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VII. DRUG STUDY

GenericName

Classification Mechanism ofAction

Indication Contraindication Side Effect NursingResponsibilities

Tramadol500mg IVq8

ANST(-)

Opioid AgonistAnalgesic

Centrallyactingsynthesisanalgesiccompound notchemicallyrelated to

opioids that isthought to bindto opioidreceptors andinhibitreuptake ofnorepinephrineserotonin

Moderate tosevere pain

Hypertensive to thedrug or any of itscomponents

Dizziness Headache Nervousness Visual

disturbance Abdominal pain Constipation

Skin Rashes

Assesspatient painbefore statingtherapy andregularlythere aftermonitor drugs

effectiveness Alert for

adversereactions anddrugsinteractions

Assesspatientsfamilysknowledge ofdrug therapy.

Omeprazole40mg 1tabOD

Proton pumpinhibitor

Inhibits acidproton pumpand bids tohydrogen-potassiumadenosinetriphosphateson secretorysurface ofgastric parietal

BAIAE Hypertensive to thedrug or any of itscomponents

Dizziness Headache Constipation Rashes Abdominal pain Diarrhea N/V Back pain cough

Assesspatient painbefore statingtherapy andregularlythere aftermonitor drugseffectiveness

Alert foradverse

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cells to blockformation of

gastric acid

reactions anddrugs

interactions Assess

patientsfamilysknowledge ofdrug therapy.

SalbutamolIpratropiumNeb q6

Bronchodilatoradrenergic

DecreasedintracellularRelaxessmooth muscleairways

asthma Hypertensive to thedrug or any of itscomponents andadrenergic amines,Fluorocarbons

Chest pain Palpitation Nervousness restlessness

auscultate forbreathsounds

MonitorPatients vital

signsKulim durule1 tab TID X 6doses

Mineral andelectrolytereplacement/sup.

Maintain acidbase balance,isotonicity andessentialtransmission ofnerve impulses

Treatmentprevention ofpotassiumdeficits.

Hypokalemia Renal

replacement Tissue trauma

Confusion Restlessness Weakness arrhythmia

Avoid saltsubstitute orlow salt milk ofood

potassium-Rich food

Hydrocortisone100mg IVPq12 x 6 doses

then D/C

Corticosteroid. Suppress allinflammationand the normalimmune

response

Asthma Active Untreatedinfection

headache euphoria increase ICP Hypertension

MIO Monitor BP

NUbain0.5cc IVPnow

Opioid agonist-antagonistanalgesic

ReceptorStudies thatnalbuphineexerts itsaction viabinding to mu,kappa anddelta

For the reliefof moderateto severepain

hypertensive weak orshallowbreathing

fast or slow HR cold clammy

skin confusion hallucinations

Assesspatient in hiscondition

Monitor V/Sgving themeds

Taper dosagewhen

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receptors. nervousness depression

stomach pain blurred vision flushing rash

discontinuingafter

prolongeduse to avoidwithdrawalsymptoms.

Reassurepatient aboutaddictionliability, mostpatient whoreceivesopiates for

medicalreasons donot developdependencesyndromes.

B e alert foradversereaction.

Sultamicillin(unasyn)750mg 1tab

OD

Antibiotics Exertsantibacterialactivity against.

Sensitiveorganisms byinhibitingbiosynthesis ofcell wallmucopeptidewhere assulbactanirreversiblyinhibits most

BAIAE Hypersensitivity todrug

Diarrhea N/V Rashes

Itching To super

infections Dizziness DOB

Monitor liver,kidneyfunctions

regulatorywhile takingthis drug

It may causedizziness, donot drive acar or operatemachinerywhile takingthis meds.

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importantbetalactamase

s that occur inresitant strains.

Alerts for anyadverse

reaction anddrugsinteractions.

Piperacillin +Tazobactum 1vial IV ANST(-)

Antinfective,beta-lactumantibiotic.

It interferebacterial cellwall synthesispromotes lossof membraneintegrity andleads to deathof the

organism

BAIAE Hypersensitivity topenicillin.

Headache Insomnia Fever Diarrhea N/V Constipation rashes

obatainhistory ofhypersensitivity

obtainspecimen forculture andsensitivity test

prior to 1stdose of thedrug

Monitor forhypersensitivity response.

Discontinuedrug andnotifyphysician ifallergic

responsenoted

Monitor forhemorrhagicmanifestationbecause highdose mayinducecoagulationabnormalities

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Instructfamily/SO to

reportsignificant,unexplaineddiarrhea.

Dopamine400mg/ 250ml10-15ugtts totitrate

Autonomicnervous systemagent alpha-and beta-adrenergicagonistsympathomimeti

c

Naturallyoccurringneurotransmitter andimmediateprecursor ofnorepinephrine

.

To correcthemodynamic imbalancein shocksyndromedue totrauma or

surgery

In hypovolemic shockshould not beadministered in thepresence ofuncorrectedventricular fibrillation

N/V Ectopic beats Tachycardia Dysrhythmias Hypertensive

urisis Dizziness

rashes

monitor BP,RR

MIO Alert for

adversereaction anddrug

interactions.