DRUG ORDER
ACTION
INDICATION
CONTRAIDICATION
ADVERSE EFFECTS Dizziness Headache Nausea Vomiting Diarrhea Abdominal pain Back pain Cough UTI Rash
NURSING RESPONSIBILITIES Assess vital signs Check for abdominal pain, emesis, diarrhea Evaluate fluid intake and output Tell patient to take 30-60 minutes before a meal.
Brand name: Zanprol Generic name: omeprazole Classification: Proton pump inhibitor Dosage: 40mg Route: IVTT Frequency: q 24
Reduces gastric acid secretion and increases gastric mucus and bicarbonate production, creating protective coating on gastric mucosa and leasing discomfort from excess gastric acid
DRUG ORDER
ACTION
INDICATION
CONTRAIDICATION
ADVERSE EFFECTS
NURSIING RESPONSIBILITIES Check vital signs, especially blood pressure. Too rapid infusion can cause hypotension. Closely monitor patients with renal insufficiency Watch for hypersensitivi ty reaction. Discontinue drug immediately and symptoms occur.
Brand name: Tavanic Generic name: levofloxacin Classification: Anti-infective Dosage: 750mg Route: PO Frequency
Inhibits the enzymes DNA gyrase in susceptible gramnegative and grampositive aerobic and anerobic bacteria, interfering with bacterial DNA synthesis
Dizziness Headache Insomnia Seizures Chest pain Photophobia Sinusitis Abdominal pain Dyspersia
DRUG ORDER
ACTION
INDICATION
CONTAINDICATION
ADVERSE EFFECTS
NuRSING RESPONSIBITILITIES Monitor for signs and symptoms of hypersensitivity reaction. Check patients temperature and watch for other signs and symptoms of superinfection, especially oral or rectal candidiasis Monitor CBC and liver function test result.
Brand name: UNASYN Generic name: ampicillin sodium and sullbactam sodium Classification: Anti- infective Dosage: 1.5mg Route: IVTT Frequency: q 8
Destroys bacteria by inhibiting bacterial cell- wall synthesis during microbial multiplication. Addition of sulbactam enhances drugs resistance to betalactamase, an enzyme that can in activate ampicillin
Intra- abdominal, skin- structures infections caused by susceptible betalactamase producing strains
DRUG ORDER
ACTION
INDICATION
CONTAINDICATION
ADVERSE EFFECTS
NuRSING RESPONSIBITILITIES
Brand name: Cleocin Generic name: clindamycin Classification: Anti- infective Dosage: 300mg Route: IVTT ( ANST) (-) Frequency: q 6
Inhibits protein synthesis in susceptible bacteria at level of 50`s ribosome, thereby inhibiting peptide bond formation and causing cell death
Nausea Vomiting Diarrhea Abdominal pain Esophagitis Neutropenia Leukeponia Jaundice Hepatic dysfunction
Monitor creatinine level closely in patients with renal insufficiency Tell patient to take drug with food if it causes stomach upset.