Patient: Sainz, Marlon Date admitted: 10/03/2023 Case No.

137110230162

Chief Complaints: cough and fever Impression: CAP – MR with Pleural Effusion Ward: Medical 56A

DRUG STUDY

NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
Generic Name: Gastric acid-pump 600mg 1 tab in Short-term treatment of Contraindicated with 1. Caution patient to swallow
omeprazole inhibitor: Suppresses ½ glass H2O OD activeduodenal ulcer; hypersensitivity to Diarrhea, nausea, capsules whole—not to
gastric acid secretion First-linetherapy in omeprazoleor its fatigue, constipation, open, chew, or crush them.
by specific inhibition treatment of heartburn components;Use vomiting, flatulence, Arrange for further
of the hydrogen- or symptoms cautiously with acid regurgitation, evaluation of patient after 8
potassium ATP as of gastroesophageal pregnancy,lactation. taste perversion, weeks of therapy for gastro
Brand
NAME Name:
OF DRUG enzyme system atOF
MECHANISM the DOSAGE & refluxdisease
INDICATION(GERD); CONTRAINDICATION arthralgia,
ADVERSEmyalgia,
EFFECT NURSING CONSIDERATION
reflux disorders; not
Prilosec secretory surface
ACTION FREQUENCY Short-termtreatment of urticaria, dry mouth, intended for maintenance
GENERIC NAME: of the gastric
Cefixime parietal
inhibits 200mg 1-tab active benigngastric
Used to treat Cefixime is dizziness, headache,
CNS: SEIZURES (very 1. Observe
therapy. patient for signs
cells; blocks the final ulcer; GERD, paraesthesia,
Cefixime bacterial cell wall and BID infections caused by contraindicated in high doses) 2. and symptoms
Administer of with
antacids
Drug step of acid severeerosive abdominal pain, skin
binds with high bacteria such as patients with known anaphylaxis
omeprazole,(rash, pruritus,
if needed.
Classification: production. esophagitis, rashes, weakness,
BRAND NAME: affinity to penicillin- pneumonia;
poorlyresponsive allergy to the GI: laryngeal edema, wheezing)
3. Teaching points: Take the
proton pump back pain, upper
binding proteins in bronchitis gonorrhea;
symptomatic cephalosporin group of PSEUDOMEMBRANO
respiratory infection, 2. Watch for seizures;
drug before notify
meals. Swallow
inhibitors (PPI)
the bacterial cell wall. and ear, lung, throat
GERD;Long-term antibiotics; US COLITIS, diarrhea,
cough. physician
the capsulesimmediately
whole; doifnot
Hence, causing and urinary
therapy: tract
Treatmentof contraindicated for nausea, vomiting, patient develops
chew, open, or them.
or crush
bacterial cell death. infections. Antibiotics
pathologic hypersensitivity of the cramps. increases seizure
This drug will need activity.
to be
CLASSIFICATION: Bactericidal action will not work for
hypersecretorycondition drug Potentially 3. Monitor signs of diarrhea,
taken for up to 8wk (short-
Cephalosporin against susceptible scold, flue, or other
(Zollinger- Fatal: Anaphylaxis.
Derm: rashes, abdominal
term therapy) pain,
orfever,
for a pus
Antibiotic bacteria Ellisonsyndrome,
viral infections. urticaria. or mucus inperiod(>
prolonged stools, and
5 yr in
multiple other severe or prolonged
some cases).Have regular
adenomas,systemic Hemat: bleeding, GI problems
medical (nausea,
follow-up visits.
mastocytosis);Eradicati blood dyscrasias, vomiting, heartburn). Notify
on of hemolytic anemia. physician or nursing staff
H. pylori immediately of these signs.
With amoxicillin or
4. Monitor signs of blood
metronidazole.
dyscrasias, including
hemolytic anemia (unusual
weakness and fatigue,
Submitted by: Deborah Joy A. Maraveles BSN 4 Section 1
