Name of Dosage Action and Indication Side Effects or Mode of Nursing

the Drug and Classificati and Adverse Effect Action Responsibil

Frequen on Contraindicat ity
cy ion

cefuroxi 750mg IV Chemical Indications: CNS: Chills, Interferes with If

me q8 (-) fever, headache, bacterial cell possible,
class: To treat
(Cefumin ANST moderate seizures wall synthesis obtain
) infections by inhibiting the culture
other than final step in the and
2nd- those listed CV: Edema crosslinking of sensitivit
above peptidoglycan y esults,
generation
strands. as
cephalospor Peptidoglycan ordered,
To provide EENT: Hearing
in, 7- makes the cell before
perioperati loss, oral
membrane rigid
aminoceph giving
ve candidiasis
and protective. drug.
alosporanic prophylaxis
Without it,
acid bacterial cells For I.V.
GI: Abdominal rupture and die. use,
Contraindicat cramps, reconstit
ion: diarrhea, ute using
Therapeut Hypersensi elevated manufact
ic class: tivity to urers
liver function
cephalospo test instructio
results,
 rins or their hepatic failure, ns
component according
Antibiotic hepatomegaly,
s. to type of
nausea,
preparati
pseudomembra
on
nous
available.
colitis, vomiting Solution
ranges in
color
from light
GU: Elevated
yellow to
BUN level,
amber.
nephrotoxicity,
Give I.V.
renal failure,
injection
vaginal
over 3 to
candidiasis
5
minutes
through
HEME: tubing of
Eosinophilia, a flowing
hemolytic compatibl
anemia, e I.V.
hypoprothrombi fluid.
nemia, Monitor
neutropenia,
I.V. site
thrombocytopen for
ia, unusual extravasa
bleeding tion and
phlebitis.

Monitor
MS: Arthralgia
BUN and
serum
creatinin
RESP: Dyspnea e levels
and fluid
intake
SKIN: and
Ecchymosis, output to
erythema, detect
erythema signs of
nephroto
multiforme, xicity.
pruritus, rash, Monitor
Stevens-Johnson patients
Syndrome with renal
impairme
nt closely
because
Other:
they may
Anaphylaxis;
have
injection-site
greater
edema, toxic
reactions
pain, and
to
redness;
cefuroxim
superinfection
e.

Monitor
patient
for
allergic
reactions
continuin
g up to a
few days
after
therapy
starts.
Patients
with a
history of
some
form of
allergy,
especially
to drugs,
are at
increased
 risk for
an
allergic
reaction.

Name of Dosage Action and Indication Mode of Side Effects Nursing

the Drug and Classificati and Action Responsibil

Frequen on Contraindicat ity

cy ion

Omeprazo 40 mg IV Chemical Indications Omeprazole CNS: Agitation, Omeprazole

class: interferes with asthenia,
le OD Substituted To provide gastric acid dizziness, Losec
benzimidaz long-term secretion by drowsiness,
Losec ole treatment of inhibiting the fatigue, (CAN),
Therapeutic gastric hydrogenpotassi headache,
(CAN), hypersecretor um- psychic Prilosec,
class: adenosine disturbance,
Prilosec, y conditions triphosphatase somnolence Zegerid
Antiulcer (H+K+-ATPase) CV: Chest pain,
Zegerid Contraindiction enzyme system, hypertension,
or proton peripheral
s pump, in gastric edema
parietal cells. EENT: Anterior
Hypersensitivit Normally, ischemic optic
y to the proton pump neuropathy,
omeprazole, uses energy optic atrophy or
other proton from neuritis,
pump hydrolysis of stomatitis
adenosine ENDO:
inhibitors, or triphosphate to Hypoglycemia
drive hydrogen GI: Abdominal
their (H+) and pain,
chloride (Cl-) constipation,
components out of parietal diarrhea,
cells and into dyspepsia,
the stomach elevated liver
lumen in function tests,
exchange for flatulence,
potassium (K+), hepatic
which leaves the dysfunction or
stomach lumen failure,
and indigestion,
enters parietal nausea,
cells. After this pancreatitis,
exchange, vomiting
H+ and Cl- GU: Interstitial
combine in the nephritis
stomach to HEME:
form Agranulocytosis,
hydrochloric anemia,
acid (HCl), as hemolytic
shown anemia,
below left. leukopenia,
Omeprazole leukocytosis,
irreversibly neutropenia,
 blocks the pancytopenia,
exchange of thrombocytopen
intracellular H+ ia
and extracellular MS: Back pain
K+, as shown RESP: Cough
below SKIN: Erythema
right. By multiforme,
preventing H+ photosensitivity,
from entering pruritus, rash,
the stomach Stevens-Johnson
lumen, syndrome,
omeprazole toxic epidermal
keeps necrolysis,
additional HCl urticaria
Other:
from forming
Anaphylaxis,

angioedema,

hyponatremia
Name of Dosage Action and Indication Mode of Side Effects Nursing

the Drug and Classificati and Action Responsibil

Frequen on Contraindicat ity

cy ion
mannitol 100 cc q Chemical Indication Elevates plasma CNS: Chills, Check
Osmitrol class: osmolality, dizziness, fever, weight
, 8 Hexahydrox To reduce causing water to headache, and
y alcohol intracranial or flow from seizures monitor
Resectis Therapeutic intraocular tissues, such as CV: Chest pain, BUN and
class: pressure brain and eyes, heart failure, serum
ol Antiglauco and from CSF, hypertension, creatinin
ma, Contraindicati into tachycardia, e
diagnostic extracellular thrombophlebiti electrolyt
agent, on fluid, s e levels
thereby EENT: Blurred daily.
osmotic Active decreasing vision, dry Provide
intracranial intracranial and mouth, rhinitis frequent
diuretic, bleeding intraocular GI: Diarrhea, mouth
(except during pressure. As an nausea, thirst, care to
urinary craniotomy), osmotic diuretic, vomiting relieve
anuria, hepatic mannitol GU: Polyuria, thirst and
irrigant failure, increases the urine retention dry
hypersensitivit osmolarity of RESP: mouth.
y glomerular Pulmonary Inform
to mannitol or filtrate, edema patient
its which decreases SKIN: that he
components, water Extravasation may
pulmonary reabsorption. with edema and experienc
edema, severe This leads to tissue e dry
dehydration, increased necrosis, rash, mouth
severe heart excretion of urticaria and thirst
failure, severe water, Other: during
pulmonary sodium, Dehydration, mannitol
congestion, chloride, and hyperkalemia, therapy.
severe renal toxic hypernatremia, Instruct
substances. As hypervolemia, patient to
insufficiency an irrigant, hypokalemia, report
mannitol hyponatremia chest
minimizes the (dilutional), pain,
hemolytic metabolic difficulty
effects of water acidosis, water breathing
used as an intoxication , or pain
irrigant and at I.V.
reduces the site.
movement of
hemolyzed
blood from the
urethra to the
systemic
circulation,
which prevents
hemoglobinemia
and serious
renal
complications.