Generic Brand Indication MOA Side effects and adverse Nursing

Name Name effects Responsibilities

Ivabradine Corlanor Indicated to Blocks the Nursing
reduce the risk hyperpolarization- Blurred vision considerations: (1)
of activated cyclic chest pain or discomfort Tell patients to report
hospitalization nucleotide-gated (HCN) fast or irregular heartbeat significant decreas- es
for worsening channel responsible for headache in heart rate or signs
heart failure in the cardiac pacemaker lightheadedness, dizziness, or and symp- toms such
patients with I(f) ‘funny’ current, fainting as dizziness, fatigue,
stable, which regulates heart rate nervousness or hypotension, as
symptomatic pounding in the ears well as symptoms of
chronic heart In clinical slow or irregular heartbeat atrial fibrillation such
failure with electrophysiology unusual tiredness as palpitations or
LVEF ≤35%, studies, the cardiac shortness of breath.
who are in effects were most Drug to drug and food to food (2) Instruct patients to
sinus rhythm pronounced in the interaction take each dose with
with resting sinoatrial (SA) node, but Do not eat grapefruit or food.
heart rate ≥70 prolongation of the AH drink grapefruit juice while (3) do not take
bpm and either interval has occurred on you are using this medicine. medication if heart
are on the surface ECG, as has rate is <50 bpm
maximally PR interval prolongation
tolerated doses Using this medicine with
of beta- any of the following
blockers or medicines is not
have a recommended.
contraindicatio
n to beta- Bepridil
blocker use
Boceprevir

Cisapride
 Clarithromycin

Cobicistat

Conivaptan

Dronedarone

Fluconazole

Idelalisib

Indinavir

Itraconazole

Arcoxia Etoricoxib ARCOXIA helps Arcoxia belongs to a feeling sick (nausea), Educate the patient to
to reduce the pain group of medicines vomiting not take Arcoxia if:
and swelling called cyclooxygenase-2 heartburn, indigestion,
(inflammation) in (COX-2) specific uncomfortable feeling or you have an allergy to
the joints and inhibitors (also known as pain in the stomach Arcoxia or any of the
muscles coxibs). diarrhoea ingredients listed at
Arcoxia reduces pain and swelling of the legs, ankles the end of this leaflet
inflammation by or feet
blocking COX-2, an high blood pressure take the medication
enzyme in the body. dizziness after meals
headache
Arcoxia does not block Drug to drug and food to food
COX-1, the enzyme interaction
involved in protecting the Some medicines and
stomach from ulcers. Arcoxia may interfere with
each other. These include:
 Arcoxia relieves pain warfarin, a medicine used to
and inflammation with prevent blood clots.
less risk of stomach rifampicin, an antibiotic
ulcers compared to used to treat tuberculosis
NSAIDS. and other infections

Avoid alcohol.

Ursodeoxych Ursomax Ursodeoxychol Ursodeoxycholic acid Common side effects of Take this medicine
olic Acid 300 ic acid is a bile reduces elevated liver Ursodeoxycholic acid include with or immediately
acid used for enzyme levels by diarrhoea, abdominal after food.
the treatment facilitating bile flow discomfort, nausea, headache,
muscle or joint pain, and
of primary through the liver and Try to avoid eating
paleness.
biliary protecting liver cells. The foods that are high in
cirrhosis main mechanism if The symptoms of a drug
calories or cholesterol.
(PBC), anticholelithic. Although allergy include one or more of
The drug the exact process of the following: Do not take antacid
decreases the ursodiol's anticholelithic Swollen face/eyes/lips/tongue. preparations at the
absorption of action is not completely Difficulty in breathing. same time as this
cholesterol and understood, it is thought Itchy skin rashes over your medicine. Some
is used to that the drug is whole body. indigestion remedies
dissolve concentrated in bile and stop ursodeoxycholic
(cholesterol) decreases biliary Drug to drug and food to food acid from working
gallstones in cholesterol by interaction properly.
patients as an suppressing hepatic
alternative to a synthesis and secretion of
surgical cholesterol and by The risk or severity of
procedure to inhibiting its intestinal adverse effects can be
remove the absorption. The reduced increased when Abciximab
gallstones cholesterol saturation is combined with
permits the gradual Ursodeoxycholic acid.
solubilization of
 cholesterol from
gallstones, resulting in
their eventual Acenocoumarol
dissolution.

