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Drug Classification Dosage/ Frequency /route Mechanism of Action Indication Contra-Indication Adverse Effects Nursing Responsibilities

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DRUG STUDY

DRUG CLASSIFICATION DOSAGE/ MECHANISM OF INDICATION CONTRA- ADVERSE NURSING


FREQUENCY ACTION INDICATION EFFECTS RESPONSIBILITIES
/ROUTE

Ceftriaxone -Anti-infectives 1g IVTT -Works by inhibiting -Indicated in patients -Contraindicated in -Pain - Before giving drug,
the mucopeptide with neurologic patients with -Induration ask patient if he is
synthesis in the complications, hypersensitivity to -Phlebitis allergic to penicillins or
bacterial cell wall. carditis and arthritis. drug or other -Rash cephalosporin.
The beta-lactam It is also effective in cephalosphorin -Diarrhea -Obtain specimen for
moiety of Ceftriaxone Gram negative -Thrombocytosis culture and sensitivity
-Leucopenia tests before giving first
binds to infections;
-Glossitis dose.
carboxypeptidases, Meningitis,
-Respiratory
endopeptidases, and Gonorrhea. It is also superinfections -Nurse should advise
transpeptidases in for Bone and joint patient to promptly
the bacterial infections, Lower report signs of adverse
cytoplasmic respiratory tract reactions.
membrane. These infections, middle ear
enzymes are involved infection, PID, - Nurse should instruct
in cell-wall synthesis Septicemia and patient to report pain
and cell division. By Urinary Tract at IV site.
binding to these infections.
- Nurse should advise
enzymes, Ceftriaxone
patient to report
results in the
immediately when
formation of of
loose stool or Diarrhea
defective cell walls
occurs.
and cell death

Ranitidine Histamine H2 50 g IVTT -Competitive -Treatment and -Ranitidine is -headache -Observe 10 rights in
Antagonists inhibition of prevention of contraindicated for -dizziness giving medication
histamine at H2- heartburn, acid patients known to -constipation -Assess IV site and
receptors of the indigestion, and sour have -diarrhea give the drug slowly
gastric parietal cells, stomach hypersensitivity to -vomiting -Assess patient for
which inhibits gastric the drug or any of -abdominal pain epigastric or
acid secretion, gastric the ingredients abdominal pain and
volume, and Acute polyuria, frank or occult, blood
hydrogen ion treatment with in the stool, emesis,
concentration are ranitidine may or gastric aspirate.
reduced. Does not mask the -Inform patient that it
affect pepsin symptoms of other may cause drowsiness
secretion, Penta gastric disease, or dizziness
gastrin-stimulated raised liver enzyme -Inform patient that
intrinsic factor may occur with increased fluid and
secretion, or serum high doses. fiber intake may
gastrin minimize constipation
-Advise patient to
report onset of black,
tarry stools; fever,
sore throat: diarrhea;
dizziness; rash;
confusion; or
hallucinations to
health care
professional
promptly.
-Inform patient that
medication may
temporarily cause
stools and tongue to
appear gray black.

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