Cefuroxime is a bactericidal antibiotic that inhibits bacterial cell wall synthesis. It is indicated for upper and lower respiratory tract and skin infections. Common side effects include gastrointestinal issues, rashes, and hypersensitivity reactions. Nursing considerations include monitoring for sensitivity, administering with food, and discontinuing use if hypersensitivity occurs.
Salbutamol works by stimulating beta2 receptors, relaxing smooth muscle. It is used for bronchospasm relief via inhalation. Potential side effects involve the central nervous, cardiovascular, and gastrointestinal systems. Nursing care includes assessing lung and vital signs before and during use, observing for paradoxical bronchospasm, and advising rinsing the mouth after inhalation.
Cefuroxime is a bactericidal antibiotic that inhibits bacterial cell wall synthesis. It is indicated for upper and lower respiratory tract and skin infections. Common side effects include gastrointestinal issues, rashes, and hypersensitivity reactions. Nursing considerations include monitoring for sensitivity, administering with food, and discontinuing use if hypersensitivity occurs.
Salbutamol works by stimulating beta2 receptors, relaxing smooth muscle. It is used for bronchospasm relief via inhalation. Potential side effects involve the central nervous, cardiovascular, and gastrointestinal systems. Nursing care includes assessing lung and vital signs before and during use, observing for paradoxical bronchospasm, and advising rinsing the mouth after inhalation.
Cefuroxime is a bactericidal antibiotic that inhibits bacterial cell wall synthesis. It is indicated for upper and lower respiratory tract and skin infections. Common side effects include gastrointestinal issues, rashes, and hypersensitivity reactions. Nursing considerations include monitoring for sensitivity, administering with food, and discontinuing use if hypersensitivity occurs.
Salbutamol works by stimulating beta2 receptors, relaxing smooth muscle. It is used for bronchospasm relief via inhalation. Potential side effects involve the central nervous, cardiovascular, and gastrointestinal systems. Nursing care includes assessing lung and vital signs before and during use, observing for paradoxical bronchospasm, and advising rinsing the mouth after inhalation.
Mechanism of Contraindication Side Effects/Adverse Nursing Considerations
Action Effects Generic Name: - Culture infection, Cefuroxime Cefuroxime is a Allergy to cephalosporins or CV: phlebitis, arrange for sensitivity Classification: bactericidal penicillins, renal failure, thrombophlebitis tests before and during Anti-infectives antibiotic, which lactation, pregnancy GI: pseudomembranous therapy if expected Route: exerts antibacterial colitis, nausea, anorexia, response is not seen. PO activity by inhibition vomiting, diarrhea - Give oral drug with Indication: of bacterial cell wall Hematologic: transient food to decrease GI upset Treatment of Upper and synthesis in neutropenia, eosinophilia, and enhance absorption. Lower Respiratory Tract susceptible species. hemolytic anemia, - Give oral drug to Infections, Skin Cefuroxime has thrombocytopenia children who can swallow Infections. good stability to Skin: maculopapular and tablets; crushing the drug several bacterial erythematous rashes, results in a bitter, beta-lactamase urticaria, pain, induration, unpleasant taste. - Have vitamin K enzymes and, sterile abscesses, available in case consequently, is temperature elevation, hypoprothrombinemia active against many tissue sloughing at occurs. resistant strains of intramuscular injection - Discontinue if susceptible species. site hypersensitivity reaction Other: hypersensitivity occurs. reactions, serum sickness, anaphylaxis. DRUG STUDY Mechanism of Contraindication Side Effects/Adverse Nursing Considerations Action Effects Generic Name: Salbutamol Relaxes bronchial, Hypersensitivity to CNS: tremor, nervousness, 1. Assess lung sounds, PR and BP before drug Classification: uterine, and vascular adrenergic amines dizziness, insomnia, administration and during headache, hyperactivity, peak of medication. Bronchodilator, smooth muscle by Hypersensitivity to 2. Observe fore weakness, CNS stimulation, Adrenergic stimulating beta2 fluorocarbons paradoxical spasm and malaise withhold medication and Route: receptors. CV: tachycardia, palpitations, notify physician if condition occurs. Inhalation hypertension 3. Administer PO medications with meals to Indication: EENT: dry and irritated nose minimize gastric irritation. used for relief of and throat with inhaled form, 4. Extended-release tablet should be nasal congestion, epistaxis, bronchospasm swallowed-whole. It hoarseness should not be crushed or chewed. GI: heartburn, nausea, 5. If administering vomiting, anorexia, altered medication through inhalation, allow at least 1 taste, increased appetite minute between inhalation Metabolic: hypokalemia of aerosol medication. 6. Advise the patient to Musculoskeletal: muscle rinse mouth with water cramps after each inhalation to minimize dry mouth. Respiratory: bronchospasm, 7. Inform the patient cough, wheezing, dyspnea, that Albuterol may cause an unusual or bad taste. bronchitis, increased sputum MECHANISM OF INDICATIONS AND NURSING DRUG NAME ADVERSE REACTION ACTION CONTRAINDICATION RESPONSIBIILITIES GENERIC: In the oliguric phase of Dehydration Indications: >Assessment – Monitor the Mannitol acute renal failure, Acute oliguric following: DOSE: Mannitol increases Anuria renal failure 1. Vital signs 50mg osmotic pressure (pressure Toxic overdose 2. Intake and output FREQUENCY and needed to stop the Intracranial Edema 3. Central venous pressure TIME: absorption of something or bleeding Increased >Pulmonary artery Every 4 hours osmosis) of the glumerular intracranial pressure ROUTE: filtrate, thereby, promoting pressure (ICP) >Signs and symptoms of diuresis (treating the Headache dehydration (e.g. poor skin IV push Intraocular CLASSIFICATION: oliguric phase of renal pressure (IOP) turgor, dry skin, fever, Osmotic Diuretic failure) and excretes toxic Blurred vision thirst) materials (management for Contraindications: >Signs of electrolyte toxic overdose). Nausea and imbalance/deficit (e.g. Susceptibility It also elevates blood vomiting muscular weakness, Dehydration plasma osmolality thus, paresthesia, numbness, inhibiting the reabsorption Volume expansion confusion, tingling of water and electrolytes sensation of extremity and (for relief of edema) and Chest pain excessive thirst) mobilizing fluids in the > (for increase ICP) cerebral and ocular spaces Neurologic status and Pulmonary edema (lowers intracranial or intracranial pressure intraocular pressure). readings. Thirst > (for increase IOP) Elevating eye pain or Tachycardia decreased visual acuity.
