DRUG STUDY NAME OF DRUG INDICATION DOSAG E 1tab TID MECHANISM OF ACTION Maintain acidbalance, isotonicity, and electrophysiolog

ic balance of the cell. Activator in many enzymatic reactions; essential to transmission of nerve impulses; contraction of cardiac, skeletal and smooth muscle; gastric secretion; renal function; tissue synthesis; and carbohydrate metabolism. Inhibits bacterial DNA synthesis by inhibiting DNA gyrase in susceptible gram (-) and gram (+) CONTRAINDICATI ON Hyperkalemia. Severe renal impairment. Untreated Addisons disease. Severe tissue trauma. ADVERSE EFFECT CNS: confusion, restlessnes s GI: abdominal pain, diarrhea NURSING RESPONSIBILIT Y - Explain to patient purpose of medicatio n and the need to take as directed, especially when concurrent digoxin or diuretics are taken. - Instruct patient to avoid salt substiture s or lowsalt milk or food. - WOF s/s of serious adverse reactions, including GI problems,

Generic Treatment/preventi Name: on of potassium Potassium depletion Chloride Brand Name: Kalium Durule Classification: Potassium Supplement

Generic Name: Ciprofloxacin Brand Name: Cipro IV Classification: Anti-infective

Can be use for acute sinusitis, prostatitis, intra abdominal infections, febrile neutrophenic patients,

400mg TIV q12

Hypersensitivity to drug or other fluroquinolones

CNS: agitation, headache, restlessnes s CV: orthostatic

gonorrhea, inhalation anthrax (post exposure) infections of lower respiratory tract, skin and skin structures, bones and joints, nosocomial pneumonia, typhoid fever, UTI, pyelonephritis, bacterial conjunctivitis, caused by susceptible organisms Generic For 40mg Name: gastroesophageal OD Omeprazole reflux disease, Brand Name: erosive Losec esophagitis, shortClassification: term treatment of Anti-ulcer active duodenal drug ulcer, to reduce risk of duodenal ulcers, pathologic hypersecretory conditions including Zollinger-Ellison syndrome, frequent heart burn (two or more episodes a

organisms

hypotensio n GI: nausea, vomiting

jaundice and hypersens tivity reactions

Reduces gastric acid secretion and increases gastric mucus and bicarbonate production, creating protective coating on gastric mucosa and easing discomfort from excess gastric acid.

Hypersensitivity to drugs or its components.

CNS: dizziness, headache GI: nausea, vomiting, abdominal pain

Assess VS Check for abd pain, emesis, diarrhea or constipatio n Evaluate I &O WOF elevated liver function test result

week) Generic For edema caused 50mg Name: by heart failure, BID Spironolacton hepatic cirrhosis, or e nephritic syndrome, Brand Name: essential HPN, Aldactone hypokalemia Classification: Potassiumsparing diuretic

Inhibit aldosterone effects in distal renal tubule, promoting Na and h2o excretion and K retention

Hypersensitivity to drug, anuria, acute or chronic renal insufficiency, hyperkalemia, concurrent use of other K-sparing diuretics (such as amiloride, triamterene) or Ksupplments

CNS: headache, drowsiness GI: vomiting, diarrhea GU: amenorrhe a

Generic For moderate to Name: moderately severe Tramadol pain Brand Name: Ultram Classification: Analgesic

1mg TIV

Inhibits reuptake Hypersensitivity to of serotonin and drugs or its norepinephrine components n CNS

CNS: dizziness, vertigo, headache CV: vasodilatio n GI: nausea, vomiting

(rare) Monitor electrolyte level (especially K) - WOF s/s of imbalance s and metabolic acidosis Monitor weight and I & O Advise t t restrict intke of high k foods Assess pts response to drug 30mins. After administra tion. Monitor respiratory status, with holding

Generic Name: Furosemide Brand Name: Lasix Classification: Diuretic, Antihypertensive

For acute pulmonary edema, edema caused by heart failure, hepatic cirrhosis, or renal failure, hypertension

40mg/ta b OD

Unclear, thought Hypersensitivity to to inhibit Na & drugs or its Cl reabsorption components from ascending loop of Henle and distal renal tubules, increases potassium excretion and plasma volume, promoting renal excretion of water, NaCl, Magnesium, hydrogen, and Ca

CNS: dizziness, headache, lethargy CV: hypotensio n, tachycardia GI: nausea, vomiting

and contact prescriber if respiration s become shallow or slower than 12cpm Assess VS Monitor I &O Advised pt to Increased oral fluid intake