CHAPTER VII

DRUG STUDY
 Nursing considerations:
Before:
Brand name: ZANTAC Indication: to prevent Side effects with nursing  Assesss pt and
gastric irritation interventions: family knowledge
Generic Name:  Headache-  Assess for
RANITIDINE instructed abdominal pain
HYDROCHLORIDE relaxation During:
techniques  Administer drug
Doctor’ order: Ranitidine
50 mg IV q 8 X  Confusion-reorient just before meals
Action: the Patient as often to decreased
Date ordered:December as needed induced acid
Inhibits action of H2 at  Nausea –provide secretion or at bed
3,2008
receptor sites of parietal ice chips; offer time
Date shifted:December cells foods that are After:
4, 2008 From ranitidine appetizing to the  Note presence of
to OMEPRAZOLE pt. blood in emesis,
 Diarrhea- give stool or gastric
Classification: H2 blocker Decreased gastric foods rich in fibers aspirates
or antacid secretion  Constipation-  Ensure safety
increased oral fluid  Assess for
Stock: 50mg/2ml intake abdominal pain
 Malaise-provide Patient teaching:
enough rest and
limit activities  Urge pt not to
 Blurred vision- smoke cause it
ensure safety may increased
gastric acid
Contraindication: secretion
 Hypersensitivity to  Advise pt to report
the drug abdominal pain
 Those with hepatic and blood on stool
dysfunction or emesis
 Those with Evaluation:
impaired kidney  Reports no GI
function discomfort
 Pt and family state
Brand name: LOSEC understanding of
Indication: the drug therapy
Generic Name:
OMEPRAZOLE Helicobacter pylori
eradication to reduce
Side effects with Nursing considerations:
Doctor’ order: peptic ulcer recurrence
nursing intervention: Before:
 Assess pt condition
Brand name: Dialume Indication: Side effects with nursing Nursing considerations:
intervention: Before:
Generic Name: Aluminum Antacid; relief from peptic  Assess pt discomfort
magnesium hydroxide ulcer or gastric symptoms  anorexia-instruct before starting the
Action:
small frequent therapy
Doctor’ order: Aluminum feeding  Assess pt and family
magnesium hydroxide 1
Reduce total acid load in GI  constipation- knowledge
tbsp 1 hour before meals
increase oral fluid During:
and at bed time Elevates gastric pH intake  don’t give other oral
Date ordered:December Contraindication: antacid drugs within 2
Reduce pepsin activity hours
5,2008
 Use cautiously in pt After:
Strengthens gastric mucosal
Date given:December barrier
with chronic renal  Ensure safety
5,2008 only failure Patient teaching:
Increases esophageal
Classification: antacid spincther tone  encouraged not to take
a
Stock: 600mg/5ml Relieves GI discomfort Aluminum magnesium
hydroxide to switch
antacids without
prescription
 Advise pt to report any
adverse reaction
 warn pt tha drug may
color stool white or
cause white streak
 teach how to prevent
constipation

Evaluation:
 Pt pain is relieved
 Pt maintains normal
bowel function

Brand name: Ciproxin
Generic Name:
Ciprofloxacin
Doctor’ order: Ciprofloxacin
500mg 1 tab BID
Date ordered:December
5,2008
Date given: December 5-
6,2008
Classification: Antibiotic
Stock: 500mg/tab
Indication:
Urinary tract infection
Action:
Inhibits bacterial DNA gyrase
Prevent replication of
susceptible bacteria
Kills bacteria
Nursing considerations:
Side effects with nursing Before:
intervention:  Assess pt infection
before starting the
 headcahe-provide therapy
diversional activities  Assess pt and family
 nausea –provide knowledge
crackers  before giving first
 vomiting- rehydrate dose obtain specimen
for culture and
Contraindication: sensitivity
 Hypersensitivity to During:
the drug  administer drug 2hous
after meal or 6 hous
after taking antacids
 reduce dose for pt
with renal impairment
After:
 Ensure safety
 instruct pt to drink
plenty of water to
reduce crystalluria
Patient teaching:
 emphasized drug
regimen
 encouraged to
increase oral fluid
intake
 advise to avoid
caffeine because of
potential cumulative
caffeine effects
 Advise pt to report
any adverse reaction
 Evaluation:
 Pt pain is free from
infection

Nursing considerations:
Before:
Brand name: Feratab Indication: Side effects with nursing  obtain pt deficiency
intervention: before starting the
Generic Name: Ferrous Iron deficiency
therapy
sulfate  epigastic pain-
Action:  Assess pt and family
provide diversional knowledge
Doctor’ order: Ferrous activities
Provides elemental iron an During:
sulfate 1 tab OD
essential component of  nausea –provide  give the drug with
Date ordered: December formation of hemoglobin crackers juice or water but not
4,2008  vomiting- with milk or anatcids
rehydration
Date given: December  anorexia- small After:
4,2008 until discharge and frequent feedings  Ensure safety
take home meds  instruct pt dark stool
Contraindication: is normal
Classification: Iron  Hypersensitivity to
supplement/ Hematinic the drug Patient teaching:
Stock: 500mg/tab
 if pt forgot to take his
drugs for one day, tell
her to take it as soon
as she remembers but
not double the dose
 teach dietary
measures to prevent
constipation
Evaluation:
 Pt report fatigue is no
longer a problem in
daily life