DRUG ACTION INDICATION REACTION NURSING CONSIDERATION

Generic Name: It exerts killing action on  To treat serious lower SIDE EFFECT: Nursing Considerations:
Cefuroxime growing and building respiratory tract  Diarrhea  Absorption enhanced by food.
Brand Name: Zurenix bacteria by inhibiting infection.  Nausea  Before giving drug, assess allergy to
Classification: bacterial cell – wall  Bacterial exacerbation of  Anorexia cephalosporin and or Penicilin.
Cephalosporin synthesis. It inhibits the final acute bronchitis.  Vomiting  Monitor patient for signs of suerinfection.
Doctor’s Order: 750 cross – linking stage of  Rashes  For prolonged therapy, assess hematocrit,
mg IV every 8 hours peptidoglycan production by  Elevation in hemoglobin level, PT, INR and renal
Date Started: binding to and inactivating CONTRAINDICATION: temperature function periodically
September 5, 2010 traspeptidases, penicillin  Patients hypersensitive
binding proteins on the inner to Cephalosporin. ADVERSE EFFECT:
surface of the bacterial cell  Thrombocytopenia Patient Teaching:
membrane.  Transient neutropenia  Advise to take drug with food, milk,
 Anaphylaxis antacid or large glass of water to reduce
unpleasant GI reaction.
 Pseudomembranous
 For prolonged use, tell patient to watch out
Colitis.
for bleeding gums and signs of GI
bleeding and to drink plenty of fluids.
Encourage use of soft-bristled toothbrush
 DRUG ACTION INDICATION REACTION NURSING CONSIDERATION
Generic Name: It is a direct-acting  To prevent or treat SIDE EFFECT: Nursing Considerations:
Albuterol sympathomimetic with b- bronchospasm and  Tremors  Drug may decrease sensitivity to
Brand Name: adrenergic activity and patient with reversible  Nervousness spirometry.
Salbutamol selective action on b2 obstructive airway  Hyperactivity  Syrup contains no alcohol or sugar.
Classification: receptors, producing disease.  Headache  In women treated for premature labor,
Bronchodilator bronchodilating effects.  To dilate bronchus  Weakness monitor hydration status, cardiac and
Doctor’s Order: Neb secondary to edema.  Hypertension respiratory function.
every 6 hrs. CONTRAINDICATION:  Minimize volume of infusion fluid.
 Dizziness
Date Started:  Patients hypersensitive  Discontinue treatment if patient
September 7,2010 to drug. develops signs of pulmonary edema
ADVERSE EFFECT:
 Perform back tapping after
 bronchospasm
nebulization.

Patient Teaching:
 Encourage patient to eat potassium
rich foods.
 Teach significant others on how to
perform back tapping.
 DRUG ACTION INDICATION REACTION NURSING CONSIDERATION
Generic Name: Thought to produce  Mild pain and fever. SIDE EFFECT: Nursing Considerations:
Acetaminophen analgesia by blocking  Hemolytic Anemia  may OTC and prescription product
Brand Name: pain impulses by inhibiting  Jaundice contain acetaminophen, be aware
Paracetamol synthesis of prostaglandin  Rash when calculating total daily use.
Classification: Non in the CNS and of other  urticaria  Use liquid form in pt with dysphagia.
Opioid analgesic and substance that sensitize  In children don’t exceed 5 doses in 24
antypyretic pain receptor. The drug hours.
Doctor’s Order: 250 may relieve fever through CONTRAINDICATION: 
mg/5 ml q 4 hours for central action in the  Patients hypersensitive
fever hypothalamic heat to drug. ADVERSE EFFECT:
Date Started: regulating center.  Use cautiously in  Leukopenia
September 5,2010 patients with long term  Nuetropenia
alcohol use or with liver  Hypoglycemia
dysfunction: may lead to
hepatotoxicity.