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DRUG STUDY

BRAND GENERIC DOSAG ACTION INDICATION CONTRA- PRECAUTIONS NURSING


NAME NAME E INDICATION CONSIDERATION

Omepron Omeprazole 20mg Suppresses Short term - hypersensitivity - Presence of - Assess other
BID gastric secretion treatment of - pregnancy any alarms medications patient
by inhibiting active duodenal - lactation and symptoms maybe taking for
hydrogen/potass ulcer, children (significant effectiveness and
ium ATPase gastroesophageal - Combination unintentional interaction.
enzyme system reflux disease therapy with weight loss, - Monitor therapeutic
in the gastric (GERD), including clarithromicin recurrent effectiveness and
parietal cell: erosive should not be vomiting, adverse reaction at
characterize as esophagitis and used in dysphagia, the beginning of
a gastric acid symptomatic patients with hematemesis, therapy and
pump inhibitor, GERD. Long term hepatic or melena) periodically
since it block treatment of impairment. should be throughout the
the final step of pathologic taken before therapy.
acid production. hypersecretory meals and - Assess GI system:
condition: to should be bowel sounds 8 hrly,
maintain healing swallowed abdomen for pain
of erosive whole. and swelling,
esophagitis. Short - Hepatic appetite loss.
term treatment of impairment - Monitor hepatic
active benign - Pregnancy, enzymes.
gastric ulcer. lactation and - Assess
children less knowledge/teach
than 12 years appropriate use of
old this medication,
interventions to
reduce side effects,
and other symptoms
to report.
BRAND GENERIC DOSAG ACTION INDICATION CONTRA- PRECAUTIONS NURSING
NAME NAME E INDICATION CONSIDERATION

Afordel simvastati 25mg 1 Inhibits HMG- To reduce low-density - Hypersensitivity - Temporarily stop - Assess nutrition: fat,
n tab OD COA reductase lipoprotein (LDL) to any therapy before protein,
enzyme which cholesterol, components of major surgery. carbohydrates.
reduces apolipoprotein beta this preparation. - Hypercholesterol - Monitor creatinine
cholesterol and triglycerides. To - Active liver emia must be phosphokinase levels
synthesis; this increase high density disease. monitored/ due to possibility of
enzyme is lipoprotein (HDL) controlled. myopathy.
needed for cholesterol in the - Past history or - Monitor triglycerides,
cholesterol treatment of an active liver cholesterol baseline
production. hyperlipidaemias, disease. and throughout
including - Unexplained treatment; LDL, HDL,
hypercholesterolemias muscle pain, triglycerides, and
and combined tenderness and cholesterol at 6-8 wks
hyperlipidaemia. weakness and every 6 mos
Coronary heart disease - History of should be monitored
hereditary closely; if increases
muscular drug should be
disorder. discontinue.
- Hypothyroidism. - Assess liver function
test prior to therapy
and periodically
thereafter.
- Evaluate therapeutic
response and adverse
reaction on a regular
basis.
- Assess knowledge or
teach patient proper
use, possible side
effects/appropriate
interventions, and
adverse symptoms to
report.
BRAND GENERIC DOSAG ACTION INDICATION CONTRA- PRECAUTIONS NURSING
NAME NAME E INDICATION CONSIDERATION

Plavix Clopidogrel Tab OD Blocks ADP Reduction of - Hypersensitivi - Patients who may - Assess for
receptors which atherosclerotic ty. be at risk of symptoms of
prevent events in patients - Severe liver increase bleeding stroke, MI
fibrinogen with atherosclerosis impairment. from trauma, during
binding at the documented by - Active surgery, or other treatment.
site and recent stoke, pathological pathological - Monitor signs
thereby reduce myocardial infarction, bleeding e.g. conditions. of bleeding;
the possibility or established peptic ulcer - Elective surgery. hemoglobin
of platelet peripheral arterial and - Patients who and hematocrit
adhesion and disease. intracranial have lesions with periodically.
aggregation. hemorrhage. a propensity to - Monitor liver
- Pregnancy bleeding. function
and lactation. - Patients with studies: AST,
moderate hepatic ALT, bilirubin,
disease who may creatinine if
have bleeding patient is on
diatheses. long term
therapy;
thrombo-
cytopenia may
occur.