The risk or severity of

bleeding and bruising can
be increased when
Acenocoumarol is
combined with
Ursodeoxycholic acid.

Acetylsalicylic acid

The risk or severity of

adverse effects can be
increased when
Acetylsalicylic acid is
combined with
Ursodeoxycholic acid.
Erceflora bacillus Adjunctive acillus clausii spores Take this medicine
clausii treatment to overcome the gastric acid hypersensitivity reactions, with or immediately
help restore barrier due to their high including rash, urticaria and after food.
intestinal resistance to both angioedema
bacterial flora chemical and physical .
that has been agents, and reach the
altered by intestinal tract intact
antibiotic or where they are
chemotherapy transformed into Drug to Drug, Food to drug
treatments. metabolically active interaction
. vegetative cells. No known Drug to drug and
food to food interaction
FDAR
Day 1: Trans in notes

Focus : Trans-in note in medical ward from room 255 C to room 256
Data : The client requested to be transferred from semi-private room to private room
Actions: prepared a suitable bed to receive patient, Assembled the necessary equipment depending on the patients condition i.e.
oxygen apparatus, suction machine, vital signs tray. Identifies and confirmed patient by name particulars, Provided privacy and do
baseline assessment of patient and document (observation, vitals etc.), Took care of patient’s valuables if necessary, Ensured that the
patient is assigned to the appropriate room. Wrote admission report- day and night report , Ensured comfort and reducing anxiety of
patients and relatives
Response: The patient was able to move out from the room with use of cane and minimal assistance in ambulation .

Day 2:
Focus : Imbalanced nutrition : Less than body requirements related to unwillingness to eat secondary to hepatic mass as evidence by
loss of appetite and weight loss
Data :
S> “Wala akong gana kumain” as verbalized by the patient, “Ilang lingo na syang walang gana kumain kaya nangayayat ngayon” as
verbalized by the patients husband. There has been a loss of weight of 10 kg for the past month
O>The client was received in bed with PNSS, Combiflex, with 02 in 1-2 LPM, catheter, and JP drain, the patient appears to be thin
and weak, stays on bed , cannot tolerate mobilisation
Actions:
DX: Noted real, exact weight, Taken nutritional history with the participation of significant others. Ascertain etiological factors for
decreased nutritional intake. assessed for physical signs of poor nutritional intake. Took note of the patient’s perspective and feeling
toward eating and food. Assessed patient’s ability to obtain and use essential nutrients.
TX: Ascertain healthy body weight for age and height. Refer to a dietitian for complete nutrition assessment and methods for
nutritional support. Provided a pleasant environment to decrease stress and be favourable for eating. Promoted proper positioning by
elevating head of bed to 30 degrees, If patient lacks strength, schedule rest periods before meals and open packages and cut up food
for patient. Offered liquid energy supplements
EDX: Educated the client to increase water intake to at least 1L to 2L, Encouraged the client to eat foods high in protein and high in
calories to provide energy.
Response: The patient was able to regain interest in food as evidence by an increase in water input and able to eat at least half a cup of
soup and sips of juice.

Day 3:
Focus : Fluid volume excess related to dislodgement of IV line manifested by presence of edema on the right hands.
Data : S> “Mejo masakit yung kamay ko na namamaga” “Kanina ko lang napansin an namamaga kasi nakatulugan ko”
O> Absence of backflow on the IV site of the client, presence of edema on the right hands of the client with pain scale of 4/10
Actions: Assessed the area where the edema had occurred, Monitored input and output closely, Assisted in the transfer of IV line from
right to the left hands of the client, provided cold compress to decrease edema and pain.
Response: The edema on the right hands of the client was able to subside and the pain rating has been able to be lowered from 4/10 to
0/10