Generic

Name/Brand
Name/Classi
fication
GENERIC
NAME:
Cetirizine
BRAND
NAME:
Zyrtec
CLASSIFICATION:
Antihistamines &
Antiallergics

Mechanism of Action

Indication

Contraindi
cation

Cetirizine, a human
metabolite
of
hydroxyzine,
is
an
antihistamine;
its
principal effects are
mediated via selective
inhibition of peripheral
H1
receptors.
The
antihistaminic activity of
cetirizine has been
clearly documented in a
variety of animal and
human models. in vivo
and ex vivo animal
models have shown
negligible
anticholinergic
and
antiserotonergic activity.

Indicated for the

relief
of
symptoms
associated with
rhinitis due to
allergens such
as
ragweed,
grass and tree
pollens in adults
and children 2
years of age
and
older.
Symptoms
treated
effectively
include
sneezing,
rhinorrhea,
nasal pruritus,
ocular pruritus,
tearing,
and
redness of the
eyes.

Is contraindicated
in
those
patients
with
a
known
hypersensitivity
to it or any
of
its
ingredients or
hydroxyzine.

Adverse
Effect

Dosag
e

dizziness,

5 mg

drowsiness;

or 10

tired

mg per

feeling; dry

day

mouth; sore
throat,

Nursing
Responsibilities

1. Monitor Vital
Signs

- To check if
there is
abnormalities of
vs after
administering
drug

2. Asses pt and
familys knowledge
about the drug
therapy

- To gain
cooperation and
for them to know
what are the
possible side
effects.

3. Teach pt
importance of
complying with
dosage schedule,
even if feeling
better.

- It helps to
decrease stress
and diet
modifications.

4. Instruct pt to have
daily exercise such
as walking and
monitor periodically.

- To promote
healthy lifestyle

5. Instruct pt to have
enough rest

- Stress may
lead to
unhealthy body

cough;
nausea,
constipation; or
headache.

Rationale

Generic
Name/Brand
Name/Classi
fication
GENERIC
NAME:
azithromycin

Mechanism of
Action

Indication

Azithromycin
blocks
transpeptidatio
n by binding to
BRAND
50s ribosomal
NAME:
subunit of
Trozin
susceptible
organisms and
CLASSIFICA disrupting
TION:
RNAMacrolide
dependent
protein
synthesis at
the chain
elongation
step.

Skin and soft

Contrai
ndicatio
n

Adverse Effect

Dosage

Uncomplicated

500 mg once
Mild to moderate daily for 3 days.
Alternatively, 500
nausea,
mg as a single
vomiting,
dose on the 1st
abdominal pain, day followed by
250 mg once
dyspepsia,
daily for 4 days.

genital

flatulence,

infections due

diarrhoea,

to Chlamydia

cramping;

trachomatis,

angioedema,

Granuloma

cholestatic

inguinale,

jaundice;

Active

dizziness,

immunisation

headache,

against typhoid

vertigo,

fever caused by

somnolence;

Salmonella

transient

typhi

elevations

tissue

Hypers

infections,

ensiti-

Respiratory

vity.

tract infections,

liver
values.

Nursing
Responsibilities

1. Monitor Vital Signs

2. Asses pt and
familys knowledge
about the drug therapy

3. Assess for allergic

reactions

4. Teach pt
importance of
complying with dosage
schedule, even if
feeling better.

of

enzyme

5. Instruct pt to have
enough rest

Rationale

- To check if
there is
abnormalities of
vs after
administering
drug
- To gain
cooperation and
for them to
know what are
the possible
side effects.
- To stop
medication and
give other
medication if
needed.
- It helps to
decrease stress
and diet
modifications.

- Stress may
lead to
unhealthy body

Generic
Mechanism of
Name/Brand
Action
Name/Classifi
cation
GENERIC
exerts an
NAME:
intensive
acetylcysteine mucolyticfluidifying
BRAND
action on
NAME:
mucous and
Fluimucil
mucopurulent
secretions, by
CLASSIFICA depolymerizin
TION:
g the
Cough & Cold mucoproteic
Preparations/ complexes
Mucolytic
and the
nucleic acids
which confer
viscosity to the
vitreous and
purulent
component of
the sputum
and of the
secretions.

Indication

Contraindicatio
n

Treatment of

Known
hypersensitivity
to
acetylcesteine.
As
Acetylcysteine
(Fluimucil)
granules and
tablets contain
aspartame, it is
contraindicated
in patients
suffering from
phenylketonuri
a.

respiratory
affections
characterize
d by thick
and viscous
hypersecreti
ons: acute
bronchitis,
chronic
bronchitis
and its
exacerbation
s; pulmonary
emphysema,

Adverse Effect

Hypersensitivity
reactions have been
reported in patients
receiving
acetylcysteine,
including
bronchospasm,
angioedema, rashes
and pruritus. Other
adverse effects
reported with

include nausea and

vomiting, fever,
syncope, sweating,
arthralgia, blurred
vision, disturbances

sis and

of liver function.

sis.

Nursing
Responsibilities

1. Monitor Vital
1 sachet
200 mg or 2 Signs
sachets 100
mg, 2-3
times a day.

1 600 mg
effervescent
tablet daily
(preferably
in the
evening)

2. Asses pt and
familys
knowledge about
the drug therapy

3. Instruct pt to
have enough rest

Rationale

- To check if
there is
abnormalities of
vs after
administering
drug
- To gain
cooperation
and for them to
know what are
the possible
side effects.
- Stress may
lead to
unhealthy body

acetylcysteine

mucoviscido

bronchieacta

Dosage

4. Patients
suffering from
bronchial asthma
must be strictly
monitored during
the therapy.
5. It is prefered not
to mix other drugs
with the
Acetylcysteine
(Fluimucil)
solution.

- Should
bronchospasm
occur, the
treatment must
be suspended
immediately.