Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr.

Nual Drug Name Route, Frequency, Dosage 500mg 1tab PO ODHS Mechanism of Action Selectively and irreversibly inhibits uptake of glucose and other nutrients by susceptible helminths. Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Generic name: mebendazole Classification: anthelmintics

>Pinworm >Roundworm, whipworm, and hookworm

Contraindicated in patients hypersensitive to drug.

CNS: seizures, fever GI: transient abdominal pain and diarrhea in massive infestation and during expulsion of worms. Skin: urticaria

>Tablets may be chewed, swallowed whole, or crushed and mixed with food. >Teach patient about personal hygiene, especially good handwashing technique.

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 500mg 1 cap PO TID Mechanism of Action Direct-acting trichomonacide and amebicide that works inside and outside the intestines. Its thought to enter the cells of microorganisms that contain nitroreductase, forming unstable compounds that bind to DNA and inhibit synthesis, causing cell death. Indication Contraindication Adverse Effects Nursing Considerations >Give oral form with meals >Observe patient for edema

Brand name: Flagyl Generic name: metronidazole Classification: amebicide and antiprotozoal

>Amebic liver abcess >Intestinal amebiasis >Trichomoniasis

>Use cautiously in patients with history of blood dyscracia, CNS disorder, or retinal or visual field changes >Use cautiously in patients who take hepatotoxic drugs or have hepatic disease or alcoholism

CNS: headache, seizures, fever, dizziness CV: edema, flushing, thrombophlebitis after IV infusion EENT: rhinitis, sinusitis, pharyngitis GI: nausea, vomiting, abdominal pain, epigastric distress, diarrhea GU: darkened urine, polyuria, dysuria MS: transient joint pain Respi: upper respiratory tract infection

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 30cc PO ODHS Mechanism of Action Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Lactulax Generic name: lactulose Classification: laxative

Produces an osmotic effect in colon; resulting distention promotes peristalsis. Also decreases ammonia, probably as a result of bacterial degradation, which lowers the pH of colon contents

>Constipation >To prevent and treat and treat hepatic encephalopathy, including hepatic precoma and come in patients with severe hepatic disease

Contraindicated in patients on a lowgalactose diet

GI: abdominal cramps, belching, diarrhea, flatulence, nausea, vomiting

>To minimize sweet taste, dilute with water or fruit juice or give with food >Replace fluid loss

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 50mg 1 cap q8hrs PRN Mechanism of Action Unknown. A centrally acting synthesis analgesic compound not chemically realted to opioids. Thought to bind to opioid receptors and inhibit reuptake of norepinephrine and serotonin. Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Generic name: tramadol Classification: opioid analgesic

>Moderate and moderately severe pain

>Contraindicated in suicidal or addiction-prone patients. >Use cautiously in patients with hepatic or renal disease

CNS: dizziness, headache, seizures CV: vasodilation EENT: visual disturbances GI: constipation, nausea, vomiting, diarrhea GU: proteinuria, urine retention MS: hypertonia Respi: respiratory depression Skin: diaphoresis, pruritis

>Tell patient to take drug as prescribed and not to increase dose or dosage interval unless ordered by prescriber >Warn patient not to stop the drug abruptly

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 20mg IVTT Prior to BT Mechanism of Action A potent loop diuretic that inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of Henle. Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Generic name: furosemide Classification: diuretic

Acute pulmonary edema, edema, hypertension

Contraindicated in patients hypersensitive to drug and in those with anuria. Use cautiously in patients with hepatic cirrhosis and in those allergic to sulphonamides.

CNS: vertigo, headache, dizziness, weakness, restlessness, fever CV: orthostatic hypotension EENT: transient deafness, blurred or yellowed vision GI: abdominal discomfort and pain, diarrhea, nausea, vomiting GU: frequent urination

Monitor weight, blood pressure, and pulse rate routinely with long-term use and during rapid diuresis. Watch for signs of hypokalemia, such as muscle weakness and cramps.

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Name of Drug Brand Name: Generic Name: Omeprazole Classification: Antiulcer Route, Frequency, Dosage 40mg 1 tab PO OD Mechanism of Indication Action Inhibits activity of Symptomatic acid (proton) pump gastroesophageal and binds to reflux without hydrogen-potassium esophageal lesions, adenosine erosive esophagitis triphosphatase at and accompanying secretory surface of symptoms caused by gastric parietal cells GERD, Duodenal to block formation of ulcer, maintenance of gastric acid. healing erosive esophagitis Contraindication Contraindicated in patients hypersensitive to drug or its components Adverse Effect CNS: headache, dizziness, asthenia GI: diarrhea, abdominal pain, nausea, vomiting, constipation, flatulence MS: back pain RESPI: cough, upper respiratory tract infection SKIN: rash Nursing Responsibilities Gastrin level rises in most patients during the first 2 weeks of therapy. Tell patient to swallow tablets whole and not to open, crush, or chew them. Instruct patient to take drug 30 minutes before meals.

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 500mg 1tab PO Q4 PRN Mechanism of Action Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Tempra Generic name: paracetamol Classification: nonopioid analgesic and antipyretic

Thought to produce Mild pain and analgesia by blocking fever pain impulses by inhibiting synthesis of prostaglandin in the CNS or of other substances that sensitize pain receptors to stimulation. The drug may relieve fever through central action in the hypothalamic heat-regulating center.

Use cautiously in patients with longterm alcohol use because therapeutic doses cause hepatotoxicity

Hematologic: hemolytic anemia, leucopenia Hepatic: jaundice Metabolic: hypoglycemia Skin: rash, urticaria.

Advise patient that drug is only for short-term use Warn patient that high doses or unsupervised long-term use can cause liver damage.

Name of patient: R. R. Age: 31 M CC: Difficulty of breathing Physician: Dr. Nual Drug Name Route, Frequency, Dosage 500mg 1tab PO BID Mechanism of Action Inhibits bacterial DNA synthesis, mainly by blocking DNA gyrase; bactericidal. Indication Contraindication Adverse Effects Nursing Considerations

Brand name: Generic name: ciprofloxacin Classification: fluoroquinolone, antibacterial

Complicated intra-abdominal infection. Severe respiratory tract infection. Mild to moderate UTI. Mild to moderate acute sinusitis.

Use cautiously in patients with CNS disorders, such as severe cerebral arteriosclerosis or seizure disorders, and in those risk for seizures. Drug may cause CNS stimulation.

CNS: dizziness, headache, seizures CV: chest pain, edema GI: constipation, nausea, vomiting, diarrhea GU: crystalluria MS: joint inflammation, joint or back pain, joint stiffness Skin: rash, pruritis

Advise patient to drink plenty of fluids to reduce risk of urine crystals.