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Route
(actual)
Date Ordered: -PO Pharmacologic affections action through GI: Nausea, therapy and
mucous 3. Perform
viscosity. chest
physiotherapy
to loosen
secretions for
elimination
r. palpitations, ation
hypotension in 2. Avoid
patients 3. Instruct
irritation, not to
nausea, drink
vomiting, alcoholic
diarrhea, beverage
abdominal s
pain,
dyspepsia,
elevated liver
enzymes
GU:
Proteinuria,
renal
insufficiency,
renal failure,
polyuria,
oliguria, urinary
frequency,
impotence
Hematologic:
Decreased
hematocrit and
hemoglobin
Other: Cough,
muscle
cramps,
hyperhidrosis
DO: 01-25-18 -PO Antihypertensive and treatment beta-& beta2 vertigo, pressure
D/C: 1/29/18 Pharmacologic for mild to adrenergic tinnitus, before and
pulmonary possible
hypotension
GI: Gastric
pain,
flatulence,
constipation,
diarrhea,
hepatic failure
Respiratory:
Rhinitis,
pharyngitis,
dyspnea
Other: Fatigue,
back pain,
infections
Omeprazole -40mg Pharmacologic Treatment for Reduces CNS: 1. Tell
(Prilosec) -OD class: Proton GERD, Erosive Gastric Acid Headache, patient to take
DO: 01-25-18 -IVTT Pump Inhibitor Esophagitis Secretion and dizziness, 30-60 minutes
skin results
abdominal patient to
vomiting, capsules or
Respiratory: them.
URI symptoms,
cough,
epistaxis
Other: Cancer
in preclinical
studies, back
pain, fever
(Biogesic) -PRN q4 (> class: Analgesic indicated for Reduces fever Headache patient’s
toxicity and
failure,
jaundice
GU: Acute
kidney failure,
renal tubular
necrosis
Hematologic:
Methemoglobin
emia—
cyanosis;
hemolytic
anemia—
hematuria,
anuria;
neutropenia,
leukopenia,
pancytopenia,
thrombocytope
nia,
hypoglycemia
Hypersensitivi
D/C: 1/28 agent cholesterol reductase, the GI: Flatulence, not a substitute
dose
(Uceris) -q12 Class: Anti- indicated for potentanti- Headache, more often
DO:01-25-18 (may mix Inflammatory the inflammatory dizziness, than
overdosage immediate.
irritation, fungal
infection
Respiratory:
Epistaxis,
rebound
congestion,
pharyngitis,
cough
Other: Chest
pain, asthenia,
moon face,
acne, bruising,
back pain
paradoxical after
airway nebulization to
resistance loosen
heartburn paradoxical
CV: cardiac bronchospasm
arrhythmia, (Wheezing).
palpitations, 3.Notify
tachycardia physician or
flushing, professional
sweating immediately if
severe
bronchospasm
occurs
e -PRN for Class: indicated for antagonist that Depression( take as directed
relaxation of contractions
pyloric 3.Instruct to
depressant
Hydrocortisone -50 mg Therapeutic Treatment Enters target CNS: Vertigo, 1. Inspect for
(mineralocortic embolism,
arrhythmias
secondary to
electrolyte
disturbances
Dermatologic:
Thin, fragile
skin; petechiae;
ecchymoses;
purpura; striae;
subcutaneous
fat atrophy
EENT:
Cataracts,
glaucoma
(long-term
therapy),
increased IOP
Endocrine:
Amenorrhea,
irregular
menses,
growth
retardation,
decreased
carbohydrate
tolerance and
diabetes
mellitus,
cushingoid
state (long-
term therapy),
hypothalamic-
pituitary-
adrenal (HPA)
suppression
systemic with
therapy longer
than 5 days
GI: Peptic or
esophageal
ulcer,
pancreatitis,
abdominal
distension,
nausea,
vomiting,
increased
appetite and
weight gain
(long-term
therapy)
Hematologic:
Na+ and fluid
retention,
hypokalemia,
hypocalcemia,
increased
blood sugar,
increased
serum
cholesterol,
decreased
serum T1 and
T4 levels
Hypersensitivi
ty:
Anaphylactoid
or
hypersensitivity
reactions
Musculoskelet
al: Muscle
weakness,
steroid
myopathy and
loss of muscle
mass,
osteoporosis,
spontaneous
fractures (long-
term therapy)
Other:
Immunosuppre
ssion,
aggravation or
masking of
infections,
impaired
wound healing
(Merrem) -q8 PC: Beta- indicated for cell wall somnolence,sei patient for signs
DO: 01-25-18 -!V ANST Lactam infections replication of zures, and symptoms
therapy
3.Assess for
allergic
reactions,
anaphylaxis
Identify urine
output
4.Moniitor blood
studies
without suggesting a
disrupting stroke.
