NAME OF THE DRUG Furosemide 150 mg IV Classification: Loop Diuretic

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A potent loop Treatment of edema diuretic that associated with CHF, inhibit sodium cirrhosis of liver, and and chloride re kidney disease, absorption at including nephrotic the proximal and syndrome. May be distal tubules used for management and the of hypertension, alone ascending loop of or in combination with Henle other antihypertensive agents, and for treatment of hypercalcemia. Has been used concomitantly with mannitol for treatment of severe cerebral edema, particularly in meningitis

Contraindicated to patients hypersensitivity to drug and in those with anuria Use cautiously in patients with hepatic cirrhosis and in those allergic to sulfonamidfes. Use furosemide during pregnancy only if potential benefits to mother clearly out weight risks to fetus.

>Dizziness, Vertigo >Weakness >Head ache >Nausea and Vomiting >Anorexia >Gastric irritation >Diarrhea >Acute pancreatitis

>Administer with food or milk to prevent GI upset >Reduced dosage if given with other anti- hypertensive >Give early in the day so that increased urination will not disturb sleep >Do not mix parenteral solution with highly Acidic > Advise patient to immediately report ringing ears, severe abdominal pain, or soar throat and fever which may indicate furosemide toxicity > Watch for signs of hypokalemia such as muscle weakness and cramps > Monitor fluid intake and output and electrolyte, BUN, and carbon dioxide level frequently

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>Do not mix with

Ceftriaxone 750 mg IV Bactericidal: Inhibits q 12 synthesis of bacterial cell wall, causing cell Classification: Antideath bacterial; third generation cephalosporin

Lower respiratory tract, gynecologic, bone or joint, intraabdominal, skin, or skin structure infection; septicemia

Hypersensitivity to cephalosporins and related antibiotics or penicillins.

>Head ache >Dizziness >Nausea and Vomiting >Anorexia >Diarrhea

other antimicrobial drug. >Protect drug from light. >Avoid alcohol while taking this drug and for 3 days after. >Monitor ceftriaxone blood levels in patients with renal and hepatic impairment. >Discontinue if hypersensitivity occurs. >Advise patient to report severe diarrhea, difficulty of breathing, unusual tiredness of fatigue >Report if theres pain at injection site.

> Ranging from rash to fever to anaphylaxis, serum sickness reaction > Pain, abscess at injection site; phlebitis, inflammation at IV site

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NURSING CONSIDERATION >Assess results of culture and sensitivity tests and patients allergy history prior to beginning the therapy >Patients should be monitored closely with first infusion/ injection. Asses bowel pattern everday; if severe diarrhea occurs, drugs should be discontinued; may indicate pseudomembranous colitis >Assess for over growth of infection; perineal itching, fever, malaise, redness, pain, swelling, drainage, rash, diarrhea, change in cough sputum.

Oxacillin 500 mg IV q 6 ANST Classification: Penicillin

Interferes with cell wall replication of susceptible organisms; osmotically unstable cell wall swells, burst from osmotic pressure.

Treatment of infections caused by penicillinase producing staphylococci; Initial therapy of suspected staphylococcal infection

Hypersensitivity to penicillin. Do not treat severe pneumonia, emphysema, bacteremia, meningitis and purulent or septic arthritis with oral oxacillin during acute state.

>Lethargy, >Hallucination anxiety >Depression >Seizures >Nausea and Vomiting >Diarrhea >Abdominal pain >Oliguria >Protenuria >Anemia >Rash, fever, wheezing

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NURSING CONSIDERATION >Assess cardio respiratory function: BP, heart rate and rhythm and breath sounds. >Determine history of previous medication and ability to self medicate to prevent additive >Montior for evidence of allergic reaction and paradoxical broncho spasm

Salbutamol 1mg/ml q 6 Classification: Bronchodilator

Stimulates beta-2 receptors of bronchioles by increasing levels of cAMP wich relaxes smooth muscles to produce bronchodilator. Also cause CNS skeletal muscle tremors and increased gastric acid secretion, longer acting isoproterenol

>Used as a bronchodilator in the management of reversible airway obstruction caused by asthma or COPD >Used as a quickrelief agent for acute bronchospasm and for prevention of exercise induced bronchospasm

Hypersensitivity to salbutamol, also to atropine and its derivatives threatened absorption during the first and second trimester. Cardiac arryhtmatid associated with tachycardia caused by digitalis intoxication Hyperthropic obstructive cardiomyopathy or tachyarrythmia. Prevention of premature labor associated with toxemia of pregnancy or antepartujm hemorrhage. Use with non-selective beta blockers.

>Fine skeletal muscle tremor, >Leg cramps >Palpitations >Tachycardia >Hypertension >Headache >Nausea and vomiting >Dizziness >Insomnia >Tension and Nervousness >Emotional upset ?Peripheral Vasodilation