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IX.

DRUG STUDY

Classification : Iron preparation, Anti-anemic, Vitamin and mineral combination


GENERIC NAME: Ferrous Sulfate
Brand Name: Ferosul
Dr. Order: 1tab. Once a day Per Orem
DATE AND TIME ORDERED: 07-21-15,6:00am
PREGNANCY CATEGORY : A

INDICATION CONTRAINDICATION SIDE EFFECT Nursing Consideration


ACTION
Used to treat prevent low of  Stand iron preparation  Anemia  GI: nausea,  Advise patient to take medicine as
blood level of iron ,important against which other  Avoid fatty foods. constipation, prescribe
mineral that the body needs oral iron preparations black stools,
to produce RBC and keep  Monitor bowel movement as
are usually measured. diarrhea, GI
you in good health to prevent constipation then instruct client to
 Corrects discomfort
increase fluid intake and eat foods rich
physiologic anemias and
erythropoictic in fiber.
blood loss.
abnormalities induced  Between meals doses are preferable
by iron deficiency but drug can be given with some food such
does not stimulate as juice rich in vit.C
erythropolesis.

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Classification : Therapeutic Hormone
GENERIC NAME: Oxytocin
Brand Name: Pitocin
Doctors Order: 10”units’’ of oxytocin incorporate to D5LRS
DATE AND TIME ORDERED:07-22-15,12:00Am
PREGNANCY CATEGORY: X
Action Indication Contraindication SIDE EFFECT Nursing Consideration

 To initiate or  Acts on smooth muscle of  hypersensitivit  MATERNAL CNS: seizures  Advice patient and family that medication
improve uterine the uterus to stimulate y to drug and coma will be prepared and administered by a health
contraction at term contractions response anticipated  CV: hypertension care provider in a medical setting with very
only in carefully depends on the uterine with non  GI : nausea and vomiting close monitoring of the effects of the
selected patients and threshold of excitability . It vaginal  GU : abruption placentae, medication
only after cervix is is selective g for the uterus delivery titanic uterine contraction ,  Monitor fetal heart rate and maternal BP and
dilated and , especially toward the end postpartum hemorrhage uterine pulse at least every 15 min. during infusion
presentation of fetus of pregnancy during labor, rupture, pelvic hematoma, period ; evaluate tonus of myometrium
has occurred and immediately following increase uterine motility during and between contractions and record
used to stimulate delivery oxytocin.  HEMATOLOGIC: on flow chart .Report change in rate and
letdown reflex in afibrinogenemia , possibly rhythm immediately.
nursing mother and related to postpartum bleeding  MONITOR the woman vital signs, BP ,RR
relieve pain from . because hypertension can occur
breast engagement.  HEPATIC: neonatal jaundice

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Classification :Central Nervous System, Analgesic, antipyretic ,Anti Inflammatory Drug
Brand Name: Ponstan, ponstel
Doctors Order: Mefenamic Acid 500 mg Tablet (TID), PO, Every 6 hours
DATE AND TIME ORDERED;07-22-15, 1:15am
PREGNANCY CATEGORY: C
Action Indication Contraindications SIDE EFFECTS Nursing Consideration

 For relief of mild to moderate pain  Non -steroidal anti-  active peptic ulcer  Headaches  assess patient’s pain before
 Help reduced blood loss. inflammatory drug used hypersensitivity to  Blurred vision theraphy location, duration,
 Postand SF is a non-steroidal to treat pain including aspirin Renal  Skin rash precipitating and alleviating
anti-inflammatory, analgesic, menstrual pain failure  Swelling factors.
and antipyretic activities in  Administered for oral  Take drug with meals to avoid GI
animal models. The mechanism administration distress
of action of ponsant, like that of  decreased inflammation  Observe vomiting for hydration
other NSAID’S is rich of uterine contraction. and electrolyte imbalance
completely understood but may  Monitor the vital signs of the
be related to prostaglandin client
synthetase inhibition

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Classification: antispasmodics
GENERIC NAME: Hyoscine Hydrobromide
Brand Name: Buscopan
Doctors Order: Buscopan, 1 ampule 1x3 doses
DATE AND TIME ORDERED:07-21-15, 8;00pm
PREGNANCY CATEGORY C
Action Indication Contraindications SIDE EFFECTS Nursing Consideration

 it blocks the muscarinic receptors  used  Constipation  Avoid the drug when having
found on the smooth muscle walls liberally to  Hypersensitivity to  Mouth, skin, eye allergic to hyoscine or any
which means its blocks the action facilitate drug contents dryness ingredients of this medication
of acetycholine on the receptors cervical  Blurred feeling  Take the drugs30 mins to 1hour
found whithin the smooth muscle dilation  Nausea and vomiting before meals
of the gastrointestinal and urinary and  Headache  Asses vital signs RR,BP
tract and thus reduce the spasm effacement  weakness  Overdose may cause curare-like
and contraction. This relaxes the  to help effects, such as respiratory
muscle and thus reduce pain from soften paralysis
cramps and spasm cervix and
make labor
go faster.

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