synthesis of 2. Advise
regard to meals.
3.Advise patient
that
concomitant
prophylaxis with
an NSAID or
colchicine for
be used
sodium- and
effects blindness
Endocrine:
Hypothyroidism
or
hyperthyroidis
m
GI: Nausea,
vomiting,
anorexia,
constipation,
abnormal liver
function tests,
liver toxicity
Respiratory:
Pulmonary
toxicity—
pneumonitis,
infiltrates
(shortness of
breath, cough,
rales,
wheezes)
Other:
Photosensitivity
, angioedema
(Levaquin) -q8 Class: Antibiotic indicated for enzyme DNA Headache, drug on an
serum by the
alkaline
phosphatase;
neutropenia,
anemia
Other: Fever,
rash,
photosensitivity
, muscle and
joint
tenderness
(Aricept) -OD @HS Class: Anti- Alzheimer’s inhibits gait, agitation, patient to take
number of adverse
cholinergic as dizziness
neurons
declines
Lactulose -30cc Therapeutic Treatment Acidifies colon diarrhea
another laxative
acidifier 3.Notify Dr if
diarrhea
persists for
more than 24
hrs, could be a
sign of
overdose, and
need for med
adjustment
Potassium -1 tab TC: Alkalinizing To prevent Replace Arrhythmias, 1Make sure the
Chloride -TID Agents hypokalemia, potassium and Heart block, powder are
pain established
3.Tell patient to
or after meals
with full glass of
water of fruit
juice to lessen
GI distress
abdominal peripheral or
accompanied
by weight gain;
rarely, severe
edema may
cause
discontinuation
of drug. y
3. Monitor BP
with postural
changes.
Report postural
hypotension.
4.Monitor more
frequently when
additional
antihypertensiv
es or diuretics
are added
Senekot -2 tabs Therapeutic Treatment Alters water GI: Cramping, 1.Assess bowel
(Senna) -STAT Class: Laxative indicated for and electrolyte diarrhea, function
+ stool softener,
Anthraquinone
laxative
Diphenhydrami -25mg 1cap Therapeutic Treatment Significant CNS: 1. Monitor
diarrhea; 3.Instruct to
of appetite; physician
nausea;
vomiting
(Lasix) -IVTT Class: indicated for sodium and dizziness, status during
water membranes.
3.Monitor BP
and pulse
before and
during
administration
4.Assess
signs and
symptoms of
the adverse
effects
02-04-18 100cc PNSS Glycopeptide lower of cell wall Hematologic: 2.Instruct for
phlebitis;
Musculoskelet
neck pain;
hypersensitivi
ty:
anaphylaxis;
chills; fever;
instability, and n.
bacteria indicated by
the physician
magnesium physician
and
phosphate
complex -OD Class: Food indicated to enzyme and Headache, possible side
physician
(Remapride) -TID Class: Antacids indicated for a mucosal ty: Rash, for
and decrease
free oxygen
radicals.
Prednisone -20 mg Therapeutic Replacement Enters target CNS: Vertigo, 1. Monitor vital
thromboemboli
sm,thrombophl
ebitis, fat
embolism,
cardiac
arrhythmias
Electrolytes:
Na+ and fluid
retention,
hypokalemia,
hypocalcemi