DRUG NAME

CLASSIFICATION

INDICATION

CONTRAINDICATION

ACTION

SIDE EFFECT

ADVERSE NURSING EFFECT MANAGEMENT vomiting -give IV drug by slow infusion over 1 hour dont give by direct - discontinue primary IV infusion during metronidazole infusion. - If skin irritation occurs, apply topical gel less frequency or discontinue it as ordered. -urge patient to complete the entire course of therapy. -caution patient to avoid alcohol during therapy and for at least 5 days afterward.

Generic Antibiotic, name; antiprotozoal Metronidazole Brand name; Flagyl Route; TIV Dosage; 5 mg/ml

To teat systemic Hypersensitivity to anaerobic metronidazole or its infections caused components. by bacteroids fragilis, clostridium difficile, peptostreptococcus

Undergoes dizziness intracellular chemical fever reduction during Headache. anaerobic metabolism. After metronidazole is reduced it damages DNA is helical structure and breaks its strands which inhibits bacterial nucleic acid synthesis and causes cell death.

Drug name

Classification

indication

contraindication

action

Side effect

Nursing

management Generic name; Ranitidine hydrochloride Brand name; Apo-Ranitidine Route; TIV Dosage; 20 mg Chemical: Aminoalkylsubtituted furan derivative Therapeutic: Antiulcer agent, gastric acid section inhibitor. >To provide short-term treatment of active duodenal and benign gastric ulcers. >to prevent acid indigestion, heartburn and sour stomach caused by eating certain foods or drinking certain beverages. Acute porphyria hypersensitivity to ranitidine or its components. Inhibits basal Dizziness , and nocturnal drowsiness secretion of gastric acid and pepsin by competitively inhibiting the action of histamine at H2 receptors on gastric parietal cells. This action reduces total volume of gastric juices and ,thus ,irritation Of GI mucosa. >Be aware that ranitidine must be diluted for I.V use if not using premixed solution. For I.V injection dilute to total of 20ml with NS, D5W, D10W, LR, or 5% sodium bicarbonate. For infusion, dilute to total volume of 100 ml of same solutions. >Dont add additives to premixed solution. >Inform patient in healing of an ulcer may require 4 to 8 weeks of therapy. >Alert phenylketonurics that effecrvescent tablets and granules contain phenylalanine. >Tell the patient that she may take a drug with food.

DRUG NAME eneric name: Tramadol

CLASSIFICATION Therapeutic: Analgesics (centrally acting)

INDICATION >Moderate to moderately severe pain

CONTRINDICATION >Acute intoxication with alcohol, centrally acting analgesics, hypnotics, narcotics, opioids, or psychotropic drugs; hypersensitivity to tramadol, other opioids, acetaminophen, or components of these drugs.

ACTION Physiologic Mechanism >Decreased pain. Pharmacolo gical Mechanism >Binds to mu-opioid receptors. >Inhibits reuptake of serotonin and norepinephri ne in the CNS.

SIDE EFFECT >Dizziness,

NURSING MANAGEMENT

Brand n a m e: U lt ra m

>Encourage patient to cough and breathe >Respiratory deeply every 2 hr to depression prevent atelectasis and pneumonia. >Hypersensit >Assess type, location ivity, and intensity of pain physical and before and 2-3 hr. psychologica (peak) after l dependence administration. >Assess BP & RR before and periodically during administration. Respiratory depression has not occurred with recommended doses. >Assess bowel function routinely. Prevention of constipation should be instituted with increased intake of fluid and bulk and with laxatives to minimize constipating effects.

DRUG NAME Brandname ; Ceftin, Zinacef

CLASS Anti-infective; antibi otic; secondgeneration cephalosporin.

INDICATION For the treatment of many different types of bacterial infections such as bronchitis, sinusitis, tonsillitis, ear infections, skin infections, gonorrhea, and urinary tract infections.

CONTRAINDICATION If the drug was tolerated it can cause diarrhea, nausea, vomiting, headache, or migraines, dizziness and abdominal pain.

ACTION Decreases or control the infection.

SIDE EFFECT Nausea headache, drowsiness; feeling restless, irritable, or

NURSING MANAGEMENT Should the check the patients name, the correct route, dosage, and frequency of the medicine that should be given. contraindicated in patients with a history of allergic reactions to cephalosporins use with caution in patients with a history of allergic reactions to penicillins

Generic name; cefuroxime

Route; TIV

Is contraindicated in hypersensitivity to cephalosporins.

Doasage; 750mg

Cefuroxime is active against both gram positive and gram negative bacteria. It is resistant to betalactamases

Drug Name Brand Name: Salbutamol

Classification Bronchodilator (therapeutic); adrenergics (pharmacologic)

Indication

Contraindication

Action Relaxes bronchial, uterine, and vascular smooth muscle by stimulating beta2 receptors.

Side Effect Restlessness

Nursing Management Assess lung sounds, PR and BP before drug administration and during peak of medication. Observe for paradoxical spasm and withhold medication and notify physician if condition occurs. If administering medication through inhalation, allow at least 1 minute between inhalation of aerosol medication. Advise the patient to rinse mouth with water after each inhalation to minimize dry mouth.

To control and prevent Hypersensitivity to reversible airway adrenergic amines obstruction caused by asthma or chronic obstructive pulmonary Hypersensitivity to disorder (COPD) fluorocarbons Quick relief for bronchospasm

Headache

Generic Name: Albuterol

Nausea and vomiting

Route; Inhalation

For the prevention of exercise-induced bronchospasm

Use with caution in patients with CV disorders (including coronary insufficiency and hypertension),

Dosage; 2.5-5 mg,

To treat or improve muscle paralysis in patients with a condition that causes occasional paralysis. To treat high potassium levels in patients with kidney failure.

Hyperthyroidism, diabetes mellitus, and those who are unusually responsive to adrenergics.

Inform the patient that Albuterol may cause an unusual or bad taste.

DRUG

CLASS

INDICATION

CONTRAINDICATION

ACTION

SIDE

NURSING

NAME Brand name: Toradol. Nonsteroidal antiinflammatory agents, nonopioid analgesics Short term Hypersensitivity management of pain (not to Cross-sensitivity with exceed 5 days other NSAIDs may exist total for all Pre- or perioperative use routes combined) Known alcohol intolerance Use cautiously in: 1) History of GI bleeding 2) Renal impairment (dosage reduction may be required) 3) Cardiovascular disease Inhibits prostaglandin synthesis, producing peripherally mediated analgesia Also have antipyretic and anti-inflammatory properties. Therapeutic effect: Decreased pain

EFFECT

MANAGEMENT Assess pain (note type, location, and intensity) prior to and 1-2 hr following administration. Ketorolac therapy should always be given initially by the IM or IV route. Caution patient to avoid concurrent use of alcohol, aspirin, NSAIDs, acetaminophen, or other OTC medications without consulting health care professional. Advise patient to consult if rash, itching, visual disturbances, tinnitus, weight gain, edema, black stools,

drowsiness dizziness, dyspnea.

Generic name: ketorolac

Route; TIV

Dosage; 30 mg/ml

persistent headche, or influenza-like syndromes (chills,fever,muscles aches, pain) occur. Effectiveness of therapy can be demonstrated by decrease in severity of pain. Patients who do not respond to one NSAIDs may respond to another.