Drugs NCP

Drug Generic: Ketorolac Tromethamine Brand: Toradol Classification: NSAID Route: P.O.
Dosage: 10mg Onset: 30-60min Peak: 30-60min Duration :6-8hr
Actions May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic and antipyretic effects
Indications Short tern management of moderately severe acute pain for single dose treatment
Contraindications
Side Effects
Nursing Responsibilities Before: -check doctors order -teach patient of the drug During -stay with the patient till he/she ingested the drug After: -encouraged patient to report unusual signs and symptoms. -tell patient no to take drug for more than 5 days
Contraindicated in CNS: headache, patient hypersensitive dizziness, sedation to drug CV: arrhythmias, edema, hypertension Use cautiously in patient who are elderly and have hepatic or renal impairment or cardiac decompensation GI: dyspepsia, nausea, diarrhea Hematalogic: decreased platelet adhesion Skin: pruritus. Rash Others: pain(if injected)
Source: Nursing Drug Handbook 2008:Lippincott
Drug Generic: Metronidazole Brand: Apo-Metronidazole Classification: Ambecides and antiprotozoals Route: P.O. Dosage: 375mg Onset: unknwon Peak: 2hr Duration unknown
Action
Indications
Contradications Contraindicated in patient hypersensitive to drug or other nitromidazole derivatives in 1st trimester of pregnancy
Side effects CNS: headache, seizures, fever, dizziness CV: edema, flushing EENT: rhinitis, sinusitis
Nursing Responsibilities Before: -check doctors order -educate patient of the medicine to be given During: -advise patient to take drug with meals
Direct acting Bacterial infections trichomonacide and caused by an aerobic ambecide that works microorganisms inside and outside the intestines. Its thought to enter the lens of microorganisms that contain nitroreductase. Forming unstable compounds that bind to DNA and inhibit synthesis causing cell death
Use cautiously in patient with history of GI: nausea, vomiting, blood dyscrasia CNS diarrhea, constipation disorder or retinal or visual field changes GU: darkened urine, polyuria, cystitis Hematologic: neutropenia
After: -document data -observe patient for edema -encourage patient to report unusual signs and symptoms
Musculoskeletal: Transient joint pains Respiratory: Upper respiratory tract infections Source: Nursing Drug Handbook 2008:Lippincott Skin: rash
Drug Generic: Cefoxitin Sodium Brand: Mefoxin Classification: Cephalsporin Route: IM, IV
Actions 2nd generation cephalosporin that inhibits cell-wall synthesis promoting osmotic instability; usually bacteriacidal
Indications -perioperative prevention -serious infection of the respiratory and GU tracts skin, soft tissue, bone or joint infection; blood stream or intraabdominal infection
Contraindications -contraindicated in patient hypersensitive to dtug or other cephalosporins -use cautiously in patient hypersensitive to penicillin
Side Effects CNS: fever CV: phlebitis, hypotension GI: diarrhea, nausea, vomiting GU: acute renal failure Hematologic: thrombocytopenia, anemia Respiratory: Dyspnea Skin: pain, induration Other: anaphylaxis
Nursing Responsibilities Before: -assess patients chart for allergies -check doctors order -educate patient on the medicine being administered -prepare medicine if IM During -cleanse site with alcohol and cotton balls -inform patient before administration After -document data -encourage patient to report unusual signs signs and symptoms
Dosage: 1g, 2g Onset: IM unknown IV immediate Peak: IM 20-30min IV immediate Duration IM unknown IV unknown
Source: Nursing Drug Handbook 2008:Lippincott
Drug Generic: Ranitidine Hydrochloride Brand: Zantac Classification: Anti-ulcer drug Route: P.O. Dosage: 75, 150, 300mg Onset: 1hr Peak: 1-3hr Duration 13hr
Actions Competitively inhibits action of histamine on the H2 at receptor sites of parietal cells, decreasing gastric acid secretions
Indications Active duodenal and gastric ulcer Maintenance therapy for duodenal or gastric ulcer
Contraindications Contraindicated in patient hypersensitive to drug Use cautiously in patient with hepatic dysfunction adjust dosage in patient with impaired renal function
Side Effect
Nursing Responsibilities CNS: headache, Before malaise, vertigo -assess patient for abdominal pain EENT: blurred vision -check doctors order -educate patient Hepatic: jaundice During Other: -instruct patient to Anaphylaxis, take without regard angioedema to meals because absorption isnt effective by food After -urge patient to avoid cigarrette smoking -advise patient to report abdominal pain and blood in stool

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Drugs NCP

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Drug Generic: Ketorolac Tromethamine Brand: Toradol Classification: NSAID Route: P.O.

Dosage: 10mg Onset: 30-60min Peak: 30-60min Duration :6-8hr

Source: Nursing Drug Handbook 2008:Lippincott

Source: Nursing Drug Handbook 2008:Lippincott

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