DRUG STUDY

Doctors Order: Omeprazole 40 mg/vial TIV every 12 hours Date Started: March 5, 2013 DRUG Generic Name: Omeprazole ACTION Binds to an enzyme on gastric parietal cells in the presence of acidic gastric pH, preventing the final transport of hydrogen ions into the gastric lumen. SIDE AND ADVERSE EFFECTS Maintenance of healing Dizziness, in erosive esophagitis. drowsyness, Pathologic weaknes, headache hypersecretory Abdominal pain, acid conditions. regurgitation INDICATION NURSING CONSIDERATIONS >Assess routinely for epigastric or abdominal pain, gastric aspirate >Administer doses before meals >Advise patient to report abdominal pain, persistent headache to health care professional promptly

Classification Therapeutics: Antiulcer Pharmacologic: Proton Therapeutic Effects: Pump Inhibitor Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal reflux. Healing of duodenal ulcers.

Doctors Order: Tramadol 1 mp TIV PRN for pain DRUG TRAMADOL Generic name: Tramadol HCL Brand name: Tramal CLASSIFICATION: Analgesic (centrally acting) Opioid analgesic ACTION Reduces Pain: Bind to opioid receptors Date Given: March 5, 2013 INDICATION Management of moderate to severe pain, chronic pain. SIDE AND ADVERSE EFFECTS CNS: sedation, dizziness or vertigo, headache CV: hypotension Dermatologic: sweating GI: n/v NURSING CONSIDERATIONS Control environment (temperature, lighting) is sweating or CNS effects occur Monitor pulse, BP Assist with ambulation if dizziness, vertigo occurs Safety measures: side rails, night-light

Inhibits reuptake of norepinephrine CONTRAINDICATIONS and serotonin Contraindicated with allergy to tramadol or opioids or acute Reduces intensity of pain stimuli intoxication with incoming from sensory nerve alcohol. endings

Doctors Order: Metronidazole 500mg/vial TIV every 8 hours ANST (-) Date Started: March 5, 2013 DRUG Generic name: Metronidazole Brand Name: Metizol Classification Amebicide; Trichomonacidal ACTION Synthetic compound with direct trichomonacidal and amebicidal activity as well as bactericidal activity against anaerobic bacteria and some gram-negative bacteria. INDICATION used for the treatment of serious infections caused by susceptible anaerobic bacteria in intraabdominal infections SIDE AND ADVERSE EFFECTS Overgrowth of candida Nausea Vertigo Headache Dizziness Dry mouth NURSING CONSIDERATIONS D/C therapy immediately if symptoms of CNS toxicity develop. Monitor for peripheral neuropathy Monitor for S/S of sodium retention, especially in patients on corticosteroid therapy Report appearance of candidiasis or its becoming more prominent with therapy to physician promptly Urine may appear dark or reddish brown. This appears to have no clinical significance Report symptoms of candidal overgrowth

Doctors Order: Ampicillin 1gm IV every 6 hours ANST (-) Date Started: March 5, 2013 DRUG Generic Name: Ampicillin Classification Therapeutics: Anti Infectives ACTION Binds to bacterial resulting in cell death Therapeutic effects: Bectericidal action cell SIDE AND EFFECTS wall, Treatment of following Nausea, infections, genitourinary weakness infections INDICATION ADVERSE NURSING CONSIDERATIONS headache, >Asses for infection >Observe for signs and symptoms of anaphylaxis >Asses skin for ampicillin rash