Student Nurse: _________________________ Patient: __________________________ Age: ________ NCP ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION Date: ___________

Room:___________

Student Nurse: _________________________ Patient: __________________________ Age: ________ NCP ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION Date: ___________ Room:___________

Student Nurse: _________________________ Patient: __________________________ Age: ________ DRUG STUDY Date: ___________ Room:___________

Name of Drug Generic Name: Cefuroxime Trade Name: Keflox

Classification of Drug Therapeutic: Anti-infectives Pharmacologic: Second generation Cephalosporins Pregnancy Catergory B

Mechanism of Action Bind to bacterial cell wall membrane, causing cell death Therapeutic Effects: Bactericidal action

Indication Treatment of Effectively treats bone and joint infections, bronchitis, meningitis, gonorrhea, otitis media, pharyngitis/tonsilliti s, sinusitis, lower respiratory tract infections, skin and soft tissue infections, urinary tract infections, and is used for surgical prophylaxis, reducing or eliminating infection

Contraindications Hypersensitivity to cephalosporins and related antibiotics; pregnancy (category B), lactation.

Side Effects GI: Diarrhea, nausea, antibioticassociated colitis. Skin: Rash , pruritus, urticaria. Urogenital: Increased serum creatinine and BUN, decreased creatinine clearance.

Nursing Responsibilities

Determine history of hypersensitivity reactions to cephalosporins, penicillins, and history of allergies, particularly to drugs, before therapy is initiated. Lab tests: Perform culture and sensitivity tests before initiation of therapy and periodically during therapy if indicated. Therapy may be instituted pending test results. Monitor periodically BUN and creatinine clearance. Instruct patient to take medication around the clock at evenly spaced times and to finish the medication completely, even if feeling better Advise patient to report signs of superinfection and allergy Instruct patient to notify health professional if fever and diarrhea develop

Student Nurse: _________________________ Patient: __________________________ Age: ________ DRUG STUDY Date: ___________ Room:___________

Name Generic Name: Tramadol

Classification of Drug -analgesic (opioid)

Action Decreases pain by inhibiting the uptake of norepinephrine

Indications moderate to acute or chronic pain and in painful diagnostic or therapeutic measures

Contraindications - Acute intoxication w/ alcohol, hypnotics, narcotics, centrally-acting analgesics, opioids or psychototropic drugs. -Hypersensitivity

Adverse Effects

Nursing Responsibilities

-CNS & GI disturbances. -assess for level of pain relief -Nausea, dizziness, somnolence. -Asthenia, fatigue, hot flushes, constipation, diarrhea, flatulence, dry mouth, pruritis, diaphoresis, tinnitus. -assess BP & RR -assess bladder & bowel function -monitor for respiratory depression & seizures -to be taken w/ meals to avoid GI upset. -encourage coughing & deep breathing q 2 hrs to prevent atelactasis & pneumonia

Brand Name: Dolcet

& serotonin in the CNS. May produce opioid-like effects, but causes less respiratory depression than morphine.

Student Nurse: _________________________ Patient: __________________________ Age: ________ DRUG STUDY Date: ___________ Room:___________

Name Myonal (Eperisone hydrochlori de)

Classification of Drug Muscle relaxants

Indications Spastic paralysis caused by the following diseases : Cerebrovascular disorders, spastic spinal paralysis, cervical spondylosis, sequelae of surgical trauma (including cerebrospinal tumor), sequelae of trauma (spinal injury and head injury), amyotrophic lateral sclerosis, infantile cerebral palsy, spinocerebellar degeneration, spinal vascular disorder, subacute myelo-optico neuropathy (SMON) and other encephalomyelop athies

Contraindications - hypersensitivity to the drug, - hepatic problems.

Adverse Effects - Shock and anaphylactoid reactions: In the event of symptoms such as redness, itching, urticar ia, oedema of the face -

Nursing Responsibilities Weakness, light-headedness, sleepiness or other symptoms may occur. In the event of such symptoms, the dosage should be reduced or treatment discontinued. Patients should be cautioned against engaging in potentially hazardous activities requiring alertness, such as operating machinery or driving a car