DRUG STUDIES

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

2 G IVTT Q12H ANST ( - ) PLS GIVE THRU IV DRIP

MECHANISM OF ACTION

SPECIFIC INDICATIO N
UTI

SIDE EFFECTS

NURSING IMPLICATIONS

CEFTRIAXONE SODIUM (ROCEPHIN)

8-7-2013

ANTIBIOTIC

Inhibits cell wall synthesis, promoting osmotic instability; usually bactericidal

COMMON S/E Diarrhea Rashes Pain @ injection site

ADVERSE S/E Pseudomembranous Colitis Leukopenia Anaphylaxis

BEFORE 1.Ask patient if hes allergic to penicillins or cephalosporins 2.Obtain specimen for culture and sensitivity tests before giving first dose 3.Monitor CBC, renal and liver function tests DRUG PREPARATION 1.Dilute 2 G vial with 19.2 mL of sterile water, NSS, or D5W 2.Do not mix or coadminister Ceftriaxone with calcium-containing IV solutions DURING 1.Give over 30 minutes

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

AFTER 1. Tell patient to report discomfort at IV insertion site 2. Tell patient to report loose stools or diarrhea

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENC Y

400 MG TAB 1 TAB BID PO

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

OFLOXACIN (FLOXIN)

8-7-2013

FLUOROQUINOLON E

Interferes with DNA gyrase, which is needed for synthesis of bacterial DNA. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria

COMPLICATED UTI

COMMON S/E Drowsiness Dizziness Nausea Vomiting Abdominal pain

BEFORE 1. Obtain specimen for sensitivity and culture test 2. Monitor CBC, renal and liver function tests DURING 1. Drug maybe taken with or without regard to meals 2. Take each dose with a full glass of water 3. Take the drug 1 hour before or 2 hours after antacids AFTER 1. Avoid sun exposure 2. Take antacids 1 hour before or 2 after after Ofloxacin 3. Warn patient that dizziness may occur 4. Tell patient to stop drug and report @ first sign of allergic reaction

ADVERSE S/E Pseudomembranous Colitis Anaphylactic reaction Leukopenia

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

500 MG / 400 MG 1 TAB OD PO

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DUTASTERIDE + TAMSULOSIN (DUODART)

8-87-2013

ALPHA ADRENORECEPTOR ANTAGONIST

Blocks alpha adrenergic receptors in the prostate. This action inhibits smooth muscle contraction in the prostate, prostatic capsule, prostatic urethra, and bladder neck, which improves the rate of urine flow & reduce symptoms of BPH

TO TREAT BPH

COMMON S/E Dizziness Drowsiness Orthostatic Hypotension Diarrhea

BEFORE 1.Rule out prostate cancer DURING 1.Take drug 30 min after same meal each day 2.Do not open, crush, or chew drug capsules AFTER 1.Change position slowly to minimize effect of orthostatic hypotension 2.Avoid hazardous activities until CNS effects are known

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

30 CC QHS PO HOLD FOR BM GREATER THAN 2X / DAY

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

LACTULOSE (CEPHULAC)

8-8-2013

LAXATIVE

Produces an osmotic effect in colon; resulting distention promotes peristalsis. Also decreases ammonia, probably as a result of bacterial degradation, which lowers the pH of colon contents.

CONSTIPATION

COMMON S/E Abdominal cramps Belching Diarrhea Flatulence Gaseous distention Nausea Vomiting

BEFORE 1. Assess pattern of bowel movement 2. Monitor serum electrolytes especially sodium and potassium DURING 1. Advise patient to increase water intake at least 2-3 L / day to prevent dehydration 2. Avoid using antacids and lactulose together 3. Tell patient not to use other laxatives during lactulose therapy AFTER 1. Assess effectiveness of medicine 2. Document findings and interventions done

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

500 MG TAB 1 TAB Q4H PRN FOR T > 38 C

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

ACETAMINOPHEN (PARACETAMOL)

8-7-2013

ANALGESIC

Thought to produce analgesia by inhibiting prostaglandin & other substances that sensitize pain receptors. Drug may relieve fever through central action in the hypothalamic heat-regulating center

FOR FEVER

COMMON S/E Drowsiness Nausea Vomiting Abdominal pain

BEFORE 1. Monitor body temperature 2. Monitor CBC and U/A 3. Monitor LFT DURING 1. Take only as directed and with food or milk to decrease GI upset 2. Limit caffeine intake 3. Avoid alcohol as this may cause hepatotoxicity AFTER 1. Recheck body temperature after 30 min of administration 2. Report any adverse reactions 3. Document findings and interventions done

ADVERSE S/E Leukopenia Neutropenia Hypoglycemia Hemolytic anemia

FOOD-DRUG INTERACTIONS CAFFEINE (Increase analgesic effect) ALCOHOL (Increase risk of liver damage)

DRUG NAME

DATE ORDERED

CLASSIFICATION

DOSE ROUTE FREQUENCY

2 TABS TID X 3 DAYS AND 1 TAB FOR NEXT SUCCEEDING DAYS P.O.

MECHANISM OF ACTION

SPECIFIC INDICATION

SIDE EFFECTS

NURSING IMPLICATIONS

DIOSMIN + HESPERIDIN (DAFLON)

8-10-2013

MULTIVITAMIN

Daflon is phlebotonic. It reinforces venous tone by prolonging the activity of parietal noradrenaline. Thus, Daflon decreases venous capacitance, venous distensibility, & venous emptying time

ACUTE HEMORRHOIDAL ATTACKS AND CHRONIC HEMORRHOIDAL DISEASE

Upset stomach Headache Nausea Vomiting Unusual taste in mouth

BEFORE 1. Note indication for therapy DURING 1. Take with food AFTER 1. Report any adverse reactions 2. Document findings and interventions done