DRUG STUDY: NCM 106 PHARMACOLOGY Instructor: _______________________________________ Date: ________________________
NAME: ____________________________________________________________ BLOCK and Year:___________________________Group: ______________________________
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING
ACTION INTERVENTIONS Competes with natural Chronic HBV infection with Hypersensitivitytodrugorits CNS: headache, Patient monitoring: substrate deoxyguanosine evi- dence of active viral components dizziness, fatigue Monitor renal Generic Name: triphosphate to inhibit HBV replication and either GI: nausea, diarrhea, function before and Enteclavir polymerase (reverse persistent serum transaminase dyspepsia, increased during therapy, transcriptase) elevations or histologically GI enzymes especially in liver active disease Hematologic: transplant recipients hematuria who are receiving or Hepatic: HBV have received exacerbation, severe immune suppressants Drug Classification: hepatomegaly that may affect renal antiviral Metabolic: function. 2Monitor glycosuria, lactic liver function closely acidosis for evidence of HBV exacerbation for at least several months after drug discontinuation. Available Dosage: Monitor for lactic DOSAGE TABLET: acidosis (associ- ated 0.5mg with nucleoside 1mg analogues). ORAL SOLUTION; Patient teaching 0.05mg/ml Instruct patient to take drug on empty stomach (at least 2 hours before or after a meal). Teach patient about signs and symptoms of lactic acidosis and importance of contacting prescriber if these occur. Instruct patient to immediately report worsening symptoms, such as increased yellowing of skin or eyes, dark urine, or fatigue. As appropriate, review all other significant and life- threatening adverse reactions and interactions, especially those related to the drugs and tests mentioned above.