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Date: 6/25/24 D - patient name: Sir Marajan

-Received patient in semi Fowler position


F - Pain at IV site -coherent and conscious
DRUG STUDY
M EDICATION MECAHNISM OF INDICATION SIDE EFFECTS CONTRAINDICATION/ ADVERSE EFFECTS NURSING CONSIDERATION/
ACTION DRUG TO DRUG INTERACTION Patient Teaching

GENERIC NAME: Body as a whole: Contraindicated in patients


CEFUROXIME Second generation Pharyngitis, Thrombophlebitis hypersensitive to drugs. Use CV:phlebitis, Monitor patient for signs and symptoms of superinfection
cephalosporin that Tonsillitis, (IV Site); pain, cautiously in patients thrombophlebitis. and diarrhea and treat appropriately.
BRAND NAME: zoltax inhibits cell-wall infections of the burning, cellulitis hypersensitive to penicillin GI: diarrhea,
synthesis, urinary and lower (IM Site); because of possibility of cross pseudomembranous colitis, • Drug may increase INR and risk of bleeding. Monitor
DRUG CLASS promoting osmotic respiratory tracts, superinfections, sensitivity with other beta-lactam nausea, anorexia, vomiting. patient.
Therapeutic class: Antibiotics instability; usually and skin structure positive Coomb’s antibiotics Hematologic: hemolytic
bactericidal. infections caused Test. anemia, • Look alike–sound alike: Don't confuse drug with other
Pharmacologic class: Second- by streptococcus thrombocytopenia, transient cephalosporins
generation cephalosporins pneumonia and S. neutropenia, eosinophilia. that sound alike
pyogenes,
*DOSAGE: 1 tab 500mg Haemophillus Skin:
*FREQUENCY: BID influenza, maculopapular and
*ROUTE: PO Staphylococcus erythematous rashes,
aureus, urticaria, pain, induration,
Escherechia Coli sterile abscesses,
temperature elevation, tissue
sloughing at IM injection site.

Other: anaphylaxis,
hypersensitivity reactions,
serum sickness.

GENERICNAME: Neurologically 1. Treatment for pt. Caution with Methycobal should Nausea and vomiting, Assess for gastrointestinal complaints such as nausea,
Mecobalamin active form of vit. with peripheral not be used for >1 month in dizziness, skin rash, vomiting and constipation -Asses the patient abdomen
B12 and occurs as a neuropathies patients if no clinically therapeutic sweating, anorexia and forbloating-Ask the significant other’s if the patient is
water-soluble 2. Vit. B12 def. outcome is observed headache experiencing headache -Report severe GI upset, dizziness ,
BRANDNAME: Methycobal vitamin in the body. unusual fatigue or weakness, fever & chills
It is a cofactor in
Classification:Vit B 12 theenzyme
methionine
synthase, which
functions to transfer
methyl groupsfor
the regeneration of
methione from
homocysteine.
-pt. IV site( L arm) found swelling and pain

A - Removed IV cannula, dressing on IV site


-changed the whole set, reinserted the new set asseptically.

R- pt. Pain is tolerable and lesser.

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