Drugs

Date Ordered: Feb. 27, 2012 Generic Name: Clindamycin Brand Name: Cleocin Classification: Lincosamide ntibiotic Dosa!e: 1"0 m! #$ %&

Side Effects/ Adverse Reaction Clindamycin Bacteriostatic Diarr)oea, is 'sed . Clindamycin na'sea, (rimarily to binds to -omitin!, treat anaero bacterial abdominal bic ribosomal (ain. infections ca rece(tor eryt)ema 'sed by sites. m'ltiforme, s'sce(tible +o(ically, it contact anaerobic ba decreases dermatitis, cteria, fatty acid e/foliati-e incl'din! concentration and dental on s*in. #t -esic'lo's infections, a in)ibits dermatitis, nd infections (rotein 'rticaria. of synt)esis of eosino()ilia. t)e res(irato bacterial cell local ry tract, s*in ,all and irritation, and soft (re-ents t)rombo()lo tiss'einfecti o'tbrea* of ebitis. ons, acne and (eritonit -'l!aris. is.

Indication

Action

Date Ordered: Feb. 27, 2012 Generic Name: 4aracetamol Brand Name: 4aracetamol Classification: nal!esics

+o relie-e mild to moderate (ain d'e to t)in!s s'c) as )eadac)e, m'scle and 3oint (ain, bac*ac)e and (eriod (ains. #t is also 'sed to

#n)ibits t)e synt)esis of (rosta!landin s in t)e central ner-o's system and (eri()erally bloc*s (ain im('lse !eneration. (rod'ces anti(yresis

Na'sea, aller!ic reactions, s*in ras)es, ac'te renal t'b'lar necrosis. 4otentially Fatal: $ery rare, blood dyscrasias 5e.!. t)rombocyto

Nursing Consideration/ Patient Teaching 0assess (atients infection before and re!'larly t)ro'!)o't t)era(y 0be alert for ad-erse reactions and dr'! interactions 0if ad-erse G# reactions occ'rs, monitor (atient1s )ydration. 0teac) (atient )o, to store oral sol'tion. 0tell (atient to ta*e entire amo'nt (rescribe d e-en after )e feels better. 0,arn (atient t)at #.2. in3ection may be (ainf'l 0tell (atient recei-in! dr'! #.$. to re(ort discomfort at inf'sion site. 0 Can be !i-en ,it)o't re!ards to meals. 0 +ablets can be cr's)ed. 0 ssess tem(erat're directly before and 1 )o'r after !i-in! medication. 0 #f res(irations are 6127min

5Non0O(ioid8 9 nti(yretics Dosa!e: :00m! %;

brin! do,n a )i!) tem(erat're .

from in)ibition of )y(ot)alamic )eat0 re!'latin! center

(enia, le'co(enia, ne'tro(enia, a!ran'locyto sis8. li-er dama!e.

Date Ordered: Feb. 27, 2012 Generic Name: Ome(ra=ole Brand Name: 4rilosec Classification: 4roton ('m( in)ibitor Dosa!e: 20m! #$ %2;

For t)e treatment of !astroeso() a!eal refl'/ disease.

Date Ordered: 2arc) ",

For t)e relief of t)e inflammator

Ome(ra=ole is con-erted to acti-e metabolites t)at irre-ersibly bind and in)ibit >?0@?0 +4ase 5an en=yme on t)e s'rface of !astric (arietal cells8. #t in)ibits trans(ort of )ydro!en ions into t)e !astric l'men. Ome(ra=ole increases t)e !astric (> and red'ces !astric acid formation. <nters tar!et cells and binds to

Diarr)ea, na'sea, fati!'e, consti(ation, -omitin!, flat'lence, acid re!'r!itation, taste (er-ersion, dry mo't), di==iness, )eadac)e, abdominal (ain, s*in ras)es, ,ea*ness, bac* (ain, '((er res(iratory infection, co'!).

