Professional Documents
Culture Documents
Group 1B 4B1
~ DRUG STUDY ~
DRUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
Generic Name:
Tramadol
Hydrochloride
TRADE /
BRAND
NAME
ULTRAM
Dosage:
50mg/cap, PO, q8
Classification:
Analgesic
DRUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
Generic Name:
Paracetamol
(Acetaminophen)
TRADE /
BRAND
NAME
BIOGESIC
PHARMACOLOGIC
ACTION OF DRUG
Binds to -opiate
receptors in the CNS
causing inhibition of
ascending pain
pathways, altering
the perception of and
response to pain; also
inhibits the reuptake
of norepinephrine
and serotonin, which
modifies the
ascending pain
pathway.
PHARMACOLOGIC
ACTION OF DRUG
Antipyretic:
Reduces fever by
acting directly on the
hypothalamic heatregulating center to
INDICATIONS AND
CONTRAINDICATIONS
Indication:
To treat moderate to
moderately severe
pain
Contraindication:
Hypersensitivity to the
drug or other opioids.
Acute intoxication
with alcohol,
hypnotics, centrallyacting analgesics,
opioids, or
psychotropic drugs
Use cautiously in
patients at risk for
seizures or respiratory
depression.
INDICATIONS AND
CONTRAINDICATIONS
Indication:
Relief of mild moderate
pain; treatment of fever.
Contraindication:
ADVERSE EFFECTS OF
THE DRUG
CNS: dizziness,
vertigo, headache
GI: nausea,
vomiting,
constipation
diarrhea,
abdominal pain,
GU: urinary
retention, urinary
frequency
CV: vasodilation
EENT: visual
disturbances
Musculoskeletal:
hypertonia
Skin: pruritus,
sweating, rash
Respiratory:
respiratory
depression
ADVERSE EFFECTS OF
THE DRUG
CNS: drowsiness
GI: nausea,
vomiting,
abdominal pain,
Hematologic:
DESIRED ACTION
ON YOUR CLIENT
Relieves Pain
DESIRED ACTION
ON YOUR CLIENT
NURSING
RESPONSIBILITIES/
PRECAUTIONS
Assess pain before
starting drug
administration.
Monitor for drug
dependence.
Instruct patient to
report any adverse
reaction
Inform client that
medication may cause
CNS depression and/or
respiratory depression,
particularly when
combined with other
CNS depressants
Control environment
(temperature, lighting)
if sweating or CNS
effects occur.
NURSING
RESPONSIBILITIES/
PRECAUTIONS
Monitor the
patients
temperature,
before and during
drug
Dosage:
500mg/tab, PO,
PRN
cause vasodilation
and sweating, which
helps dissipate heat.
Classification:
Anti-pyretic,
Non-opioid
Analgesic
Analgesic:
Blocking pain
impulses by inhibiting
prostaglandin or pain
receptors sanitizers..
Hypersensitivity to the
drug
Chronic alcohol abuse,
may cause
hepatotoxicity.
hemolytic anemia,
CV: vasodilation
Metabolic:
hypoglycemia
Skin: rash, urticaria
Hepatic: liver
damage
DRUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
Generic Name:
Levofloxacin
Dosage:
750mg/tab, PO, OD
Classification:
Broad Spectrum
Antibiotic,
Fluoroquinolone
TRADE /
BRAND
NAME
LEVAQUIN
PHARMACOLOGIC
ACTION OF DRUG
INDICATIONS AND
CONTRAINDICATIONS
Indication:
Mild to moderate skin and
skin structure infections.
Contraindication:
Hypersensitivity to the
drug
Use cautiously with
renal dysfunction
ADVERSE EFFECTS OF
THE DRUG
CNS: headaches,
insomnia, dizziness,
paresthesia
GI: nausea,
vomiting,
dyspepsia,
diarrhea,
constipation,
abdominal pain,
Hematologic:
hemolytic anemia,
CV: chest pain,
palpitations,
vasodilation
Skin: rash,
photosensitivity,
puritus
Musculoskeletal:
back pain, tendon
DESIRED ACTION
ON YOUR CLIENT
Kills susceptible
bacteria.
administration.
