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DRUG STUDY FOR PATIENT WITH HEPATIC ABCESS

NAME ClASSIFICATION MECHANISM OF

ACTION

INDICATION AND

CONTRAINDICATION

ADVERSE

EFFECTS

NURSING

IMPLICATON

CARNITINEOROTATE

CAPSULE + VIT BCOMPLEX,

ESSENTIAL AMINOACIDS OR GODEX

DOSE: 1 CAP/ BID

HEPATICPROTECTORS

Promotes theexcretion of bile from

the system helpsprotect the liver by

aiding in removing oftoxins from the blood

stream from thekidneys to the urine.

INDICATION:- acute and chronic

hepatitis.- cirrhosis

- drug induced hepatitis.- Fatty liver.

CONTRAINDICATION:Do not use for people

with hypersensitivity to

the drug.

- Galactosemia- Bowel Obstruction

- Nurse shall instructclient to take with

food to avoid GIirritation.

- Nurse shall monitorclient vital sign.

- Nurse shall teachclient sign and

symptoms of adverse

effects.

- Nurse shall monitorfor signs ofGalactosemia and

bowel obstruction.

ENTECAVIR

( BARACLUDE) 0.5

mg / 1 tab/ once daily

Antiviral Drug Functionally inhibits

all three activities of

HBV polymerase,upon activation by

kinase. The drug canbe incorporated into

the DNA which hasthe effect of

inhibiting HBV

polymerase activity.

INDICATION:

-For the treatment of

chronic HEP B VIRUSinfection in adults w/

evidence of active viralreplication or evidence

of persistent rise ALT orAST or histologically

active disease.

CONTRAINDICATION:hypersensitivity to the

drug.

Exacerbation of

Hepatitis after

discontinuation.Lactic Acidosis

SevereHepatomegaly with

SteatosisGI upset

Diarrhea

FatigueDizziness

Nurse Shall monitor

signs of adverse

reaction afterdiscontinuation

- Nurse shall teachsigns of lactic

acidosis and adversereaction to client.

- Nurse shall monitor

client's liver functiontest for those

undergoing theraphy.

CIPRO/CIPROFLOXAXIN

Flouroquinolonederrivative

Inhibits the enzymeDNA gyrase which is

INDICATION:To treat infectious

GI UPSETHepatic failure

- the nurse shall testclient for sensitivity

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DOSE: 500mg tab

1 tab/ TID

class

antibiotics

responsible for

unwinding ofBacterial DNA before

it replicates

diarrhea caused by

enterocobacter clocaeCONTRAINDICATION:

Hypersensitivity to

quinolones

Jaundice

AgranulocytosisRenal calculi

Photosensitivity

Angina

Anxiety

with the drug prior to

administering oralmedicaiton.

- Nurse shall monitor

clients vital signs and

for liver function test.- Nurse shall advicethe client to avoid

hazardous activitieswhile on antibiotics

because it can cause

altered CNS function.-Nurse shall advice

client to hydrate andincrease fluid intake

to prevent renalcalculi.-Nurse shall advice

client to limit andprevent sun exposure

while on medicationtherapy because it can

cause severe burns.

- The nurse shallinform the client to

complete full courseof therapy and not

stop medication

abruptly

Metronidazole-

( Flagyl) 500 mg TAB1 tab/ BID

Antibiotics

Antiprotozoal

Undergoes

intracellular chemicalreaction during

anaerobicmetabolism, it

damages DNA's

INDICATION:

to treat amoebiasis( entamoeba histolitica)

CONTRADICTION:Hypersensitivity to

metronidazole and it's

Dizziness

HeadachesSeizures

DiarrheaVomiting

Urticaria

- the nurse shall test

client for sensitivityto the drug prior to

administering themedication.

- the nurse shall also

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helical structure

breaks its strands ,Inhibits bacterial

nucleic acid synthesis

and causes cell death.

component. Rash

Leukopenia

monitor client CBC if

the therapy last morethan 10 days.

- the nurse shall urge

client to space

intervals evenly whentaking the medicationand to take with food

to minimize GI upset.- the nurse shall ask

the client to avoid

alcohol duringtherapy and 3 days

after.- For dry mouth the

client shall use icechips or hard candy toreduce the sympotms.

- Nurse shall urge theclient to complete the

entire course oftreatment.

- The nurse shall

teach client ofadverse reaction and

to notify MD when itoccurs immediately.