DRUG STUDY

DRUG ORDER

ACTION

INDICATION

CONTRAIDICATION

ADVERSE EFFECTS           Dizziness Headache Nausea Vomiting Diarrhea Abdominal pain Back pain Cough UTI Rash

NURSING RESPONSIBILITIES  Assess vital signs  Check for abdominal pain, emesis, diarrhea  Evaluate fluid intake and output  Tell patient to take 30-60 minutes before a meal.

Brand name: Zanprol Generic name: omeprazole Classification: Proton pump inhibitor Dosage: 40mg Route: IVTT Frequency: q 24

Reduces gastric acid secretion and increases gastric mucus and bicarbonate production, creating protective coating on gastric mucosa and leasing discomfort from excess gastric acid

For gastric ulcers

Contraindicated with hypersensitivity to omeprazole or its components.

DRUG ORDER

ACTION

INDICATION

CONTRAIDICATION

ADVERSE EFFECTS

NURSIING RESPONSIBILITIES  Check vital signs, especially blood pressure. Too rapid infusion can cause hypotension.  Closely monitor patients with renal insufficiency  Watch for hypersensitivi ty reaction. Discontinue drug immediately and symptoms occur.

Brand name: Tavanic Generic name: levofloxacin Classification: Anti-infective Dosage: 750mg Route: PO Frequency

Inhibits the enzymes DNA gyrase in susceptible gramnegative and grampositive aerobic and anerobic bacteria, interfering with bacterial DNA synthesis

Complicated urinary tract infection

 Contraindicated with allergy to fluoroquinolones  Use cautiously with renal dysfunction

        

Dizziness Headache Insomnia Seizures Chest pain Photophobia Sinusitis Abdominal pain Dyspersia

DRUG ORDER

ACTION

INDICATION

CONTAINDICATION

ADVERSE EFFECTS

NuRSING RESPONSIBITILITIES  Monitor for signs and symptoms of hypersensitivity reaction.  Check patients temperature and watch for other signs and symptoms of superinfection, especially oral or rectal candidiasis  Monitor CBC and liver function test result.

Brand name: UNASYN Generic name: ampicillin sodium and sullbactam sodium Classification: Anti- infective Dosage: 1.5mg Route: IVTT Frequency: q 8

Destroys bacteria by inhibiting bacterial cell- wall synthesis during microbial multiplication. Addition of sulbactam enhances drugs resistance to betalactamase, an enzyme that can in activate ampicillin

Intra- abdominal, skin- structures infections caused by susceptible betalactamase producing strains

Hypersensitivity to penicilins, cephalosporins, or other betalactamase inhibitors

        

lethargy hallucination anxiety confusion agitation depression fatigue dizziness seizures

DRUG ORDER

ACTION

INDICATION

CONTAINDICATION

ADVERSE EFFECTS

NuRSING RESPONSIBITILITIES

Brand name: Cleocin Generic name: clindamycin Classification: Anti- infective Dosage: 300mg Route: IVTT ( ANST) (-) Frequency: q 6

Inhibits protein synthesis in susceptible bacteria at level of 50`s ribosome, thereby inhibiting peptide bond formation and causing cell death

Severe infections caused by sensitive organism

Hypersensitivity to drug or lincomycin

        

Nausea Vomiting Diarrhea Abdominal pain Esophagitis Neutropenia Leukeponia Jaundice Hepatic dysfunction

 Monitor creatinine level closely in patients with renal insufficiency  Tell patient to take drug with food if it causes stomach upset.