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DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATIO N
UTI
SIDE EFFECTS
NURSING IMPLICATIONS
8-7-2013
ANTIBIOTIC
BEFORE 1.Ask patient if hes allergic to penicillins or cephalosporins 2.Obtain specimen for culture and sensitivity tests before giving first dose 3.Monitor CBC, renal and liver function tests DRUG PREPARATION 1.Dilute 2 G vial with 19.2 mL of sterile water, NSS, or D5W 2.Do not mix or coadminister Ceftriaxone with calcium-containing IV solutions DURING 1.Give over 30 minutes
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
AFTER 1. Tell patient to report discomfort at IV insertion site 2. Tell patient to report loose stools or diarrhea 3. Tell patient to stop drug and to report @ first sign of allergic reaction
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
OFLOXACIN (FLOXIN)
8-7-2013
FLUOROQUINOLON E
Interferes with DNA gyrase, which is needed for synthesis of bacterial DNA. Spectrum of action includes many gram-positive and gram-negative aerobic bacteria
COMPLICATED UTI
BEFORE 1.Ask patient if hes allergic to fluoroquinolone drugs 2.Obtain specimen for culture and sensitivity test 3.Monitor CBC, renal and liver function tests DURING 1.Drug maybe taken with or without regard to meals 2.Take each dose with a full glass of water AFTER 1.Avoid sun exposure 2.Take antacids 6 hour before or 2 after after Ofloxacin 3.Warn patient that dizziness may occur 4.Tell patient to stop drug and report @ first sign of allergic reaction
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
8-7-2013
Blocks alpha adrenergic receptors in the prostate. This action inhibits smooth muscle contraction in the prostate, prostatic capsule, prostatic urethra, and bladder neck, which improves the rate of urine flow & reduce symptoms of BPH
TO TREAT BPH
BEFORE 1.Rule out prostate cancer DURING 1.Take drug 30 min after same meal each day 2.Do not open, crush, or chew drug capsules AFTER 1.Change position slowly to minimize effect of orthostatic hypotension 2.Avoid hazardous activities until CNS effects are known
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
LACTULOSE (CEPHULAC)
8-8-2013
LAXATIVE
Lactulose is a disaccharide that consists of fructose and glucose. It is broken down In the colon into lactic and acetic acid. Acidification leads to increased osmotic pressure in the colon, and increases stool water content and softens stool.
CONSTIPATION
COMMON S/E Abdominal cramps Belching Diarrhea Flatulence Gaseous distention Nausea Vomiting
BEFORE 1. Assess pattern of bowel movement 2. Check latest serum electrolyte level DURING 1. Take lactulose with food or dilute with juice to reduce sweet taste 2. Avoid using antacids and lactulose together AFTER 1. Tell patient not to use other laxatives while taking lactulose 2. Instruct patient to increase fluid intake if frequent BM occur
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
ACETAMINOPHEN (PARACETAMOL)
8-7-2013
ANALGESIC
ANTIPYRETIC Reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation & sweating, which helps dissipate heat ANALGESIC Produces analgesia by blocking prostaglandin production & interfering with pain impulse generation
FOR FEVER
BEFORE 1.Assess for increase in body temp 2.Check latest CBC and liver function test results DURING 1.Take only as directed and with food or milk to decrease GI upset 2.Avoid alcohol as this increases risk for hepatic damage AFTER 1.Recheck body temperature after 30 min of administration 2.Tell patient to report if S/S of hepatotoxicity occurs such as bleeding, easy bruising, & malaise
DRUG NAME
DATE ORDERED
CLASSIFICATION
MECHANISM OF ACTION
SPECIFIC INDICATION
SIDE EFFECTS
NURSING IMPLICATIONS
8-10-2013
MULTIVITAMIN
It prolongs vasoconstrictor effect of noradrenaline, causing reduce venous capacitance, distensibility, and statis.
BEFORE 1. Note indication for therapy DURING 1. Take with food to reduce GI upset AFTER 1. Tell patient to report any unusualties