DRUG STUDY

Javier, Jomar A. Bsn121 Group 83

Name Of Drug Dosage Drug Class Indication Contraindication Adverse Effect Nursing
Responsibilities
Calmoseptin To bedsore q • Used to treat • Allergic to zinc, • Severe allergic  For external
ointment diaper change Topical Decubitus ulcer dimethicone, reactions (rash; use only.
antiviral, skin and decreases lanolin, cod liver hives; itching;
protectant moisture on the oil, petroleum difficulty  Cleanse skin,
affected part. jelly, parabens, breathing; pat dry and
Calmoseptin • Used to treat mineral oil, or tightness in the apply 2-4 times
e ointment diaper rash, wax. chest; swelling daily or as
promotes minor burns, of the mouth, necessary to
wound severely face, lips, or promote
granulation chapped skin, tongue). comfort and
and re- or other minor protection.
epithilializati skin irritations.
on.
• Protects,  Store at a
soothes & helps temperature
promote healing not exceeding
in those w/ 30°C.
impaired skin
integrity related
to burns due to
flame, radiation
or chemicals

Sucralfate 1 gram TID Short-term There are no known Constipation, Clinical studies of
tablets Antacids, treatment (up to 8 contraindications to diarrhoea, nausea, Sucralfate Tablets
Antireflux weeks) of active the use of sucralfate. dizziness, dry did not include
Agents & duodenal ulcer. mouth. GI sufficient numbers
Antiulcerants While healing with disturbances, rash, of subjects aged 65
sucralfate may pruritus, headache, and over to
occur during the vertigo, back pain, determine whether
first week or two, drowsiness. they respond
treatment should be differently from
continued for 4 to 8 younger subjects.
weeks unless Other reported
healing has been clinical experience
demonstrated by x- has not identified
ray or endoscopic differences in
examination. responses between
the elderly and
younger patients.
In general, dose
selection for an
elderly patient
should be cautious,
usually starting at
 the low end of the
dosing range,
reflecting the
greater frequency
of decreased
hepatic, renal, or
cardiac function,
and of concomitant
disease or other
drug therapy.
Generic name: 2 drops at the anti- Chlamydia Hypersensitivity to CNS: Headache, • Lab tests: Do
Ofloxacin otic left ear BID infective; trachomatis ofloxacin or other dizziness, insomnia, C&S tests prior
drops antibiotic, infection, quinolone hallucinations. GI: to initial dose.
quinolone uncomplicated antibacterial agents; Nausea, vomiting, Treatment may
Brand name: gonorrhea, tendon pain; sunlight diarrhea, GI be
Inoflox prostatitis, (UV) exposure; viral discomfort. implemented
respiratory tract infection; pregnancy Urogenital: Pruritus, pending
infections, skin and (category C); pain, irritation, results.
skin structure lactation. burning, vaginitis, • Determine
infections, urinary Renal disease; vaginal discharge, history of
tract infections due patients with a history dysmenorrhea, hypersensitivit
to susceptible of epilepsy, psychosis, menorrhagia, y reactions to
bacteria, superficial or increased dysuria, urinary quinolones or
ocular infections, intracranial pressure, frequency. Skin: other drugs
pelvic inflammatory cerebrovascular Pruritus, rash. before therapy
disease. Otic: otitis disease, CNS is started.
externa, otitis disorders such as
media with seizures, epilepsy,
• Withhold
ofloxacin and
perforated tympanic myasthenia gravis; GI
notify physician
membranes. disease, colitis,
at first sign of a
dehydration; syphilis.
skin rash or
Safety and
other allergic
effectiveness in
reaction.
children and
adolescents <18 y • Monitor for
(except for otic seizures,
preparation) are not especially in
established. patients with
known or
suspected CNS
disorders.
Discontinue
ofloxacin and
notify physician
immediately if
seizure occurs.
• Assess for
signs and
symptoms of
 superinfection
Diflucan 150 mg 1 tab Antibiotics Adult: Oral or Known CNS: headache  Assess infected
BID (Antifungal) vaginal hypersensitivity to GI: hepatotoxicity, area and
candidiasis fluconazole or other abdominal monitor CSF
unresponsive to azoles; concomitant discomfort, cultures before
nystatin or administration with diarrhea, nausea, and
clotrimazole; terfenadine. vomiting periodically
nonlife- Derm: exfoliative during therapy.
threatening skin disorder  Monitor BUN
Candida infections including Stevens - and serum
(cystitis, Johnson syndrome creatinine
esophaglitis); before and
treatment of periodically
hepatosplenic during therapy.
candidiasis and  Monitor liver
other Candida function tests
infections in before and
person unable to periodically
tolerate during therapy.
amphotericin B;
treatment of
cryptococcal
infections;
secondary
prophylaxis in
allogeneic bone
marrow transplant
recipients.

