Drug Study

DRUG STUDIES
DRUG NAME
DATE ORDERED
CLASSIFICATION
DOSE ROUTE FREQUENCY

2 G IVTT Q12H ANST ( - ) PLS GIVE THRU IV DRIP
MECHANISM OF ACTION
SPECIFIC INDICATIO N
UTI
SIDE EFFECTS
NURSING IMPLICATIONS
CEFTRIAXONE SODIUM (ROCEPHIN)
8-7-2013
ANTIBIOTIC
Inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal
COMMON S/E Diarrhea Rashes Pain @ injection site
ADVERSE S/E Pseudomembranous Colitis Leukopenia Anaphylaxis
BEFORE 1.Ask patient if hes allergic to penicillins or cephalosporins 2.Obtain specimen for culture and sensitivity tests before giving first dose 3.Monitor CBC, renal and liver function tests DRUG PREPARATION 1.Dilute 2 G vial with 19.2 mL of sterile water, NSS, or D5W 2.Do not mix or coadminister Ceftriaxone with calcium-containing IV solutions DURING 1.Give over 30 minutes
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
AFTER 1. Tell patient to report discomfort at IV insertion site 2. Tell patient to report loose stools or diarrhea
DRUG NAME
DATE ORDERED
CLASSIFICATION
DOSE ROUTE FREQUENC Y

400 MG TAB 1 TAB BID PO
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
OFLOXACIN (FLOXIN)
8-7-2013
FLUOROQUINOLON E
Interferes with DNA gyrase, which is needed for synthesis of bacterial DNA. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria
COMPLICATED UTI
COMMON S/E Drowsiness Dizziness Nausea Vomiting Abdominal pain
BEFORE 1. Obtain specimen for sensitivity and culture test 2. Monitor CBC, renal and liver function tests DURING 1. Drug maybe taken with or without regard to meals 2. Take each dose with a full glass of water 3. Take the drug 1 hour before or 2 hours after antacids AFTER 1. Avoid sun exposure 2. Take antacids 1 hour before or 2 after after Ofloxacin 3. Warn patient that dizziness may occur 4. Tell patient to stop drug and report @ first sign of allergic reaction
ADVERSE S/E Pseudomembranous Colitis Anaphylactic reaction Leukopenia
DRUG NAME
DATE ORDERED
CLASSIFICATION

500 MG / 400 MG 1 TAB OD PO
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
DUTASTERIDE + TAMSULOSIN (DUODART)
8-87-2013
ALPHA ADRENORECEPTOR ANTAGONIST
Blocks alpha adrenergic receptors in the prostate. This action inhibits smooth muscle contraction in the prostate, prostatic capsule, prostatic urethra, and bladder neck, which improves the rate of urine flow & reduce symptoms of BPH
TO TREAT BPH
COMMON S/E Dizziness Drowsiness Orthostatic Hypotension Diarrhea
BEFORE 1.Rule out prostate cancer DURING 1.Take drug 30 min after same meal each day 2.Do not open, crush, or chew drug capsules AFTER 1.Change position slowly to minimize effect of orthostatic hypotension 2.Avoid hazardous activities until CNS effects are known
DRUG NAME
DATE ORDERED
CLASSIFICATION

30 CC QHS PO HOLD FOR BM GREATER THAN 2X / DAY
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
LACTULOSE (CEPHULAC)
8-8-2013
LAXATIVE
Produces an osmotic effect in colon; resulting distention promotes peristalsis. Also decreases ammonia, probably as a result of bacterial degradation, which lowers the pH of colon contents.
CONSTIPATION
COMMON S/E Abdominal cramps Belching Diarrhea Flatulence Gaseous distention Nausea Vomiting
BEFORE 1. Assess pattern of bowel movement 2. Monitor serum electrolytes especially sodium and potassium DURING 1. Advise patient to increase water intake at least 2-3 L / day to prevent dehydration 2. Avoid using antacids and lactulose together 3. Tell patient not to use other laxatives during lactulose therapy AFTER 1. Assess effectiveness of medicine 2. Document findings and interventions done
DRUG NAME
DATE ORDERED
CLASSIFICATION

500 MG TAB 1 TAB Q4H PRN FOR T > 38 C
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
ACETAMINOPHEN (PARACETAMOL)
8-7-2013
ANALGESIC
Thought to produce analgesia by inhibiting prostaglandin & other substances that sensitize pain receptors. Drug may relieve fever through central action in the hypothalamic heat-regulating center
FOR FEVER
COMMON S/E Drowsiness Nausea Vomiting Abdominal pain
BEFORE 1. Monitor body temperature 2. Monitor CBC and U/A 3. Monitor LFT DURING 1. Take only as directed and with food or milk to decrease GI upset 2. Limit caffeine intake 3. Avoid alcohol as this may cause hepatotoxicity AFTER 1. Recheck body temperature after 30 min of administration 2. Report any adverse reactions 3. Document findings and interventions done
ADVERSE S/E Leukopenia Neutropenia Hypoglycemia Hemolytic anemia
FOOD-DRUG INTERACTIONS CAFFEINE (Increase analgesic effect) ALCOHOL (Increase risk of liver damage)
DRUG NAME
DATE ORDERED
CLASSIFICATION

2 TABS TID X 3 DAYS AND 1 TAB FOR NEXT SUCCEEDING DAYS P.O.
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
DIOSMIN + HESPERIDIN (DAFLON)
8-10-2013
MULTIVITAMIN
Daflon is phlebotonic. It reinforces venous tone by prolonging the activity of parietal noradrenaline. Thus, Daflon decreases venous capacitance, venous distensibility, & venous emptying time
ACUTE HEMORRHOIDAL ATTACKS AND CHRONIC HEMORRHOIDAL DISEASE
Upset stomach Headache Nausea Vomiting Unusual taste in mouth
BEFORE 1. Note indication for therapy DURING 1. Take with food AFTER 1. Report any adverse reactions 2. Document findings and interventions done

Drug Study

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DRUG STUDIES

DOSE ROUTE FREQUENCY

CEFTRIAXONE SODIUM (ROCEPHIN)

Inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal

COMMON S/E Diarrhea Rashes Pain @ injection site

ADVERSE S/E Pseudomembranous Colitis Leukopenia Anaphylaxis

DOSE ROUTE FREQUENCY

DOSE ROUTE FREQUENC Y

COMMON S/E Drowsiness Dizziness Nausea Vomiting Abdominal pain

ADVERSE S/E Pseudomembranous Colitis Anaphylactic reaction Leukopenia

DOSE ROUTE FREQUENCY

DUTASTERIDE + TAMSULOSIN (DUODART)

ALPHA ADRENORECEPTOR ANTAGONIST

COMMON S/E Dizziness Drowsiness Orthostatic Hypotension Diarrhea

DOSE ROUTE FREQUENCY

DOSE ROUTE FREQUENCY

COMMON S/E Drowsiness Nausea Vomiting Abdominal pain

ADVERSE S/E Leukopenia Neutropenia Hypoglycemia Hemolytic anemia

DOSE ROUTE FREQUENCY

DIOSMIN + HESPERIDIN (DAFLON)

ACUTE HEMORRHOIDAL ATTACKS AND CHRONIC HEMORRHOIDAL DISEASE

Upset stomach Headache Nausea Vomiting Unusual taste in mouth

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