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c Inhibit action of Used in the Hypersensitivity Diarrhea, '(c")
Assessment:
histamine of the H2 management of dizziness, #'
receptor sites of parietal various GI Tiredness, 1. History: allergy to
cells, decrease gastric disorders such as headache and Rarely, malaise, ranitidine, impaired renal
c
c acid secretions. dyspepsia, GERD, rashes. Reversible dizziness,
peptic ulcer and confusional states somnolence, or hepatic function,
zellinger ellison usual in the insomnia, and lactation, pregnancy.
syndrome. elderly or vertigo. Rare cases
Prophylaxis of seriously ill of reversible 2. Physical: skin
Gihemmorhage fr. patients such as mental confusion, lesions, orientation,
Stress ulceration those ĉ agitation,
and in patient at renal failure. depression and affect, liver evaluation,
c risk of developing hallucinations have abdominal examination,
c
acid aspiration been reported,
c
during general predominantly in normal output, renal
c anesthesia severely ill elderly function tests, CBC
cc patients. Rare
cases of reversible Interventions:
blurred vision 1. Administer oral
suggestive of a
change in drug with meals and at
accommodation bedtime.
have been
reported. Rare 2. Decrease doses in
!"#$%& reports of renal and liver
reversible
involuntary motor failure.
disturbances have 3. Provide concurrent
been received.
'''( antacid therapy to relieve
Constipation, pain.
diarrhea,
nausea/vomiting, 4. Administer IM
abdominal dose undiluted, deep
discomfort/pain, into large muscle group.
and rare reports of 5. Arrange for
pancreatitis. regular follow-up
including blood test, to
evaluate effects
Cefuroxime is
Cefuroxime is a semi Urinary tract Sensitivity to CNS: Dizziness, Assess patient
generally well
*)+ synthetic cephalosporin infections, Otitis cephalosporines headache, fatigue, For signs and symptoms
tolerated and side
antibiotic, chemically media,
effects are usually paresthesia, fever, of infection
similar to penicillin. It is
transient. chills,
effective against a wide Severe infection
Reported side Assess for
variety of bacteria confusion
effects include anaohylaxis:
organisms, such as GI: Diarrhea,
diarrhea, nausea,
)+ Staphylococcus aureus, nausea, rash, urticaria,
vomiting,
('* Streptococcus vomiting, chills, fever,
abdominal pain,
+' pneumoniae,
headache, rash, anorexia, dyspnea
*)+ Haemophilus influenza,
hives, vaginitis,
E. coli, N. gonorrhea, glossitis, bleeding,
headache, and Identify urine
, !"#$ and many others increased AST,
mouth ulcers. output
%&
ALT, bilirubin,
Certain LDH, alkaline Assess bowel
cephalosporins, phosphatase, pattern daily
including
cefuroxime axetil abdominal pain, Monitor for
(Y can alter loose stools, bleeding
the colon's flatulence,
normal bacteria,
heartburn,
leading to
overgrowth of a stomach cramps,
bacterium called colitis, jaundice
Y
GU: vaginitis,
Overgrowth of pruritus,
this bacterium candidiasis,
leads to the increased
release of toxins BUN,
that contribute to nephrotoxicity,
the development renal failure,
of Y
pyuria, dysuria,
-associated reversible
diarrhea, which interstitial
may range in nephritis
severity from
mild diarrhea to
fatal colitis.
Hypersensitivity.
The most
c Azithromycin blocks Assessment
common side
-'%# transpeptidation by Treatment of Mild to moderate History: Hypersensitivity
effects are:
binding to 50s infections of the nausea, vomiting, azithromycin,
c ribosomal subunit of upper & lower abdominal pain, erythromycin or any
.'%+ susceptible organisms resp tract, skin & Nausea dyspepsia, macrolide antibiotic;
and disrupting RNA- soft tissues & flatulence, gonorrhea or syphilis,
dependent protein infections of the Loose stools or diarrhoea, pseudomembranous
synthesis at the chain genitals due to diarrhea cramping; colitis, hepatic or renal
elongation step. Y
angioedema, impairment, lactation
V
!! 2;'Reduced
Vomitting cholestatic Physical: Site of
(#*/#& by food (capsule
jaundice; dizziness, infection, skin color,
(''"(# !! formulation); peak