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DRUG STUDY #1

Name of Drug Dosage Classifica- Mechanism of Action Adverse reaction Nursing Considerations
Frequency tion
Preparation

Generic: Dosage: 800 to 1600 Histamine2 Cimetidine competitively inhibits Diarrhoea, other GI disturbances,  Give drug with meals and at bedtime.
Cimetidine mg orally (H2) histamine at H2-receptors of the dizziness, headache, tiredness, myalgia,  Decrease doses in renal and hepatic
antagonist gastric parietal cells resulting in arthralgia, rashes, altered LFTs, impairment.
Frequency: OD decreased gastric acid secretion, reversible confusional states. Rarely,  Arrange for regular follow-up, including
gastric volume and hydrogen ion hypersensitivity reactions and fever, blood tests to evaluate effects.
Brandname: Preparation: concentration. It is also used in reversible alopecia, blood disorders (e.g.
patients w/ pancreatic insufficiency to
 Teach patient to take antacids as
TAGAMET Should be taken with agranulocytosis, leucopenia, and prescribed and at recommended times.
food. reduce the breakdown of pancreatic thrombocytopenia), acute pancreatitis,
enzyme supplements. interstitial nephritis, hallucinations and  Advise Patient to tell their health care
depression, CV disorders (e.g. providers about all medications, over-
bradycardia, tachycardia, heart block), the-counter drugs, or herbs they take;
transient hypotension, gynaecomastia this drug may interact with many of
and impotence. these.

Potentially Fatal: Rarely,


hepatotoxicity, cardiac arrest and
arrhythmias due to rapid IV inj.

DRUG STUDY #2
Name of Drug Dosage Classifica- Mechanism of Action Adverse reaction Nursing Considerations
Frequency tion
Preparation

Generic: Dosage: Analgesic Hydrocodone is a phenanthrene CNS: confusion, dizziness, Instruct them to swallow the medication whole and not
Hydrocodone Dose can be (Opioid) derivative opiate agonist that binds sedation, euphoria, hallucinations, to crush, chew, or dissolve it, which would alter its
adjusted in to opioid receptors in the CNS, headache, unusual dreams. extended-release action, making more drug available
Brandname: increments of causing inhibition of ascending pain EENT: blurred vision, diplopia, initially and increasing the risk of respiratory
ZOHYDRO ER 10 mg pathways, altering the perception of miosis. depression.
and response to pain. Resp: respiratory depression.
Frequency: CV: hypotension, bradycardia. GI: Monitor for effectiveness of drug for pain relief. Notify
BID every 3-7 constipation, dyspepsia, nausea, physician if patient reports that the pain isn’t controlled.
days vomiting.
GU: urinary retention. Derm: Monitor respiratory status and bowel elimination.
sweating.
Preparation: Misc: physical dependence, Monitor for nausea and vomiting
Should be taken psychologic dependence, tolerance
with food. Instruct patient to drink plenty of liquids for adequate
hydration.

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