Nurse'Sdrug Handbook Jones & Bartlett Learning 14 Edition 2015

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FERNANDEZ, Bianca Nicole G.

October 26-28, 2020


BSN 3B 2a CI: Ma’am Nasper Anod

DRUG NAME MECHANISM OF INDICATION / ADVERSE EFFECT NURSING RESPONSIBILITIES


ACTION CONTRAINDICATION

GENERIC: Paracetamol may cause INDICATIONs: Hematologic: BEFORE:


Paracetamol analgesia by inhibiting Temporary relief of pain and hemolyticanemia, Dx:
CNS prostaglandin discomfort from headache, fever, neutropenia, leukopenia, a. Asses patient’s drug history and calculate total daily
BRAND: synthesis. The cold, flu, minor muscular aches, pancytopenia dosage accordingly:
Tylenol mechanism of morphine overexertion, menstrual cramps, b. Assess patient’s temperature before therapy and
is believed to involve toothache, minor arthritic pain. Hepatic: regularly thereafter.
CLASS: decreased permeability of liver damage, c. Check for allergies
Analgesics ( Non- the cell membrane to CONTRAINDICATION: Tx:
opioid) sodium, which results in Paracetamol is contraindicated for Metabolic: d. Monitor CBC, liver and renal functions.
Antipyretics diminished transmission use in patients with known hypoglycaemia EDx:
of pain impulses hypersensitivity or idiosyncratic e. Educate SO on drug therapy to promote compliance.
THERAPEUTIC therefore analgesia. reaction to paracetamol (or any of Skin:
Pain reliever and fever the other ingredients in the product); rash, urticaria DURING:
reducer Source: Dx:
Nurse’sDrug Handbook DRUG TO DRUG a. Monitor for adverse effects like respiratory
PHARMACOLOGIC: Jones & Bartlett INTERACTION: dysfunctions
Learning 14th edition Barbiturates, carbamapezine, b. Check for drug or herbal interactions
DOSAGE: 2015 hydantoins, isoniazid, rifampin, Tx:
20/mg/kg/dose sulfinpyrazone: May reduce c. Do not give children more than 5 doses in 24 h
therapeutic effect and enhance unless prescribed by physician.
ROUTE: hepatotoxic effects of acetaminophen EDx:
IV with high doses or long-term use of d. Report diarrhea, nausea, dyspepsia, insomnia,
these drugs. Avoid use together. drowsiness, dizziness, or persistent headache to
Warfarin: May increase physician.
hypoprothrombin-emic effect with
long-term use of high doses. AFTER:
Zidovudine: May increase risk of Dx:
bone marrow suppression because of a. Assess knowledge/teach SO appropriate use
impaired zidovudine metabolism. ,interventions to reduce side effects, and adverse
symptoms to report
FERNANDEZ, Bianca Nicole G. October 26-28, 2020
BSN 3B 2a CI: Ma’am Nasper Anod

DRUG TO FOOD b. Monitor for effectiveness as exhibited by a decrease


INTERACTION: in symptoms
_________________ c. Monitor for side effects.
Tx:
d. Provide safety measures to prevent injuries.
e. Provide comfort measures like telling things to
avoid to help patient tolerate drug effects.
f. Administer drug once a day in the evening to
achieve optimal therapeutic effects.
EDx:
g. Monitor patient for 2-4 weeks to ascertain onset of
full therapeutic effect.
h. Teach client warning signs that needs immediate
attention of the physician.

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