

Antispasmodics Indication:Spasm in thegenitourinary tract

Contraindications:

prostate hypertrophywith urinary retention

It blocks themuscarinicreceptors thusblocksacetylcholine on

the receptorsfound on thesmooth musclewalls of thegastrointestinaland urinary tractand thusreduces thespasms andcontractions.

CV: hypotension,tachycardia,

GI: Dry mouth,

nausea

Administer 30 minutes to1 hour before meals

Raise side rails as aprecaution because

some patients becometemporarily excited ordisoriented and somedevelop amnesia orbecome drowsy.

Reorient patient, asneeded, Tolerance maydevelop when therapy isprolonged

Genericname:Piperacillin +Tazobactam

Brand name:Zosyn

Antibiotic,Extended-spectrumpenicillin

Indication: used totreat a wide variety ofbacterial infections

Contraindications:History of allergicreactions to penicillins,cephalosporins, or

beta-lactamaseinhibitors;hypersensitivity to anycomponent of theproduct.

Tazobactaminhibits beta-lactamases thusensuring activityof piperacillinagainst beta-lactamaseproducing

microorganisms.Thustazobactambroadens theantibioticspectrum ofpiperacillin tothose bacterianormallyresistant to it.

GI: nausea

GU : Urineretention, painfulurination.

Drug is given every8-12hrs as directed. Followdilution, dosageguidelines.

Report and sign ofsuperinfection (blackfurry overgrowth on

tongue, vaginal itching ordischarge, loose or foul-smelling stools)

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DRUGNAME

CLASSIFICATION INDICATION/CONTRAINDICATION

MECHANISMOF ACTION

SIDE EFFECTS NURSINGCONSIDERATION

Genericname:Paracetamol

Brand name:

Biogesic

Anti-pyretic Indication:Reduce fever in viral

and bacterialinfections

It decreasesfever byinhibiting theeffects ofpyrogens on the

hypothalamusheat regulatingcenters & by ahypothalamicaction leading tosweating &vasodilatation.

GI: nausea,abdominal pain

Hemo:

ThrombocytopeniaHemolytic anemia

Monitor CBC, liver andrenal functions.

Take with food or milk tominimize GI upset.

Genericname:

Levofloxacin

Brand name:Levaquin

Antibiotic,Fluoroquinolone

Indication:Treatment of

complicated anduncomplicated UTIsand acutepyelonephritis causedby susceptiblebacteria

Contraindications:Hypersensitivity tofluoroquinolones,

quinolone antibiotics

It interferes withDNA by

inhibiting DNAsynasereplication insusceptiblegram-negativeand gram-positivebacteria,preventing cellreproduction.

GI: Nausea, drymouth

Skin: itchiness,muscle and jointtenderness

Administer oral drug 1 hrbefore or 2 hr after meals

with a glass of water

Ensure that patient iswell hydrated duringcourse of therapy.

Advise patient to avoidsun exposure or usesunscreen to preventphototoxicity.

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NURSING CARE PLAN

Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

Subjective: Pakipatay yungelectric fan,

nilalamig akoAs verbalized bythe client

Objective:

Vital signs of:T: 37.7 C

PR: 108 bpm

(Tachycardia)

RR: 30 cpm(Tachypnea)

BP: 100/80mmHg

Flushed skin

Warm to touch

Diaphoresis

Hyperthermiarelated tobacterial infection

evidenced by:Tachycardia,tachypnea,flushed skin anddiaphoresis

After 1 hour ofnursingintervention,

clientstemperature willbe decrease in37.5 C

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