Generic Name Omeprazo le 40mg

Classificat ion Antacids, Antireflux Agents & Antiulceran ts Antisecreto ry drug

Indication

Short-term treatment of active duodenal cancer

Contraindica tion Hypersensitivi ty to omeprazole or its components. Use cautiously with pregnancy, lactation

Short-term treatment of active benign gastric ulcer

Mechanism Of Action Gastric-acid pump inhibitor: suppresses gastric acid secretion by specific inhibition of the hydrogenpotassium ATPase enzyme system at the secretory surface of the gastric parietal

Adverse Reaction

CNS: headache, dizziness, asthenia, vertigo, insomnia, apathy, anxiety, paresthesias, dream abnormalities

Nursing Considerations Assessment: 1. History : hypersensitivity to omeprazole or any of its components; pregnancy, lactation 2. Physical: skin lesions; reflexes; urinary output; abdominal examination; respiratory auscultation

Eradication of Helicobacter Pylori First-line therapy for treatment of heartburn or symptoms of GERD

Dermatologic: rash, inflammation, urticaria, pruritus, alopecia, dry skin

Interventions: 1. Administer before meals. 2. Administer antacids with, if needed. 3. Have regular medical follow-up visits.

GI: diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth, tongue atrophy

Respiratory: URI symptoms, cough, epistaxis

4. Report severe headache, worsening of symptoms, fever, chills.

Generic Name

Classificat ion

Indication

Contraindic ation

Mechanism Of Action

Adverse Reaction

Nursing Considerations

Clarithro mycin (Biaxin) 500mg 1tab Bid PO

Antibiotic, Macro-lide ACTION: Macrolide antibiotic that acts by binding to the 50S ribosomal subunit of susceptible organisms, thus interfering with or inhibiting microbial protein synthesis.

>Treatment of upper respirator y infections caused by S. pyogenes , S. pneumoni ae >Treatment of lower respirator y infections caused by Mycoplas ma pneumoni ae, S. pneumoni ae, H. influenza e, M. catarrhali s >Treatment of skin and skinstructure infections caused by S. aureus, S.

Hypersensitivity to clarithromycin, other macrolide antibiotics, or erythromycin. Clients taking pimozide. Use with ranitidine bismuth citrate in those with history of acute porphyria.

Macrolide antibiotic that acts by binding to the 50S ribosomal subunit of susceptible organisms, thus interfering with or inhibiting microbial protein synthesis.

GI: diarrhea, nausea, vomiting, abdominal pain

BEFORE: ~ Assess patient for infection (vital signs; appearance of wound, CNS: headache, sputum, urine, dizziness, and stool; WBC) hallucination, at beginning of insomnia, therapy. ~ Obtain Allergic: specimens for urticaria, mild culture and skin eruption, sensitivity before anaphylactic initiating therapy. DURING: Miscella-neous: ~ Administer hearing loss, around the clock, rash, alteration without regard to in sense of smell, meals. Food slows hepatic failure but does not decrease the extent of absorption. ~ Instruct patient to take medication around the clock and to finish the drug completely as directed, even if feeling better. AFTER: ~ Advise patient to report the signs of superinfection (black, furry overgrowth on the

pyogenes >Treatment of dissemin ated mycobact erial infections due to M. avium and M. intracellul ar >Treatment of active duodenal ulcer with H. pylori in combinati on with proton pump inhibitor >Treatment of acute otitis media, acute maxillary sinusitis due to H. influenza e, M. cararrhali s, S.

tongue; vaginal itching or discharge; loose or foul-smelling stools). ~ Instruct the patient to notify health care professional if symptoms do not improve within a few days.

pneumoni ae >ER tablets: Treatmen t of mild to moderate communit yacquired pneumoni a in adults

Drug Name

Classification

Indication:

Contraindicatio

Mechanism

Adverse Drug

Nursing

n: Generic: Amoxicillin Brand: Coamoxiclav Dosage & Frequency: 500mg; Thrice a day for 7 days Route: Oral Anti-infectives Treatment of infections of respiratory tract, skin and skin structures, genitourinary tract, otitis media, meningitis, septicemia, sinusitis, bacterial endocarditis prophylaxis. Hypersensitivity to penicillins, cephalosporins. Not used to treat severe pneumonia, empyema, bacteremia, pericarditis, meningitis, and purulent or septic arthritis during acute stage.

of Action Prevents bacterial wall synthesis during replication

Effects Urticaria, gastritis, anorexia, stomatitis, dry mouth, pruritus, chills, joint pains, nephrotoxicity, oliguria, cramps, rectal bleeding, anemia, bone marrow depression, transient hepatitis, black hairy tongue, laryngeal edema

Interventions Obtain patients history of allergy Assess for signs and symptoms of infection Monitor swallowing of oral administrati on medication Monitor vital signs of patient Assess for allergic reactions during treatment: rash, urticaria, pruritus, chills, fever, joint pains Monitor signs of nephrotoxici ty: oliguria, proteinuria, increased BUN, and

creatinine Assess for bowel patterns and signs of dehydration Monitor for bleeding.

GENERIC NAME Salbutamol

Classificati on Anti asthmatic

INDICATION Reversible airway obstruction including bronchial asthma, chronic bronchitis

CONTRAINDICA TION Contraindicate

ACTION

ADVERSE REACTION PRECAUTION: Hyperthyroidism, DM, cardiovascular disease

NURSING CONSIDERATIO N > drug may be decrese sensitivity of spirometry used for diagnosis of asthma >syrup may be taken as young as age 2 >monitor for evidence of allergic rxn

BRAND NAME Ventolin vilmax

DOSAGE Adult: 8mg tablet BID

Facilitates potentiates d with the inhibitory activity of hypersensitivit GABA at the y to albuterol; limbic system and reticular formation to tachyarrhyth reduce mias, anxiety, promote tachycardia calmness and sleep cause by digitalis intoxication.

ADVERSE RXN Fine tremor of skeletal muscle, feeling of tension, a compensory small increase in heart rate, headache, muscle cramps

Use cautiously with diabetes

mellitus; hyperthyroidism, history of seizure disorders.