Drug Study GENERIC NAME Amoxicillin BRAND NAME Amoxil DOSAGE Adult: 250500mg every 8 hours CONTRAINDICATI ON Hypersensitivity

to penicillins, cephalosporins. Not used to treat pneumonia, bacteremia pericarditis during acute stage. PRECAUTION/ ADVERSE REACTION PRECAUTION: Hypersensitivity: rxn range from mild to life threatening NURSING CONSIDERATION >obtain pts hx of allergy >Assess pt for any s/s of infection >Assess for pts sensitivity to penicillin ot other cepalosporins >assess for allergic rxn during therapy >Assess for bowel pattern, if diarrhea- shld be discontinue

INDICATION Infections of the resp. tract, skin & skin structures,paranasal sinuses, genitourinary tract, otitis media, sinusitis, meningitis,septicemia

ACTION Prevents bacterial cell wall synthesis during replication.

LACTULOSE BRAND NAME duphalac DOSAGE 15-30ml. Dose given in 3 days

Constipation, salmonellosis. Treatment of hepatic encephalopathy

Inhibits bacterial DNA gyrase thus preventing replication in susceptible bacteria

Pt who require a low lactose diet. Galactosemia deficiency. Intestinal obstruction.

ADVERSE RXN: Dizziness, fatigue, insomnia, skin rashes, itchy eyes, sore or dry mouth, abnormal taste sensation, diarrhea, rectal bleeding PRECAUTION: Lactose intolerance, diabetes Adverse Rxn: Abdominal discomfort associated with flatulence and intestinal cramps. Nausea, vomiting, diarrhea on prolonged use. Transient "flushing sensations" of taste have been observed, as well as rare instances of dizziness, rapid and weak pulse, and profuse sweating

>Assess condition before therapy and reassess regularly thereafter to monitor drugs effectiveness >Monitor pt for any adverse GI reactions, nausea,vomiting,diarrhea, >Assess for adverse reactions >for pt. with hepatic encelopathy: regularly assess mental condition >monitor I & O >monitor for Inc. glucose level in diabetic pts

Vitamin K DOSAGE: 3 ampules TIV

Anticoagulantinducedprothrombindeficien cy causedby coumarin orindanedionederivatives; Prophylaxis andtherapy of hemorrhagicdisease of thenewborn;

Vitamin K is used by the body to help blood clot. Warfarin (Coumadin) is used to slow blood clotting. By helping the blood clot, vitamin K might decrease the effectiveness of warfarin.

Hypersensitivity to anycomponent of thismedication

>Assess for adverse reactions >Assess condition before therapy and reassess regularly thereafter to monitor drugs effectiveness

Mefenamic acid BRAND NAME Dolfenal DOSAGE Adult: start with 75150mcg BID Severe HPN 300mg BID Pregnancy & lactation, hypersensitivity, active ulceration or chronic inflammation of either upper or lower GIT, blood disorders, poor platelet function, kidney or liver impairment, children < 14 yrs

Relief of pain including muscular, rheumatic, traumatic, dental, post-op and postpartum pain, headache, migraine, fever, dysmenorrhea

Aspirin-like drug that has analgesic,antipyr etic, & antiinflammatory activities

PRECAUTION: If rash occurs, administration should be stopped, asthmatics, Hx of liver and kidney disease ADVERSE RXN GI discomfort, diarrhea or constipation, gas pain, nausea, vomiting, drowsiness

> assess pt.s pain before therapy >monitor for possible drug induced adverse reactions >advice pt. not to take drug for more than 7 days >advice pt. to report immediately persistence or failure to relieve pain