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Generic Name Clindamycin 600 mg I!

"# Clindamycin $00 mg % ca& $' a day

Brand Name (ydrochlorid e

Classification )incosamide Anti*iotic

Indication/s + ,sed to treat certain ty&es of *acterial infectionsincluding infections of the lungss.in- *loodfemale re&roductive organs- and internal organs/

Mechanisms of Action +(as a *acteriostatic effect that 0or.s *y slo0ing or sto&&ing the gro0th of *acteria/

Contraindication/ s + Allergy to clindamycin + 1regnant and lactating mothers

Side Effects +Nausea and vomiting + 1ain 0hen s0allo0ing + 2oint 1ain

Adverse Effects +3iarrhea 4most common5 + Nausea and vomiting +A*dominal 1ain + 6ash

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Ma.e sure that the client too. it 0ith % full glass of 0ater + Notify &hysician if the client is &regnant or in *reast feeding/ + 7*serve for any signs of unto0ard reactions/ + 3o not give more or less of it or ta.e it more often than &rescri*ed *y doctor/

Generic Name Gentamicin 890 mg I! 73

Brand Name Garamycin

Classification Aminoglycosi de anti*iotic

Indication/s + used to treat many ty&es of *acterial infections

Mechanisms of Action +has a *actericidal anti*iotic that 0or.s *y irreversi*ly *inding the $0S su*unit of the *acterial ri*osomeinterru&ting &rotein synthesis/

Contraindication/ s + 1rior aminoglycoside to'icity or hy&ersensitivity + 1regnancy and lactation

Side Effects +

Adverse Effects +Ne&hroto'icity + !ertigo +Ata'ia + Gait Insta*ility

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Avoid concurrent or se"uential use of neuroto'ic and/or ne&hroto'ic drugs + Notify &hysician if the client is &regnant or giving *reast feeding/ + 7*serve for any signs of unto0ard reactions/

Generic Name ramadol :0 mg I! "#

Brand Name ,ltram

Classification Analgesics 47&ioid5

Indication/s > Moderate to severe &ain es& or due to trauma- colicischemia or CA

Mechanisms of Action > modifies transmission of &ain im&ulses

Contraindication/ s + Acute Into'ication 0/ alcohol(y&noticsCentrally;acting analgesics and 7&ioids +1sychocotic 3rugs +1regnancy and lactation + ,ncontrolled E&ile&sy or e&ile&sy not ade"uately controlled *y treatment/

Side Effects > 3i<<iness >Somnolenc e >Nausea > 3ry mouth >S0eating >1ruritus

Adverse Effects +6es&iratory de&ression +Sei<ures +Bronchos&asm +Allergic 6eactions

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ +Avoid concomitant administration of MA7Is and neurole&tics/ May increase sedative effects of some CNS drugs/ +E'&lain the indications and &ossi*le side effects of the drug/ +Give only the &rescri*ed dosage of drug/ + 7*serve for any signs of unto0ard reactions/

Generic Name =etorolac %:mg I! "6

Brand Name oradol

Classification Non;Steroidal Anti; Inflammatory 3rugs 4NSAI3s5

Indication/s + Short term management of &ain

Mechanisms of Action + Inhi*its &rostaglandin synthesis&roducing &eri&herally mediated analgesia ;+Also has an anti&yretic and anti; inflammatory &ro&erty/

Contraindication/ s + (y&ersensitivity +Cross; sensitivity 0ith other NSAI3s may e'ist>1re; or &erio&erative use +=no0n alcohol intolerance +,se cautiously in? %5 (istory of GI *leeding 85 6enal im&air; ment 4dosage reduction may *e re"uired5 $5 Cardiovascular disease

Side Effects + di<<iness +dro0siness +a*normal taste +&allor

Adverse Effects +headache +asthma +dy&nea +diarrhea +renal to'icity + Gi &ain

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Caution &atient to avoid concurrent use of alcoholas&irinNSAI3sacetamino&he n- or other 7 C medications 0ithout consulting health care &rofessional/ + 7*serve for any signs of unto0ard reactions + Assess &ain and the effectiveness of the drug/

Generic Name 3o'ycycline %00 mg %ca& 8' a day

Brand Name (yclate

Classification etracycline anti*iotic

Indication/s + ,sed to treat many different *acterial infectionssuch as urinary tract infectionsacnegonorrheaand chlamydia&eriodontitis 4gum disease5- and others/

Mechanisms of Action + Inhi*ition of &rotein synthesisma.ing them *acteriostatic agents/

