DRUG STUDY

Name of Drug Generic (Brand) Cefuroxime

Date Classificati Order on ed

Dose Frequency Route

Mechanism of Action

Specific indication

Side effects

Nursing Implication

1/5/13 (ceftin)

Antiinfecti 50mg IVTT ve q 6H Antibiotic 2nd Generat ion Cephal osphori n

Inhibits bacterial wall synthesis rendering cell wall osmotically unstable, leading to cell death by binding to cell wall membrane

CNS:Diziness, Perioperative Headache, prophylaxis fatigue, and preventive paresthesia, treatment for fever, chills, infection in the confusion muscle and bone tissues GI: Diarrhea, nausea, vomiting, anorexia,

BEFORE: 1.Observe pateints right. 2. Culture infection and arrange for sensitivity test DURING: 1.Avoid alcohol while taking this drug. 2. Take it with meals

GU:nephrotoxicity AFTER: , renal failure, pyuria, 1.Discontinue if dysuria, hypersensitivity happens 2. 2.Report severe diarrhea, difficulty of breathing and unusual tiredness.

SOURCE: 2006 LIPPINCOTS NURSING DRUG GUIDE

DRUG STUDY

Name of Drug Generic (Brand) Tramadol Hydrochloride (ultram)

Date Classification Order ed

Dose Frequency Route

Mechanism of Action

Specific indication

Side effects

Nursing Implication

1/5/13

Analgesic (centrally acting)

50mg IVTT q 6H

Binds to mu opioid receptors and inhibits the reuptake of norepinephrine and serotonin; causes many effects similar to opioids.

CNS:Diziness, Relief of Headache, moderate sweating,, to sedation moderately severe pain GI: nausea and vomiting,drymo uth, constipation,flat ulence CV:hypotension,tac hycardia, bradycardia Other:anaphylactic reaction

BEFORE: 1. Observepateints right. 2. arrange for hypersensitivity test 3.Do pain assessment 4. Assess BP and RR DURING: 1.Administer q 6hr to maintain therapeutic level 2. Take it with meals

AFTER: 1.Pain reassessment 2-3hr after admn 2.Report nausea, dizziness and severe constipation

SOURCE: 2006 LIPPINCOTS NURSING DRUG GUIDE

DRUG STUDY

Name of Drug Generic (Brand) Clindamycin Hydrochloride (cleocin)

Date Orde red

Classificatio n

Dose Frequency Route

Mechanism of Action

Specific indication

Side effects

Nursing Implication

1/5/13

Lincosomide Antibioti c

300mg IVTT q 8hr

Inhibits protein synthesis in susceptible bacteria causing cell death

CV: hypotension Preventive treatment for GI: nausea, bacterial vomiting, infection in diarrhea and the bone anorexia caused by staphylococcu s aureus HEMA:neutropeni a,leukopenia LOCAL: pain following injection Other: rashes

BEFORE: 1.Observepateints right. 2. Culture infection and arrange for sensitivity test DURING: 1.Administer every 8hr 2. Dont give IM injection of more than 600mg AFTER: 1.Report severe or watery diarrhea, abdominal pain, inflamed mouth, skin rashes or lesion

SOURCE: 2006 LIPPINCOTS NURSING DRUG GUIDE

DRUG STUDY

Name of Drug Generic (Brand)

Date Order ed

Classification Dose Frequency Route

Mechanism of Action

Specific indication

Side effects

Nursing Implication

Plain lactated ringers IV

1/3/13

Fluid/electrol 1L via IV yte @30gtts/mi replacem n ent, blood volume expander

When administered intravenously, these solutions provide sources of water and electrolytes. Their electrolyte content resembles that of the principal ionic constituents of normal plasma and the solutions therefore are suitable for parenteral replacement of extracellular losses of fluid and electrolytes.

Extracellular fluid/ electrolyte replacement

Fever, infection BEFORE: at administration 1.Observe pateints right. site, venous 2. Use precaution to thrombosis, patients with Renal extravasation, problem hypervolemia. DURING: 1.Administer every 8.3hrs 2. Dont administer simultaneouslywith blood it can cause coagulation AFTER: 1.Report adverse effects: such as pain and extravasation and stop immediately.

SOURCE: 2006 LIPPINCOTS NURSING DRUG GUIDE