Drugs



Escat, Sarah Jane A. Group 10 09/28/10

|Drugs |Indication |Action |Side Effect |Nursing Consideration |Patient Teaching |

|Date Ordered: |Dietary supplement |Opstres is scientifically formulated with vitamin |Severe allergic reactions |Instruct patient that he can |May be taken with or without |

|09/25/10 | |B-complex which produces and maintains sufficient |(rash; hives; itching; |take it with or without food.|food (May be taken w/ meals |

| | |energy to enable the body to fight stress. The B |difficulty breathing; | |for better absorption or if |

|Generic Name: Opstres | |group of vitamins are all water-soluble and are |tightness in the chest; | |GI discomfort occurs.) |

| | |not adequately stored in the body, so they need to|swelling of the mouth, face, | | |

|Brand Name: | |be replenished on a daily basis to support many |lips, or tongue); | | |

|-- | |body functions eg, the normal functioning of the |decreased coordination; | | |

| | |nervous system and providing energy by converting |numbness or tingling of the | | |

|Classification: | |carbohydrates to glucose. |skin; | | |

|Multivitamins | | |severe or persistent | | |

| | | |constipation. | | |

|Dosage: | | | | | |

|1 tab, po, OD | | | | | |

|Date Ordered: |Used to treat the |Aluminum and magnesium antacids work quickly to |nausea,  |Instruct patient that it must|This medication comes as a |

|09/25/10 |symptoms of too |lower the acid in the stomach. This medication |constipation,  |be taken on an empty stomach,|chewable tablet and liquid to|

| |much stomach acid such as|works only on existing acid in the stomach. It |diarrhea,  |they only neutralize acid for|take by mouth. |

|Generic Name: |stomach upset |does not prevent acid production. It may be used |headache |30 to 60 minutes because the |Chew tablets thoroughly; do |

|Aluminium hydroxide | |alone or with other medications that lower acid |black/tarry stools, |antacid quickly leaves the |not swallow them whole. |

| | |production (e.g., H2 blockers such |slow/shallow breathing, |stomach |Drink a full glass of water |

|Brand Name: | |as cimetidine/ranitidine and proton pump |slow/irregular heartbeat, |If taken with food, the |after taking the tablets. |

|Maalox | |inhibitors such as omeprazole). |mental/mood changes (e.g., |protective effect may be 2 or| |

| | | |confusion), |3 hours. | |

|Classification: | | |deep sleep, | | |

|Antacid | | |pain with urination, | | |

| | | |stomach/abdominal pain, | | |

|Dosage: | | |vomit that looks like coffee | | |

|1tab, po, BID | | |grounds. | | |

|Date Ordered: |Deficiencies of |Vitamin C is required for the growth and repair of|Dry and splitting hair |Instruct patient that a skin |You should not use this |

|09/25/10 |components esp of vit B &|tissues in all parts of your body. It is necessary|Gingivitis (inflammation of the|test will be done to know if |medication if you have ever |

| |vit C due to impaired |to form collagen, an important protein used to |gums) |he has allergy to this |had an allergic reaction to |

|Generic Name: Benutrex-C |absorption |make skin, scar tissue, tendons, ligaments, and |Bleeding gums |medication |ascorbic acid. |

| | |blood vessels. Vitamin C is essential for the |Rough, dry, scaly skin | | |

|Brand Name: | |healing of wounds, and for the repair and |Decreased wound-healing rate | | |

|-- | |maintenance of cartilage, bones, and teeth. |Easy bruising | | |

| | |Vitamin C is one of many antioxidants. Vitamin |Nosebleeds | | |

|Classification: | |E and beta-carotene are two other well-known |Weakened tooth enamel | | |

|Vitamin C | |antioxidants. Antioxidants are nutrients that |Swollen and painful joints | | |

| | |block some of the damage caused by free radicals, |Anemia | | |

|Dosage: | |which are by-products that result when our bodies |Decreased ability to fight | | |

|Incorporated in the IVF | |transform food into energy. |infection | | |

| | | |Possible weight gain because of| | |

| | | |slowed metabolism | | |

|Date Ordered: |Relief of mil-to-moderate|Decrease fever by inhibiting the effects of |Stimulation, drowsiness, | |Tell patient to read label on|

|09/25/10 |pain; treatment of fever.|pyrogens on the hypothalamic heat regulating |nausea, vomiting, abdominal |Assess patient’s fever: |other OTC drugs. Advise |

