DRUG STUDY

Generic & Brand Name

Generic: Vitamin C

Dose, Strength, & Formulation

Ordered: I tab PO OD Timing:

Indication/ Mechanism of Action

Indication Prophylaxis and treatment of scurvy and as a dietary supplement Mechanism of Action:

Adverse/Side Effects Drug Interaction

Adverse effect: GI: Nausea, vomiting, heartburn, diarrhea, abdominal cramps (high doses). Hematologic: Acute hemolytic anemia (patients with deficiency of G6PD); sickle cell crisis. CNS: Headache or insomnia (high doses). Urogenital: Urethritis, dysuria, crystalluria, hyperoxaluria, or hyperuricemia (high doses). others: Mild soreness at injection site; dizziness and temporary faintness with rapid IV administration. Drug Interaction: Vitamin C with other drugs such as Aspirin may alter drug absorption of either drug.

Nursing Responsibilities
Assess laboratory test

Rationale
To determine body response & changes while on therapy. To check for adverse reactions and serves as baseline data/ To increase rate of drug absorption. Self care usually depends on knowledge.

Client Teaching
Inform client to take high doses of vitamin c in divided amounts Mega doses can interfere with absorption of vitamin B12

Brand: (not indicated)

8am Duration: 1 month Other Forms: 250 mg tablets 500 mg tablets

Classification Pregnancy category: C

Water-soluble vitamin essential for synthesis and maintenance of collagen and intercellular ground substance of body tissue cells, blood vessels, cartilage, bones, teeth, skin, and tendons. Unlike most mammals, humans are unable to synthesize ascorbic acid in the body; therefore it must be consumed daily.

Monitor vital signs.

Give the drug with iron

Drug is best when taken with iron or iron rich foods. Avoid breastfeeding when taking the drugs without consulting the physician

Assess patients and familys knowledge of therapy.

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Generic & Brand Name

Generic: Ferrous fumerate

Dose, Strength, & Formulation

Ordered: 1 tab OD

Indication/Me chanism of Action

Indication: To prevent iron deficiency. Mechanism of Action: Acts to normalize RBC production by binding with hemoglobin or by being oxidized and stored as hemosiderin or aggregated ferritin in reticuloendotheli al cells of the liver, spleen, and bone marrow.

Adverse/Side Effects Drug Interaction

Adverse Effect: Dizziness, fever, headache, paresthesia, syncope, chest pain, tachycardia, metallic taste tooth discoloration, abdominal cramps, epigastric pain, hemolysis, dyspnea, rash, flushing Drug Interaction: antacids & calcium supplements decreased iron absorption and effectiveness.s

Nursing Responsibilities
Monitor patients for signs of iron overdose. Be alert for adverese reactions and drug interactions. Monitor patients input and outout intake.

Rationale
To immediately refer to prescriber or physician for alter therapy. To prevent severe complications from prolonging by catching it early. To check for occult blood especially in stools, as ordered.

Client Teaching
Urge patient to eat lean red meat, chicken, fish as well as food rich in vitamin c. Advise patient to consult physician before taking large amounts of iron. Warn patient about high risk of accidental poisoning, and urge her to keep iron preparations out of the reach of children

Brand: (not indicated) Classification: Antianemic, nutritional supplement

Timing: 8am Duration: 1 month Other Forms: 10 to 15 mg chewable tablets 3o mg capsules 6 to 10 mg syrup 50 to 100 mg dried tablets

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Generic & Brand Name

Dose, Strength, & Formulation

Ordered: 500 g 1 tab every 8 hours

Indication/M echanism of Action

Indication: To treat skin and soft-tissue infections Mechanism of Action: Blocks angiotensin II from binding to receptor sites in many tissues. This action inhibits the vasoconstrictive and aldosteronesecreting effects of angiotensin II, which reduces blood pressure.

Adverse/Side Effects Drug Interaction

Adverse effect: CNS: chills, fever, headache, seizures GI: abdominal cramps, diarrhea, hepatic failure HEME: unusual bleeding SKIN: erythema, Steven-Johnson syndrome, pruritus

Nursing Responsibilities
Use cephalexin cautiously in patients with hypertensive to penicillin. Obtain culture and sensitivity tests results, as ordered. Monitor patients BUN and serum creatinine levels. Monitor vital signs & input and output intake

Rationale

Client Teaching
Advise patient to complete prescribed course of therapy. Tell patient that yogurt and milk can help maintain intestinal flora and decrease diarrhea during therapy. Urge patient to immediately report watery bloody stools.

