DOSAGE MECHANISM

DRUG NAME AND OF INDICATIONS CONTRAINDICATIONS SIDE NURSING

FREQUENCY ACTION EFFECTS RESPONSIBLITIES
GENERIC NAME: BEFORE ADMINISTRATION
SULFADOXIN- Adults: 2 to 3 >Check medication ticket and
This medication Treatment of Acute together with the patient’s
PYRIMETHAMINE tablets taken as contains 2 medicines,
Malaria • Repeated Central chart and kardex.
BRAND NAME:
a single dose. sulfadoxine and
Fansidar is indicated prophylactic Nervous > Do not administer
FANSIDAR pyrimethamine. It is
for the treatment of (prolonged) use of System medication until the physician
used to treat a serious, Reactions
acute, uncomplicated Fansidar is or nurse-midwife approves
Classification: possibly fatal, parasite
Headache,
infection of the red P. falciparum malaria the drugs used.
ANTI-MALARIAL contraindicated in peripheral
blood cells (malaria for those patients in >Do hand washing
AGENT patients with renal neuritis,
caused by Plasmodium whom chloroquine >Prepare medication
falciparum) when other or hepatic failure or mental aseptically
resistance is
medications cannot be depression,
HOW SUPPLIED:
suspected. However, with blood convulsions,
used. It is used if the DURING
strains of P. dyscrasias; ataxia,
infection is suspected of ADMINISTRATION
falciparum may be
Scored tablets, being resistant to other • Hypersensitivity to hallucinations,
>Check the client’s
malaria medications encountered which tinnitus,
containing 500 mg
have developed pyrimethamine, identification band.
sulfadoxine and 25 (e.g., chloroquine). vertigo,
Sulfadoxine/pyrimetham resistance to Fansidar, sulfonamides, or insomnia, >Administer the medication
mg pyrimethamine
— unit dose
ine belongs to a class of in which case any other ingredient apathy, to the right patient/client.
drugs known as alternative treatment of Fansidar; fatigue, muscle >Assist the client to a
packages of 25 antimalarials. It works comfortable position. Thank
should be weakness,
(NDC-0004-0161- by killing the form of • Patients with her for the cooperation.
administered. nervousness,
03). Imprint on the malaria parasite documented and
tablets: FANSIDAR that infects the red megaloblastic AFTER ADMINISTRATION:
Prevention of polyneuritis.
((ROCHE LOGO)) blood cells. This >Return medication tickets to
ROCHE. medication does not Malaria anemia due to
Gastrointesti the proper cubicle.
treat a return of the Malaria prophylaxis folate deficiency;
nal Reactions >Document all relevant
same malaria infection with Fansidar is not
• Infants less than 2 Glossitis, information
(relapse). Other routinely >Do after care
medications should be recommended and months of age; stomatitis,
used for this purpose. should only be • Prophylactic use of nausea,
CLIENT TEACHING:
emesis,
considered for Fansidar in > Take only as prescribed by
 Due to the possibility of travelers to areas pregnancy at term abdominal the physician
severe side effects, this where chloroquine- pains, >Do not exceed dosages
medication should not and during the hepatitis,
resistant P. falciparum >instruct client about the
be used for the
malaria is endemic
nursing period. hepatocellular possibility that repeat doses
prevention of malaria necrosis,
and sensitive to may be necessary
unless other diarrhea,
medications cannot be Fansidar, and when
alternative drugs are pancreatitis,
taken.
not available or are feeling of
contraindicated. fullness, and
transient rise
However, strains of P.
of liver
falciparum may be
enzymes.
encountered which
SOURCES:
have developed Miscellaneou
resistance to Fansidar. s Reactions
Internet:
Drug fever,
www.rxlist.com chills,
www.drugs.com periarteritis
nodosa and LE
phenomenon
have occurred