Beruflich Dokumente
Kultur Dokumente
CONSIDERATION
GENERIC NAME:
Cilostazol
BRAND NAME:
Pletal
100mg
1 tab
PO
Q 12
Anti-coagulants,
Arterial
Vasodilator,
Phosphodiester
Inhibitor
May inhibit
phosphodiesterase
activity &
suppressing cyclic
adenosine
monophosphate
degradation
(cAMP). This
action increases
cAMP in platelets
& blood vessels,
which inhibit
platelet
aggregation &
causes
vasodilation. This
in turn relieves
symptoms of
claudication.
Peripheral
vascular disease
Headache,
diarrhea,
fast/irregular
heartbeat,
swelling of hands
and feet, easily
bruising/
bleeding, black or
tarry stool, vomit
that looks like
coffee grounds
Contraindicated in
patients with
hemostatic disorders
or active pathologic
bleeding, such as
bleeding peptic ulcer
& intracranial
bleeding
>Monitor clients
vital signs before
and after & I&O
>Administer PO
medications &
with meals
>Note general
condition of client
>Document
indications for
therapy,
type/onset of
symptoms
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION
GENERIC NAME:
Enoxaparin
BRAND NAME:
Clexane
0.3cc
SC
OD
Anti-coagulant
A low molecular
weight heparin
derivative that
accelerates
formation of anti-
thrombin III-
thrombin complex
& deactivates
thrombin
preventing
conversion of
fibrinogen to fibrin
Prevent deep
vein thrombosis
Thromocytopenia,
hemorrhage,
nausea, fever,
headache,
edema,
hematoma on
injection site
Hypersensitivity to
heparin &
enoxaparin
Contraindicated to
intramascular route
Conditions with high
risk of uncontrolled
hemorrhage
including major
bleeding disorders
>Monitor clients
vital signs before
and after & I&O
>Lab test:
Baseline
coagulation
studies; periodic
CBC, platelet
count, urine &
stool culture
>Give only by
deep
subcutaneous
while lying down
>Monitor for
signs of bleeding
>Alternate
administration
between
anterolateral &
posterolateral
abdominal wall
>Monitor &
report any signs
of unexplained
bleeding
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION
GENERIC NAME:
Furosemide
BRAND NAME:
Lasix
40mg
1tab
PO
Q12
Loop diuretics
Inhibits the
reabsorption of
sodium chloride
from the
ascending limb of
the loop of Henle,
leading to a
sodium-rich
dieresis. Promotes
water & sodium
excretion
Management of
hypertension,
edema
associated with
congective heart
failure as
complication of
diabetes mellitus
Diarrhea,
dizziness,
headache,
hyperglycemia,
glycosuria,
hypokalemia,
magnesium
depletion can
cause cardiac
arrhythmias, fluid
& electrolyte
imbalance
Severe sodium &
water depletion
Hypersensitivity to
sulphonamides,
furosemide,
hyponatremia,
hypokalemia,
precomatose states
associated with liver
cirrhosis, anuria or
renal failure
>Monitor clients
vital signs before
and after & I&O
>Arrange &
monitor sodium &
potassium serum
electrolytes
>Give early in the
morning so that it
will increased
urination & will
not disturbed
sleep
>Monitor &
record weight to
monitor fluid
changes
>Arrange for
potassium-rich
diet or
supplemental
potassium as
needed
DRUG NAME CLASSIFICATION ACTION INDICATION ADVERSE EFFECT CONTRAINDICATION NURSING
CONSIDERATION
GENERIC NAME:
Fluconazole
BRAND NAME:
Diflucan
100mg
1tab
PO
OD
Anti-fungal
Interferes with
cytochrome p-450
activity,
decreasing
ergosterol
synthesis &
inhibiting cell
membrane
formation
To treat &
preventing certain
yeast & fungal
infections
Treament for
vaginal
candidasis,
urinary tract
infections
Headache,
abdominal
discomfort,
diarrhea, nausea,
vomiting,
hapatotoxicity
Hypersensitivity to
fluconazole or other
azoles
>Monitor clients
vital signs before
and after & I&O
>Assess infected
area & monitor
CSF cultures
before &
periodically
during therapy
>Monitor BUN,
liver function
tests & serum
creatinine before
& periodically
during therapy