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Classification and

Name of Drug Mechanism of Action Indication and Dosage Contraindication Side Effects / Adverse Nursing Responsibility

1.Dynastat Non-steroidal anti- Indicated for the short- You have or • changes in blood 1. Tell your doctor if you have any
inflammatory drugs term treatment of allergies like medication, foods,
have had any pressure
postoperative pain in preservatives or dyes
Parecoxib NSAIDs inhibit adults. medical • dizziness or light- 2. Tell patient that dizziness or light
cyclooxygenase (COX) headedness is the most common
conditions, headedness due to low
enzymes, which are Adult: 40 mg IVTT q 12 3. Instruct the patient to report if
involved in the hours especially the blood pressure he/she notice any of the following
synthesis of * skin rash, including hives, raised
following: • back pain
prostaglandins and red, itchy spots
thereby reduce pain • a reduced sense of * other signs of allergic reaction
and inflammation. • kid such as wheezing, swelling of the face, lips,
Oral NSAIDs are used touch mouth, tongue or throat which may cause
post-operatively but ney or liver difficulty in
• stomach upset
when patients are disease swallowing or breathing
unable to tolerate oral including nausea
medications or require • hea
(feeling sick), vomiting,
a faster onset of rt problems,
analgesia, parenteral heartburn, indigestion,
administration may be heart surgery,
preferred. or other blood
• constipation,
vessel disease
diarrhoea, pain in the
• hea
stomach, wind
rt attack
• sleeplessness
• stro
• irritability
• sore throat
• dia

• hig
h cholesterol
Classification and
Name of Drug Mechanism of Action Indication and Contraindication Side Effects / Adverse Nursing Responsibility
Dosage Reaction

1. Cefuroxime – Cepha-losporin, second Uncomplicated Hypersen-sitivity GI: nausea, vomiting, Before:

axetil genera-tion Skin and Skin- to cephalos-porins diarrhea, dyspepsia, - List reason for therapy.
Structure or related heartburn -List allergy history
Zinnat Infections antibiotics. -Verify physician’s order.
It interferes to the final step Allergic: urticaria, rashes, During :
in the formation of the 5oo mg tab p.o. fever, chills, myalgia -Administer as directed.
bacterial cell wall (inhibition -Explain effects of the drug and its side
of mucopeptide CNS: headache, fatigue, effects.
biosynthesis), resulting in vertigo, dizziness, malaise -Administer on an empty stomach, but if GI
unstable cell membranes that Miscella-neous: upset is present, may administer with meal.
undergo lysis (same hypotension, sweating, After:
mechanism of actions as flushing, dyspnea, hepatitis, -Document administration on medication
penicillins). Also, cell bone marrow depression -Assess patient’s response to medication.
division and growth are -Monitor for occurrence of side effects.
inhibited. The cephalos-
porins are most effective
against young, rapidly
dividing organisms and are
considered bactericidal.

(Spratto, et al; 2008: 1788)

Classification and
Name of Drug Mechanism of Indication and Dosage Contraindication Side Effects / Adverse Nursing Responsibility
Action Reaction

ARCOXIA • Relief of acute Use with caution in Medicines and their 1. Teach patient to take medicine or
2. ARCOXIA ® (etoricoxib) is a pain possible side effects can medications as physicians
member of a class • Elderly affect individual people in ordered.
etoricoxib of 120 mg table,t p.o, OD people different ways. The
arthritis/analgesia following are some of the 2. Tell the patient for the possible
medications • History of side effects that are known effects of drug prior to its adverse
called Coxibs. disorders to be associated with this reactions and consider such
ARCOXIA is a affecting the medicine. Because a side reactions mentioned as normal.
highly selective stomach or effect is stated here, it does
inhibitor of intestines, not mean that all people 3. Provide the patient with the
cyclooxygenase-2 such as using this medicine will proper management upon taking
(COX-2). Arcoxia ulceration or experience that or any side medications.
(Etoricoxib) is the bleeding effect.
newset of the 4. Tell the patient to seek for help if
COX-II inhibitors • Decreased • Headache no such effects of drug are noted
released onto the kidney or that if symptoms prior to his
market by Merck function • Dizziness conditions are still noted.
Frosst. Arcoxia
(Etoricoxib) can • Decreased • Disturbances of the 5. Tell patient to maintain his
be used to treat liver function gut such as normal diet and the possible
acute gouty diarrhoea, consequences of the drugs effect
arthritis, constipation, concerning on his appetite.
osteoarthirtis and nausea, vomiting,
other conditions indigestion,
as determined by flatulence or
your doctor. abdominal pain

• Excessive fluid
retention in the
body tissues,
resulting in swelling

• High blood pressure


• Weakness or loss of
strength (asthenia)
Patients’s name: Date of Submission :
Area : Clinical Instructor :
Patient’s name : Physician :
Room/bed No. : Date of Admission :
Age : Hospital No. :