Limiac, Patricia Elevazo DRUG STUDY 2

NURSING- 201
NAME CLASSIFICATION INDICATION MECHANISM OF ROUTE & DOSAGE NURSING RESPONSIBILITY
ACTION
 For relief of  Mefenamic 500 mg orally once  Assess patients who develop
Generic Name: Nonsteroidal anti- mild to Acid is an Following initial dose: 250 mg severe diarrhea and vomiting
Mefenamic Acid inflammatory drug moderate inhibitor of orally every 6 hours as needed for dehydration and
(NSAID) pain in prostaglandi Duration of therapy: Usually not electrolyte imbalance.
to exceed 1 week
Brand Name: patients ≥ 14 n synthesis,  Give with meals, food, or milk
PONSTEL years of age, its mode of to minimize GI adverse
when action may effects.
therapy will be due to a  Do not use drug for a period
not exceed decrease of exceeding 1 wk
one week (7 prostaglandi (manufacturer’s warning).
days). ns in
 For peripheral
treatment of tissues.
primary
dysmenorrh
ea.

Ideal: Oral- 250 mg BID 7-10

Limiac, Patricia Elevazo DRUG STUDY 2
NURSING- 201
Generic name: Antibiotic For treatment of Bactericidal: days or IV- 750 mg BID  Asses any history of allergy w
Cefuroxime many different types Inhibits synthesis of this drug.
Cephalosporin of bacterial bacterial cell wall,  Culture infection and arrange
Brand name: infections such as causing cell death. for sensitivity tests before and
bronchitis, sinusitis, during therapy if expected
Ceftin
tonsillitis, ear response is not seen
infection, skin  Give oral drug with food
infections, decrease GI upset and
gonorrhoea and UTI. enhance absorption
 Have Vit K available in case
ADULTS hypoprothrombinemia occurs
Therapeutic dose: Up to 1  Instruct Pt to report any
mg/day PO, IM, IV, or unusualities.
Generic name: Used to treat folic folic acid congeners subcutaneously. Larger
acid deficiency and are transported across doses may be needed in Assessment
Folic Acid Vitamin
certain types of cells by receptor- severe cases.  History: Allergy to folic acid
supplement/ mediated endocytosis preparations; pernicious, aplastic,
Vitamin B anemia (lack of red Maintenance dose: 0.4
Brand name: where they are needed normocytic anemias; lactation
blood cells) caused mg/day.  Physical: Skin lesions, color; R,
Folvite to maintain normal
by folic acid erythropoiesis,
Pregnancy and lactation: 0.8 adventitious sounds; CBC, Hgb, Hct,
deficiency. Folic acid synthesize purine and mg/day. serum folate levels, serum vitamin
is sometimes used in B12 levels, Schilling test
thymidylate nucleic
Interventions
combination with acids, interconvert  Administer orally if at all possible.
other medications to amino acids, methylate With severe GI malabsorption or very
treat pernicious, tRNA, and generate severe disease, give IM, IV, or
aplastic, or and use formate. Using subcutaneously.
normocytic anemia vitamin B12 as a  Test using Schilling test and serum
cofactor, folic acid can vitamin B12 levels to rule out
normalize high pernicious anemia. Therapy may
mask signs of pernicious anemia
homocysteine levels by
while the neurologic deterioration
remethylation of
continues.
homocysteine to
methionine via
methionine
synthetase.
Limiac, Patricia Elevazo DRUG STUDY 2
NURSING- 201