DRUG STUDY Brand Name A L V E D O N Generic Classification Name P Anti-pyretic A R A C E T A M O L Action Decreases fever by inhibiting the effect of pyrogens

on the hypothalamic heat regulating centers and by a hypothalamic action leading to sweating and vasodilation. Dosage Indication Contraindication 500m g every 4 hours Contraindicated in patients hypersensitive to drug. Use cautiously in patients with long term alcohol use because therapeutic doses cause hepatotoxicity in these patients. Symptomatic relief of pain and fever. Side Effects/ Adverse Effect y y y y y Hematologic: hemolytic anemia, neutropenia, leucopenia, pancytopenia. Hepatic: Jaundice Metabolic: Hypoglycemia Skin: rash, urticaria Nursing Consideration y Advise patient that drug is only for short term use and to consult the physician if giving to children for longer than 5 days or adults for longer than 10 days. y Advise patient or caregiver that many over the counter products contain acetaminophen; be aware of this when calculating total daily dose. y Warn patient that high doses or unsupervised long term use can cause liver damage

Brand Generic Classification Name Name A M B R O X O L A M B R O X O L H Y D R O C H L O R I D E Mucolytic

Action

Dosage

Indication

Contraindication

Side Effects/ Adverse Effect y y GI irritation, nausea and vomiting, headache and drowsiness, hypotension. Skin rash, anaphylactic shock

Nursing Consideration

30 mg tab TID

Hypersensitivity to the drug.

y y

Check the medical order Instruct to report any signs of unusualities or presence of signs and symptoms of side effects Monitor I&O.

It increases lung surfactant thus liquefies mucous

All forms of trachea-bronchitis, emphysema with bronchitis, chronic inflammatory pulmonary condition, bronchitis with bronchospasm asthma.

Nursing Consideration Side Effects/ Adverse Effect Contraindications Indications Dosages Classification Actions

Before giving drug. Ask patient if she is allergic to penicillin or cephalosporin. Obtain specimen for culture and sensitivity tests before giving first dose. absorption of oral drug is induced. CV: phlebitis, thrombophlebitis GI: diarrhea, anorexia, vomiting Hematologic: hemolytic anemia, thrombocytopenia, transient neutropenia, eosinophilia Contraindicated in patients hypersensitive to drug or other cephalosporin. Use cautiously in patients hypersensitive to penicillin because of possibility of crosssensitivity with other beta lactam antibiotics

y y y

y y

Used to treat infections, like bronchitis; gonorrhea; Lyme disease; and infections of the ears, throat, sinuses, urinary tract, and skin.

750mg IVTT every 8hours

Inhibits cell wall synthesis promoting osmotic instability usually bactericida

antiinfective; antibiotic; second-generation cephalosporin

Brand Name Z I N A C E F

Generic Name C E F U R O X I M E

Nursing Consideration

y y

Do not use cetirizine to treat hives that are bruised or blistered, that are an unusual color, or that do not itch. Stop taking cetirizine and call your doctor if your hives do not improve during the first 3 days of your treatment or if your hives last longer than 6 weeks. If you do not know the cause of your hives, call your doctor.

Side Effects/ Adverse Effect

Contraindication

Contraindicated in those patients with a known hypersensitivity to it or any of its ingredients or hydroxyzine.

For the relief of symptoms associated with seasonal allergic rhinitis, perennial allergic rhinitis and the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria. 10mg 1tab OD

Dosage

Indication

Virlix competes with histamine for binding at H1-receptor sites on the effector cell surface, resulting in suppression of histaminic edema, flare, and pruritus. The low incidence of sedation can be attributed to reduced penetration of cetirizine into the CNS as a result of the less lipophilic carboxyl group on the ethylamine side chain. Antihistamine

Generic Name

Classification

Action

Brand Name

V E R L I X

C E T I R I Z I N E

y y

y y

y y y y

headaches, irritation of the eyes mild nausea sleep problems, restlessnes s feelings of irritation vomiting fatigue mania dry mouth