DRUG MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE EFFECTS/ NURSING

CLASSIFICATION ACTION ADVERSE EFFECTS CONSIDERATIONS

fluconazole (Diflucan) Fluconazole work by Treatment of candidiasis , - Liver problems - headache, Assessment:
blocking the activity of a cryptococcal meningitis, - Renal impairment - dizziness, - Assess the patient for
Dosage for adult: sterol in the fungal wall. other systemic fungal - Allergy to the drug - drowsiness, contraindications or cautions
200-400 mg PO on a day In addition, it may block infections; prophylaxis for - kidney disease with - stomach or - Perform a physical
1 followed by 100 mg/d the activity of human reducing the incidence of likely reduction in abdominal pain, assessment to establish
PO; IV route kan be used steroids, including candidiasis in bone kidney function - upset stomach, baseline data.
but do not exceed 200 testosterone and marrow transplant - a type of abnormal - diarrhea, -Evaluate renal and hepatic
mg/hr corrtesol. recipients, heart rhythm - heartburn, function tests and CBC.
- hypersensitivity - loss of appetite,
For Pediatric: 3-6 mg/kg and Nursing diagnoses:
PO; do not exceed 12 mg/ - allergic reactions -Acute pain related to GI,
kg including skin CNS, and local effects of the
inflammation, drug
itching, rash, and -Disturbed sensory perception
unusual or (kinaesthetic) related to CNS
unpleasant taste in effects.
your mouth. -Deficient knowledge
regarding drug therapy

Planning:
-The patient will receive the
best therapeutic effect from
drug therapy.
-The patient will have limited
adverse effects to the drug
therapy.
-The patient will have an
understanding of the drug
therapy, adverse effects to
anticipate, and measures to
relieve discomfort and
improve safety.

Implementation:
-Administer the entire course
of the drug
-monitor renal and hepatic
function before and
periodically during treatment
to assess possible
dysfunction.
-Provide comfort and safety
provision if CNS effects
occur.
-Instruct patient to increase
knowledge about the drug
therapy.

Evalutaion:
 -Monitor patient response to
the drug.
-Monitor for adverse effects.
-Evaluate the effectiveness of
the teaching plan.
-Monitor the effectiveness of
comfort and safety measures
and compliance with the
regimen.

Itraconazole work by Treatment of - Hepatic failure - headache, Assessment:

itraconazole (Sporonax) blocking the activity of a blastomycosis, - Hepatic impairement dizziness; - Assess the patient for
sterol in the fungal wall. histoplasmosis, and - ventricular - rash; contraindications or cautions
Dosage for adult: In addition, it may block aspergillosis. dysfunction - Perform a physical
- nausea, vomiting,
100-400 mg/d PO the activity of human - conjestive heart assessment to establish
upset stomach,
steroids, including failure (CHF) baseline data.
constipation;
For pediatric: testosterone and - Hitory of CSF Evaluate renal and hepatic
Safety and efficacy not corrtesol. - fever, muscle or function tests and CBC.
established joint pain;
- unusual or Nursing diagnoses:
unpleasant taste in -Acute pain related to GI,
your mouth; CNS, and local effects of the
- hair loss; drug
- impotence, erection -Disturbed sensory perception
problems; or. (kinaesthetic) related to CNS
effects.
- changes in your -Deficient knowledge
menstrual periods. regarding drug therapy

Planning:
-The patient will receive the
best therapeutic effect from
drug therapy.
-The patient will have limited
adverse effects to the drug
therapy.
-The patient will have an
understanding of the drug
therapy, adverse effects to
anticipate, and measures to
relieve discomfort and
improve safety.

Implementation:
-Administer the entire course
of the drug
-monitor renal and hepatic
function before and
periodically during treatment
to assess possible
dysfunction.
-Provide comfort and safety
provision if CNS effects
occur.
-Instruct patient to increase
knowledge about the drug
therapy.

Evalutaion:
-Monitor patient response to
the drug.
-Monitor for adverse effects.
-Evaluate the effectiveness of
the teaching plan.
-Monitor the effectiveness of
comfort and safety measures
and compliance with the
regimen.