DRUG STUDY

Submitted by :
Genierose F. Yanto
BSN 2A
 Patient: B. Santos Age: 44

Date admitted: 3/2/20. Time admitted: 1:45 pm

Name Mechanism of Indication/Contraindication Side Effects Nursing Responsibility

Action
Generic Second- Indication: Body as Whole:  Determine history of
Name: generation Pharyngitis, tonsillitis, infection Thrombophlebitis (IV hypersensitivity
CEFUROXIME cephalosporin of the urinary and lower site); pain, burning, reactions to
that inhibits cell respiratory tracts, and skin and cellulitis (IM site); cephalosphorins,
Brand Name: wall synthesis, skin-structure infections superinfection, positive penicillin and history of
ZOLTAX promoting caused by Streptococcus Coombs’ test. allergies particularly to
osmotic pneumonia and S. pyogenes, drugs before therapy is
Classification: instability; usually Haemophillus influenza, GI: initiated.
ANTIBIOTIC bactericidal. Staphylococcus aureus, E. Diarrhea, nausea,  Report onset of loose
coli. antibiotic-associated stool
Frequency: colitis.  Absorption of
BID Contraindication: cefuroxime is enhanced
 Contraindicated in Skin: by food
Dosage: patients hypersensitive Rash, pruritis, urticaria  Notify prescriber about
1 tab 500 mg to drug. rashes or super
 Use cautiously in Urogenital: infections
Route: patients hypersensitive Increased serum
PO to penicillin because of cretonne and BUN,
possibility of cross decreased creatinine
sensitivity with other clearance.
betalactam antibiotics.
 Use with caution in
breast feeding women
and in patients with
history of colitis or renal
sufficiency.
 NAME OF MECHANISM OF NURSING
USE OF DRUG SIDE EFFECTS
DRUG ACTION CONSIDERATIONS
CLASSIFICATION: Hyoscine Butylbromide is  dryness of the mouth,  Be alert for adverse
 antispasmodic a quaternary ammonium with difficulty in reactions and drug
antimuscarinic agent. swallowing interactions.
INDICATION: Hyoscine butylbromide  thirst  Assess for eye pain
 relief of smooth does not readily pass the  dilation of the pupils with  Assess for urinary
muscle spasm of the blood-brain barrier. It’s a loss of accommodation hesitancy
gastrointestinal and competitive antagonist of and photophobia  Assess for constipation
genitourinary systems the actions of  increased intra-ocular  Monitor urine output
acetylcholine and other pressure  Encourage patient to void.
CONTRAINDICATIONS muscarinic agonists. The  flushing and dryness of  Monitor BP for possible
: receptors affected are the skin hypertension.
 Hypersensitivity to those of peripheral  bradycardia followed by
Hyoscine  For pregnant women,
hyoscine butylbromide structures that are either tachycardia, with
Butylbromide monitor cervical effacement
 Porphyria stimulated or inhibited by palpitations and
20mg 1 amp and dilatation.
 Myasthenia gravis muscarine, ie. exocrine arrhythmias
IV glands, smooth and
 Prostatic enlargement,  urinary urgency with the
paralytic ileus or cardiac muscle.
inability to do so, as well
pyloric stenosis and as reduction in the tone
fever and motility of the gastro-
 Closed angle intestinal tract, leading to
glaucoma, or narrow constipation
angle between the iris  occasionally vomiting,
and cornea, as giddiness and staggering
hyoscine increases may occur
intra-ocular pressure  restrosternal pain may
 pregnant and lactating occur due to increased
mothers gastric reflux.
 DRUG CONTRAINDIC ADVERSE NURSING
DRUG INDICATION ACTION
INTERACTION ATION EFFECT CONSIDERATION
Generic Name: Short-term treatment of Gastric acid- Omeprazole Contraindicated
omeprazole activeduodenal ulcer; pumpinhibitor:Su potentially can with Diarrhea, nausea, Caution patient
First-linetherapy in ppresses increase the  hypersensitivit fatigue, toswallow capsules
treatment of heartburn gastricacidsecreti concentrations in blood y to constipation, whole—not to open,
or symptoms onby omeprazoleor vomiting, chew, or crush
of diazepam (Valium), 
of gastroesophageal specificinhibition its flatulence, acid them.Arrange for
Brand Name: warfarin (Coumadin),
refluxdisease (GERD); of thehydrogen- components;Us regurgitation, further evaluation of
Prilosec Short-termtreatment of potassiumATPas andphenytoin (Dilantin) e cautiously taste perversion, patient after 8
active benigngastric enzymesystem by decreasing the with arthralgia, weeks of therapy for
ulcer; GERD, atthesecretorysur elimination of these pregnancy,lact myalgia, urticaria,
gastroreflux
Drug severeerosive face of the drugs by the liver.The ation. dry mouth, disorders; not
Classification: esophagitis, gastricparietalcell absorption of certain dizziness, intendedfor
proton pump poorlyresponsive s;blocks thefinal drugs may be affected headache, maintenance
inhibitors (PPI) symptomatic step by stomach acidity. paraesthesia, therapy.
GERD;Long-term of acidproduction. Therefore, omeprazole abdominal pain, Administer antacids
therapy: Treatmentof as well as other PPIs skin rashes, with omeprazole, if
pathologic reduce the absorption weakness, back needed.
hypersecretoryconditio pain, upper Teaching points:
and concentration in
ns (Zollinger- respiratory Take the drug
blood infection, cough.
Ellisonsyndrome, before meals.
multiple of ketoconazole (Nizor Swallow
adenomas,systemic al) and increase the thecapsules whole;
mastocytosis);Eradicati absorption and Potentially do not chew, open,
on of  concentration in blood Fatal: Anaphylaxi or crushthem. This
H. pylori  of digoxin (Lanoxin). s. drug will need to be
Withamoxicillin or This may reduce the taken for up to 8wk
metronidazole. effectiveness of (short-term therapy)
ketoconazole or for a prolonged
orincrease digoxin period(> 5 yr in
some cases).Have
toxicity
regular medical
 follow-up visits.
Patient: A. De Vera. Age: 19
Date admitted: 3/5/20. Time admitted: 6:35 pm

Drug