Mechanism of Indication and Drug Contraindications Side Effects Nursing

Action Rational Consideration

Generic Name: Thought to produce Mild to moderate Hypersensitivity to There were no seen  Consider reducing
Paracetamol/ analgesia by pain and fever. acetaminophen. side effects on the total daily dose
Acetaminophen inhibiting (Ofirmev): severe patient. and increasing
Brand Name: prostaglandin and Acetaminophen is hepatic impairment dosing intervals in
Biogesic other substances used to relieve mild or severe active liver patients with
Classification: that sensitize pain to moderate pain disease. hepatic or renal
Analgesic (Non receptors. Drug may from headaches, impairment.
opioid) Antipyretic relieve fever through muscle aches,  Tell breast-feeding
Dosage: central action in the menstrual periods, patient that drug
500mg/1tab hypothalamic heat- colds and sore appears in breast
Frequency: q4h regulating center throats, toothaches, milk in low levels.
Route: Oral backaches, and Drug may be used
reactions to safely if therapy is
vaccinations (shots), short-term and
and to reduce fever. doesn’t exceed
recommended
doses.

Mechanism of Indication and Drug Contraindications Side Effects Nursing

Action Rational Consideration

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 Generic Name: ORS are given orally For replacement of Oral Rehydration There were no seen  Monitor vital
Oral Rehydration to prevent or treat water and electrolyte Salts are side effects on the signs
Salts dehydration due to loss associated with contraindicated in patient.  Monitor input and
Brand Name: acute diarrhea. diarrhea and patients exhibiting output of the
Hydrite Essential water and vomiting. the following patient
Classification: salts are lost in stools conditions:- cirrhosis
Electrolyte and vomitus and of the liver,
replenisher dehydration results congestive cardiac
Dosage: when blood volume failure, nephrotic
250 mL in water is decreased of fluid syndrome, acute and
Frequency: loss from the chronic renal failure,
Route: extracellular fluid ischaemic heart
compartment. disease,
Preservation of the adrenocortical
facilitated glucose insufficiency,
sodium cotransport hyperkalaemic
system in the small periodic paralysis,
bowel mucosa is the hyperkalaemia,
rationale of oral hypoventilatory
rehydration therapy. states, chloride
Glucose is actively depletion due to
absorbed in the continuous gastric
normal intestine and fluid loss, metabolic
carries sodium with it or respiratory
in about an alkalosis,
equimolar ration. hypocalcaemia,
Therefore, there is hyperosmolar states
greater net in anuria or oliguria,
absorption of an oedematous sodium
isotonic salt solution retaining conditions,
with glucose than hypertension,
one without it. peripheral or
Potassium pulmonary oedema
replacement during or toxaemia of

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 acute diarrhea pregnancy, severe
prevents below vomiting, diarrhoea
normal serum and dehydration
concentrations of requiring fluid
potassium. therapy, dextrose
malabsorption, in
cases of diabetes
mellitus, thiamine
deficiency, severe
under-nutrition,
haemodilution,
hypophosphataemia,
sepsis and trauma.
Oral rehydration salts
are also
contraindicated for
use in patients
undergoing
treatment with the
following:- sodium
retaining drugs (e.g.
corticosteroids,
NSAID’s,
carbenoxolone),
diuretics known to
produce
hypochloraemic
alkalosis.

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