DRUG STUDY

DRUG INDICATION NURSING

DRUG CLASSIFICATION AND CONTRAINDICATIONS ACTION ADVERSE CONSIDERATION
DOSAGES AND CAUTIONS EFFECT AND
INTERVENTIONS

Naproxen NSAID • Treatment • Contraindicated with Analgesic, • CNS: • Assess history

Analgesic for primary allergy to naproxen, anti- Headache, of allergy to
(nonopioid) dysmenorrhe salycylates, other inflammatory, dizziness, naproxen,
a, NSAIDs; pregnancy; and somnolence, salycylates,
rheumatoid lactation antipyretic insomnia other NSAIDs;
arthritis, • Use cautiously with activities • Dermatologic: asthma, chronic
osteoarthritis asthma, chronic largely rash, pruritus, urticaria, CV
, ankylosing urticaria, CV related to stomatitis dysfunction;
spondylitis, dysfunction, inhibition of • GI: nausea, hypertension;
acute gout hypertension; GI prostaglandin dyspepsia, GI GI bleeding;
- Dosage: 375- bleeding; peptic ulcer, synthesis; pain, peptic ulcer;
500 mg PO impaired hepatic or exact constipation impaired
bid. renal function mechanisms • Respiratory: hepatic or renal
- for acute of action are dyspnea, function;
gout: 1,000- not known. hemoptysis, pregnancy;
1,500 mg PO bronchospasm lactation.
daily, • Other: • Give with food
naproxen peripheral or other meals if
sodium: 825 edema GI upset
mg PO occurs.
followed by • Arrange for
275 mg q8 hr periodic
until the attack ophthalmologic
subsides examination
during long-
term therapy.
 DRUG INDICATION NURSING
DRUG CLASSIFICATION AND CONTRAINDICATIONS ACTION ADVERSE CONSIDERATION
DOSAGES AND CAUTIONS EFFECT AND
INTERVENTIONS

Prednisolon Corticosteroid • Short-term • Contraindicated with Enter target cells Effects • Assess for
e (intermediate manageme infections, especially and binds to depend on infection and
acting) nt of tuberculosis, fungal intracellular dose, route, history of kidney
Glucocorticoid various infections, amebiasis, corticosteroid and duration and liver disease;
Hormone inflammator vaccinia and varicella, receptors that are of therapy. hypothyroidism;
y and and antibiotic resistant responsible for its The following ulcerative colitis
allergic infections; lactation, anti-inflammatory are primarily with impending
disorders, idiopathic and associated perforation;
such as thrombocytopenic immunosuppressive with systemic diverticulitis;
rheumatoid purpura effects. absorption. active or latent
arthritis, • Use cautiously with • CNS: peptic ulcer;
collagen kidney or liver vertigo, inflammatory
diseases, disease, headache, bowel disease;
dermatologi hypothyroidism, euphoria, CHF;
c diseases, ulcerative colitis with depression hypertension;
status impending perforation, • CV: thromboembolic
asthmaticu diverticulitis, active or hypotension, disorders;
s, and latent peptic ulcer, shock, osteoporosis;
autoimmun inflammatory bowel hypertension seizure
e disorders disease, CHF, and CHF disorders;
- Dose will hypertension, secondary to diabetes mellitus;
vary with thromboembolic fluid retention pregnancy;
joint or soft disorders, • Electrolyte lactation
tissue to be osteoporosis, seizure imbalances: • Administer
injected. disorders, diabetes sodium and once-a-day
Prednisolon mellitus, pregnancy. fluid retention, doses before 9
e acetate: 5- hypokalemia, am to mimic
100mg hypocalcemia normal peak
Prednisolon • GI: peptic or corticosteroid
e acetate esophageal blood levels.
and sodium ulcer, • Increase
phosphate: pancreatitis, dosage when
0.25-0.5 mL increased patient is subject
Prednisolon appetite, to stress as
e sodium weight gain ordered.
phosphate: • Other: • Taper
2-30 mg aggravation, dosage when
Prednisolon impaired discontinuing
e tebutate: wound high-dose or
4-30mg. healing long-term therapy
to avoid adrenal
insufficiency
• Do not give
live virus
vaccines with
immunosuppressi
ve doses of
corticosteroids