Generic: cephalexin

To identify any cross-sensitivity.

Brand: Keflex Timing: 8 am, 4pm, 12pm Duration: Classification: Antibiotic, Pregnancy category: B 7 days Other Forms: 250 mg oral suspensions 500mg capsules 4 g tablets

To check the effectiveness of the drug. To detect early signs of nephrotoxicity. To determine any sins of infection.

Drug Interaction: Aminoglycosides Probenicid : increased nephrotoxicity and cephalexin level

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Generic & Brand Name

Dose, Strength, & Formulation

Ordered: 250 mg 1 tab every 6 hours Timing: 8am, 2pm, 8pm, Duration: PRN

Indication/M echanism of Action

Indication:
A non-steroidal anti-inflammatory drug. To decrease uterine contractions & inflammation. Mechanism of Action: Each bluebanded, ivory capsule contains 250 mg of mefenamic acid for oral administration, a white to greyishwhite, odorless, microcrystalline powder with a melting point of 230-231C and water solubility of 0.004% at pH 7.1.

Adverse/Side Effects Drug Interaction

Adverse effect: CNS: anxiety, weakness, confusion, depression, drowsiness, GI: abdominal pain, nausea, vomiting Liver: inflammation & jaundice SKIN: hair loss, itching, sensitivity to light

Nursing Responsibilities
Monitor patients vital signs.

Rationale

Client Teaching
Advise patient to avoid taking drugs at high doses. Instruct patient to immediately report any signs of the adverse reactions mentioned. Urge patient to notify prescriber about reactions. Advise patient not to drive a car or operate machinery while taking medication.

Generic: mefenamic acid

To determine signs of adverse reactions. Patient may have reactions to kidneys, to immediately refer to prescriber.

Brand: Analcid

Monitor kidney function when taking medication.

Classification: Analgesic

Other Forms: 250 mg capsule 500 mg capsule 250 mg tablets 250 mg oral suspension

Monitor patients condition.

To check the effectiveness of the drug.

Drug Interaction: Aspirin

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IVF STUDY
Type of Solution Classificati on Mechanism of Action Hypertonic solutions are those that have an effective osmolarity greater than the body fluids. This pulls the fluids into the vascular by osmosis resulting in an increase vascular volume. It raises intravascular osmotic pressure & provides fluid, electrolytes & calories for energy. Contraindication s How Supplied Nursing Responsibility
Do not administer unless solution is clean & container is undamaged Check intravenous line and regulate fluid properly as ordered. Caution must be exercised in the administration of parenteral fluids. Solution containing dextrose should be used with caution. Discard unused portion.

Content

Indications

Dose

D5LR (5% Dextrose in Lactated Ringers Solution)

Hypertonic, Nonpyrogeni c, parenteral fluid, electrolyte and nutrient replenisher.

Electrolytes in1000ml Sodium 130mmol Potassim 4mmol Calcium 1.4mmol Chloride 109mmol Lactate 28mmol

For maintenance of body fluids and nutrition. For rehydration.

Hypersensiti vity to any of the components.

Code: 2B2073 500mL NDC:033 8-012503 Code:2B 2074 1000mL NDC:033 8-012504

D5LR 1 L infusing at right arm at 30 gtts/min

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Type of Solution
D5NM (5% Dextrose in NormosolM Solution)

Classificati on
Hypertonic Nonpyro genic Parenteral fluid, electrolyte and nutrient replenisher.

Content
Each 1000ml contains 5g of Dextrose Monhydrate 234 mg Sodium chloride 128 mg Potas-sium acetate tetrahydrate 30 mg Sodium Metabisulfate

Mechanism of Action
When administered intravenously Normosol-M and 5% Dextrose Injection water and electrolytes (With dextrose as a readily available source of carbohydrate) for maintenance of daily fluid & electrolyte requirement.

Indications
Is indicated for parenteral maintenance of routine daily fluid and electrolyte requirements with minimal carbohydrate calories from dextrose. Magnesium in the formula may help to prevent iatrogenic magnesium deficiency.

Contraindication s
Hypersensitivity to any of the components.

How Supplied
D5NM is supplied in singleDose 500 and 100 mL, flexible plastic container.

Dose
D5NM 1 L infusing at right arm at 30 gtts/min

Nursing Responsibility
Do not administer unless solution is clean & container is undamaged Check intravenous line and regulate fluid properly as ordered. Caution must be exercised in the administration of parenteral fluids. Solution containing dextrose should be used with caution. Discard unused portion.

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