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120 McArthur Highway, Valenzuela City

Department of Ophthalmology
Drug Index

Name: Tuason, Dionisio De Leon


Age/Sex: 83 years old/ Male
Address: B7 L5A BuenavistaSubdBagongSilangBalanga City Bataan
Date of Admission: February 2, 2017
Date of Discharge: February 4, 2017
Attending Physician: Dr. Marie Joan Veneracon Loy
Admitting Diagnosis: Retinal Detatchment, Right eye
Final Diagnosis: s/p Pars Plana Vitrectomy, Scleral Buckling, membrane peeling, air fluid exchange, endolaser, silicone oil injection, Right eye
Patient/ Room: 178134/702

DRUG DOSAGE MECHANISM OF ACTION INDICATION CONTRAINDICATIONS ADVERSE EFFECTS


Acetazolamide 250 mg/ tablet, the drug forces the kidneys to Prophylaxis of high Hypersensitivity to Drowsiness, paraesthesia, ataxia,
1 tablet every 12 excrete bicarbonate, the altitude sickness, sulphonamides; sodium or dizziness, thirst, anorexia,
hours for 1 conjugate base of carbonic acid. Acute closed angle potassium depletion, hepatic headache; confusion, malaise,
week By increasing the amount of glaucoma, Epilepsy insufficiency; hepatic cirrhosis; depression; GI distress, metabolic
bicarbonate excreted in the hyperchloraemic acidosis; severe acidosis, polyuria,
urine, the blood becomes more renal impairment; severe hyperuricaemia, renal calculi,
acidic. Acidifying the blood pulmonary obstruction; chronic nephrotoxicity, hepatic
stimulates ventilation, which noncongestive angle-closure dysfunction.
increases the amount of oxygen glaucoma; adrenocortical Potentially Fatal: Rarely, skin
in the blood insufficiency. Pregnancy, lactation reactions or blood dyscrasias.
Prednisolone eyedrops 1 drop Decreases inflammation by Steroid responsive Acute, untreated purulent occular Increase intraocular pressure with
acetate every two hours suppression of PMN’s and inflammation of the infections. Acute superficial optic nerve damage and visual
(PREDFORTE ) on the right eye reversal of increased capillary palpebral and herpes simplex, varicella and field defects. Posterior
permeability bulbar, cornea and most other viral diseases of the subcapsular cataract formation
anterior segment cornea and conjuctiva secondary ocular infection from
fungi or viruses
Atropine sulfate eyedrops 1 drop mechanism of action involves Mydriasis &/or Primary glaucoma or a tendency Prolonged use may produce local
every 8 hours, blocking the contraction of the cycloplegia. For toward glaucoma. irritation.
OD circular pupillary sphincter cycloplegic Hypersensitivity.
muscle, which is normally refraction, for
stimulated by acetylcholine pupillary dilation
release, thereby allowing the desired in acute
radial pupillary dilator muscle inflammatory
to contract and dilate the pupil conditions of the
iris & uveal tract.
Ketorolac 30 mg IV TID Analgesic, can also replace Special Precautions: in patients GI reactions, nausea, dyspepsia,
one dose morphine in situations involving with impaired renal function. drowsiness, headache, sweating
mild to moderate pot op pain History of GIT disease, edema, bradycardia, palpitation,
anaphylactoid reactions, elderly, hypotension, chest pain
coagulation disorders. Avoid
driving and operating machinery
Mefenamic acid 500 mg/tablet Inhibits prostaglandin synthesis Pain, headache, GIT ulceration or inflammation GI disturbances, bleeding,
P.O by decreasing the activity of the muscular and drowsiness, dizziness
enzyme, cyclooxygenase, which traumatic pain,
results in decrease formation of dental pain, post-op
the protaglandin precursor & post partum pain,
dysmenorrhea
Levofloxacin eyedrops 1 drop Semi-synthetic antibacterial Treatment of CAP, Age<19 y/o, hypersensitivity, Diarrhea, nausea, anorexia,
(Oftaquix) every 3 hours, agent that inhibits bacterial acute bacterial pregnancy and lactation. stomatitis, insomnia, headache &
OD DNA gyrase, necessary for exacerbation of dizziness. Joint pai, pruritus,
supercoiling of the DNA, chronic bronchitis, eczema, increased liver enzymes,
thereby preventing DNA acute maxillary phlebitis.
replication in susceptible sinusitis, UTI.
bacteria

Dr. Marck Reyes Jeanne Mara Gopeng/ Agreda, Angelini S.


Resident-In-Charge JI-In-Charge

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