Assess fever; for
the presence of
associated signs
(diaphoresis,
tachycardia, and
malaise)
Assess amount,
frequency and type
of drugs taken by
the patient.
Give paracetamol
on the exact dose
prescribed
NURSING
RESPONSIBILITIES/
PRECAUTIONS
rupture
DRUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
Generic Name:
Gliclazide
TRADE /
BRAND
NAME
DIAMICRON
Dosage:
80mg/tab, PO, OD
Classification:
Anti-Diabetic
DUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
TRADE /
BRAND
NAME
MERREM
Classification:
Anti-infective,
Indication:
Used in the treatment of
type II (non-insulin
dependent) diabetes that
cannot be controlled with
diet and exercise
Contraindication:
Hypersensitivity to the
drug
Use cautiously in
debilitated or
malnourished patients
and in those with renal
insufficiency.
Generic Name:
Meropenem
Dosage:
1g/vial, q8, TIV
PHARMACOLOGIC
ACTION OF DRUG
INDICATIONS AND
CONTRAINDICATIONS
PHARMACOLOGIC
ACTION OF DRUG
Readily penetrate
the cell wall of most
gram positive and
gram negative
bacteria to reach
penicillin binding
protein targets
where it inhibits cell
INDICATIONS AND
CONTRAINDICATIONS
Indication:
For bacterial infections
like skin and skin structure
infections
Contraindication:
Hypersensitivity to the
drug
ADVERSE EFFECTS OF
THE DRUG
CNS: headaches,
dizziness, asthenia
GI: nausea,
EENT: changes in
accommodation
Hematologic:
hemolytic anemia,
Skin: erythema,
urticarial,
maculopapular
eruptions, puritus
Hepatic: cholestatic
jaundice
Metabolic:
hypoglycemia
ADVERSE EFFECTS OF
THE DRUG
CNS: headaches,
seizures
GI: nausea,
vomiting,
constipation
diarrhea,
abdominal pain
Hematologic:
culture and
sensitivity test.
DESIRED ACTION
ON YOUR CLIENT
NURSING
RESPONSIBILITIES/
PRECAUTIONS
Lowers glucose
levels.
Monitor CBG to
determine
therapeutic
response.
Give drug with
first meal of the
day
Stress the
importance of
adhering to diet
program.
DESIRED ACTION
ON YOUR CLIENT
NURSING
RESPONSIBILITIES/
PRECAUTIONS
Kills susceptible
bacteria,
Bactericida
Arrange for
culture and
sensitivity tests
before beginning
therapy.
Administer oral
drug without
regard to meals
Carbapenem
Antibiotic
wall synthesis.
anemia,
Skin: rash,
phlebitis, puritus
Respiratory: apnea
CV:
thrombophlebitis
with a glass of
water.
Ensure that
patient is well
hydrated.
Discontinue drug
at any sign of
hypersensitivity
Monitor clinical
response; if no
improvement is
seen or a relapse
occurs, repeat
culture and
sensitivity test.
Monitor for signs
of superinfection.
~ IV FLUID ~
DUG ORDER
(Generic name,
dosage, route,
frequency, etc.)
Generic Name:
0.9% NaCl
Classification:
Mineral and
electrolyte
replacements/
supplements
TRADE /
BRAND
NAME
PNSS
ISOTONIC
SOLUTION
PHARMACOLOGIC
ACTION OF DRUG
Sodium is a major
cation in
extracellular fluid
and helps maintain
water distribution,
fluid and electrolyte
balance, acid-base
equilibrium, and
osmotic pressure.
Chloride is the
major anion in
extracellular fluid
and is involved in
maintaining acidbase blance..
INDICATIONS AND
CONTRAINDICATIONS
Indication:
To reconstitute or dilute
other medications
Contraindication:
Hypertonic (3%, 5%)
solutions should not
be used in patients
with elevated, slightly
decrease, or normal
serum sodium;
ADVERSE EFFECTS OF
THE DRUG
CV: CHF,
pulmonary edema,
edema
DESIRED ACTION
ON YOUR CLIENT
Maintenance of
homeostasis
NURSING
RESPONSIBILITIES/
PRECAUTIONS