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NAME OF DRUG ORDERED MECHANISM OF ACTION INDICATIONS CONTRAIN- SIDE EFFECTS NURSING
DOSE DICATIONS RESPONSIBILITY
PARACETAMO 5Omg Reduces fever by acting directly • Common cold, flu > Allergy to CNS: headache Practice the 1O R’s of
L 1tab every 4 on the hypothalamic heat- other viral and acetaminophen CV: chest pain, dyspnea drug administration.
hours regulating center to cause bacterial infections GI: hepatic toxicity and failure
vasodilation and sweating which with pain and fever > use cautiously GU: impotence Avoid using multiple
helps dissipate heat. with impaired Hematologic: preparations
• Analgesic- hepatic function, methemoglobinemia – containing
antipyretic in chronic cyanosis, hemolytic acetaminophen.
patients with aspirin alcoholism, anemia,.leukopenia, Carefully check any
allergy , hemostatic pregnancy and pancytopenia OTC drugs
disturbances, lactation Hypersensitivity: Rash, fever
bleeding, upper GI Do not exceed
disease , gouty recommended dose
arthritis
Take only for
• Arthritis and complaints indicated
rheumatoid for fever. It is not an
disorders involving anti inflammatory
musculoskeletal agent.
pain – but lacks
clinically significant
antirheumatic and
anti-inflammatory
effects.
CELECOXIB 2OOmg Analgesic and anti-inflammatory • Management of >Contraindicated CNS: h/a, tiredness, fatigue, Practice the 1O R’s of
1capsule BID activities related to inhibition of acute pain with allergies to dizziness, somnolence, drug administration.
the COX-2 enzyme, which is • Treatment of signs sulfonamides, insomnia, tinnitus,
activated in inflammation to cause and symptoms of celecoxib, ophthalmologic effects Administer drug with
the signs and symptoms rheumatoid arthritis NSAIDsor CV: MI, CVA food or after meals if
associated with inflammation; and osteoarthritis aspirin; Dermatologic: rash, alopecia, GI upset occurs.
does not affect the COX-1 significant renal pruritus, sweating, dry mucous
enzyme, which protects the lining impairment. membranes, stomatitis Establish safety
of the GIT and has blood clotting GI: dyspepsia, nausea, GI measures if CNS or
and renal functions bleeding, abdominal pain, visual disturbances
>Use cautiously Flatulence occur.
with impaired Hematologic: Neutropenia,
hearing, hepatic leukopenia, pancytopenia, Take only the
and CV thrombocytopenia prescribed dosage.
conditions
Report any side
effects.