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Ranitidin e Classifica tion: Gastointes tinalagent; Antisecret ory(H2receptor a ntagonist) Dosage: 50mg Frequenc y: Q8 Route: IVTT !ileon "#$

%antac

Competitivel y inhibits theaction of histamine at H2receptors of the parietalcells of the stomach,inhi biting basal gastricacid secretion thatstimulate s by food insulin, histamine,ch olinergic agonist,gast rin, and pentagastrin .

&se' to pre(ent )lcer !ile patient is on "#$*

Hypersensiti(ity toraniti'ine or anycomponent o+ t!e+orm)lation*

,onstipation -iarr!ea

Observe 10 rights in giving medication In+orm patient t!at t!e me'ication may ca)se 'ro siness2 'i33iness2 or +atig)e ()se ca)tion !en 'ri(ing or engaging in tas4s re5)iring alertness)* Instr)ct patient to a(oi' ta4ing any ne me'ication ')ring t!erapy it!o)t cons)lting prescri1er* Instr)ct patient to a(oi' alco!ol an' +ollo 'iet as prescri1er recommen's*

.atig)e Hea'ac!e Insomnia /)scle pain "a)sea Vomiting Agitation Anemia -epression 0asy 1r)ising or 1lee'ing

Generic Name Cephalexin Dosage: cephalexin for most types of bacterial infections is 250 mg to 1000 mg, taken four times a day for 7 to 14 days

Brand Name ApoCephale !CA"#, $iocef, %efle , "ovo-&e in !CA"#, "uCephale !CA"#

Mechanism of Action Bactericidal: 'nhibits synthesis of bacterial cell (all, causing cell death.

Indications )espiratory tract infections caused by Streptococcus pneumoniae, group A betahemolytic streptococci *+in and s+in structure infections Otitis media caused by S. pneumoniae, Haemophilus influenzae, streptococcus, staphylococcu s, Moraxella catarrhalis $one infections caused by staphylococcu s, roteus mirabilis

Contraindications CNS: Headache, di,,iness, lethargy, paresthesias GI: "ausea, vomiting, diarrhea, anore ia, abdominal pain, flatulence, pseudomembranou s colitis, hepatoto icity G : "ephroto icity !ematologic: $one marro( depression !"persensitivit": )anging from rash to fever to anaphyla is- serum sic+ness reaction #ther: *uperinfections

Adverse Effects Contraindicated (ith allergy to cephalosporins or penicillins. .se cautiously (ith renal failure, lactation, pregnancy.

Nursing Consideration /Observe 10 rights in giving medication /0onitor for manifestations of hypersensitivity !see *igns 1 *ymptoms, Appendi 2#. 3iscontinue drug and report their appearance promptly. /4a+e medication for the full course of therapy as directed by physician. /%eep physician informed if adverse reactions appear. /3etermine history of hypersensitivity reactions to cephalosporins and penicillin and history of other drug allergies before therapy is initiated. /&ab tests5 6valuate renal and hepatic function periodically in patients receiving prolonged therapy.

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Name $evofloxa cin Anti$acterial 3osage5 780mg O3 !9am#

Name &evo

of Action A synthetic fluoro:uinones Anti bacterial agents that inhibits the supercoiling activity of bacterial 3"A gyrase, Halting 3"A replication. Community; Ac:uired<neu monia"osocomi al<neumonia Contrain dicated ifpatient is hypersensitive to drug, its components, orother fluoro:uinolones .se cautiously in patients (ith history of sei,ure disorders or other C"* diseases, such as cerebral arterio sclerosis .se cautiouslyand (ith dosage ad=ustment in patients (ith renal im pairment. C"*5 encephalop athy, sei,ures, di,,iness, headache, insomnia, pain, paresthesia C>5 chest pain, palpitations, vasodilation ?'5 pseudomembrano us colitis,abdominal pain, constipation, diarr hea, dyspepsia, flatulence, nausea, vomiting ?.5 vaginitis H60A4O&O?'C5l ymphopenia,eosi nophilia, hemolyticanemia 0.*C.&O*%6& 64A&5 bac+ pain, tendonrupture)6 *<')A4O)@5 allergic pneumonitis5 Adverse Effects /Observe 10 rights in giving medication / 4est if the patient is allergic to the drug. /'f patient e periences symptoms of e cessive C"* stimulation !restlessness, tremor, confusion, hallucination#, stop drug and notify prescriber. $egin sei,ure precautions. /<atients (ith acute hypersensitivity reactions may need treatment (ith epinephrine, o ygen, '> fluids, antihistamines, corticosteroids, and air(ay management. /0ost antibacterial can cause pseudo membranous colitis. 'f diarrhea occurs, notify prescriber. /3rug may cause an abnormal 6C? .Obtain specimen for culture and sensitivity tests before therapy and as needed to determine if bacteria

Generic

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Mechanism

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of Action 't belongs to a %iclofenac >oltaren, class of drugs Ca called nontafl steroidal anti3osage5 am inflammatory , drugs 4ablets >ol !"*A'3s# that !del tar are used for aye en- the treatment d A) of mild to rele moderate ase# pain, fever, 5 28, and 80, inflammation. and 't reduce the 78 production of mg. prostaglandin. 4abl "*A'3s bloc+ ets the en,yme !im that ma+es med prostaglandins iate !cycloo ygena rele se#, resulting ase# in lo(er 5 80 production of mg. prostaglandins 4abl . As a ets conse:uence, !e t inflammation, end pain and fever ed are reduced. rele ase# 5 100

Name

Name

Acute or longterm treatment of mild to moderate pain, including dysmenorrhea )heumatoid arthritis Osteoarthritis An+ylosing spondylitis 4reatment of actinic +eratosis in con=unction (ith sun avoidance Ophthalmic5 <ostoperative inflammation from cataract e traction

Active peptic ulcerhypersensitivity to diclofenac or other "*A'3s. 4reatment of perioperative pain in CA$? surgery. Brd trimester of pregnancy. 4opical5 "ot to be applied onto damaged or nonintact s+in.

't can cause ulcerations, abdominal burning, pain, cramping, nausea, gastritis, and even serious gastrointestinal bleeding and liver to icity. )ash, +idney impairment, ringing in the ears, and lightheadedness are also seen.

History: )enal impairmentimpaired hearing- allergieshepatic, C>, and ?' conditions- lactation, pregnancy hysical: *+in color and lesions- orientation, refle es, ophthalmologic and audiometric evaluation, peripheral sensation- <, edema- ), adventitious sounds- liver evaluationC$C, clotting times, renal function tests, &24s, serum electrolytes, stool guaiac $&AC% $OA CA)"'"?5 $e a(are that patient may be at increased ris+ for C> events, ?' bleed, renal insufficiency- monitor accordingly. Administer drug (ith food or after meals if ?' upset occurs. Arrange for periodic ophthalmologic e amination during longterm therapy. CA)"'"?5 'nstitute emergency procedures if overdose occurs !gastric lavage, induction of emesis.

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