V.

Drug Study

Date Brand Name/ Generic Frequency/Mo Mechanism Adverse Nursing

Trade Name Name de/Route of of Action Reaction/ Considerations
Administration Effects

05/27 Prozac Fluoxetine 20 mg tablet PO Prozac works CNS: - Ask if the patient
/21 qam for 4 weeks by blocking Headache, has history of:
the absorption insomnia, Hypersensitivity to
of the dizziness, fluoxetine, impaired
neurotransmit lightheadedness hepatic or renal
ter serotonin , sedation function, diabetes
in the brain. CV: Hot mellitus, lactation,
Regulating flashes, pregnancy, seizures.
the amount of palpitations
serotonin Dermatologic: - Administer the
helps brain Sweating, rash, medicine in the
cells transmit acne morning. Before or
messages to GI: Nausea, after breakfast.
each other. vomiting,
This results in diarrhea, dry - Assess for any
a better and mouth, possible side effects
more stable constipation, or adverse reaction
mood. flatulence after administering
the medicine.

- Offer support and

encouragement to
help the patient cope
with the disease and
the drug regimen.

- Monitor patient’s
response to therapy
after 4 weeks before
increasing the dose.

- Must be taken
alongside
psychotherapy

- Educate pt and
relatives about the
drug: its effects,
prescribed dosage,
and importance of
the drug
05/27 Nexium Esomeprazole 20 mg PO qDay Esomeprazole CNS: - Assess for possible
/21 for 4 weeks , like other Headache, contraindications and
proton-pump seizures cautions: check for
inhibitors, GI: Nausea, the patient’s history
blocks the vomiting, of allergy to a proton
enzyme in the diarrhea, dry pump inhibitor to
wall of the mouth, reduce the risk of
stomach that stomach/abdom hypersensitivity
produces acid. inal pain, sore reaction and if pt is
By blocking throat, and pregnant or lactating
the enzyme, watery stool because of the
the production Muscular: potential for adverse
of acid is Back Pains, effects on the fetus
decreased fatigue, muscle or nursing baby
weakness
- Administer at least
30 mins before meals

- Educate pt and
relatives about the
drug: its effects,
prescribed dosage,
and importance of
the drug

- Arrange for
medical follow-up if
symptoms are not
resolved after 4 to 8
weeks of therapy
because serious
underlying
conditions could be
causing the
symptoms.