Case Study

VIRAL HEPATITIS

IX. DRUG STUDY

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE NURSING

NAME NAME FICATION ACTION INDICATION EFFECTS CARE
Ranitidine Zantac Gastrointestin 50 mg I.V Competitively Active Contraindicated EENT: Assess
Hydrochlori al drug (Anti- or I.M q6 inhibits action duodenal and in patients Blurred patient for
de ulcer drug) to 8 hrs. of histamine on gastric ulcer hypersensitive vision abdominal
the H2 receptor to drug and pain. Note
sites of parietal those with with Hepatic: presence of
cells, acute porphyria jaundice emesis,
decreasing stool, or
gastric acid Use cautiously Other: gastric
secretion. in patients with burning and .aspirate
hepatic itching at
dysfunction. injection Proper used
site, of OTC
Adjust dosage anaphylaxis, preparation
in patients with angioedema as indicated.
impaired renal
function. Take once
daily
prescription
drug at bed
time for best
results.

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Instruct
patient’s SO
to take
without
regard to
meals
because
absorption
isn’t
affected by
food.
Advise
patient’s SO
to report any
abdominal
pain and
blood in
stool or
emesis.

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE EFFECTS NURSING
NAME NAME FICATION ACTION INDICATION CARE

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Paracetamol Biogesic Non-steroidal 300mg May produce Mild pain or Contraindicat Hematologic: Assess
anti- P.O q4 to analgesic effect fever P.O ed to patient Hemolytic patient’s
inflammatory 6hrs by blocking pain hypersensitive anemia, pain or
drug impulses by to drug. neutropenia, temperature
(analgesic/an inhibiting leucopenia, before,
tipyretic) prostaglandin or Use cautiously pancytopenia. during and
pain receptor in patients Hepatic: after
sensitizers. May with history of Jaundice therapy.
relieve fever by chronic
acting in alcohol abuse Metabolic: Be alert for
hypothalamic because Hypoglycemia adverse
heart regulating hepatotoxicity reaction and
center. may occur Skin: rash, dry
after urticaria interactions
therapeutic
doses. Tell the
patient’s SO
that drug is
for short-
term use only

Tell patient’
SO not to use
drug for

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fever that’s
above 39.50C
lasts longer
than 3 days,
or recurs.

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE NURSING

NAME NAME FICATION ACTION INDICATION EFFECTS CARE
Ceftriaxone Rocephin (anti- 1g, 1 vial Second- Infections of Contraindicated CNS: fever, Before
infectives) TIV q12 generation of lungs, skin, soft in patients giving
Cephalospor cephalosporin tissue, bones, hypersensitive CV: phlebitis medication

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in that inhibit its joints, urinary to drug and , make sure

cell wall and respiratory other GI: that the
synthesis, tracts, blood, cephalosporin. pseudomemb patient is
promoting abdomen and ranusos not allergic
osmotic heart: Use cautiously colitis, to
instability, CNS infections in patient diarrhea penicillin
usually caused by hypersensitive or
bactericidal. susceptible to penicillin GU: genital cephalospo
strains of because of pruritus. rin.
Neisseria possibility of
Meningitis, cross-sensitivity Hematologic: Obtain
Haemophilus with other eosinophilia, specimen
Influenzae, and betalactam thrombocyto for cultures
Streptococcus antibiotics. sis,leucopeni and
Pneumoniae ; a. sensitivity
meningitis test before
caused by Skin: pain, giving first
Escherichia Coli induration, dose.
or Klebsiella; tenderness
infections that of at
develop after injection
surgical site, rash,
procedures pruritus.
classified as

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contaminated Other:
or potentially Hypersensiti
contaminated; vity
penicillinase- reactions
producing N. serum,
gonorrhea; sickness,
otitis media. anaphylaxis,
chills.

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE EFFECTS NURSING
NAME NAME FICATION ACTION INDICATION CARE
Dipenhydra Allerdryl Antihistamine 1 amp Competes with Rhinitis, allergy Use with CNS: Warn
mine (Respiratory T.I.D histamine for symptoms, caution in drowsiness, patient
hydrochlori tract drugs) H1- receptor motion patients with confusion, not to
de site. sickness, prostatic insomnia, take this
Parkinson’s hyperplasia, headache, drug with

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Prevent, but disease. asthma, COPD, vertigo, any other

doesn’t increased sedation, products
reverse, intraocular that
histamine pressure, CV CV: contain
mediated disease, and palpation, diphenhyd
response hypertension. hypotension, ramine
particularly tachycardia (including
those of the tropical
bronchial GI: Nausea, therapy)
tubes, GI tract, Vomitting, because of
uterus and diarrhea, dry increased
blood vessels. mouth, adverse
constipation, reaction
Structurally epigastric
related to distress Tell
located to local patient
anesthetics GU: dysuria, that
drug provides urine coffee or
local anesthesia retention, tea may
and suppresses urinary reduce
cough reflex. frequency drowsiness
.
Hematologic:
Hemolytic Tell

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anemia, patient to
thrombocytop notify
enia, prescriber
agranulocytes if
tolerance
develops
Skin: because
urticaria, difference
rash, photo antihistam
sensitivity ine may
need to be
Other: prescribe.
Anaphylactic
shock

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE EFFECTS NURSING
NAME NAME FICATION ACTION INDICATION CARE
Metroni- Flagyl Topical drugs 500mg TIV May cause Inflammatory Contraindicated EENT: Advice
dazole (local anti- q6 bacterial effect papules and in patients Lacrimation patient to
infective) by interacting pustules of hypersensitive of applied avoid use
with bacterial acne rosacea to drug or its around eyes. of topical
DNA. ingredients, gel around
such as GI: eyes.

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parabens and Nausea, pain,

other cramps, Advise
nitroimidazole metallic or patient to
derivatives bad taste in clean area
mouth. thoroughly
Use cautiously before use
in patients will GU: and to
history or Cervicitis, wait 15 to
evidence of vaginitis, 20 mins.
blood dyscrasia perineal and After
in those with vulvovaginal cleaning
several hepatic itching. skin
disease. before
Skin: applying
Transient drug to
redness, minimize
dryness, mild risk of
burning, local
stinging irritation.

Other:
Overgrowth
of no
susceptible

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organism.

GENERIC BRAND CLASSI- DOSAGE MECHANISM OF INDICATION CONTRA- SIDE EFFECTS NURSING
NAME NAME FICATION ACTION INDICATION CARE
Tramadol ultram Opiod 50mg A centrally Moderate and Use cautiously EENT: Tell
analgesic T.I.V q12 acting synthetic moderately in patients at Visual patient to
analgesic severe pain risk for seizures disturbances take drug
compound not or respiratory as
chemically depression; in GI: prescribed
related opiods. patients with Nausea, and not to
increased constipation, increase
Thought to bind intracranial vomiting, dose or

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to opiate pressure in anorexia, dosage

receptors and head injury, flatulence interval
inhibit reuptake acute unless
of nor- abdominal GU: ordered by
epinephrine and conditions, or Urine prescriber.
serotonin. renal hepatic retention, Advise
impairment; or urinary patient to
in patients with frequency, check with
physical proteinuria prescriber
dependence on CV: before
opiods. Vasodilation. taking OTC
drugs
Musculoskelet because
al: drug
Hypertonia interaction
s can
Skin: occur.
Pruritus,
diaphoresis,
rash.

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