Contraindication/ s + Allergic to do'ycycline or to other tetracycline anti*iotics +1regnancy and lactation

Side Effects + Nausea and vomiting +3ys&hagia +(eadache +2oint &ain

Adverse Effects +3iarrhea +(eadache +6ash +(e&atoto'ity +Increased B,N 4renal to'icity5 +&hoto to'icity

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Give &lenty of 0ater + Notify &hysician if the client is &regnant or in *reast feeding/ + 7*serve for any signs of unto0ard reactions/ + 3o not give more or less of it or ta.e it more often than &rescri*ed *y doctor/ +May *e ta.en 0ith meals/ + Advised to avoid e'cessive sunlight or artificial ultraviolet light 0hile receiving do'ycycline

Generic Name Mefenamic Acid :00 mg % ca& $' a day

Brand Name Analmin

Classification +Non; Steroidal Anti; Inflammatory 3rugs 4NSAI3s5 +Analgesic +Anti;&yretic

Indication/s + used for the short; term treatment of mild to moderate &ain from various conditions/ + used to decrease &ain and *lood loss from menstrual &eriods/

Mechanisms of Action + inhi*its &rostaglandin synthesis and affects &latelet function/

Contraindication/ s + (y&ersensitivity to drug@ GI inflammation- or ulceration + 1regnancy and lactation

Side Effects + insomnia +di<<iness +dro0siness +diarrhea +headache +flatus +consti&ation

Adverse Effects +Severe diarrhea +ulceration +*leeding +ne&hroto'icity +eye irritation +&al&itation

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Give 0ith meals- food- or mil. to minimi<e GI adverse effects/ +3o not give drug for a &eriod e'ceeding % 0ee. + Notify &hysician if the client is &regnant or giving *reast feeding/ + 7*serve for any signs of unto0ard reactions/

Generic Name Mineral 7il $0 ml hs

Brand Name Mineral 7il o&

Classification +)a'ative

Indication/s + 6elieving occasional consti&ation and *o0el irregularity/

Mechanisms of Action + Aor.s *y slo0ing the a*sor&tion of 0ater from the *o0el0hich softens the stool/

Contraindication/ s + Allergy to any ingredient of mineral oil + Bloc.age in intestine +Bedridden clients

Side Effects + 1eo&le may have no side effect

Adverse Effects +Severe allergic reactions +failure to have a *o0el movement 0ithin 6 to # hours of ta.ing mineral oil li"uid + rectal *leeding/

Nursing Interventions + E'&lain the indications and &ossi*le side effects of the drug/ + Give on an em&ty stomach at least % hour *efore or 8 hours after eating or 8 hours *efore slee&ing/ +Add a small amount of 0ater or any li"uid/ + Notify &hysician if the client is &regnant or giving *reast feeding/ + 7*serve for any signs of unto0ard reactions/ +3o not give that e'ceeds in one 0ee./

Generic Name 3:)6 %) ' #B regulated at $% gtts/min

Brand Name

Classification +(y&ertonic Solution

Indication/s + ,seful for daily maintenance of *ody fluids and nutritionand for rehydration/

Mechanisms of Action + &ulls the fluid into the vascular *y osmosis resulting in an increase vascular volume/ It raises intravascular osmotic &ressure and &rovides fluidelectrolytes and calories for energy/

Contraindication/ s + (y&ersensitivity to any of the com&onents such as sodium&otassium and chloride

Side Effects

Adverse Effects + meta*olic al.alosis +throm*o&hle*iti s +hy&ervolemia

Nursing Interventions + Ma.e sure that the solution is clear and container is undamaged/ + ,sed cautiously 0ith &atient 0ith dia*etic mellitus/ + 3iscard unused &ortion + 1ro&erly la*el the I! Cluid +7*serve ase&tic techni"ue 0hen changing I! fluid/

Generic Name 1lain Normal Saline Solution ' =!7

Brand Name ;;;

Classification +Isotonic Solution

Indication/s + indicated as a source of 0ater and electrolytes/

Mechanisms of Action + Sterilenon&yrogenic solution for fluid and electrolyte re&lenishmen t/

Contraindication/ s + Severe (1N + 1ulmonary Edema

Side Effects

Adverse Effects + fe*rile res&onse +throm*o&hle*iti s +hy&ervolemia

Nursing Interventions + Ma.e sure that the solution is clear and container is undamaged/ + 3iscard unused &ortion + 1ro&erly la*el the I! Cluid +7*serve ase&tic techni"ue 0hen changing I! fluid/ + 3o not e'&ose in e'cessive heat/

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