DRUG STUDY

Name of Drug

Date Ordered

Classification

Dose/Route/ Frequency

Mechanism of Action

Specific Indicaation (why drug is ordered) For the treatment of respiratory tract infections caused by Streptococcus pneumonia and Streptococcus pyogenes

Contraindication

Side Effects/ Toxic Effects

Nursing Precaution

Cefalexin

Anti-bacterial Agents Cephalosporins Cephalexin

500mg/PO/OD

Action Cephalosporins Cephalexin, like the penicillins, is a beta-lactam antibiotic. By binding to specific penicillinbinding proteins (PBPs) located inside the bacterial cell wall, it inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that cephalexin interferes with an autolys in inhibitor

*Hypersensitivity to cephalosporins

Hypersensitivity GI disturbances Eosinophilia Neutropenia Leucopenia Thrombocytopenia

1) The drug should be taken with or without food. (May be taken with meals to reduce GI discomfort) 2) Before administration, ask patient if he is allergic to penicillins or cephalosporins. 3) Tell patient to take entire amount of drug exactly as prescribed, even after he feelsbetter. 4) Advise patient to notify prescriber if rash develops or signs and symptoms of super infection appear. 5) Inform patient not to crush, cut

DRUG STUDY

Name of Drug Mefenamic Acid

Date Ordered September 9-11

Classification

Dose/Route/ Frequency 500mg/OD

Mechanism of Action Pain reliever - Mefenamic acid reduces inflammation and pain by blocking production and release of chemicals that produces it and inhibits prostaglandin biosynthesis.

Specific Indication (why drug is ordered) - It decreases inflammation (swelling). - This medicine is used for the treatment of mild to moderate pain, inflammation, and fever

Contraindication

Side Effects/ Toxic Effects diarrhea fever skin rash Feeling sleepy or unable to think clearly Belly pain, heartburn, cramps, diarrhea, and gas. Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help

Nursing Precaution 1) If patient have had a stomach ulcer or bleeding, tell healthcare provider. 2) Instruct patient to avoid alcohol (includes wine, beer, and liquor) when taking this medicine since it can cause increases in stomach irritation. 3) Use caution if the patient has a weakened heart. It may cause increased shortness of breath or weight gain. Then recommend to talk with healthcare provider or its own physician. 4) Avoid aspirin, aspirincontaining products, other pain medicines, other blood thinners (warfarin, ticlopidine, clopidogrel), garlic, ginseng, ginkgo, and

Central nervous system agent; analgesic; antipyretic Antiinflammatory, Analgesic, Antipyretic activities related to inhibition of prostaglandin synthesis

Contraindicated to patient who has: -Renal Failure Active peptic ulcers -Inflammatory intestinal diseases. -Hyper sensitivity to aspirin (acetylsalicylic acid) or other non-steroidal anti-inflammatory agents.

DRUG STUDY

Name of Drug

Date Ordered

Classification

Dose/Route/ Frequency

Mechanism of Action Essential for nucleoprotein synthesis and maintenance of normal erythropoiesis. Acts against folic acid deficiency that impairs thymidylate synthesis and results in production of defective DNA that leads to megaloblast formation and arrest of bone marrow maturation.

FOLIC ACID (VITAMIN B9, PTEROYLGLUTAMIC ACID) (fol'ic)

2011, client cannot recall the month and day

Vitamin B9

Specific Indication (why drug is ordered) Folate deficiency, macrocytic anemia, and megaloblastic anemias associated with malabsorption syndromes, alcoholism, primary liver disease, inadequate dietary intake, pregnancy, infancy, and childhood.

Contraindication

Side Effects/ Toxic Effects Reportedly nontoxic. Slight flushing and feeling of warmth following IV administration

Nursing Precaution Assessment & Drug Effects Obtain a careful history of dietary intake and drug and alcohol usage prior to start of therapy. Drugs reported to cause folate deficiency include oral contraceptives, alcohol, barbiturates, methotrexate, phenytoin, primidone, and trimethoprim. Folate deficiency may also result from renal dialysis. Keep physician informed of patient's response to therapy. Monitor patients on phenytoin for subtherapeutic plasma levels..

Folic acidalone for pernicious anemia or other vitamin B12 deficiency states; normocytic, refractory, aplastic, or undiagnosed anemia.

DRUG STUDY

Name of Drug

Date Ordered

Classification

Dose/Route/ Frequency

Mechanism of Action

Specific Indication (why drug is ordered) Treatment and prevention of vitamin deficiencies

Contraindication

Side Effects/ Toxic Effects

Nursing Precaution

Multivitamins

Vitamins

Prevention of deficiency or replacement in patients whose nutritional status is questionable

Hypersensitivity to preservative, colorants or additives, including tartrazine, saccharin, and aspartame.

Allergic reactions to preservatives, additives, or colorants.

1.) Assess patient for signs of nutrition deficiency prior to and throughout therapy. 2.) Instruct to notify side effects of medications to physician. 3. Encourage to comply on medications. 4.) Encourage patient to comply with physicians recommendations. Explain that the best source of vitamins is a well balanced diet with foods from the 4 basic food groups. 5.) Advise parents not to refer to chewable multivitamins for children as candy