DRUG

INDICATIONS

CONTRAINDICATIO N

ACTION

SIDE EFFECT

DRUG NURSING CONSIDERATIONS Generic Nam betahistine hydrochlorid

Brand Nam serc 8 mg an 16 mg tablets Class: Anti-vertigo

Generic Name: betahistine hydrochloride Brand Name: serc 8 mg and 16 mg tablets Class: Anti-vertigo

Menieres disease, Meniere-like syndrome (with symptoms of vertigo,tinnitus and sensorineural deafness) and vertigo of peripheral origin.

Hypersensitivity to any component of the product.

Betahistine was found to have a histamine-like action in animals. Since parenteral histamine has been used in the treatment of Meniere's disease, studies were conducted to test the action of betahistine in this condition. Unlike some other antivertigo drugs, testing with nystagmus induced by caloric and rotational stimulation has demonstrated that betahistine does not decrease the vestibular response, as recorded by electronystagmography. In addition, the absorption, metabolism and action of betahistine when administered by the oral route are not known. However, clinical studies indicate that SERC may be useful in reducing the vertigo of Meniere's disease.

Occasionally patients have experienced gastric upset, nausea and headache.

Avoid contact of oral solution or injection with skin Raise bed rails, institute safety measures, supervise ambulation

DRUG Generic Name: Mefenamicacid

INDICATIONS CONTRAINDI ACTION CATIONS - It decreases Contraindicate Pain reliever inflammation d to patient (swelling). who has: - Mefenamic acid reduces inflammation - This medicine Renal Failure and pain by blocking is used for the production and release of treatment of Active peptic chemicals that produces mild to ulcers it and inhibits moderate pain, prostaglandin inflammation, Inflammatory biosynthesis. and fever intestinal diseases. Hypersensitivit y to aspirin (acetylsalicylic acid) or other non-steroidal antiinflammatory agents.

SIDE EFFECT

NURSING CONSIDERATIONS 1. If patient have had a stomach ulcer or bleeding, tell healthcare provider. 2. Instruct patient to avoid alcohol (includes wine, beer, and liquor) when taking this medicine since it can cause increases in stomach irritation. 3. Use caution if the patient has a weakened heart. It may cause increased shortness of breath or weight gain. Then recommend to talk with healthcare provider or its own physician. 4. Avoid aspirin, aspirin-containing products, other pain medicines, other blood thinners (warfarin, ticlopidine, clopidogrel), garlic, ginseng, ginkgo, and vitamin E while taking. Talk with healthcare provider. 5. If patient is allergic to any medicine, especially aspirin, or have asthma. Make sure to tell about the allergy and how it affected the patient by consulting its attending physician

diarrhea fever skin rash Feeling sleepy or unable to think clearly Belly pain, heartburn, cramps, diarrhea, gas.

DRUG Generic Name: cefuroxime

INDICATIONS CONTRAINDICATIONS Perioperative prevention Contraindicated in patients hypersensitive to drug or other cephalosporin. Use cautiously in patients hypersensitive to penicillin because of possibility of crosssensitivity with other beta lactam antibiotics

ACTION inhibits cell wall synthesis promoting osmotic instability usually bactericidal

750 mg 1 tab Brand Name: BID Xorimix Class: 2nd generation cephalosporin

NURSING CONSIDERATIONS CV: phlebitis, Before giving dug. thrombophlebitis ask patient if she is allegic to penicillin GI: diarrhea, or cephalosporin. anorexia, Obtain specimen for vomiting culture and sensitivity tests Hematologic: before giving first hemolytic anemia, dose. absorption of thrombocytopenia, oral drug is induced. transient neutropenia, eosinophilia

SIDE EFFECT

Therapeutic Class: Cephalosporin

DRUG Generic Name: Omeprazol e Brand Name: Tansinel Class: Antisecreto ry drug

DOSE 20 mg 1 cap for two weeks

ROUT E Oral

INDICATIONS Short-term treatment of active duodenal cancer Short-term treatment of active benign gastric ulcer Eradication of Helicobacter Pylori First-line therapy for treatment of heartburn or symptoms of GERD.

CONTRAINDICAT IONS Contraindicated with hypersensitivity to omeprazole or its components. Use cautiously with pregnancy, lactation.

ACTION Gastric-acid pump inhibitor: suppresses gastric acid secretion by specific inhibition of the hydrogenpotassium ATPase enzyme system at the secretory surface of the gastric parietal cells; blocks the final step of acid production.

SIDE EFFECT CNS; headache, dizziness, asthenia, vertigo, insomnia, apathy, anxiety, paresthesias, dream abnormalities Dermatologic: rash, inflammation, urticaria, pruritus, alopecia, dry skin GI: diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth, tongue atrophy Respiratory: URI symptoms, cough, epistaxis

NURSING CONSIDERATIONS Assessment: 1. History :hypersensitivity to omeprazole or any of its components; pregnancy, lactation 2. Physical: skin lesions; reflexes; urinary output; abdominal examination; respiratory auscultation Interventions: 1. Administer before meals. 2. Administer antacids with, if needed. 3. Have regular medical follow-up visits. 4. Report severe headache, worsening of symptoms, fever, chills.