56207min in c)ildren8, ,it))old t)e medication and contact t)e ()ysician. 0 <-al'ate for t)era(e'tic res(onse: relief of (ain, stiffness, s,ellin!. increasin! in 3oint mobility. red'ced 3oint tenderness. im(ro-e !ri( stren!t). 0Gi-e before meals Do not cr's) or c)e, tablets, s,allo, ,)ole 0<-al'ate for t)era(e'tic res(onse li*e relief of Gastrointestinal sym(toms %'estion if Gastrointestinal discomfort, na'sea, and diarr)ea occ'rs.

Gastric '(set, 0+a*e ,it) food na'sea, to decrease diarr)ea, !astrointestinal

2012

y and (r'ritic Generic manifestatio Name: ns of >ydrocortison corticosteroi e d0res(onsi-e dermatoses. Brand Name: lso 'sed to )ydrocortison treat e acetate endocrine 5)ormonal8 Classification: disorders adrenal cortic 5adrenal osteroids. !l' ins'fficiency, cocorticoid. ddisons mineralocorti disease8. #t coid is also 'sed to treat Dosa!e: many &0m! #$ %A imm'ne and aller!ic disorders, s'c) as art)ritis, l'('s, se-ere (soriasis, se-ere ast)ma, 'lcerati-e colitis, and Cro)nBs disease. Date Ded'ce Ordered: blood 2arc) 7, (ress're, 2012 antidysr)yt) mics , Generic antian!inal. Name: Ded'ces 4ro(anolol )eart rate, contractility Brand Name: and renin #nderal release. Classification:

cyto(lasmic rece(tors. initiates many com(le/ reactions t)at are res(onsible for its anti0 inflammatory , imm'nos'((r essi-e 5!l'cocorticoi d8, and salt0 retainin! 5mineralocort icoid8 actions. Come actions may be 'ndesirable, de(endin! on dr'! 'se.

increased a((etite, ,ei!)t !ain, fl's)in!, s,eatin!, )eadac)e, mood c)an!es, increased )eart rate, de(ression, ecc)ymosis.

'(set. 0<nco'ra!e client to a-oid cro,ds or sic* indi-id'als as steroids may decrease imm'ne res(onse. 0+eac) client dosin! sc)ed'le to ,ean off of systematic steroids. 0+eac) client to re(ort any si!ns of ad-erse effects.

4ro(ranolol in)ibits t)e sym(at)etic ner-o's system by bloc*in! t)e beta rece(tors on t)e ner-es of t)e sym(at)etic system. Cince stim'lation of

>eadac)e, di==iness, ,ea*ness, fati!'e, )y(otension, na'sea, -omitin!, diarr)ea, nasal st'ffiness, de(ression, )y(otension, bronc)os(as

EGi-e oral dr'! ,it) food to facilitate absor(tion. E+a*e t)is dr'! ,it) meals. Do not discontin'e t)e medication abr'(tly. abr'(t discontin'ation can ca'se a ,orsenin! of yo'r disorder.

Beta0 drener!ic Dece(tor Bloc*in! !ent Dosa!e: 10m!7tab +#D

t)e m, sym(at)etic t)rombocyto ner-o's (enia, system is res(onsible for increasin! t)e rate ,it) ,)ic) t)e )eart beats, by bloc*in! t)e action of t)ese ner-es (ro(ranolol red'ces t)e )eart rate and is 'sef'l in treatin! abnormally ra(id )eart r)yt)ms. 4ro(ranolol also red'ces t)e force of contraction of )eart m'scle and t)ereby lo,ers blood (ress're. By red'cin! t)e )eart rate and t)e force of m'scle contraction, (ro(ranolol red'ces t)e need for o/y!en by )eart m'scle. Cince )eart (ain 5an!ina (ectoris8 occ'rs ,)en o/y!en demand of t)e )eart m'scle

EDe(ort diffic'lty breat)in!, ni!)t co'!), s,ellin! of e/tremities, slo, ('lse, conf'sion, de(ression, ras), fe-er, sore t)roat.

e/ceeds t)e s'((ly of o/y!en, (ro(ranolol, by red'cin! t)e demand for o/y!en, is )el(f'l in treatin! )eart (ain.