dizziness, jaundice,
abdominal pain) and
thrombocytopenia (bruising,
nose bleeds, bleeding gums,
other unusual bleeding).
Report these signs to the
physician.
 NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
GENERIC NAME: Piperacillin: Binds to 4.5g IV q8h Community-acquired Contraindicated in CNS: SEIZURES 1. Watch for seizures; notify
Piperacillin + bacterial cell wall and nosocomial patients with a history of (higher doses), physician immediately if
NAME
NAME OF
TazobactamOF DRUG
DRUG MECHANISM
MECHANISM
membrane, causingOF
OF DOSAGE
DOSAGE & & INDICATION
INDICATION
pneumonia caused CONTRAINDICATION
CONTRAINDICATION
allergic reactions to any ADVERSE EFFECT
ADVERSEdizziness,
confusion, EFFECT NURSING
patientCONSIDERATION
NURSING CONSIDERATION
develops or
ACTION
ACTION
cell death. Spectrum FREQUENCY
FREQUENCY by piperacillin- of the penicillins and/or headache, insomnia, increases seizure activity.
GENERIC
NAME OF NAME:
DRUG
CLASSIFICATION:
GENERIC NAME: Inhibits synthesis
MECHANISM
is extended
Inhibits bacterial OF
compared of
DNA PCM
500mg 300mg
1-tab&IV
DOSAGE Treatment
resistant,
Treatment of
of mild to Previous
INDICATION
beta- hypersensitivity
CONTRAINDICATION
cephalosporins
Contraindicated or
inβ- Symptoms
ADVERSE
lethargy.
CNS: GI:ofEFFECT
SEIZURES, 1. Assess
2.NURSING
1. overall
Watch CONSIDERATION
for seizures;healthnotify status
Paracetamol
NAME OF DRUG
anti-infectives,
Levofloxacin prostaglandins
MECHANISM
ACTION OFthat
with otherbypenicillins.
synthesis ACTION
inhibiting OD q4 rtc +> 37.8
FREQUENCY
DOSAGE & moderate pain,
INDICATION
lactamase–producing
respiratory tract Products containing
CONTRAINDICATION
lactamase
persons with
inhibitors.
known overdose:
ADVERSE EFFECT
PSEUDOMEMBRANO
dizziness, and
NURSING alcohol
physician usage
CONSIDERATION
immediately if before
GENERIC NAME: may serve
Tazobactam:
DNA
Inhibits
gyrase asenzyme.
protein Inhibits degree
500mg 1Celsius
FREQUENCY
tab Moderate
bacteria. to
infections,
Respiratory severe
including
tract alcohol
hypersensitivity to
Documented Diarrhea
US COLITIS,
drowsiness,
CNS: headache. diarrhea, administering.
1. Advise
patientpatient
develops Patients
or thewho
about
GENERIC NAME:
Clarithromycin mediators
Ipratropium atofthe
betalactamase,
Death
synthesis ispain
of susceptible
aan and BID1 neb q12 PRN pain
level acutewith
infections
The opioid
sinusitis, acute is In
combination
including use with other
levofloxacin,
hypersensitivity
Hypersensitivity
or other
to increased sweating
Hypersensitivity
constipation,
headache,
Derm: pruritus,
insomnia,
drug-
rash, are malnourished
1. likelihood
Teach theseizure
increases of
patient or
GI reactions,
activity.
to
Salbutamol +
CLASSIFICATION: fever primarily
nonselective
enzyme
bacteria.
of the 50S that
Activecanin
bacterial the analgesics,
competitive for dyspnea streptococcal
exacerbations Fever
used to treat of medications
quinolone
salbutamol, with the
antibacterials loss of appetite
reactionshepatitis,
induced
agitation,
Stevens-Johnson
(e.g.
confusion. chronically
3. including
2. performdizziness
Assess
Monitor signs
oral abuse
nausea, alcohol
inhalation
of and diarrhea,
CLASSIFICATION:
Ipratropium
anti-infectives CNS. Hasgram-positive
no agent. It
antimuscarinic
destroy
against
ribosome. penicillins. chronic
pharyngitis,
conditions where same
bronchitis,
sinusitis, History drug
ipratropium
of cholestatic
or nausea
QTcor
urticaria,
nausea,
CV:
syndrome. vomiting
vomiting.
GI: are at higher
