DRUG STUDY INDICATIO N and CONTRAIN DICATION NURSING RESPONSIBILITIES

DRUG

ACTION

ADVERSE EFFECTS

Paracetamol or acetaminophen is an overthe-counter analgesic used as a pain reliever and antipyretic. Common brand names are Aeknil, Biogesic, Calpol, Neo-kiddielets, Tempra

Indications Fever, Relief of mild to moderate pain like Routes and Dosage of Paracetamol headaches, muscular Analgesia, Antipyresis aches and PO: ADULTS, ELDERLY: 325-650 mg q4-6h pain, or 1g 3-4 time/day. Maximum: 4 g/day. toothache, CHILDREN: 10-15 mg/kg/dose q4-6h as colds, needed. Maximum: 5 doses/ 24 hours. earache, NEONATES: 10-15 mg/kg/dose q6-8h as fever due to needed. tonsillectomy Rectal: ADULTS: 650 mg q4-6h. Maximum: 6 , doses/ 24 hours. CHILDREN: 10-20 inoculations, mg/kg/dose q4-6h as needed. NEONATES: and 10-15 mg/kg/dose q6-8h as needed vaccinations. Dosage for Clients with Renal Impairment: If creatinine clearance is 10-50mL/min the frequency should be q6h. If the creatinine clearance is <10mL/min the frequency should be q8h.

Inhibits prostaglandi n synthesis in the CNS and blocks the pain impulse through a peripheral action. It acts on the hypothalamic heatregulating center, producing peripheral vasodilation. It results in antipyresis and produces analgesic effect.

Side Effects of Paracetamol Side effects are well tolerated. Cramping, heartburn, abdominal distention can be experienced. On a rarity, hypersensitivity reactions. Adverse Reactions or Toxic Effects of Paracetamol Early signs of toxicity: Anorexia, nausea, diaphoresis (excessive sweating), generalized weakness within the first 1224 hours. Late signs of toxicity: Vomiting, right upper quadrant tenderness, elevated liver function tests within 48-72 hours after ingestion. Antidote: Acetylcysteine.

If to be given as analgesia, assess onset, type, location, duration of pain. Can be given without regards to meals. Tablets can be crushed. Assess temperature directly before and 1 hour after giving medication. If respirations are <12/min (<20/min in children), withhold the medication and contact the physician. Evaluate for therapeutic response: relief of pain, stiffness, swelling; increasing in joint mobility; reduced joint tenderness; improve grip strength. Therapeutic blood serum level: 10-30 mcg/mL; toxic serum level: >200 mcg/mL.

DRUG STUDY

DRUG

INDICATION and CONTRAINDICATION

ACTION

ADVERSE EFFECTS

NURSING RESPONSIBILITIES Culture infected area

Generic name: Amoxicillin Trihydrate

Indications

General Action: antibiotic (penicilli n-ampicillin type)

Infections due to susceptible strains of haemophilus influenza, e.coli, proteus mirabilis, neisserria

Specific Action: bacteriacidal: inhibits synthesis of cell wall of sensitive organisms, causing cell death.

Brand name: amoxil, amoxial pediatric drops, apoamoxi (CAN), dispermox, novamoxin (CAN), Nuamoxi (CAN), trimox

gonorrhea,streptococcus pneu monia, enterococcus faecalis, streptococci, non penicillinaseproducing staphylococci. Contraindications & Cautions

Contraindicated with allergies to penicilllins, cephalosporins, or other allergens.

lethargy, halluci nations, seizures, glositis, stomatitis, gastritis, sore mouth, furry tongue, black hairy tongue, nausea and vomiting, diarrhea, abdominal pain, bloody diarrhea, enterocolitis, pdesudomemeb ranous colitis specific hepatis

prior to treatment; reculture area if response is not as expected. Give in oral preparations only; amoxicillin is no affected by food Continue therapy for at least 2 days after signs of infection have disappeared; continuation for 10 full days is recommended. Use corticosteroids or antihistamines for skin reaction. Report any side effects If GI upset occurs, take

Use cautiously with renal disorders, lactation.

with meals

BIOLOGICAL

GENETIC

PHYSICAL

FATHER

MOTHER

THE FATHER IS PHYSICALLY FIT AND HEALTHY.

THE MOTHER IS PHYSICALLY FIT AND HEALTHY.

NO KNOWN HEREDOFAMILIAL DISEASE.

ALLEDY MAE, LARA MAE AND RYNA MAE ARE FOND OF EATING FISH AND VEGETABLES. MAE ANNE IS STILL BREASTFED BY THE MOTHER.

HEALTH TREAT: THE DAUGHTERS MAY ACQUIRE THIS DISEASE IF ENVIRONMENTAL SANITATION ISNT APPLIED IN THEIR HOME ENVIRONMENT.

LARA MAE HAS BEEN DIAGNOSED WITH DENGUE FEVER YEAR 201O

SCHEMATIC PRESENTATION OF FAMILY HEALTH PROBLEM

SOCIAL MOTHER: She is a housewife and Finished ECONOMIC she has no work Elementary Finished High Foreseeable Crisis: The couples income is school not enough to support their family. A financially unstable family He is a Carshop Worker FATHER: Mr. Matanandao The familys Mother attends the The Matanandao Mrs.family could CULTURAL is a smoker knowledge about POLITICAL Health community meetings Threat: The couple is pronethe be following to believes in old and alcoholic health services performing the wrong practices in and gatherings in the wrong practices. practices and Health drinkerthreat provided by the dealing with health care. Zone. hearsays government is only