Escolar Documentos
Profissional Documentos
Cultura Documentos
of Drug
Date
Ordered
01/22/14
Time
5:52pm
Generic
Name:
Cefuroxime
Sodium
01/25/14
Shift to
Oral
Cefuroxime
Side Effects/
Adverse
Effects
*Antibiotic
Cephalosphori
n (2nd gen)
CNS: headache,
dizziness,
Lethargy,paresthesia
s
Dose
Indication:
750mg
This medication is
Route
given to the patient
IV
for
patients with lower
Frequency
respiratory tract
q6
infections caused
6-12-6
by S. pneumonia, S
aureus, E
coli,Klebsiela
pneumonia, Hinfluenzae, Spyrogenes
Dose
500mg
Urinary Tract
Route PO
Infections
Frequency
Bone and joint
BID
infections
Contraindication:
Contraindicated
with
hypersensitivity to
cephalosporin or
Mode of
Action
Bactericidal:
Inhibits DNA
synthesis in
specific
(obligate)
GI: anorexia, nausea, anaerobes,
vomiting, diarrhea,
causing cell
abdominal
death.
pain,flatulence, GI
upset, cramps.
GU: Nephrotoxicity
Hematologic:
decreased WBC,
decreased platelet,
decreased Hct
Hypersensitivity: rash
to fever to
anaphylaxis
Local: pain, abscess
Nursing
Responsibili
ty
Instruct the
patient to
report if
these
happens:
Difficulty of
breathing
Severe
diarrhea
Unusual
tiredness
Inform the
patient that
side effects
can
happen
such as:
Stomach
upset
penicillin
Use cautiously with
renal failure
at injection site,
phlebitis
Diarrhea
In Oral
Instruct
patient to
take full
course of
therapy
Give drug
with food
to
decrease
GI upset
and
enhance
absorption
Instruct
patient to
swallow
tablets
whole do
not crush
Dryness of
mouth with
dysphagia
Thirst
Dilation of pupils
with loss of
accommodation
and photophobia
Increased intra
ocular pressure
Flushing and
dryness of the
skin
Bradycardia
Tachycardia
Urinary
incontinence
Vomiting
Retrosternal pain
Mode of
Action
A
competitive
antagonist
of the
actions of
acethylchol
ine and
other
muscarinic
agonist
Nursing Responsibility
Name of
Drug
Date
Ordered
01/28/14
Time
8:45 pm
Generic
Name:
Domperidon
e
Brand
Name:
Classificat Dosage/
ion
Route/
Frequen
cy
*Anti
Dose
emetics
10mg
Dopamine
antagonist
Route
PO
Freq
TID
Indication /
Contraindication
Indication:
This medication is
given to patient with
acute nausea and
vomiting
Dyspepsia
Gastric distention
GERD
Non-ulcer dyspepsia
Side Effects/
Adverse
Effects
Contraindication:
Hypersensitivity to
domperidone
Hepatic impairment
Serious resistant
GI Mycoses
Headac
he
Diarrhea
Restless
ness
Anxiety
Insomia
Nervous
ness
Dry
mouth
Itching
Sorenes
s
Mode of
Action
Dopaminergic
blocking
agents
gastrointestin
al emptying
peristaltic
stimulant.
Facilitates
gastric
emptying and
decreases
small bowel
transit time
by increasing
Esophageal
and gastric
peristalsis
and by
lowering
esophageal
sphincter
pressure
Nursing Responsibility
Check for
Hypotension
Jerking
Tongue protusion
Contraindication:
Contraindicated
with active
peptic ulcer
Headache
Dizziness
Diarrhea
Abdominal pain
Nausea and
Vomiting
Stomach upset
Sore throat
Mode of
Action
Reduces
the
viscosity of
bronchial
secretions
and
facilitate
prostaglan
din
synthesis
at the CNS
but does
not have
anti
inflammati
on action
because of
its minimal
effect on
peripheral
prostaglan
din
synthesis
Nursing Responsibility
Assess cough,
type, frequency,
character of
sputum
Provide adequate
hydration to
decrease viscosity
of secretions
Monitor for the
possible adverse
reactions
Frequency
TID
Prophylaxis
during treatment
with galuretic
diuretics
Contraindication:
Contraindicated
to patient with
renal
insufficiency
Abdominal pain
Diarrhea
Nausea
Ulceration,
perforation in
small intestine
Rash
Mode of
Action
Essential for
maintenance of
intracellular
isotonicity,
transmission of
nerve
impulses,
contraction of
cardiac skeletal
muscle,
smooth
muscles
Maintenace of
normal kidney
function and for
enzyme activity
effect on
peripheral
prostaglandin
synthesis
Nursing
Responsibility
Closely
monitor
electrolytes
and blood
gases
Frequency
Contraindication:
OD
Contraindicated
to patient with
who have
shown
hypersensitivity
or idiosyncratic
reactions to
other nitrates
Dizziness
Nausea with
syncope
Hypotension
Tachycardia
Headache
Fainting
Diarrhea
Myalgia
Rash
pruritus
Mode of
Action
Relaxation of
the vascular
smooth muscle
producing
vasodilation of
both arteries
and veins with
the latter
predominating.
Reduces the
end-diastoilc
pressure and
volume on the
coronary
arteries
Nursing
Responsibility
Check for
hypotension
Put patient on
bed rest
Provide
supervision
when
ambulating
Perform non
pharmacologic
measures for
nausea and
vomiting such
as letting
client drink
weak tea and
eat gelatin,
crackers