Generic

Name
Classification Indication Contraindication Mechanism
Of Action
Adverse Reaction Nursing Considerations
Co-
amoxiclav
Dosage:
6!mg" #
ta$
%&O
'ID x #(
da)s
Bactericid
al *o+er res,
tract
infections-
otitis
media-
sinusitis-
s.in / soft
tissue
infections-
01I- ,re /
,ost-
surgical
,rocedures
- $one /
2oint- O /
G
infections-
dental
infections&
3istor) of
,enicillin
h),ersensitivit)&
4u,erinfections
involving
%seudomonas
or candida&
%regnanc) /
lactation
Inhibits enzymes
involved in
formation of
peptidoglycan
layer of bacterial
cell wall
No efect on
human cell walls
Bactericidal; only
works on
dividing bacteria
Well absorbed
enterally
Clavulanic acid
inhibits bacterial
!lactamase
Allergic reactions
- itching- rashes- fever
- angioneurotic oedema
- ana,h)laxis 5# in !(-((( to
#((-(((6
Cross-allerg) +ith other ,enicillins
%artial cross-allerg) +ith
ce,halos,orins 5#(76
3e,atitis- cholestatic 2aundice
8r)thema multiforme 5including
4tevens-9ohnson6
1oxic e,idermal necrol)sis:
exfoliative dermatitis
Diarrhea- vomiting
Rashes
Neutro,enia
Anaemia
3istor) of h),ersensitivit)
Renal im,airment
3e,atic im,airment - ma) cause
cholestatic 2aundice u, to 6 +ee.s
after cessation
Ma) cause maculo,a,ular rashes -
almost al+a)s in ,resence of
glandular fever
Generic
Name
Classification Indication Contraindication Mechanism
Of Action
Adverse Reaction Nursing Considerations
;erous
4ulfate
Dosage:
# ta$let
1ID
Iron
su,,lement
%revention
and
treatment
of iron
defienc)
anemia&
Dietar)
su,,lement
to iron&
3),ersensitivit)

4evere
h),otension
8levates the serum action
concentration +hich then
hel,s to form high tra,,ed
in the reticuloendothelial
cells for storage and
eventus conversion to a
usa$aleform of iron
Di<<iness
Nausea and vomiting
D)s,nea
C3;
;lushing
Advise ,atient to ta.e medicine as
,rescri$ed
Advise ,atient to ma.e ,osition
slo+l) to minimi<e orthostatic
h),otension&
8ncourage ,atient to com,l) +ith
additional intervention for
h),ertension li.e regular diet-
exercise- lifest)le changes and
stress management&
Generic
Name
Classification Indication Contraindication Mechanism
Of Action
Adverse
Reaction
Nursing Considerations
4odium
chloride
Dosage:
# ta$let
1ID x =
da)s
'elongs to the
class of
sodium-
containing
,re,arations&
0sed as
dietar)
su,,lements
%revention
of muscle
cram,s
during
routine
haemodial)s
is
Chronic salt-
losing
conditions
allergic to
an)
ingredient in
4odium
Chloride
high $lood
sodium
levels
%reventing or treating sodium loss
due to excessive s+eating or
deh)dration& It ma) also $e used for
other conditions as determined $)
)our doctor&
4odium Chloride is an electrol)te
su,,lement& It +or.s $) su,,l)ing a
source of sodium for the $od)&
4evere allergic
reactions 5rash:
hives: itching:
difficult)
$reathing:
tightness in the
chest: s+elling
of the mouth-
face- li,s- or
tongue6:
nausea:
stomach ,ain:
s+elling in the
hands- an.les-
feet- or legs:
vomiting
3istor) of h),ersensititvit)
*ong-term thera,) ma) cause
electrol)te im$alance and
de,endence& 8ncourage
,atients to use other forms of
$o+el regulation- such as
increasing $ul. in the diet-
increasing fluid inta.e 56-> full
glasses"da)6- and increasing
mo$ilit)&
Instruct ,atients +ith cardiac
disease to avoid straining during
$o+el movements 5?alsalva
maneuver6&
Advise ,atient not to use
laxatives +hen a$dominal ,ain-
nausea- vomiting- or fever is
,resent
Generic
Name
Classification Indication Contraindication Mechanism
Of Action
Adverse
Reaction
Nursing Considerations
@alium
Durule
# ta$let
1ID
8lectrol)tes Re,lace
,otassium
and
maintain
,otassium
level
1o ,revent
h),o.alemia-
,ro,h)laxis during
treatment +"
diuretics
Contraindicated in ,atient +ith
oliguria- anuria-: ,atient +ith
untreated AddisonAs disease or +ith
acute deh)dration -heat cram,s-
0se cautiousl) +ith ,atient +ith
cardiac disease and renal
im,airment
Arrh)thmias-
3eart $loc.-
3),otension
Cardiac arrest
3),er.alemia
Res,irator)
,aral)sis
Nausea and
vomiting -
a$dominal ,ain
Ma.e sure the ,o+der are
com,letel) dissolve $efore giving
Monitor renal function& after surger)-
donAt give drug until urine flo+ is
esta$lished tell ,atient to ta.e drug
+ith or after meals +ith full glass of
+ater of fruit 2uice to lessen GI
distress
DRUG STUDY
Generic Name Classification Indication Contraindica
tion
Mechanism
Of Action
Adverse Reaction Nursing Considerations
Generic:
Celecoxi$
1rade:
Cele$rex
Dosage:
((mg
# ta$let 'ID
N4AID
1o
relieve
signs
and
s)m,to
ms of
osteoart
hritis
1o
relieve
signs
and
s)m,to
ms of
rheumat
oid
arthritis
1o
Contraindic
ated in
,atients
h),ersensit
ive to drug-
sulfonamid
es- as,irin-
or other
N4AIDs&
Contraindic
ated in
those +ith
severe
he,atic
im,airment
and in the
treatment
of
,erio,erati
ve ,ain
1hought to inhi$it
,rostaglandin
s)nthesis- im,eding
c)cloox)genase-
5COB-6- to ,roduce
anti-inflammator)-
analgesic- and
anti,)retic effects&
Di<<iness
3eadache
Nausea and vomiting
A$dominal ,ain
Diarrhea
%atients allergic to or +ith a
histor) of ana,h)lactic reactions
to sulfonamides- as,irin- or other
N4AIDs ma) $e allergic to this
drug&
%atient +ith histor) of ulcers or
GI $leeding is at higher ris. for
GI $leeding +hile ta.ing N4AIDs
such as celecoxi$&
Catch for signs and s)m,toms
of overt and occult $leeding&
Drug can cause fluid retention:
monitor ,atient +ith
h),ertension- edema- or heart
failure&
Assess ,atient for C? ris.
factors $efore thera,)&
relieve
signs
and
s)m,to
ms of
an.)losi
ng
s,ond)li
tis
after
coronar)
arter)
$),ass
graft
surger)&
cautiousl)
in elderl) or
de$ilitated
,atients&
Drug ma) $e he,atotoxic: +atch
for signs and s)m,toms of liver
toxicit)&
'efore starting drug thera,)-
reh)drate deh)drated ,atient&
Drug can $e given +ithout
regard to meals- $ut food ma)
decrease GI u,set&