Paracetamol 500 mg 1 tab Analgesics • Relief of mild- • Contraindicated • fatigue, • Assess

q4 hours for Antipyretic to-moderate with allergy to nervousness, patient’s fever
>37.8®C pain acetaminophen sedation, or pain: type of
• Temporary • Use cautiously drowsiness, pain, location,
reduction of with impaired dizziness, intensity,
fever hepatic function, depression, duration,
chronic tremor, temperature
alcoholism, headache,
pregnancy, seizures • Assess allergic
lactation. reactions:
• Dermatologic: rash, urticaria;
pruritus, if these occur,
urticaria, rash drug may have
to be
• GI: Anorexia, discontinued
nausea,
vomiting, • Assesss for
constipation,  chronic
hepatic poisoning:
insufficiency rapid, weak
 pulse
• GU: Hematuria,  dyspnea: cold,
glycosuria, clammy
urinary extremities
frequency, renal report immediately
colic, to prescriber.
crystaluria,
polyuria • Give with food
or milk if GI
• Other: weight upset occurs
loss, fever ,
acidosis
Fluimucil 600 mg in 30 Treatment of Contraindicated in Bronchospasm Monitor
Acetylcysteine cc of H2O OD Mucolytic respiratory patient with severe Angioedema effectiveness of
agent affections hypertension; severe. Rashes therapy and advent
characterized by Coronary artery Pruritus of adverse/allergic
thick and viscous disease, Nausea and effects. Instruct
hypersecretions: hypersensitivity to Vomiting, Fever, patient in
acute bronchitis, pseudoedephrine, Syncope, Sweating, appropriate use
chronic bronchitis acrivastine or any Arthralgia, Blurred and adverse effects
and its component; renal vision, Disturbances to report
exacerbations; impairment. of liver function
pulmonary
emphysema,
mucoviscidosis and
bronchiectasis.
Telmisartan 1 tab OD 40 Treatment for Telmisartan:  Monitor client
mg Angiotensin essential Severe hepatic Headache, upper for hypotension
II hypertension. impairment, biliary respiratory tract after starting
Antagonists Blocks obstructive disorders. infection, dizziness. drug. Place
Diuretics vasoconstricting. Pregnancy. Hydrochlorothiazide client supine if
Lactation.s. : Anorexia, gastric hypotension
irritation, muscle occurs, and
spasm, sleep give IV normal
disturbances. saline, if
needed.
 For patient
whose renal
function may
depend on the
activity of the
rennin
angiotensin
aldosterone
system (such
as those with
severe heart
failure)
treatment with
 ACE inhibitors
and
angiotensin
receptors
antagonist has
caused oliguria
or progressive
azotemia and
acute renal
failure or death
Valproic acid 500 mg 1 tab First class In the treatment of VALPROIC ACID About a quarter of A study of elderly
BID antiepileptic generalized SHOULD NOT BE all the treated patients with
agent seizures the drug is ADMINISTERED TO subjects experience dementia revealed
suited for a highly PATIENTS WITH side-effects, drug related
effective single drug HEPATIC DISEASE OR particularly of somnolence and
therapy and is SIGNIFICANT HEPATIC gastrointestinal discontinuation for
considered drug of DYSFUNCTION. nature (nausea, somnolence The
choice. It is Valproic acid is vomiting, gastric starting dose
particularly contraindicated in pain, diarrhea or should be reduced
successful for patients with known constipation). An in these patients,
absences. On the hypersensitivity to the asymptomatic and dosage
contrary to drug. increase of reductions or
ethosuximide, it is Valproic acid is transaminases, discontinuation
also active against contraindicated in weight gain, should be
tonic-clonic patients with known alopecia, tremor, considered in
seizures, where it is urea cycle disorders fatigue and patients with
equal to headaches are not excessive
carbamazepine or uncommon. somnolence
phenytoin. Hematologic
Myoclonic seizures anomalies
also respond well to (especially
valproic acid. thrombocytopenia),
skin rashes and
hirsutism are rare.
Atorvastatin 20 mg 1 tab Antihyperlipi To reduce the risk Contraindicated in Nausea & vomiting, • Monitor patient’s
OD @ HS demic of MI, stroke, patients hypertensive diarrhea, abdominal lipid and liver
angina, and to the drug and in pain, constipation, function levels at
revascularization those with active liver dyspepsia & baseline and
procedures in disease or conditions flatulence. periodically
patients with no linked with Headache, skin thereafter.
evidence of CAD unexplained rashes, dizziness, • Monitor patient
with multiple risk persistent increases blurred vision, for signs of
factors. in transaminase Anorexia, rhabdomyolyis,
levels. pancreatitis, especially if
alopecia, weight taking more than
gain, Stevens- one class of lipid
Johnson syndrome. lowering drugs.
Back & chest pain, • Asses patient’s
muscle cramps, and family’s
 peripheral edema, knowledge of
malaise & fatigue drug therapy

Folic acid 5 mg 1 tab Folic acid Treatment of • Contraindicat Hypersensitivity: History: Allergy to
OD Vitamin megoblastic ed with Allergic reactions folic acid
supplement anemias due to allergy to folic preparations;
sprue, nutritional acid pernicious,
deficiency, preparations; aplastic,
pregnancy, pernicious, normocytic
infancy, and aplastic, anemias; lactation
childhood normocytic Physical: Skin
anemias. lesions, color; R,
adventitious
sounds; CBC, Hgb,
Hct, serum folate
levels, serum
vitamin B12 levels,
Schilling test.