DRUG STUDY

MEDICATI ON DRUG
Generic Name: Omeprazole Brand Name: Losec

Classifica tion

INDICATION/ CONTRAINDICAT ION

Indicated for: Short-term treatment of active duodenal ulcer; First-line therapy in treatment of heartburn or symptoms of gastroesophag eal reflux disease (GERD); Short-term treatment of active benign gastric ulcer; GERD, severe erosive esophagitis, poorly responsive symptomatic GERD; Long-term therapy:

MECHANISM OF ACTION Gastric acidpump inhibitor: Suppresses gastric acid secretion by specific inhibition of the hydrogenpotassium ATPase enzyme system at the secretory surface of the gastric parietal cells; blocks the final step of acid production

DOSING & ADMINISTRATI ON

DOSAGE: 40g FREQUENCY: OD ROUTE: IVTT

ADVERSE EFFECT

NURSING RESPONSIBILITIES

Ant secretory drug Proton pump inhibitor

CNS : Headache, dizziness, asthenia, vertigo, insomnia, apathy, anxiety, paresthesias, dream abnormalities Dermatologic : Rash, Inflammation, urticaria, pruritus, alopecia, dry skin GI : Diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth, tongue atrophy Respiratory : URI symptoms, cough, epistaxis Other : Cancer inpre clinical studies, back pain, fever

BEFORE : 1. Assesse for any history of allergy and lactation 2. Assess the color of the skin and lesions affect and orientation. 3. Orient the patient about the drug to be given 4. Perform any abdominal and respiratory examinations. DURING : 1. Administer drug before meals. 2. Provide appropriate safety and comfort measures if CNS effector occurs to prevent injury 3. Make sure the patient swallow the tablets or capsules whole, not to open, chew or crush. 4. Offer support and encouragement to help patient cope with the disease and the drug regimen 5. Provide thorough patient

Treatment of pathologichyper secretory conditions(Zollin gerEllisonsyndrome , multiple adenomas, systemic mastocytosis) Eradication of H. pylori with amoxicillin or metronidazole and clarithromycin; Contraindicated with Hypersensitivity to omeprazole or its components; Use cautiously with pregnancy, lactation.

teaching about the drug to enhance patients knowledge about drug therapy and promote compliance. AFTER : 1. Caution patient to avoid hazardous activities if he gets dizzy to avoid injury 2. Monitor for adverse effect of the drugs. 3. Monitor effectiveness to comfort and safety measures and compliance with regimen. 4. Evaluate effectiveness of teaching plan.

MEDICAT ION Classificat DRUG ion

Generic Name: Tramadol Hydrochlor ide Brand Name: Tramal, Mabron ,Ralivia, Ryzolt, Tra macet, Ultracet, Zamadol, Zytram Analgesic

INDICATION / CONTRAINDI CATION

INDICATION : Used to treat moderate to moderately severe pain and most types of neuralgia, including trigeminial neuralgia. It has been suggested that tramadol could be effective for alleviating symptoms of depression ,anxiety, and phobias CONTRAINDIC ATION : Tramadol hydrochloride tablets should not be administered to patients who have previously demonstrated hypersensitivit y to tramadol,

MECHANISM OF ACTION
. Treat moderate to moderately severe pain and most types of neuralgia, including trigeminal neuralgia

DOSING & ADMINISTRA TION

100mg IVF

ADVERSE EFFECT

NURSING RESPONSIBILITIES

Sweating, dizziness, nausea, vomiting, dry mouth, fatigue, asthenia, somnolence, confusion, constipation, flushing, headache, vertigo, tachycardia, palpitations, miosis, insomnia, orthostatic hypotension, seizures, CNS stimulation e.g. hallucinations.

Assess for level of pain relief and administer prn dose as needed but not to exceed the recommended total daily dose. Monitor vital signs and assess for orthostatic hypotension or signs of CNS depression. Discontinue drug and notify physician if S&S of hypersensitivity occur. Assess bowel and bladder function; report urinary frequency or retention. Use seizure precautions for patients who have a history of seizures or who are concurrently using drugs that lower the seizure threshold. Monitor ambulation and take appropriate safety precautions.

any other component of this product or opioids. Tramadol hydrochloride is contraindicate d in any situation where opioids are contraindicate d, including acute intoxication with any of the following: alcohol, hypnotics, narcotics, centrally acting analgesics, opioids or psychotropic drugs. Tramadol may worsen central nervous system and respiratory depression in these patients.

MEDICATIO N Classificat DRUG ion

INDICATION/ CONTRAINDI CATION

MECHANISM OF ACTION

DOSING & ADMINISTRATION

ADVERSE EFFECT

NURSING RESPONSIBILITIES

Generic Name: Ferrous Sulfate Brand Name:

ARISTOFERO N, BIORON, DYAFERON, FE-SOL, FECON-H, FEMETON, FERRUM

Iron Preparatio n

INDICATIO NS

Elevates the serum iron concentration which then helps Prevention to form High or and trapped in the treatment reticulo of iron endothelial cells deficiency for storage and anemias. eventual Dietary conversion to a supplement usable form of for iron. iron. CONTRAIN DICATION S Hypersensit ivity Severe hypotensio n.

Dose, Route, PO freq: BID

ADVERSE EFFECT Dizziness N&V Nasal Congestion Dyspnea Hypotension CHF MI Muscle cramps Flushing

Advise patient to take medicine as prescribed. Caution patient to make position changes slowly to minimize orhtostatic hypotension. Instruct patient to avoid concurrent use of alcohol or OTC medicine without consulting the physician. Advise patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs. Inform patient that angina attacks may occur 30 min. after administration due reflex tachycardia. Encourage patient to comply with additional intervention for hypertension like proper diet, regular exercise, lifestyle changes and stress management.