GENERIC NAME

BRAND NAME

DOSAGE

INDICATION

MECHANISM OF ACTION Inhibits cell wall synthesis promoting osmotic instability usually bactericidal.

ADVERSE REACTION CNS: dizziness, headache, malaise, and paresthesia. GI: abdominal cramps, pruritus, anorexia, diarrhea and nausea. GU: general pruritus and candidiasis. Hematologic: eosinophilia and anemia. Respiratory: dyspnea.

NURSING INTERVENTION *Assess pt. infection before the therapy and regularly thereafter. * Before giving the first dose, obtain specimen for culture and sensitivity tests. *Be alerts for the adverse reaction and drugs interaction. *If adverse GI reaction occur monitor pt. hydration. *Assess pt. knowledge of drug therapy.

Cefuroxime sodium

Kefueox and Zinacef

Adults and Children age 13 250 mg P.O. and severe infection give 500 mg.

*For Pharyngitis, tonsillitis, infection in urinary and lower respiratory tract, and skin. *For uncomplicated UTI.

GENERIC NAME

BRAND NAME

DOSAGE

INDICATION

MECHANISM OF ACTION Replaces and maintains magnesium levels as anticonvulsant, reduces muscles contractions by interfering with the release of acetylcholine at myoneural junction.

ADVERSE REACTION CNS: deep tendon reflex, flaccid paralysis, hypothermia, drowsiness, tetany. CV: slow, weak pulse, arrhythmias, hypotension, and heart block. Metabolic: hypocalcemia Others: diaphoresis and flushing.

NURSING INTERVENTION *Assess pt. condition before therapy and regularly thereafter to monitor the drug effectiveness. * Check the Magnesium level after repeated doses. * Watch for respiratory depression and signs of heart block, *Monitor fluid intake *Be alert for adverse effect. * Asses pt. knowledge.

Magnesium Sulfate

Slow mag

Adult: 1g IM q6 for four doses

*Mild hypomagnesemia *Severe hypomagnesemia *Magnesium supplementation. * To manage preterm labor.

GENERIC NAME

BRAND NAME

DOSAGE

INDICATION

MECHANISM OF ACTION Bind to 5OS subunit of bacterial ribosomes, blocking protein synthesis, bacteriostatic or bacteriocidal, depending on concentration.

ADVERSE REACTION CNS: dizziness, vertigo, headache, fatigue, aggressive reaction abd seizure. CV: palpitation, chest pain. EENT: Hearing loss, tinnitus, and taste perversion. GI: Nausea, vomiting, diarrhea, abdominal pain, dyspepsia. Hematologic: Thombocytopenia Hepatic: hepatitis, cholestatic. Skin: rash, Stevens-John syndrome.

NURSING INTERVENTION *Obtain history of pt. infection before therapy and reassess regularly thereafter. *Obtain specimen for culture and sensitivity test before the first dose. *Be alert for adverse reaction and drug interaction. *Be alert for adverse reactions and drug interaction. *Assess pt. and Family knowledge.

Azithromycin

Zithromax

Adult 500mg Children 250mg

For acute bacterial exacerbation of chronic obstruction pulmonary disease.

GENERIC NAME

BRAND NAME

DOSAGE

INDICATION

MECHANISM OF ACTION May stabilize leukocyte lysomal membrane, stimulate bone marrow and influence protein, fat, and carbohydrate metabolism.

ADVERSE REACTION CNS: euphonia, insomnia, and seizure. CV: arrhythmias, edema, and heart failure. EENT: cataract, glaucoma GI: irritation, increased appetite Metabolic: hypokalemia and hyperglycemia. Musculoskeletal: weakness and osteoporosis. Skin: atrophy and delayed wound healing.

NURSING INTERVENTION *Obtain of pt. underlying condition before therapy. *Monitor pt. weight, blood pressure, glucose level, and electrolyte level. *Look for adverse effect. *Watch for depression and psychotic. *Assess patient family knowledge of drug therapy.

Dexametahasone

Decadrol,Decadron Adult 10-20mg and Dalalone.

*For Cerebral edema *Inflammatory condition, allergic reaction. *Shock *To prevent hyaline membrane.

ASSESMENT

DIAGNOSIS

PLANNING

INTERVENTION

RATIONALE

EVALUATION

Subjective Data: Wala naman ako nararamdaman pero tumataas ang BP ko as verbalized by the patient. Objective Data: Vital signs: BP:140/90 mmhg RR: 20cpm PR: 71 cpm TEMP: 36.5 degree Celsius Variations in blood pressure

Decreased cardiac output related to decreased venous return

After 8 hours of nursing interventions, the patient will participate in activities that reduce blood pressure or cardiac work load.

Independent: Monitor blood pressure of the patient. Measure in both arms or thighs three times, 3-5 minutes apart while patient is at rest, then sitting, then standing for initial evaluation. Observe skin color, moisture, temperature and capillary refill time.

Comparison of pressures provides a more complete picture of vascular involvement or scope of the problem.

After 8 hours of nursing interventions, the patient was able to participate in activities that reduce blood pressure or cardiac work load.

Presence of pallor, cool, moist skin and delayed capillary refill time may be due to peripheral vasoconstriction May indicate heart failure, renal or vascular impairment. Help reduce sympathetic stimulation, promotes relaxation.

Note dependent or general edema.

Provide calm, restful surroundings, minimize environmental

activity or noise. Maintain activity restrictions. Reduces physical stress and tension that affect blood pressure and course of hypertension. Can reduce stressful stimuli, produce calming effect, thereby reduce blood pressure. These restrictions can help manage fluid retention and with associated hypertensive response, which decrease cardiac workload.

Instruct in relaxation techniques, and guided imagery. Collaborative: Implement dietary sodium, fat, and cholesterol restrictions as indicated.

RATIONALE Ability to transport oxygen and nutrients necessary to meet cellular needs