correctly.
confusion
hypersensitivity
indigestion, that risk
abnormal
mightof affect
reactions taste,
Antipyretic,
CLASSIFICATION: significant any-
causes bronchodilation
pathogens,
Therapeutic including
Effects: community-acquired
bronchitis,
breathingandis a Severe
jaundice hepatic
fenoterol,
or hepatic
atropine or stomach
angioedema,
GU: cramps
prolongation,
PSEUDOMEMBRANO
interstitialrash,or 2. developing
Advise
gait,
and anaphylaxis,
abdominal
balance,
patient hepatotoxicity
and
to
pain.
including
rinse
otherInstruct
Analgesia
anti-infectives inflammatory
by blocking
Death
Staphylococcus
Bacteriostatic
of susceptible
theaction.
action of pneumonia,
pneumonia.
problem,and such as impairment/active
dysfunction
its derivatives. liver
associated pain
anaphylaxis),
nephritis.
ARRHYTHMIAS.
US COLITIS,Derm: serious
GI: 2. Assess
mouth the
functional
pulmonary
patient with type,
to report
activities.
symptoms
water location,
severe
after
Reporteach
or
CLASSIFICATION: properties of GI
acetylcholine-induced
bacteria.
aureus,
Spectrum: S. Active nosocomial
Treatment
COPD, chronic
(with disease
with
Hypertrophic
previous use of swelling,
(↑pain,
hypokalemia,
rashes
HEPATOTOXICITY,
abdominal or
in cystic and intensity
inhalation
balance
(tightness
prolonged problems
in
dose of
GIthe pain
problems.
to
throat
and prior
minimizeandto
combination of toxicity
stimulation
epidermidis,
against these ofS.gram-
guanyl pneumonia
ethambutol)
bronchitisand and clarithromycin.
obstructive tenderness in the
gastrointestinal
fibrosis
PSEUDOMEMBRANO
pain/discomfort,
patients), 30-60
dry mouthmins
functional
chest, wheezing, following
limitations
and clean
cough, to the
adrenergic with cyclase, hence
saprophyticus,
positive aerobicreducing prevention
emphysema.of They cardiomyopathy, upper
motility
abnormalabdomen
urticaria.
US COLITIS, taste, or administration
2. Be
mouthpiece
physician
dyspnea)
alert for or
andsigns
skin
with
nursing
reactions
of
water staff,
at
anticholinergics formation of cyclic
Streptococcus
bacteria: disseminated
work by relaxing Coadministration
tachyarrhythmia. with stomach
abdominal
diarrhea, area
disturbances,
dyspepsia,
pain,
rapidly 3. Assess fever;
leastcaution
and
(rash,
pseudomembranous
once
angioedema, note
a the
week. presence
patientpruritus,
colitis,
and
guanosine S.
pyogenes,
Staphylococcus Mycobacterium
and opening up the colchicine in patients worseningnausea,
diarrhea,
nausea. dyspnea, of associated
3. including
Monitor respiratory
significant
urticaria). signs
diarrhea,
Notify
othersphysician
to rate,
guard
monophosphate
pneumoniae,
aureus, Streptococcus (cGMP) avium
air complex
passages, with kidney (renal) or urinary retention,
vomiting. GU: (diaphoresis,
oxygen
against
or
abdominal
nursing tachycardia,
saturation,
fallsstaff
pain,
and immediately
trauma.
fever,
and puslungs
at parasympathetic
Enterococcus
pneumoniae, S.s
faecalis,site. (MAC)
making breathing liver (hepatic) Palpitations,
vaginitis. Derm: 4. and
soundsmalaise)
Monitor
if
or these
mucus before
reactions
injection
in stools,
andoccur.
site
after
andfor
Salbutamol
Bacillus
pyogenes anthracis.
(group
activatesA easier and impairment. tachycardia.
photosensitivity, 4.
3. Assess for
forsigns
administration
pain,
Be
other
alert
swelling,
severe signs
orand and
prolonged
ofirritation.
adenyl Active
Gram-negative
strep). cyclase,against
the improving rash. 4. symptoms
Check
Report
hepatotoxicity,
GI problems
inhaler of(nausea,
