Drug Study

DRUG ORDER
(Generic
name, NURSING
CONTRAINDICATION ADVERSE
Dosage, ACTION INDICATIONS RESPONSIBILITIES
S EFFECTS
Route, /PRECAUTIONS
Frequency,
etc.)

Cotrimoxazole Blocks synthesis Indications Contraindications Dermatologic: - Assess allergic

(400mg) 1 tab of tetrahydrofolic - Uncomplicated UTIs - Allergy to Rash, pruritus, reactions
acid;combination caused by susceptible trimethoprim, exfoliative - Monitor I&O ratio
blocks two strains of E. coli, pregnancy (teratogenic dermatitis - Monitor kidney
consecutive steps Proteus mirabilis, in preclinical studies), GI: Epigastric function
in bacterial Klebsiella pneumoniae, megaloblastic anemia distress, nausea, - Assess type of
synthesis of Enterobacter species, due to folate vomiting, glossitis infection; obtain
essential nucleic and coagulase-negative deficiency. Hematologic: C&S before
acids, protein Staphylococcus species, Thrombocytopenia, starting therapy
including leukopenia, - Assess blood
Staphylococcus neutropenia, dyscrasias
saprophyticus megaloblastic
- Treatment of acute anemia, Precautions:
otitis media due to methemoglobinemi - Pregnancy C,
susceptible strains of S. a, elevated serum renal disease,
pneumoniae and H. transaminase and eldery, G6PD
influenza in children bilirubin, increased deficiency,
BUN and serum impaired
creatinine levels hepatic/renal
Other: Fever disease,
possible folate
deficiency,
severe
allergy,
bronchial
asthma
Sulbutiamine Sulbutamine increases Symptomatic treatment of Contraindicated in patient Occasionally: Mild  Educate not
physical resistance to functional asthenia with Hypersensitivity to the agitation in the elderly, to use during pregnancy
Brand Name: fatigue, neuromuscular drug allergic skin reactions (as much as possible)
Arcalion efficiency and learning Special Precautions: Use in  Not
and memory. It pregnancy: No fetal toxicity recommended during
improves the or malformation has been lactation
metabolic functions of reported. However, follow-up  Instruct
the cerebral cortex, it of women exposed to patient to report any
is d symptomatic Arcalion during pregnancy is allergic reaction
treatment of functional insufficient to exclude such a
asthenia. It is rapidly risk. Therefore, as a
absorbed and the precautionary measure, it is
blood circulation is preferable not to use Arcalion
maimum in 1-2 hours during pregnancy.
after oral Use in lactation: In the
administration. absence of data concerning
the diffusion into breast milk,
Drug Classification: breastfeeding is not
Nootropics & recommended during
Neurotonics treatment.
 Nausea, vomiting, -Instruct patient to
Affects the Hypersensitivity to diarrhea, GI apply medication as
Nystatin permeability of the active ingredients, distress, irritation
directed for full
Mycostatin fungal cell wall, additives, preservatives, course of therapy,
allowing leakage or bases. Some products even if feeling
of cellular contents contain alcohol or better.
bisulfites and should be - Emphasize the
Drug Classification: avoided in patients with importance of
Anti-fungals known intolerance. avoiding the eyes.
-Use appropriate
hygiene measures to
prevent reinfection
or spread of
infection
-Caution patient that
some products may
stain fabric, skin, or
hair. Check label
information.
-Advise patient to
report increased skin
irritation or lack of
response to therapy
to health care
professional.