DRUG STUDY Drug Name Cefuroxime (Zegen) Indication Pharyngitis, tonsilitis caused by streptococcus pyrogens,otitis media, perioperative prophylaxis.

Dosage 500 mg 1 tab BID Adverse Reaction Headache, dizziness, lethargy, nausea, omiting, abdominal pain, flatulence Contraindications Contraindicated with allergy to cephalosporins or penicillins. Use cautiously with renal failure, lactation, pregnancy. Mechanism of Action Bactericidal: inhibits synthesis of bacterial cell wall, causing cell death. Nursing Responsibilities >Give oral tablets with food ro decrease GI upset and enhance absorption. >Take full course of therapy even if you are feeling better. >This drug is specific for this infection and should not be used to self treat other problems. >They may experience stomach upset or diarrhea. >Discontinue if hypersensitivity occurs.

Drug Indication Name Metoprolol >Hypertension alone or with (Neobloc) other drugs, especially diuretics. >Long term treatment of angina pectoris

Dosage 50 mg 1 tab BID

Adverse reaction Fever, dizziness, fatigue, rash, sore throat, gastric pain, diarrhea, nausea, vomiting, nocturia, joint pain, muscle cramp, dyspnea, rhinitis

Contraindications

Mechanism of Actions Contraindicated Decreasing the with sinus influence of the bradycardia (HR sympathetic less than 45 nervous system on beats/min.), these tissues and second or third the excitability of degree heart block, the heart, cardiogenic shock, decreasing cardiac HF, second and output and the third trimesters of release of renin, pregnancy. and lowering BP; acts in the CNS to reduce sympathetic outflow and vasoconstrictor tone.

Nursing responsibilities >Assess the patients neurologic status, pulse rate, BP, ECG, renal and thyroid tests, blood, and urine glucose. >Do not stop taking this drug unless instructed to do so by your health provider. >Swallow the tablet whole, do not cut, crush or chew. >Advise to avoid driving or dangerous activities because they may experience dizziness and drowsiness. >Report difficulty in breathing, night cough, slow pulse, and depression.

Drug Indication Name Mefenamic >Relief of acid moderate pain when therapy will (Ponstan) not exceed 1 week. >Treatment of primary dysmenorrhea

Dosage 500 mg 1 tab every 8 hours PRN

Adverse reaction Headache, dizziness, fatigue, rash, dyspepsia, dyspnea, bleeding, dysuria

Contraindications Contraindicated with hypersensitivity to mefenamic acid, aspirin allergy and as treatment of perioperative pain with coronary artery bypass grafting.

Mechanism of Actions Antiinflammatory, analgesic, and antipyretic activities related to inhibition of prostaglandin synthesis; exact mechanism is not known.

Nursing responsibilities >Take drug with food; take only the prescribed dosage; do not take the drug longer than 1 week. >Discontinue drug and consult your health care provider if rash, diarrhea or digestive problems occur.