drug study (agn)

DRUGS DOUSAGE, ROUTE AND FREQUENCY

ACTION DESIRED EFFECT NURSING RESPONSIBILITIES

GENERIC NAME:Nifedipine

BRAND NAME:

GENERAL CLASSIFICATION:Anti-hypertensives

SPECIFIC CLASSIFICATION:Calcium Channel Blocker

DATE ORDERED:07-29-10

5 mg SL now then q 6

Unknown, though to inhibit calcium ion influx across cardiac and smooth muscle cells, decrease contractility and oxygen demand. Also may dilate coronary artery and arterioles.

Given to our patient to manage hypertension.

To potentiate effectiveness of the drug: Instruct patient to not to crew the med

(soft gel) Advise patient to avoid taking drug with

grapefruit juice Tell patient to protect the capsule from

direct sunlight and moisture and to restore at room temperature

Ensure safe use of the drug: Monitor patient blood pressure Contraindicated to patient with

hypersensitivity to drug Watch for symptoms of heart failure Perform daily weighting and monitor for

swelling Monitor for adverse reaction such as:

1. Dizziness2. Light headedness3. Headache 4. Weakness5. Peripheral edema6. Hypotension7. Palpitation8. Heart failure



GENERIC NAME:Mupirocin

BRAND NAME:

SPECIFIC CLASSIFICATION:Topical drug

GENERAL CLASSIFICATION:Local anti-infectives


4x AS on LE Unknown, though to inhibit bacterial protein and RNA synthesis

Given to treat infected wounds/ cuts

To potentiate effectiveness of the drug: Clean and dry affected areas before

applying Observe aseptic technique when

applying the drug

Ensure safe use of the drug: Use medication for external only Can cover affected areas with bandage /

gauze Monitor side effects such as:

1. Burn2. Itching3. Stinging

DRUG DOUSAGE, ROUTE AND FREQUENCY

ACTION DESIRED EFECT NURSING RESPONSIBILITIES

GENERIC NAME:Captopril

BRAND NAME:

GENERAL CLASSIFICATION:Anti-hypertensives

SPECIFIC CLASSIFICATION:Angiotensin Converting Enzymes inhibitor


25 mg ½ tab BID OD

Inhibits ACE, preventing conversion of angiotensin I to angiotensin II , a potent vasoconstrictor, less angiotensin II decreases peripheral arterial resistance, decreases aldosterone secretion w/c reduces sodium and water retention and lowers blood pressure

Given to our patient to decrease the blood pressure/ management of hypertension

To potentiate effectiveness of the drug: Instruct to take drug 1 hr before meal

Ensure safe use of the drug: Monitor pt. BP and RR frequently Uses cautiously c pt. c renal/ impaired

renal function Instruct pt/ SO to report: swelling of

face, lips and mouth/ DOB Advise to avoid sudden position change

to minimize hypotension Monitor for protenuria every 2-4 wks for

the first 3 mos of therapy to decrease renal function

Monitor adverse reaction such as:1.dizziness2. fainting3.headache4.malaise/fatigue5.fever6.diarrhea7. dry mouth8. nausea and vomiting9. protenuria

DRUGS DOUSAGE, ACTION DESIRED EFFECT NURSING RESPONSIBILITIES

ROUTE AND FREQUENCY

GENERIC NAME:Furosemide

BRAND NAME:Lasix GENERAL CLASSIFICATION:Loop Diuretics DATE ORDERED:07-29-10

30 mg TIV q 12 c BP precaution < 90/60

Inhibit the reabsorption of sodium and chloride in the proximal and distal tubules as well as the ascending loop of Henle: this result in the excretion of sodium chloride and to a lesser degree, potassium and bicarbonate ions

This drug is given to the patient to treat edema and to prevent hypertension

To potentiate effectiveness of the drug: Performed aseptic technique in

handling and administering of the drugEnsure safe use of the drug:

Check BP before giving med Monitor weight and input and output

for edema Advise patient not to consume

excessive amount of coffee, tea, or cola;may interefere with BP control and drug effectiveness

Encourage to comply with additional antihypertensive intervension such as;weight reduction, low sodium diet, regular exercise and stress management

When given IV give slowly for 1-2 mins Given in the morning Discuss need to increase foods high in

potassium like; Banana,watermelon, Monitor ototoxicity Advise patient to report immediately;

ringing in ears, abdominal pain, sore throat and fever

Instruct patient to report adverse reaction such as:1. Muscle weakness2. Dizziness3. Numbness and tingling4. Blurred vision5. Nausea and vomiting


