Generic Name: Ketorolac tromethamine

Brand Name: Acular LS, Acular PF

Drug class: Antipyretic, nonopioid analgesic, NSAID
Indication:
Short-term management of pain (up to 5 days)
Ophthalmic: relief ocular itching due to seasonal conjunctivitis, and relief of
postoperative inflammation after cataract surgery.
Contraindication:
Contraindicated with significant renal impairment, during labor in delivery, lactation;
patients wearing soft contact lenses (ophthalmic); aspirin allergy; concurrent use of
NSAIDs; active peptic ulcer disease; recent GI bleed or perforation; history of peptic
ulcer disease or GI bleeding; hypersensitivity to ketorolac; as prophylactic analgesic
before major surgery; treatment of perioperative pain in CABG; suspected or confirmed
cerebrovascular bleeding; hemorrhagic diathesis, incomplete hemostasis, high risk of
bleeding; use with probenecid pentoxyphylline
Use cautiously with impaired hearing; allergies; hapatic; CV & GI conditions.
Side effect:
CNS: headache, dizziness, somnolence, insomnia, fatigue, tinnitus, ophthalmologic
effects
Dermatologic: rash, pruritus, sweating, dry mucous membranes
GI: nausea, dyspepsia, GI pain, diarrhea, vomiting, constipation, flatulence, gastric or
duodenal ulcers
GU: dysuria, renal impairment
Hematologic: bleeding, platelet inhibition with higher doses, neutropenia, eosinophilia,
agronulocytopenia, aplastic anemia, , Hgb /Hct, bone marrow depression, menorrhagia
Nursing responsibilities:
Be aware that patient may be increased rick for CV events, GI bleeding, renal toxicity;
monitor accordingly.
Do not use during labor, delivery or while nursing; serious adverse effects to the fetus
baby are possible.
Protect drug vials from light
Administer every 6hr to maintain serum levels & control pain.

Drug name: Silvadene Rx
Generic name: Silver sulfadiazine 1%; cream.
Drug class:
Indication:
Prophylaxis and treatment of sepsis in 2
nd
and 3
rd
degree burns.

Contraindication:
Premature infants. Within first 2 months of birth. Late pregnancy
Side effect:
Transient leukopenia, skin necrosis, erythema multiforme, skin discoloration, burning
sensation, rash, pruritus, interstitial nephritis, reduction in bacterial growth; systemic
sulfonamide reactions, fungal overgrowth.
Nursing responsibilities:
G6PD deficiency.
Impaired renal or hepatic function.
Monitor serum sulfa levels and renal function in extensive burns.
Pregnancy (Cat.B). Nursing mothers: not recommended.

Drug name: vitamin K
Brand name: aqua mephyton vit. K
Indication:
Anticoagulant-induced prothrombin deficiency caused by coumarin or indanedione
derivatives;
Prophylaxis and therapy of hemorrhagic disease of the newborn;
hypoprothrombinemia due to anti-bacterial therapy
hypoprothrombinemia secondary tofactors limitingabsorption orsynthesis of vitamin K

contraindication:
Hypersensitivity to any component of this medication.
Side effect:
Transient "flushing sensations" and "peculiar" sensations of taste have been observed, as
well as rare instances of dizziness, rapid and weak pulse, profuse sweating,
brief hypotension, dyspnea, and cyanosis
Pain, swelling, and tenderness at the injection site may occur.
The possibility of allergic sensitivity including ananaphylactoid
reaction, should be kept in mind. Infrequently, usually after repeated injection, erythematous,
indurated, pruritic plaques have occurred; rarely, these have progressed to scleroderma-
like lesions that have persisted for long periods. In other cases, these lesions have
resembled erythemaperstans.