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This document contains information about several different drugs including their classification, brand/generic names, doctor's orders, mode of action, indications, contraindications, side effects, and nursing implications. It includes entries on cephalexin (antibiotic), mefenamic acid (analgesic), ferrous sulfate (iron supplement), lidocaine (local anesthetic), oxytocin (hormone), and hyoscine n-butylbromide (antispasmodic). For each drug, it lists its uses, precautions, potential adverse effects, and how nurses should administer and monitor patients receiving the medication.
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- 1. 45 VIII. DRUG STUDY CLASSIFICATION:anti-infective, antibiotic, first generation cephalosporin BRAND NAME: Kaflex GENERIC NAME: Cephalexin DOCTOR’S ORDER: 1 cap 500 mg t.i.d. MODE OF INDICATION CONTRA- SIDE EFFECT NURSING ACTION INDICATION IMPLICATION *Interferes with *Skin and soft *Allergy to Diarrhea *Complete the full bacterial cell tissue infection cephalosporin thrush course of this drug wall synthesis, group of yeast infection even if you feel better. causing cell to antibiotics rash rupture and die itching *This drug is dizziness prescribed for this particular infection; do not self-treat any other infection. *take drug with food. CLASSIFICATION: anti-pyretic, anti inflammatory analgesics BRAND NAME: ponstan, ponstel GENERIC NAME: mefenamic acid DOCTOR’S ORDER: 1 cap 500 mg t.i.d. *Decreases *For relief of *Hypersensiti Dyspepsia *Notify physician if inflammation, mild to vity to drug; Peptic ulceration persistent GI pain, and fever, moderate pain GI Gastro- intestinal discomfort, sore probably through in episitomy inflammation, bleeding throat, fever, or inhibition of and afterpains or ulceration. Headache malaise occur. cyclooxygenase of postpartum Drowsiness activity and Dizziness *Discontinue drug prostaglandin Skin rash promptly if diarrhea, synthesis. dark stools, hematemesis, ecchymoses, epistaxis, or rash occur and do not use again. Contact physician. *Take the drug with food CLASSIFICATION: iron preparation BRAND NAME: Feosol, Fer-In-Sol, Slow-Fe GENERIC NAME: ferrous sulfate DOCTOR’S ORDER: 1 tab 500 mg o.d. *Ferrous sulfate *This medicatio *Patients Constipation *Use cautiously on facilitates n is an iron receiving diarrhea, stomach long term basis. O2 transport via supplement repeated cramps, or upset hemoglobin. It is used to treat or blood stomach may *Between meal used as iron prevent transfusions; occur. Black stool. doses are source as it low blood level anemia not preferable, drug can
- 2. 46 replaces iron s of iron (e.g., due to iron be given with some found in for anemia or deficiency. food, although hemoglobin, during pregnanc absorption may be myoglobin and y). Iron is an decrease. other enzymes. important mineral that the *Tell patient to take body needs to it with juice rich in produce red vitamin C. blood cells and keep you in *Advise patient to good health. report constipation and change in stool color or consistency CLASSIFICATION: antidysrhythmic (class B) Local Anesthetic BRAND NAME: xylocaine GENERIC NAME: lydocaine HCL *It produces local *infiltration or *HTN *Drowsiness, *should monitor anesthesia effect mucosal or dizziness, burning BP and respiratory by inhibiting the topical sensation status frequently transport of ions anesthesia. during the drug across the nueral administration membranes, thus initiation and *when conduction of administered as an normal impulses anesthetic, the is prevented. numbness of the affected part should be assessed *if signs of overdose occur, stop the infusion immediately and monitor patient closely. CLASSIFICATION: Therapeutic: hormones Pharmacologic: oxytocics BRAND NAME: pitocin, syntocinon GENERIC NAME: oxytocin DOCTOR’S ORDER: 10 units to 1000 ml of D5LRS *it stimulates the *induction of *hypersensiti *HTN, excessive *do not administer uterus to contract labor at term. vity, uterine contractility after delivery of the to control Facilitation of anticipated placenta until the postpartum uterine non vaginal physician approves hemorrhage. contractions at delivery the drug’s use. term. *monitor the woman for blood pressure, because HTN can occur. CLASSIFICATION: antispasmodic, anticholinergic BRAND NAME: buscopan GENERIC NAME: hyoscine n-butylbromide DOCTORS ORDER: HnBB, 1amp IV q1⁰, 3 doses ANST *buscopan exerts *for the relief *should not *dizziness, *avoid strict heat a spasmolytic of spasm to the be given to disorientation, action on the GIT patient’s with restlessness, *raise side rails as a
- 3. 47 smooth muscle of a known irritability, precaution because the GIT, biliary hypersensitivi hypotension, some patients and urinary tract ty to hyoscine constipation, become temporarily n- nausea, dry mouth, exited or butylbromide dyspnea disoriented. *keep emergency equipment available