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Name of Drug 1.

Dynastat Parecoxib Classification and Mechanism of Action Non-steroidal antiinflammatory drugs NSAI Ds inhibit cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins and thereby reduce pain and inflammation. Oral NSAIDs are used po st-operatively but when patients are unable to tolerate oral medications or requ ire a faster onset of analgesia, parenteral administration may be preferred. Indication and Dosage Indicated for the shortterm treatment of postoperative pai n in adults. Adult: 40 mg IVTT q 12 hours Contraindication You have or have had any medical conditions, especially the fol lowing: disease hea rt problems, heart surgery, or other blood vessel disease rt attack ke betes levels hig dia stro hea kid Side Effects / Adverse Reaction changes in blood dizziness or lightNursing Responsibility 1. Tell your doctor if you have any allergies like medica tion, foods, preservatives or dyes 2. Tell patient that dizziness or light heade dness is the most common 3. Instruct the patient to report if he/she notice any of the following * skin rash, including hives, raised red, itchy spots * other s igns of allergic reaction such as wheezing, swelling of the face, lips, mouth, t ongue or throat which may cause difficulty in swallowing or breathing pressure headedness due to low blood pressure back pain a reduced sense of stoma ch upset ney or liver touch including nausea (feeling sick), vomiting, heartburn, indigestion, cramps constipation, diarrhoea, pain in the stomach, wind sleeplessness irritability so re throat h cholesterol

Name of Drug 1. Cefuroxime axetil Zinnat Classification and Mechanism of Action Cepha-losporin, second genera-tion It int erferes to the final step in the formation of the bacterial cell wall (inhibitio n of mucopeptide biosynthesis), resulting in unstable cell membranes that underg o lysis (same mechanism of actions as penicillins). Also, cell division and grow th are inhibited. The cephalosporins are most effective against young, rapidly d ividing organisms and are considered bactericidal. (Spratto, et al; 2008: 1788) Indication and Dosage Uncomplicated Skin and SkinStructure Infections 5oo mg tab p.o. Contraindication Hypersen-sitivity to cephalos-porins or related antibiotics. Side Effects / Adverse Reaction GI: nausea, vomiting, diarrhea, dyspepsia, heart burn Allergic: urticaria, rashes, fever, chills, myalgia CNS: headache, fatigue, vertigo, dizziness, malaise Miscella-neous: hypotension, sweating, flushing, dy spnea, hepatitis, bone marrow depression Nursing Responsibility Before: - List reason for therapy. -List allergy history -Verify physicians order. During : -Administer as directed. -Explain effects of t he drug and its side effects. -Administer on an empty stomach, but if GI upset i s present, may administer with meal. After: -Document administration on medicati on -Assess patients response to medication. -Monitor for occurrence of side effec ts.

Name of Drug Classification and Mechanism of Action Indication and Dosage Contraindication Use with caution in Side Effects / Adverse Reaction Medicines and their possible side effects can af fect individual people in different ways. The following are some of the side eff ects that are known to be associated with this medicine. Because a side effect i s stated here, it does not mean that all people using this medicine will experie nce that or any side effect. Nursing Responsibility 1. Teach patient to take medicine or medications as physi cians ordered. 2. Tell the patient for the possible effects of drug prior to its adverse reactions and consider such reactions mentioned as normal. 3. Provide t he patient with the proper management upon taking medications. 4. Tell the patie nt to seek for help if no such effects of drug are noted or that if symptoms pri or to his conditions are still noted. 5. Tell patient to maintain his normal die t and the possible consequences of the drugs effect concerning on his appetite. 2. ARCOXIA etoricoxib ARCOXIA (etoricoxib) is a member of a class of arthritis/analgesia medications c alled Coxibs. ARCOXIA is a highly selective inhibitor of cyclooxygenase-2 (COX-2 ). Arcoxia (Etoricoxib) is the newset of the COX-II inhibitors released onto the market by Merck Frosst. Arcoxia (Etoricoxib) can be used to treat acute gouty a rthritis, osteoarthirtis and other conditions as determined by your doctor. Relief of acute pain 120 mg table,t p.o, OD Elderly people History of disorders affecting the stomach or intestines, such as ulceration or bleeding Decreased kidney function Decreased liver function Headache Dizziness Disturbances of the gut such as diarrhoea, constipation, naus ea, vomiting, indigestion, flatulence or abdominal pain Excessive fluid retentio n in the body tissues, resulting in swelling (oedema) High blood pressure (hyper tension) Weakness or loss of strength (asthenia)


Patientss name: Area : Patients name : Room/bed No. : Age : Date of Submission Clinical Instructor : Physician : Date of Admission Hospital No. : : :