Hypokalemia Laboratory Tests
(increases the risk >Renal function (BUN and of digoxin Creatinine) toxicity) >Serum Electrolyte (Sodium and Potassium) Chronic renal failure INDICATIONS AND NURSING MECHANISM OF ACTION ADVERSE REACTION DRUG NAME CONTRAINDICATION RESPONSIBIILITIES
Pantoprazole >History: Hypersensitivity to inhibitor: Suppresses dizziness, asthenia, Oral: Short-term DOSE: any proton pump inhibitor or 40mg gastric acid secretion by vertigo, insomnia, (< 8 wk) and long- specific inhibition of the any drug components; FREQUENCY and TIME: apathy, anxiety, term treatment of pregnancy; lactation Once daily hydrogen-potassium paresthesias, GERD >Physical: Skin lesions; T; ROUTE: ATPase enzyme system at dream IV: Short-term (7– reflexes, affect; urinary IV push the secretory surface of the abnormalities 10 days) treatment output, abdominal CLASSIFICATION: Antisecretory agent gastric parietal cells; of GERD in examination; respiratory Proton pump inhibitor blocks the final step of Dermatologic: patients unable to auscultation acid production. Rash, continue oral inflammation, therapy Interventions: urticaria, pruritus, Treatment of >Administer once or twice a day. Caution patient to alopecia, dry skin pathological swallow tablets whole; not to hypersecretory cut, chew, or crush them. GI: Diarrhea, conditions >WARNING: Arrange for abdominal pain, associated with further evaluation of patient nausea, vomiting, Zollinger-Ellison after 4 wk of therapy for constipation, dry syndrome and other gastroreflux disorders. mouth, tongue neoplastic Symptomatic improvement atrophy conditions does not rule out gastric Unlabeled uses: cancer; gastric cancer did Treatment of peptic occur in preclinical studies. Respiratory: URI >Maintain supportive symptoms, cough, ulcer treatment as appropriate for epistaxis underlying problem. Contraindications: >Switch patients on IV Other: Cancer in Contraindicated therapy to oral dosage as with soon as possible. preclinical studies, hypersensitivity to >Provide additional comfort back pain, fever any proton pump measures to alleviate inhibitor or any discomfort from GI effects drug components. and headache. Use cautiously with pregnancy INDICATIONS AND NURSING DRUG NAME MECHANISM OF ACTION ADVERSE REACTION CONTRAINDICATION RESPONSIBIILITIES GENERIC: Rosuvastatin is a potent Body as a Whole: Indications: Assessment & Drug Effects: Rosuvastatin inhibitor of HMG-CoA Asthenia, back pain, Adjunct to diet for >Monitor for and report DOSE: reductase, an enzyme that flu syndrome, chest the reduction of LDL promptly S&S of myopathy catalyzes the conversion of cholesterol and (e.g., skeletal muscle pain). 10mg pain, infection, pain, triglycerides in >Withhold drug and notify FREQUENCY and HMG-CoA to mevalonic peripheral edema. patients with physician if CPK levels are TIME: acid, an early and rate- CNS: Headache, markedly elevated (10xULN) primary Once during bedtime limiting step in cholesterol dizziness, insomnia, hypercholesterolemi or if myopathy is diagnosed ROUTE: biosynthesis. Interference hypertonia, a and mixed or suspected. PO with this enzyme's activity paresthesia, dyslipidemia >Lab tests: CPK levels for CLASSIFICATION: reduces the quantity of S&S of myopathy; periodic depression, anxiety, Cardiovascular agent; mevalonic acid, a Contraindications: LFTs; more frequent INR vertigo, neuralgia. values with concomitant Anti-lipemic; HMG-COA precursor of cholesterol. CV: Hypertension, Hypersensitivity to Reductase Inhibitor any component of warfarin therapy. angina, the product, active >Monitor CV status, (Statin) vasodilatation, liver disease, especially with a known palpitations. pregnancy (category history of hypertension or X), women of child- heart disease. GI: Diarrhea, bearing potential not >Monitor diabetics for loss of dyspepsia, nausea, glycemic control. abdominal pain, using appropriate contraceptive constipation Patient & Family Education: measures, lactation. Endocrine: Diabetes. >Do not take antacids within Hematologic: 2 h of taking this drug. >Do not breast feed while Anemia, ecchymosis. taking this drug. Musculoskeletal: >Females should use reliable Myalgia, arthritis, means of contraception while arthralgia, taking this drug to prevent rhabdomyolysis pregnancy. (especially with dose >40 mg).