Generic Name (Brand Name)

Mechanism of Action Reduces fever by direct action on hypothalamus heat-regulating center with consequent peripheral vasodilation, sweating, and dissipation of heat. IT has little effect on platelet aggregation, does not affect bleeding time, and generally produces no gastric bleeding.

Date Ordered/ Date administered

Indications

Contraindications

Clients Response

Generic name: Paracetamol Brand Name: Biogesic Dosage: 500-1000 mg Route: Oral Frequency: 4-6 hours

Fever reduction. Temporary relief of mild to moderate pain.

Paracetamol is contraindicated in hypersensitivity, analgesic nephropathy, renal and hepatic impairment.

The patient didnt manifest any allergic reaction to Paracetamol. the fever subsided from _______

NURSING RESPONSIBILITIES Before the administration of drug Check for medical order Determine if patient is allergic to the drug Explain possible side effects

During drug administration Maintain aseptic technique Check medication, right route, dosage, storage, etc Stay with the patient while she takes in the drug Do not exceed the recommended dosage

After the administration of drug Monitor response to drug. Usual lag of 12 wk precedes response to lithium therapy. Keep physician informed of progress. Lab test: Periodic lithium levels (draw blood sample prior to next dose or 812 h after last dose); periodic thyroid function tests. Monitor for S&S of lithium toxicity (e.g., vomiting, diarrhea, lack of coordination, drowsiness, muscular weakness, slurred speech when level is 1.5 2.0 mEq/L; ataxia, blurred vision, giddiness, tinnitus, muscle twitching, coarse tremors, polyuria when >2.0 mEq/L). Withhold one dose and call physician. Drug should not be stopped abruptly. Monitor older adults carefully to prevent toxicity, which may occur at serum levels ordinarily tolerated by other patients. Be alert to and report symptoms of hypothyroidism. Weigh patient daily; check ankles, tibiae, and wrists for edema. Report changes in I&O ratio, sudden weight gain, or edema. Report early signs of extrapyramidal reactions promptly to physician.

Report and record as appropriate.

Generic Name (Brand Name)

Mechanism of Action An antisecretory compound that is a gastric acid pump inhibitor. Suppresses gastric acid secretion by inhibiting the H+, K+-ATPase enzyme system [the acid (proton H+) pump] in the parietal cells.

Date Ordered/ Date administered

Indications

Contraindications

Clients Response

Generic name: Omeprazole Brand Name: Dosage: RISEK 40mg/CAP Route: PO Frequency: H.S

01-23-2014/ 0123-2014

Proton pump inhibitors are usually prescribed to patients with ulcer. In the case of a typhoid fever patient, the acidity of the stomach serves as conducive environment for the cysts of salmonella typhi to hatch faster. In the case our patient, omeprazole is used to inhibit the gastric secretion thereby delaying the hatching of the cyts and slowing down the pathogenesis of the disease.

Dysphagia; metabolic or respiratory alkalosis; lactation.

The patient didnt manifest any allergic reaction to Omeprazole.

Generic Name (Brand Name)

Mechanism of Action

Date Ordered/ Date administered

Indications

Contraindications

Clients Response

Generic name: Ceftriaxone Brand Name: Xtenda Dosage: 1gm Route: IV/IM Frequency: Q12

Semisynthetic third-generation cephalosporin antibiotic. Preferentially binds to one or more of the penicillin-binding proteins (PBP) located on cell walls of susceptible organisms. This inhibits third and final stage of bacterial cell wall synthesis, thus killing the bacterium.

01-23-2014/ 0123-2014

Infections caused by susceptible organisms in lower respiratory tract, skin and skin structures, urinary tract, bones and joints; also intraabdominal infections

Hypersensitivity to cephalosporins and related antibiotics

The patient


Generic Name (Brand Name) Mechanism of Action Date Ordered/ Date administered Indications Contraindications Clients Response

Generic Name Generic name: (Brand Name) Omeprazole Generic Name: Ciprofloxacin Dosage: 1gm/tab Route: PO Frequency: BID

An antisecretory Mechanism of compound Action that is a gast Synthetic quinolone that is a broad spectrum bactericidal agent. Inhibits DNA-gyrase, an enzyme necessary for bacterial DNA replication and some aspects of transcription, repair, recombination, and transposition.

Date Ordered/ Date 01-23-2014/ 01administered 01-23-2014/ 0123-2014

Indications Proton pump inhi UTIs, lower respiratory tract infections, skin and skin structure infections, bone and joint infections, GI infection or infectious diarrhea, chronic bacterial prostatitis, nosocomial pneumonia, acute sinusitis. Postexposure prophylaxis for anthrax. Ophthalmic : Corneal ulcers, bacterial conjunctivitis caused by Staphylococci, Streptococci, and Pse udomonas aeruginosa.

Contraindications Dysphagia; metabolic or respiratory alkalosis; lactation. Known hypersensitivity to ciprofloxacin or other quinolones, syphilis, viral infection; tendon inflammation or tendon pain; pregnant women (category C), lactation.

Clients Response The patient didnt manifest any allergic reaction to Om