Drug Ceftriazone

Classification Cephalosporin

Indication This drug is indicated in patients with neurologic complications, carditis and arthritis. It is also effective in Gram negative infections; Meningitis, Gonorrhea. It is also for Bone and joint infections, Lower respiratory tract infections, middle ear infection, PID, Septicemia and Urinary Tract infections.

Contraindication y Intravenous ceftriaxone administration is contraindicated in premature neonates up to a corrected age of 41 weeks (week of gestation + weeks of life), and in neonates with jaundice, or who are hypoalbuminaemic or acidotic because these are conditions in which bilirubin binding is likely to be impaired. y Ceftriaxone is contraindicated in neonates (up to 28 days of age) if they require (or are expected to require) IV calcium treatment. o In patients of any age, ceftriaxone must not be mixed or administered simultaneously with any calciumcontaining IV solutions, even via different infusion lines or at different

Side Effects y CNS: fever, dizziness y CV: phlebitis y GI: diarrhea, abdominal cramps, pseudomembra nous colitis, biliary sludge y URO: Genital pruritus; moniliasis y HEM: eosinophilia, thrombocytosis, leukopenia y SKIN: pain, indurations, tenderness, rash y other: hypersensity reactions

Nursing Indication y Inject in large muscles, such as gluteus maximus or lateral aspect of thigh and rotate sites. y Assess for presence of any of the contraindications in the patient, especially hypersensitivity through skin testing y Acquire baseline VS and Monitor VS frequently over the whole therapy y Administer the drug slowly via IVTT y Assess for presence of phlebitis and pain upon administration of drug, as well as other side and adverse effects y Assess for consistency of stools y Raise side rails and encourage to remain on complete bed rest y Give tepid sponge bath if with fever, and

infusion sites. o In patients older than 28 days of age, ceftriaxone and calcium-containing solutions may be administered sequentially, if infusion lines at different sites are used, or if the infusion lines are replaced or thoroughly flushed between infusions with physiological salt-solution to avoid precipitation.

antipyretic agents if fever persists Keep patient thermo regulated by regulating room temperature, providing dry and warm blankets Keep patient free from infection by advising visitors with cough, colds or other illnesses to temporarily keep away from the patient, maintaining and aseptic technique in certain procedures to be done to the patient, performing proper hand washing before and after handling the patient Instruct patient to report any side or adverse effects promptly

Oxacycline

Tetracycline

It interferes with the production of proteins that the bacteria need to multiply and divide. This inhibits the ability of the bacteria to grow and therefore stops the spread of the infection.

In patients hypersensitive to it or other tetracyclines.

y y y y

y y y y

Omeprazole

Proton pump inhibitors

Omeprazole is used to treat symptoms of

Contraindicated with hypersensitivity

Nausea and vomiting. Diarrhea Loss of appetite. Difficulty or pain when swallowing (dysphagia). Inflammation or ulceration of the food pipe. Overgrowth of the yeast Candida, which may cause infection such as thrush. Skin reactions such as rash and itch. Abnormal reaction of the skin to light, usually a rash. Inflammation of the bowel (colitis). Inflammation of the pancreas (pancreatitis). Raised pressure within the skull. Liver disorders. Blood disorders. CNS: Headache ,

Tablets should be swallowed whole with plenty of fluid while sitting or standing to avoid ulceration. Consult your doctor if you get a severe persistent headache, or double or blurred vision while taking this medicine. Consult your doctor if you experience bruising, sore throat, fever or infections while taking this medicine.

Administer before meals. Caution

gastroesophageal reflux disease and other conditions caused by excess stomach acid. It is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).

to omeprazole or its components. Use cautiously with pregnancy, lactation.

dizziness, asthe nia, vertigo, insomnia, apathy, anxiety, paresth esias, dream abnormalities Dermatologic: R ash, inflammation, urt icaria, pruritus, alopecia, dry skin GI: Diarrhea, abdominal pain, nausea, vomiting, consti pation, dry mouth, tongue atrophy Respiratory: URI symptoms, coug h, epistaxis Other: Cancer in preclinical studies, back pain, fever

patient to swallow capsules wholenot to open, chew, or crush them. If using oral suspension, empty packet into a small cup containing 2 tbsp of water. Stir and have patient drink immediately; fill cup with water and have patient drink this water. Do not use any other diluent. Take the drug before meals. Swallow the capsules whole; do not chew, open, or crush them. If using the oral suspension, empty packet into a small cup containing 2 tbsp of water. Stir and drink immediately; fill cup with water and drink this water. Do not use any other liquid or food to dissolve the packet. This drug will need to be taken for up to 8 wk (shortterm therapy) or for a prolonged period (> 5 yr in some cases).

y y

Have regular medical follow-up visits. You may experience these side effects: Dizziness (avoid driving or performing hazardous tasks); headache (request medications); nausea, vomiting, diarrhea (maintain proper nutrition); symptoms of URI, cough (do not selfmedicate; consult with your health care provider if uncomfortable). Report severe headache, worsening of symptoms, fever, chills.