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Bleza, Jewella S.

February 22, 2011


BSN 102-Group 8 Mam Sharon M. Bobier RN, MAN
RM. 415- Mary Anne Manolo

GENERIC NAME/ DOSAGE/ ACTION ADVERSE INDICATION NURSING


BRAND NAME FREQUENCY REACTION RESPONSIBILITIES
/CLASSIFICATION
Meropenem/ Merrem 1gm TIV q8 >Inhibits cell-wall >Complicated >Seizures, >Stop drug and notify
synthesis in bacteria. It appendicitis and headache, diarrhea, prescriber if an allergic reaction
Anti-infectives readily penetrates cell peritonitis; bacterial nausea, vomiting, occurs.
wall of most gram meningitis presence of RBC in >Drug may cause seizure and
positive and –negative urine. other CNS adverse reaction in
bacteria to reach patient with CNS disorder.
penicillin-binding >Advise patient to report loose
protein targets. stools to prescriber.
Loratidine + Loratadine 5 mg, > By using loratadine- > Fatigue, headache, > Relief of > Use combination with
Betamethasone/ betamethasone betamethasone in somnolence, symptoms of atopic caution.
Claricort 250 mcg. combination, tablets nervousness, dry dermatitis, >Monitor patient clinically.
combine the anti- mouth, GI disorders angioedema, >Take medication with food.
Antihistamine inflammatory and (eg nausea, gastritis) urticaria, seasonal
antiallergic effect of the & allergic symptoms & perennial allergic
corticosteroid eg rash. rhinitis, food &
(betamethasone) with drug allergic
the nonsedating reaction.
antihistamine
(loratadine).
Loratadine is a potent
long-acting tricyclic
antihistamine with
selective peripheral H1-
receptor antagonistic
activity.
Glucocorticosteroids eg,
betamethasone, cause
profound and varied
metabolic effects and
modify the body's
immune response to
diverse stimuli.

Dynatussin Capsule/ 25mg/cap > serves to inhibit the > GI disturbances, > Cough & cold due >Instruct the patient that it
DEXTROMETHORPH TID release or action of epigastric pain; to resp infections should take with or without
AN HBr histamine. headache, blurred &/or allergy. Relief meal.
Antihistamine can be vision, tinnitus, of fever, pain &
Cough and Cold used to describe any anorexia, difficulty discomfort
Remedies histamine antagonist, in micturition, dry associated w/ colds
but it is usually mouth, tightness of & flu.
reserved for the classical chest.
antihistamines that act
upon the H1 histamine
receptor.
Benzydamine/ 1 tab TID > It selectively binds to > Lacking or > temporary relief > Do not exceed 12 lozenges a
Difflam inflamed tissues deficient of physical from the pain day.
(Prostaglandin sensation of the associated with
Mouth and Throat synthetase inhibitor) tonsillitis, mouth >Do not take Difflam Sugar-
mouth (oral
Preparation ulcers, pharyngitis, Free Lozenges continuously for
numbness) sore throats and more than seven days.
local pain from
>Occasional burning
dental surgery,
or stinging sensation mouth or throat
surgery

Bleza, Jewella S. February 22, 2011


BSN 102-Group 8 Mam Sharon M. Bobier RN, MAN
RM. 426- Michael Maleon

GENERIC NAME/ DOSAGE/ ACTION ADVERSE INDICATION NURSING


BRAND NAME FREQUENCY REACTION RESPONSIBILITIES
/CLASSIFICATION
Simethicone/ Disflatyl 40ml/tab TID >By its defoaming >belching, flatus >Flatulence, >Drug doesn’t prevent
action, drug disperses functional gastric formation of gas.
Gastrointestinal drug or prevents formation of bloating >Tell patient to chew tablet
mucus-surrounded gas before swallowing.
pockets in the GI tract. >Advise patient that changing
positions often and walking
will help pass flatus.
Celecoxib/Celebrex 100mg/cap BID > Thought to inhibit > dizziness, > Relief from signs > Patients may be allergic to
prostaglandin synthesis, headache, insomnia, and symptoms of drug if they are allergic to or
Nonsteroidal anti- impeding abdominal pain, rheumatoid have had anaphylactic
inflammatory drugs cyclooxygenase-2 (COX- flatulence, nausea arthritis reactions to sulfonamides,
2), to produce anti- aspirin or other NSAIDS.
inflammatory, >It can cause fluid retention;
analgesics and Monitor patient with
antipyretic effects. hypertension, edema or heart
failure.
>Before starting drug therapy,
rehydrate the dehydrated
patient.
>Drug can be given without
regard to meals, but food may
decrease GI upset.
Omeprazole/Omepron 40mg/cap OD > Suppresses gastric Headache, > Active duodenal Assess:
acid secretion dizziness, vertigo, ulcer, GERD, active  Contraindications
Anti-ulcer drug >Blocks the final step of insomnia, apathy, benign gastric ulcer,  Skin lesions
acid production anxiety, >severe erosive Affect
paresthesias, dream esophagitis  Urinary output, Abdominal
abnormalities, dry >Treatment of exam; Respiratory
skin, Diarrhea, pathologic auscultation
abdominal pain, hypersecretory Interventions:
nausea, vomiting, conditions  Administer before meals.
constipation, dry >Eradication of H.  Caution patient to swallow
mouth, tongue pylori capsules whole– not to
atrophy open, chew, or crush them.
Administer antacids if needed.

Acetylcysteine 600mg/tab in ½ > Mucolytic that > Fever, drowsiness, > Adjunct therapy > Drug smell strongly of sulfur.
/Fluimucil glass of water reduces the viscosity of tachycardia, for abnormal Mixing oral form with juice or
OD pulmonary secretions hypotension, thickened mucous cola improves its taste.
Miscellaneous by splitting disulfide secretions in >Monitor coughs type and
flushing, ear pain,
respiratory tract drugs linkages between patients with frequency.
eye pain, nausea,
mucoprotein molecular pneumonia, >Warn patient that drug may
complexes. Also, vomiting bronchitis. have a foul taste or smell that
restores liver stores of some patients find distressing.
glutathione to treat
acetaminophen toxicity.
Maalox Plus Suspension 30cc >Reduces total acid load >constipation, >Acid indigestion
TID after meal at in GI tract, elevates intestinal >Instruct patient to shake
Antacids, adsorbents HS gastric pH to reduce obstruction suspension well and to follow
and antiflatulents pepsin activity, with a small amount of milk or
strengthens gastric water to facilitate passage.
mucosal barrier and
increases esophageal
sphincter tone.
Albumin/Albutein 25% TIV q12 >Albumin 5% supplies >headache, fever, > hypovolemic >Monitor v/s carefully.
colloid to the blood and tachycardia, shock, >Monitor fluid intake and
Blood derivatives expands plasma pulmonary edema, hypoproteinemia. output; protein electrolyte and
volume. Albumin 25% hyperbilirubinemia hemoglobin levels and
chills.
provides intravascular hematocrit during therapy.
oncotic pressure in a 5:1
ratio, shifting fluid from
interstitial spaces to the
circulation and slightly
increasing plasma
protein level.

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