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DRUG STUDY

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Asian College of Science and Technology
College of Nursing
DRUG STUDY
NAME: Rochelle Pesquera BSN AREA: OB WARD
GENERIC NAME
BRAND NAME
ACTION
CLASSIFICATION
INDICATION
CONTRAINDICATIONS
SIDE EFFECTS/ADVERSE
REACTIONS
NURSING RESPONSIBILITY
Ampicillin Na
Polycillin
Principen
A penicillin that inhibits
cell wall synthesis in
supceptible
microorganism.
Belongs to the class of
penicillins with
extended spectrum.
Used in the systemic
treatment of
infections.
Treatment of UTI, otitis
media, sinusitis,
bronchitis,
uncomplicated communit
y-acquired
pneumonia,
Haemophilus
influenzae
infections,
invasive salmonellosis &
listerial meningitis.
Hypersensitivity
to penicillin.
Glandular fever of
lymphatic
leukemia.
GI disturbances eg
diarrhea, nausea &
vomiting; skin rashes,
pruritus, urticaria,
erythema multiforme,
exfoliative dermatitis,
anaphylactic shock,
anemia, thrombocytopenia,
eosinophilia,
agranulocytosis, laryngeal
stridor, high fever.
Hold medication & promptly report
rash (although common w/
ampicillin,may, indicate
hypersencitivity)or diarrhea
-Evaluate IV site for Phlebitis.
-Check IM injection site for pain,
induration.
Monitor I& O, urinalysis, renal
function test.
-Asses for signs of superinfection.

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GENERIC NAME
BRAND NAME
ACTION
CLASSIFICATION
INDICATION
CONTRAINDICATIONS
SIDE EFFECTS/ADVERSE
REACTIONS
NURSING RESPONSIBILITY
Nalbuphine
Hydrochloride
Nalbuphine
Nubain
A narcotic agonist-
antagonist that binds
with opioid receptors in
the CNS. May displace
opioid agonist &
competively inhibit
their action: may
precipitate withdrawal
symptoms.
Effect: Alters the
perception of and
emotional response to
pain.
Narcotic agonist,
antagonist.
Relief of moderate to
severe pain. Also as a
supplement to balanced
anesth for pre- & post-op
analgesia & for obstet
analgesia during labor &
delivery.
Respiratory rate less than
12 bpm. Cautions. Hepatic
or renal impairement,
respiratory depression,
recent biliary tract
surgery, head trauma,
increased intracranial
pressure (ICP),
pregnancy, those
suspected to be opioid
dependent.
Abrupt withdrawal after
prolonged use may
produce symtoms of
narcotic withdrawal, such
as abdominal cramping,
rhinorrhea, lacrimation,
anxiety, fever &
pileorection (goose
bumps). Over dose results
in severe respiratory
depression, skeletal muscle
flaccidity, cyanosis &
extreme somnolence
progressing to seizures,
stupor & coma.
-Reassure px about addiction
liability: most patients who receive
opiates for medical reasons do not
develop dependency syndromes
GENERIC NAME
BRAND NAME
ACTION
CLASSIFICATION
INDICATION
CONTRAINDICATIONS
SIDE EFFECTS/ADVERSE
REACTIONS
NURSING RESPONSIBILITY
Dexamitasone Na
Phosphate
Desoximetasone or
Dextramethopan,
A long-acting
glucocorticoid that
inhibits accumulation of
inflammatory cells at
inflammatory sites,
phagocytosis & release
of mediators of
inflammation.
Belongs to the class of
glucocorticoids. Used
in systemic
corticosteroid
preparations.
Asthma & related
bronchospastic
disorder unresponsive
to other
therapy, allergic
rhinitis, inflammatory
nasal condition. Also
used in cerebral
edema due to
malignancy
Active untreated
infections, fungal,
tuberculosis, or viral
diseases of the eye.
Inhalation: cough, dry
mouth, hoarseness, throat
irritation.
Long term therapy may
cause muscle
wasting(specially arm &
legs),
Risk of osteoporosis &
spontaneous fracture,
muscle wasting,
nitrogenepletion,hyperglyce
mia
-Monitor I & O, daily weight
-Assess for edema
-Evaluate food tolerate & bowel
activity
-Report hyperacidity promptly
-Check V/S at least BID
-Monitor Hypercalcemia
-Assess emotional status, ability to
sleep.
GENERIC NAME
BRAND NAME
ACTION
CLASSIFICATION
INDICATION
CONTRAINDICATIONS
SIDE EFFECTS/ADVERSE
REACTIONS
NURSING RESPONSIBILITY

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Asian College of Science and Technology College of Nursing DRUG STUDY NAME: Rochelle Pesquera BSN AREA: OB WARD GENERIC NAME BRAND NAME ACTION CLASSIFICATION INDICATION CONTRAINDICATIONS SIDE EFFECTS/ADVERSE REACTIONS NURSING RESPONSIBILITY Ampicillin Na Omnipen Polycillin Principen A penicillin that inhibits cell wall synthesis in supceptible microorganism. Belongs to the class of penicillins with extended spectrum. Used in the systemic treatment of infections. Treatment of UTI, otitis media, sinusitis, bronchitis, uncomplicated community-acquired pneumonia, Haemophilus influenzae infections, invasive salmonellosis & listerial meningitis. Hypersensitivity to penicillin. Glandular fever of lymphatic leukemia. GI disturbances eg diarrhea, nausea & vomiting; skin rashes, pruritus, urticaria, erythema multiforme, exfoliative dermatitis, anaphylactic shock, anemia, thrombocytopenia, eosinophilia, agranulocytosis, laryngeal stridor, high fever. Hold medication & promptly report rash (although common w/ ampicillin,may, indicate hypersencitivity)or diarrhea -Evaluate IV site for Phlebitis. -Check IM injection site for pain, induration. Monitor I& O, urinalysis, renal function test. -Asses for signs of superinfection. GENERIC NAME BRAND NAME ACTION CLASSIFICATION INDICATION CONTRAINDICATIONS SIDE EFFECTS/ADVERSE REACTIONS NURSING RESPONSIBILIT ...
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