prolonged drug toxicity
technique.
including
or
enzyme
spectrum
these gram-negative
that
notable
stimulates
for shortness of and overdose
Ensure that
excessive
anorexia,
vomiting, abdominal
heartburn).
injection
patientssite are
pain,
Notify
able
the production
activity
aerobic against:
bacteria: of cyclic breath, chest to correctly
reactions
severe
physician nausea
to
oruse
the
nursing
and
the
physician.
vomiting,
delivery
staff
adenosine-3’,
Escherichia
Haemophilus coli,
5’- tightness and 5. immediately
device for
Always
yellow skin
wash their
orof
hands
eyes,
these
medication
fever,
signs.
monophosphate
Klebsiella
influenzae, Moraxella(cAMP). wheezing. and consider
thoroughly
sore throat,and malaise,
usedisinfect
of a space
Increased cAMP
pneumoniae,
catarrhalis. Also active
leads to 3. Monitor
if appropriate
equipment
weakness, rashes
facial
(whirlpools,
oredema,
other skin
activation
Enterobacter
against Mycoplasma,
of protein
cloacae, electrotherapeutic
lethargy,
reactions and
(pruritus,
unusual devices,
hives,
kinase A,mirabilis,
Proteus
Legionella, which
H. pylori,
inhibits treatment
bleeding
acne, abnormal
ortables,
bruising.
sweating,
andReport
so
phosphorylation
Pseudomonas
M. avium. of forth) signs
these
exfoliation).
to help toNotify
prevent
the physician.
physician
the
myosin and lowers
aeruginosa, Serratia 4. immediately
spread dizziness
Assess of infection.
becauseandUse certain
intracellular ionic Ca
marcescens, universal
drowsiness
skin reactionsprecautions
that may might
indicate
or
affect
concentrations, resulting
Haemophilus isolation
gait,
seriousbalance,
hypersensitivity
procedures
and other as
in smooth muscle
influenzae, Moraxella indicated (Stevens-Johnson
functional
reactions for
activities
specific
relaxation.
catarrhalis. patients.
syndrome).
 NAME OF DRUG MECHANISM OF DOSAGE & INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION
ACTION FREQUENCY
GENERIC NAME: Binds to the bacterial 2gm IVTT now Ceftriaxone is used Documented CNS: SEIZURES (HIGH 1. Monitor signs of blood
Ceftriaxone cell wall membrane, (-) ANST OD for the treatment of hypersensitivity DOSES). GI: dyscrasias, including
causing cell death. the infections PSEUDOMEMBRANO eosinophilia (fatigue,
Bactericidal action (respiratory, skin, Intravenous US COLITIS, diarrhea, weakness, myalgia),
CLASSIFICATION: against susceptible soft tissue, UTI, ENT) administration of cholelithiasis, hemolytic anemia (malaise,
Anti-infectives bacteria caused by susceptible ceftriaxone solutions sludging in the dizziness, jaundice,
organisms. containing lidocaine. gallbladder. Derm: abdominal pain), leukopenia
Organisms that are rashes, urticaria. (fever, sore throat, mucosal
generally susceptible Hemat: bleeding, lesions, signs of infection),
to ceftriaxone eosinophilia, thrombocytopenia (bruising,
include S. hemolytic anemia, nose bleeds, bleeding gums,
pneumoniae, S. leukopenia, other unusual bleeding), or
pyogenes thrombocytosis. thrombocytosis (headache,
Local: pain at IM site, dizziness, chest pain,
phlebitis at IV site. fainting, visual disturbances,
numbness or tingling in the
hands and feet). Report
these signs to the physician.

2. Monitor injection site for

pain, swelling, and irritation.
Report prolonged or
excessive injection site
reactions to the physician.

3. Instruct patient to notify

physician immediately of
signs of superinfection,
including black, furry
overgrowth on tongue,
vaginal itching or discharge,
and loose or foul-smelling
stools.