DRUG STUDY Name of drug

Generic Name:

-Prednisone Brand Name: -Sterapred

Classification and Dosage Classification:, Corticosteroids(int ermediate acting), Glucocorticoid, Hormone Dosage: -20 mg OD

Mechanism of action Enters target cells and binds to intracellular corticosteroids receptors, thereby initiating many complex reactions that are responsible for its anti-inflammatory and immunosuppressi ve effects.

Nursing implications >Instruct client to take drugs as prescribed. >Instruct client to report black tarry stools, fever, prolonged sore throat, colds, worsening of the disorder for which the drug is being taken.

Significance >Is used alone or with other medications to treat the symptoms of low corticosteroid levels (lack of certain substances that are usually produce by the body and are needed for normal body functioning).It works to treat other conditions by reducing swelling and redness and by changing the way the immune system works. >Is used to reduced the symptoms of intermittent claudication (pain in the legs that worsens when walking an improves when resting that is caused by narrowing of the blood vessels that supply blood to the legs).cilostazole is in a class of medications called plateletaggregation inhibitors (antiplatelet medications).It works by improving blood flow to the legs.

Generic Name:

-Cilostazole
Brand name:

Classification: Antiplatelet Dosage: 100 mg OD HS

-Pietal

Reversibly inhibits platelet aggregation induced by a variety of stimuli including ADP, thrombin, collagen, shear stress epinephrine, and arachidonic acid by inhibiting cAMP phosphodiesteras e III; produces vascular dilation in vascular beds with a specifity for femoral beds; seems to have no effect on renal arteries.

>Instruct client to take drug on an empty stomach at least 30 minutes before or 2 hours after breakfast and dinner. >Inform client that the therapeutic effects of this drug may not be seen for 2-4 weeks and may take up to 12 weeks. >Inform client that he may experience these side effects: Upset stomach, nausea, diarrhea, loss of appetite (eat frequent small meals) >Instruct client to report if he experience fever, chills, sore throat, palpitations, chest pain, edema or swelling, difficulty breathing, fatigue, bleeding or bruising.

Generic Name: -Celecoxib

Brand Name: -Celebrex

Classification: Analgesic (nonopioid) NSAID Specific COX-2 enzyme inhibitor Dosage: 200 mg BID

Analgesic the antiinflammatory activities related the inhibition of the COX-2 enzyme, which is activated in inflammation to cause the signs and symptoms associated with inflammation; does not affect the COX-1 enzyme, which protects the lining of the GI tract and has blood clotting and renal functions.

>Instruct client to take drug with food or meals if GI upset occurs. >Instruct client to take only the prescribed dosage, do not increase dosage. >Inform client that he may experience these side effects: Dizziness, drowsiness. >Instruct client to report sore throat, fever,rash, itching, weight gain,changes in vision.

>Is used to relieve pain, tenderness, swelling and stiffness. It works by stopping the bodys production of a substance that causes pain and inflammation.

GenericName: -Pregabalin Brand Name: -Lyrica

Classification: Analgesic, Antiepileptic, Calcium channel modulator Dosage: -75 mg OD HS

Binds to alpha2delta sites on the nerves in the CNS, which reduces the calcium influx into the cell and decreases the release of neurotransmitters into the synaptic cleft, resulting in less stimulation of the nerve; in lab studies, it also increases the transport and density of GABA, which is known to suppress nerve activity

Generic Name: Warfarin Sodium Brand Name: Coumadin

Classification: Anticoagulant Dosage: 2.5 mg 1tab HS

Interferes with synthesis of vitamin K dependent clotting factors resulting in depletion of clotting factors II, VII, IX and X. Has no direct effect on

>Instruct client to take drug exactly as prescribed. Do not increase the dose. >Instruct client not to stop taking the drug suddenly; serious adverse effects could occur. >Inform client that he may experience these side effects: dizziness, sleepiness, changes in thinking and alertness, dry mouth. >Instruct client to report rash, changes in vision, swelling in face, tongue, increase bleeding, fever, weakness or thoughts of suicide. >Instruct client to take oral warfarin as prescribed and at the same time each day; must be compliant with therapy. Do not change brand of drug; may alter response.

>is used to relieved neuropathic pain (pain from damaged nerves) that can occur in your arms, hands, fingers, legs, feet, or toes. It works by decreasing the number of pain signals that are sent out by damaged nerves in the body.

>Is used alone or in combination with other medications to treat high BP. It works by blocking the action of certain natural substances that tighten the blood

an established thrombus although therapy may prevent further extension of a formed clot as well as secondary thromboembolic problems.

>Instruct client to report immediately unusual bruising/bleeding, dark brown or blood tinged body secretions, injury or trauma, dizziness, abdominal pain, or swelling, back pain, severe headache, and joint swelling and pain. >Instruct to take foods high in Vitamin K such as broccoli, cabbage, spinach,milk, cheese, etc. >Instruct client to consume plenty of fluids to prevent urinary crystal formation. >Instruct client to report pain or inflammation in tendon of foot, rash, or if signs and symptoms do not improve or worsen after 72 hour of therapy.

vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently.

Generic Name: Levofloxacin Brand Name: Levaquin

Classification: Antibiotic, fluoroquinolone Dosage: 500 mg 1tab OD

Interferes with DNA gyrase and topoisomerase IV. DNA gyrase is an enzyme needed for replication, transcription, and repair of bacterial DNA. Topoisomerase IV plays a key role in the partitioning of chromosomal DNA during bacterial cell division. Effective against both gram-positive and gram-negative organisms.

>Uncomplicated mild to moderate infections of the skin and skin structures, including abscess, and wound infection.

IV FLUIDS Name PNSS Classification Isotonic Table salt (sodium chloride) Components 0.9 sodium chloride Use and Effects Intravenously, it is used for hydration, and as a carrier to other things like drugs, banked blood into a person. For replacement or maintenance of fluid and electrolytes. Medication dilution. Used because it has little to no effect on the tissues and make the person feel hydrated preventing hypovolemic shock or hypotension. Significance It has the same amount of salt as most of our body fluids do (0.9%), so it doesn't cause damage to our cells.