DRUG STUDY

Generic name Dosage Classification Indication Contraindication Side effects Nursing Responsibilities

Paracetamol  250mg/5ml  Non narcotic  Mild to moderate  Contraindicated in Hematologic:  Caution parents or
(Acetaminophen) give 10 ml Analgesic pain patients hemolytic anemia, other caregivers not to
prn for fever and  Fever hypersensitive to neutropenia, give to children younger
Antipyretic drug leucopenia, than age 2 without
Brand name: pancytopenia consulting prescriber
Special Precautions: first.
 Tempra  Patients w/ Hepatic: liver  Advise patient that
alcoholic liver damage, jaundice drug is only for short
disease. Patients term use and to consult
w/ impaired liver or Metabolic: prescriber if giving to
kidney function. hypoglycemia children for longer than 5
days.
Skin: rash,  Warn patient that high
urticaria doses or unsupervised
long-term use can cause
liver damage.
 Use liquid form for
children and patients
who have difficulty
swallowing.
 Don’t exceed 5 doses
in 24 hours in children.

Omeprazole  40 mg OD  Antiulcer  Symptomatic  Contraindicated in CNS: dizziness,  Assess vital signs.

drug gastroesophageal patients headache, Check for abdominal
reflux disease hypersensitive to asthenia pain, emesis, diarrhea, or
Brand name: (GERD) without drug or its constipation. Evaluate
esophageal components GI: nausea, fluid intake and output.
 Prilosec lesions vomiting, diarrhea, Watch for elevated liver
Special Precautions: constipation, function test results
 Erosive  Use cautiously in abdominal pain (rare).
esophagitis and patients with  Caution patient to
accompanying hepatic disease, Musculoskeletal: avoid driving and other
symptoms caused pregnant or back pain hazardous activities until
by GERD breastfeeding he knows how drug
 patients and in Respiratory: affects concentration and
 Maintenance of children. cough, upper alertness.
healing erosive respiratory tract  Instruct patient to take
esophagitis infection exactly as prescribed
and at about the same
 Duodenal ulcer Skin: rash time everyday.
(short term
treatment)

 Short term
treatment of
active benign
gastric ulcer

Treatment Classification Indication Contraindication Nursing Responsibilities

Lactated  Hypertonic  Treatment for  Hypersensitivity to  Do not administer unless solution is clear and
Ringer’s Nonpyrogenic, persons needing any of the component container is undamaged.
Solution with parenteral fluid, extra calories who  Caution must be exercised in the administration of
5% Dextrose electrolyte and cannot tolerate fluid parenteral fluids, especially those containing
(D5LR) nutrient overload. sodium ions to patients receiving corticosteroids or
replenisher corticotrophin.
 Treatment of shock.  Solution containing acetate should be used with
caution as excess administration may result in
metabolic alkalosis.
 Solution containing dextrose should be used with
caution in patients with known subclinical or overt
diabetes mellitus. Discard unused portion.
 In very low birth weight infants, excessive or rapid
administration of dextrose injection may result in
increased serum osmolality and possible
intracerebral hemorrhage.

( Potter 2005: 1162)