ACTION DESIRED EFFECT

NURSING RESPONSIBILITIES

GENERIC NAME:Penicillin G

BRAND NAME:

GENERAL CLASSIFICATION:Antibiotics

DATE/TIME ORDERED:07-29-104:30PM

790000 IU TIV q 6 ANST ( )

Inhibit cell wall synthesis during bacterial multiplication

Given to our patient to treat systemic infection

To potentiate effectiveness of the drug: Ensure skin testing Performed aseptic technique in administering

Ensure safe use of the drug: Administer the drug slow Tell patient to report immediately rash, chills

and fever Use sterile water, isotonic saline in mixing for

desired strength Donot mix with other medications like

aminophylline, ascorbic acid, gentmicyn and heparin

Monitor adverse reaction such as:1. Neuropathy2. Seizures3. Hallucinations4. Agitation5. Confusion6. Dizziness7. Fatigue

DRUG DOUSAGE, ACTION DESIRED EFFECT NURSING RESPONSIBILITIES

ROUTE AND FREQUENCY

GENERIC NAME:Paracetamol

BRAND NAME:

GENERAL CLASSIFICATION:Non-opiod analgesic and antipyretics


500 mg 1 tab/ 250 mg/ 5 ml give 10 ml

Drug may relieve fever through central action in the hypothalamic heat regulating center.

Given to our patient to decrease body temperature

To potentiate effectiveness of the drug: Do handwashing before handling med Performed TSB Use light clothings and provide proper

ventilationEnsure safety of the patient

Use cautiously in pt hypersensitive to drug

Monitor hematologic status because it can decrease RBC,WBC and platelets

Monitor adverse reaction such as:1.Hemolytic Anemia2. Neutropenia3.Leukopenia4. Pancytopenia5. Jaundice6. Hypoglycemia7. rash

DRUG DOUSAGE, ACTION DESIRED NURSING RESPONSIBILITIES

ROUTE AND FREQUENCY

EFFECT

GENERIC NAME:Cefuroxime sodium

BRAND NAME:

GENERAL CLASSIFICATION:Cephalosporin

SPECIFIC CLASSIFICATION:2nd generation cephalosporin DATE/TIME ORDERED:08-08-10

250 mg 7-8 ml 2x a day

Second generation cephalosporin that inhibits cell wall synthesis, thus promoting osmotic instability, usually bactericidal.


To potentiate effectiveness of the drug: Suspension will be given with foods Do hand washing before handling the

medEnsure safe use of the drug

Report signs of anorexia, dizziness, pale skin and SOB

Drug regimen (therapy given for 10 days) Monitor adverse reaction such as:

1. Diarrhea 2. Nausea3. Rash

DRUG DOSAGE, ROUTE AND FREQUENCY


GENERIC NAME:Sumapen

BRAND NAME:

GENERAL CLASSIFICATION:Anti- infectives


500 mg 1 cap 3x a day

Inhibit cell wall synthesis during bacterial multiplication


To potentiate effectiveness of the drug: Taken in an empty stomach Taken 1 hr before / 2 hr after meals

Ensure safe use of the drug: Contraindicated to pt with allergies to

penicillin Use cautiously to patient c renal

impairment Monitor for adverse reactions such as:

1. GI disturbances2. Allergic skin reactions 3. Blood disorders 4. Anaphylaxis5. Black hairy tongue6. Neuropathy

DRUG DOSAGE, ROUTE AND FREQUENCY


GENERIC NAME:Ranitidine

BRAND NAME:Zantac

GENERAL CLASSIFICATION:Anti- ulcer

SPECIFIC CLASSIFICATION:H2 receptor antagonist


25 mg TIV q8 Competitively inhibit action of histamine on the h2 at receptor sites of parietal cells, decreasing gastric acid secretion

Given as a prophylaxis for other drug given such as cefuroxime

To potentiate effectiveness of the drug: Ensure skin testing Aseptic technique in administering med

To ensure safe use of the drug: Avoid food that can increase gastric

secretion such as: coffee, tea, soda and spicy foods

Use cautiously in patient with impaired renal function

Advise to report abdominal pain and blood in stool / emesis

monitor adverse reaction such as:1. vertigo2. malaise3. headache 4. blurred vision5. jaundice

DRUG STUDY

drug study (agn)

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