Generic Name: Impinem + Cilastatin Brand Name: Tienam Classification: carbapenem class Dosage: 1g Route: IVTT Frequency: T.i.

D Mechanism of action: It has the ability to kill a wide variety of bacteria. It works by interfering with their ability to form cell walls, and therefore the bacteria break up and die Indication: Treatment of intra-abdominal, lower resp trac Contraindication: Hypersensitivity to amide-type local anesthesia. Severe shock/heart block Adverse Effects of the Drug: Seizure, pain, confusional states, hearing loss Nursing Responsibilities/ Precautions: Not indicated for therapy w/ IM formulation Tell the SO about the adverse effects of the drug

Generic Name: Human Albumin Brand Name: Buminate Classification: Plasma expanders Dosage: 25% 50ml Route: IVTT Frequency: B.I.D Mechanism of action: Albumin is responsible for 75-80% of the colloid osmotic pressure of normal plasma. Albumin stabilizes circulating blood volume and is a carrier of hormones, enzymes, medicinal products and toxins Indication: Adult respiratory distress syndrome

Contraindication: Do not use in individuals who are hypersensitive to albumin preparations, any ingredient in the formulation, or components of the container. Adverse Effects of the Drug: Urinary tract infection, abdominal discomfort, nausea Nursing Responsibilities/ Precautions: ALBUMIN (HUMAN) 25% must not be diluted with sterile water for injection as this may cause hemolysis in recipients.

Generic Name: Doxofylline Brand Name: Ansimar Classification: Antiasthmatic and COPD preparations Dosage: 5ml Route: nebulizer Frequency: B.i.d Mechanism of action: Adrenergic bronchodilators and phosphodiesterase inhibitors Indication: Bronchial asthma & pulmonary disease w/ spastic bronchial component Contraindication: hypotension Adverse Effects of the Drug: Nausea, vomiting, epigastric pain, cephalalgia, irritability, insomnia, tachycardia, extrasystole, tachypnea, hyperglycemia, albuminuria Nursing Responsibilities/ Precautions: Assess lung sounds, pulse and blood pressure before administration and during peak of medication. Not amount, color, and character of sputum produced

Generic Name: omega-3 polyunsaturated fatty acids Brand Name: Omacor Classification: Dyslipidaemic Agents Dosage: 1 tab Route: P.O

Frequency: T.i.d Indication: as a supplement to appropriate & assiduous dietary measures Mechanism of action: Potential mechanisms of action include inhibition of acyl CoA:1,2diacylglycerol acyltransferase and increased peroxisomal -oxidation in the liver. Omacor may reduce the synthesis of triglycerides (TGs) in the liver because EPA and DHA are poor substrates for the enzymes responsible for TG synthesis, and EPA and DHA inhibit esterification of other fatty acids Contraindication: contraindicated in patients who exhibit hypersensitivity to any component of this medication. Adverse Effects of the Drug: nausea, vomiting, distension, diarrhea, or constipation Nursing Responsibilities/ Precautions: Discuss with the SO about the adverse effects of this drug

Generic Name: Ipratropium+salbutamol Brand Name: Combivent Classification: Anticholinergic Dosage: 1 neb. Route: nebulizer Frequency: Q.i.d Indication: Bronchodilator for maintenance therapy of bronchospasm Mechanism of action: Relieves bronchospasms Contraindication: Contraindicated with hypersensitivity to atropine or its derivatives Adverse Effects of the Drug: CNS: dizziness, blurred vision GI: nausea, dry mouth Respi: dyspnea, bronchospasms, horseness CV: palpitations, chest pain Nursing Responsibilities/ Precautions: Monitor the patients vital signs, noting hypotension and an irregular or abnormal pulse. Maintain a quiet, comfortable environment to minimize anxiety and perhaps decrease palpitations

Generic Name: levofloxacin Brand Name: Pharex Classification: antibiotic Dosage: 500mg Route: P.O Frequency: O.D Indication: COPD Mechanism of action: It functions by inhibiting DNA gyrase, a type II topoisomerase, and topoisomerase iv, which is an enzyme necessary to separate replicated DNA, thereby inhibiting cell division. Contraindication: contraindicated in patients with epilepsy or other seizure disorders Adverse Effects of the Drug: seizure, Headache (6%); insomnia (4%); dizziness (3%); abnormal EEG, Prolonged QT interval, blurred vision, dyspnea Nursing Responsibilities/ Precautions: Instruct patient to take tablets with a full glass of water without regard to meals. Advise patient to take with food if stomach upset occurs. Advise patient to drink fluids liberally (eg, eight 8 oz glasses of water daily) while taking this medication.

Generic Name: Digoxin Brand Name: Lanoxin Classification: cardiovascular agent; cardiac glycoside; antiarrhythmic Dosage: 0.25mg Route: P.O Frequency: O.D Indication: Mild-to-moderate heart failure (with a diuretic and an ACE inhibitor when possible). Control of ventricular response rate in chronic atrial fibrillation.

Mechanism of action: Digoxin increases the strength and vigor of heart contractions, and is useful in the treatment of heart failure. Contraindication: Ventricular fibrillation Adverse Effects of the Drug: GI upset, anorexia, CNS effects (eg, blurred or yellow vision, or mental disturbances, confusion, headache, weakness, dizziness, apathy) Nursing Responsibilities/ Precautions: Take digoxin PRECISELY as prescribed, do not skip or double a dose or change dose intervals, and take it at same time each day.