| | |centers and by a hypothalamic action leading to |pain, hepatotoxicity, hepatic |temperature, diaphoresis |patient to avoid taking more |

|Generic Name: Paracetamol | |sweating and vasodilation. |seizure (overdose), renal |Assess allergic reaction: |than one product containing |

| | | |failure (high, prolonged |rash, urticaria; if these |paracetamol at one time; as |

|Brand Name: | | |doses), leukopenia, |occur drug may have to be |this may cause toxicity if |

|-- | | |neutropenia, hemolytic anemia |discontinued |taken concurrently |

| | | |(long term use), |Assess hepatotoxicity: dark |Advise patient patient to |

|Classification: | | |thrombocytopenia, pancytopenia,|urine, clay-colored stools, |avoid alcohol; acute |

|Anti-pyretic | | |rash, urticaria, |yellowing of skin and sclera;|poisoning with liver damage |

| | | |hypersensitivity, cyanosis |itching, abdominal pain, |may result; acute toxicity |

|Dosage: | | | |fever, diarrhea if patient is|includes symptoms of nausea, |

|300mg IV q4h, prn for T > | | | |on long-term therapy |vomiting and abdominal pain; |

|38.7 | | | |Monitor liver and renal |physician should be notified |

| | | | |functions. AST, ALT, |immediately. |

|500mg 1tab q4h, prn, po, | | | |bilirubin, pro-time, BUN, |Teach patient to recognize |

|for T >37.8 | | | |CREA |sign of chronic overdose: |

| | | | |Check input and output ratio;|bleeding, bruising, malaise, |

| | | | |decreasing output may |fever, sore throat |

| | | | |indicate renal failure |Inform patient that urine may|

| | | | |Assess for chronic poisoning:|become dark brown as a result|

| | | | |rapid, weak pulse; dyspnea: |of phenacetin (metabolite of |

| | | | |cold, clammy extremities; |acetamoniphen) |

| | | | |report immediately to |Tell patient to notify |

| | | | |prescriber |prescriber for fever lasting |

| | | | | |for more than 3 days |

|Date Ordered: |Prevention of infection |Essentiale/Forte regulates membrane permeability |-- |Instruct patient that it must|To be swallowed whole, with a|

|09/26/10 |on the liver |and improves the exchange of substances between | |be taken with food |little liquid if desired. |

| | |the intra- and extracellular space. It activates | | | |

|Generic Name: | |metabolic function and supports the energy balance| | | |

|Essentiale Forte | |of the liver. It restores enzyme functions and | | | |

| | |promotes detoxification of the liver. Neutral fats| | | |

|Brand Name: | |and cholesterol are transformed into transportable| | | |

|-- | |forms and led to their physiological oxidation. | | | |

| | |Liver cell regeneration is stimulated and the bile| | | |

|Classification: | |is stabilized. | | | |

|Hepatic Protectors | | | | | |

| | | | | | |

|Dosage: | | | | | |

|1tab, BID, po | | | | | |

|Date Ordered: |For topical use in |Hexetidine, a hexahydropyrimidine, arrests the |Altered taste |Inform patient that it might |Gargle with half a mouthful |

|09/25/10 |dentistry. General |thiamine metabolism of microorganisms, thereby |Stain in the teeth |stain his teeth but this is |of Bactidol for 30 sec, 2-3 |

| |hygiene |inhibiting their growth. | |not permanent and can be |times a day for a week, until|

|Generic Name: | |Hexetidine has both antibacterial and antifungal | |removed by polishing with |symptoms disappear. No need |

|Bactidol | |properties in vivo and possesses a broad spectrum | |pumice. |to dilute. |

| | |of activity against both gram-positive and | | |General Oral Hygiene: Gargle |

|Brand Name: | |gram-negative organisms that cause mouth and | | |once in the morning and |

|-- | |throat infections. | | |before retiring at night. |

| | |Hexetidine has been proven to exhibit an analgesic| | | |

|Classification: | |property. It possesses an anti-infective | | | |

|Anti-bacterial | |(preventive and curative) property. It has been | | | |

|Mouth/Throat Preparations | |shown to have a cicatrizing action. It also | | | |

| | |exhibits a mild hemostatic action. | | | |

|Dosage: | | | | | |

|Gargle after meals | | | | | |

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