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XVI. Drug Study

NAME OF

MACHANISM OF

DOSAGE

INDICATIONS

CONTRA-

ADVERSE

NURSING ALERT

THE DRUG
Generic

ACTION
Thought to

Dosage:

Mild pain or

INDICATIONS
-Contra-

REACTION
-Hematologic:

-Use liquid form for children

Name:

produce

250/5ml

fever

indicated in

Hemolytic

and patients who difficulty

Paracetamol

analgesia by

patient

Anemia,

of swallowing.

blocking pain

Frequency:

hypersensitivity Leukopenia,

-In children don’t exceed

Brand

impulses by

q4h

to drug.

five (5) doses in 24h.

Name:

inhibiting

Tempra

synthesis of

Classification:

in patients with

-Hepatic:

only for short-term use;

prostaglandin in

Non opioids

long-term

Jaundice

urge them to consult

the CNS or of

analgesics and

alcohol use of

other substances

antipyretics

alcohol

-Metabolic:

children for longer than 5

that sensitize pain

because

hypoglycemia

days or adults for longer

receptors to

therapeutic

stimulation. The

doses cause

-Skin: rash,

-Tell parents/patient not to

drug may relieve

hepatotoxicity

urticaria

use for marked fever (temp

fever through

in these

higher than 103.1F or

central action in

patients.

39.5C), fever persisting

Neutropenia,

-Use cautiously

-Advise parents that drug is

prescriber if giving to

than 10 days.

the hypothalamic

longer than 3 days, or

heat-regulating

recurrent fever unless

center.

directed by prescriber.
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NAME OF

MECHANISM

DOSAGE

INDICATIONS

CONTRA-

ADVERSE

NURSING ALERT
THE DRUG

OF ACTION

INDICATIONS

REACTION

Generic

Second-

Dosage:

-Serious lower

-Contraindicated

-GI: diarrhea,

-Before giving drug,

Name:

generation

500mg

respiratory tract

in patient with

nausea,

ask patient/parents if

Cefuroxime

cephalosporin

infection, UTI,

hypersensitivity to

anorexia,

he is allergic to

Sodium

that inhibits

Frequency:

skin structure

drug or other

vomiting

penicillins or

cell- wall

q8h

infections

cephalosporin.

-Hematologic:

cephalosporin.

-Use cautiously in

hemolytic

-Obtain specimen for

Brand

synthesis,

Name:

promoting

Classification:

patient

anemia,

C/S test before giving

Zinacef

osmotic

Second

hypersensitivity to

thrombocytopeni

first dose.

instability,

generation

penicillin because

a, eosinophilia

-Tablets may be

usually

Cephalosporin

of possibility of

-Skin:

crushed, if absolutely

cross sensitivity

maculopapular

necessary, for patient

with other beta-

and

who can’t swallow

lactam antibiotics.

erythematous

tablets. Tablets can be

.

rashes, urticarial,

dissolved in juices,

pain,

chocolate or milk,

temperature

however, the drug has

elevation,

a bitter taste that is

anaphylaxis,

difficult to mask, even

hypersensitivity

with food.

reaction

-Don’t confuse drug

bactericidal.

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with other
cephalosporins that
sound alike.
-Tell patient to take
drug as prescribed,
even after he feels
better.
-Instruct patient to take
oral form with food.
-Instruct patient to
notify prescriber about
rash, loose stool,
diarrhea or evidence of
superinfection.
Contraindicated in patient with hypersensitivity to drug or other cephalosporin.
-Use cautiously in patient hypersensitivity to penicillin because of possibility of cross sensitivity with other beta- lactam
antibiotics.
.
-CV: phlebitis, thrombophlebitis
-GI: diarrhea, nausea, anorexia, vomiting
-Hematologic: hemolytic anemia, thrombocytopenia, eosinophilia
-Skin: maculopapular and erythematous rashes, urticarial, pain, sterile abcesses, temperature elevation, anaphylaxis,
hypersensitivity reaction
-Before giving drug, ask patient/parents if he is allergic to penicillins or cephalosporin.
-Obtain specimen for C/S test before giving first dose.
-For IM use, inject deep into a large muscle, such as gluteus maximus or the side of the thigh.
-Absorption of oral drug is enhanced by food.
-Tablets may be crushed, if absolutely necessary, for patient who can’t swallow tablets. Tablets can be dissolved in juices,
chocolate or milk, however, the drug has a bitter taste that is difficult to mask, even with food.
-Don’t confuse drug with other cephalosporins that sound alike.
-Tell patient to take drug as prescribed, even after he feels better.
-Instruct patient to take oral form with food.
-Instruct patient to notify prescriber about rash, loose stool, diarrhea or evidence of superinfection.

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Contraindicated in patient with hypersensitivity to drug or other cephalosporin.
-Use cautiously in patient hypersensitivity to penicillin because of possibility of cross sensitivity with other beta- lactam
antibiotics.
.
-CV: phlebitis, thrombophlebitis
-GI: diarrhea, nausea, anorexia, vomiting
-Hematologic: hemolytic anemia, thrombocytopenia, eosinophilia
-Skin: maculopapular and erythematous rashes, urticarial, pain, sterile abcesses, temperature elevation, anaphylaxis,
hypersensitivity reaction
-Before giving drug, ask patient/parents if he is allergic to penicillins or cephalosporin.
-Obtain specimen for C/S test before giving first dose.
-For IM use, inject deep into a large muscle, such as gluteus maximus or the side of the thigh.
-Absorption of oral drug is enhanced by food.
-Tablets may be crushed, if absolutely necessary, for patient who can’t swallow tablets. Tablets can be dissolved in juices,
chocolate or milk, however, the drug has a bitter taste that is difficult to mask, even with food.
-Don’t confuse drug with other cephalosporins that sound alike.
-Tell patient to take drug as prescribed, even after he feels better.
-Instruct patient to take oral form with food.
-Instruct patient to notify prescriber about rash, loose stool, diarrhea or evidence of superinfection.

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