VII.

DRUG STUDY Generic Name Tramadol 500mg IVq8 ANST(-) Classification Opioid Agonist Analgesic Mechanism of Action Centrally acting synthesis analgesic compound not chemically related to opioids that is thought to bind to opioid receptors and inhibit reuptake of norepinephrine serotonin Indication Moderate to severe pain Contraindication Hypertensive to the drug or any of its components Side Effect Dizziness Headache Nervousness Visual disturbance Abdominal pain Constipation Skin Rashes Nursing Responsibilities Assess patient pain before stating therapy and regularly there after monitor drugs effectiveness Alert for adverse reactions and drugs interactions Assess patients familys knowledge of drug therapy. Assess patient pain before stating therapy and regularly there after monitor drugs effectiveness Alert for adverse

Omeprazole 40mg 1tab OD

Proton pump inhibitor

Inhibits acid proton pump and bids to hydrogenpotassium adenosine triphosphates on secretory surface of gastric parietal

BAIAE

Hypertensive to the drug or any of its components

Dizziness Headache Constipation Rashes Abdominal pain Diarrhea N/V Back pain cough

cells to block formation of gastric acid

Salbutamol Ipratropium Neb q6

Bronchodilator adrenergic

Decreased intracellular Relaxes smooth muscle airways Maintain acid base balance, isotonicity and essential transmission of nerve impulses Suppress all inflammation and the normal immune response Receptor Studies that nalbuphine exerts its action via binding to mu, kappa and delta

asthma

Hypertensive to the drug or any of its components and adrenergic amines, Fluorocarbons Hypokalemia Renal replacement Tissue trauma

Chest pain Palpitation Nervousness restlessness

Kulim durule 1 tab TID X 6 doses

Mineral and electrolyte replacement/ sup.

Treatment prevention of potassium deficits.

Confusion Restlessness Weakness arrhythmia

Asthma Active Untreated infection headache euphoria increase ICP Hypertension

Hydrocortison e 100mg IVP q12 x 6 doses then D/C NUbain 0.5cc IVP now

Corticosteroid.

reactions and drugs interactions Assess patients familys knowledge of drug therapy. auscultate for breath sounds Monitor Patients vital signs Avoid salt substitute or low salt milk o food potassiumRich food MIO Monitor BP

Opioid agonistantagonist analgesic

For the relief of moderate to severe pain

hypertensive

weak or shallow breathing fast or slow HR cold clammy skin confusion hallucinations

Assess patient in his condition Monitor V/S gving the meds Taper dosage when

receptors.

nervousness depression stomach pain blurred vision flushing rash

Sultamicillin (unasyn) 750mg 1tab OD

Antibiotics

Exerts antibacterial activity against. Sensitive organisms by inhibiting biosynthesis of cell wall mucopeptide where as sulbactan irreversibly inhibits most

BAIAE

Hypersensitivity to drug

Diarrhea N/V Rashes Itching To super infections Dizziness DOB

discontinuing after prolonged use to avoid withdrawal symptoms. Reassure patient about addiction liability, most patient who receives opiates for medical reasons do not develop dependence syndromes. B e alert for adverse reaction. Monitor liver, kidney functions regulatory while taking this drug It may cause dizziness, do not drive a car or operate machinery while taking this meds.

important betalactamase s that occur in resitant strains. Piperacillin + Tazobactum 1 vial IV ANST() Antinfective, beta-lactum antibiotic. It interfere bacterial cell wall synthesis promotes loss of membrane integrity and leads to death of the organism BAIAE Hypersensitivity to penicillin. Headache Insomnia Fever Diarrhea N/V Constipation rashes

Alerts for any adverse reaction and drugs interactions. obatain history of hypersensitivi ty obtain specimen for culture and sensitivity test prior to 1st dose of the drug Monitor for hypersensitivi ty response. Discontinue drug and notify physician if allergic response noted Monitor for hemorrhagic manifestation because high dose may induce coagulation abnormalities

Dopamine 400mg/ 250ml 10-15ugtts to titrate

Autonomic nervous system agent alphaand betaadrenergic agonist sympathomimeti c

Naturally occurring neurotransmitt er and immediate precursor of norepinephrine .

To correct hemodynami c imbalance in shock syndrome due to trauma or surgery

In hypovolemic shock should not be administered in the presence of uncorrected ventricular fibrillation

N/V Ectopic beats Tachycardia Dysrhythmias Hypertensive urisis Dizziness rashes

Instruct family/SO to report significant, unexplained diarrhea. monitor BP, RR MIO Alert for adverse reaction and drug interactions.