This document is a drug study for a 42-year-old male patient named JB who was admitted on August 6, 2014 for post cholelithiasis and prescribed the drug Mefenamic Acid. Mefenamic Acid is a nonsteroidal anti-inflammatory drug (NSAID) to be taken three times daily for pain, fever, and inflammation. Potential side effects include gastrointestinal issues, headaches, and renal problems. Nursing responsibilities include administering the medication correctly and monitoring the patient for effectiveness, side effects, and lab abnormalities.
This document is a drug study for a 42-year-old male patient named JB who was admitted on August 6, 2014 for post cholelithiasis and prescribed the drug Mefenamic Acid. Mefenamic Acid is a nonsteroidal anti-inflammatory drug (NSAID) to be taken three times daily for pain, fever, and inflammation. Potential side effects include gastrointestinal issues, headaches, and renal problems. Nursing responsibilities include administering the medication correctly and monitoring the patient for effectiveness, side effects, and lab abnormalities.
This document is a drug study for a 42-year-old male patient named JB who was admitted on August 6, 2014 for post cholelithiasis and prescribed the drug Mefenamic Acid. Mefenamic Acid is a nonsteroidal anti-inflammatory drug (NSAID) to be taken three times daily for pain, fever, and inflammation. Potential side effects include gastrointestinal issues, headaches, and renal problems. Nursing responsibilities include administering the medication correctly and monitoring the patient for effectiveness, side effects, and lab abnormalities.
This document is a drug study for a 42-year-old male patient named JB who was admitted on August 6, 2014 for post cholelithiasis and prescribed the drug Mefenamic Acid. Mefenamic Acid is a nonsteroidal anti-inflammatory drug (NSAID) to be taken three times daily for pain, fever, and inflammation. Potential side effects include gastrointestinal issues, headaches, and renal problems. Nursing responsibilities include administering the medication correctly and monitoring the patient for effectiveness, side effects, and lab abnormalities.
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The document discusses the drug mefenamic acid, including its uses, side effects, and nursing responsibilities.
The drug being discussed is mefenamic acid, which is a nonsteroidal anti-inflammatory drug (NSAID).
Some potential side effects of mefenamic acid include GI disturbances, peptic ulceration, GI bleeding, headache, drowsiness, dizziness, and renal failure.
Republic of the Philippines
CAVITE STATE UNIVERSITY
(CvSU) Don Severino Delas Alas Campus Indang, Cavite (046) 4150-010 / 4150-011 (046) 4150-012
DRUG STUDY NAME OF PATIENT: JB DATE OF ADMISSION: AUGUST 6, 2014 AGE: 42 YEARS OLD DIAGNOSIS: POST CHOLELITHIASIS SEX: MALE Drug Features Mechanism of Action Indication
Classification: NONSTEROIDAL ANTI- INFLAMMATORY AGENTS Sub Classification: NONE Dosage: 500 mg Route: PO once in diet Frequency: TID Form: Capsule Color: Blue green and cream white capsule color Analgesics and anti-inflammatory effects: inhibition of prostaglandin synthesis. Antipyretic effects: vasodilation and inhibition of prostaglandin synthesis in the CNS. COX-2 inhibitors may cause less GI bleeding. Control mild to moderate pain, fever, and various inflammatory conditions, such as rheumatoid arthritis and osteoarthritis. Hypersensitivity to aspirin is a contraindication. Use caustiously in patients with a history of bleeding disorders, GI bleeding, and severe hepatic, renal, or cardiovascular disease.
Side Effects & Adverse Effects: GI disturbances, peptic ulceration, and GI bleeding, headache, drowsiness, dizziness, nervousness, visual disturbances, renal failure, glomerulonephritis, papillary necrosis Check for Doctors order Observe 10Rs of the patient in medicine administration
Assessment: Patients who have asthma, allergies, and nasal polyps or who are allergic to tartrazine are at an increased risk for developing hypersensitivity reactions. Pain: Assess pain and limitation of movement; note type, location, and intensity before and at the peak (see Time/Action Profile) after administration. Fever: Assess fever and note associated signs (diaphoresis, tachycardia, malaise, chills). Lab Test Considerations: Monitor hepatic function before antirheumatic therapy and if symptoms of hepatotoxicity occur; more likely in patients, especially children, with rheumatic fever, systemic lupus erythematosus, juvenile arthritis, or pre-existing hepatic disease. May cause serum AST, ALT, and alkaline phosphatase, especially
when plasma concentrations exceed 25 mg/100 mL. May return to normal despite continued use or dose reduction. If severe abnormalities or active liver disease occurs, discontinue and use with caution in future. May alter results of serum uric acid, urine vanillylmandelic acid (VMA), protirelin-induced thyroid- stimulating hormone (TSH), urine hydroxyindoleacetic acid (5-HIAA) determinations, and radionuclide thyroid imaging. Prolongs bleeding time for 47 days and, in large doses, may cause prolonged prothrombin time. Monitor hematocrit periodically in prolonged high-dose therapy to assess for GI blood loss . Toxicity and Overdose: Monitor for the onset of tinnitus, headache, hyperventilation, agitation, mental confusion, lethargy, diarrhea, and sweating. If these symptoms appear, withhold medication and notify physician or other health care professional immediately. Patient/Family Teaching Instruct patient to take with a full glass of water and to remain in an upright position for 1530 min after administration. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days.
Caution patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per day may increase the risk of GI bleeding. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a few days, unless directed by health care professional to prevent analgesic nephropathy. Tablets with an acetic (vinegar-like) odor should be discarded. Advise patients on long-term therapy to inform health care professional of medication regimen before surgery.