Drug NaHCO3 650mg 2 tablets TID

Indication / Contraindication Drug classification: Indication: antiulcer agents, Contraindications: alkanizing agent -metabolic/ Mechanism of respiratory action: sodium alkalosis bicarbonate acts -hypocalcemia as an alkanizing -excessive chloride agent by releasing loss bicarbonate ions. -renal failure Following oral administration of this medication, it releases bicarbonate which is capable of neutralizing gastric acid Action

Adverse Effect

NSG.Responsibilities

>assess clients fluid balance Metabolic alkalosis, throughout the therapy: intake and mood changes, output, edema and lung sounds tiredness, shortness of >symptoms of fluid overload should breath, muscle be reported (hypertension, edema, weakness, irregular DOB) heartbeat, muscle >tablets must be taken with full hypertonicity, glass of water twitching, tetany, >hyperntremia manifestations hypernatremia, should be assessed and monitored hyperosmolality, (edema, hypertension, tachycardia, hypocalcemia, fever, flushed skin and mental hypokalemia, stomach irritability cramps, flatulence >hypokalemia should also be assessed by monitoring signs and symptoms (weakness, fatigue, U wave on ECG arrhythmias, polyuria and polydipsia

Indication / Contraindication Ferrous Drug classification: iron Indication: sulfate + supplement + folic acid For treatment of folic acid derivative extrapulmonary 1 tablet Mechanism of action: tuberculosis once a day ferrous sulfate Contraindications: facilitates oxygen -patients receiving transport via repeated blood hemoglobin. It is used transfusions as iron source as it -anemia not due to replaces iron found in iron deficiency hemoglobin, myoglobin -hyerpersensitivity to and other enzymes its components Folic acid, after conversion to tetrahydrafolic acid is necessary for normal erythropoiesis, synthesis of purine and thimidylates, metabolism of amino acids suchas glycine and the metabolism of histidine

Drug

Action

Adverse Effect

NSG.Responsibilities

>should be taken or best taken on an abdominal pain, empty stomach. May be taken with nausea and vomiting, meals to reduce GI discomfort constipation, >monitor daily pattern of bowel diarrhea, black activity and stool consistency. Expect discoloration of feces, stools to darken in color headache, joint >assess for clinical improvement. aching, fast heart rate, Record of relief of symptoms sweating, shortness of >advise patient to consult prescriber if breath, low blood irregular heartbeat, dyspnea, swelling pressure, chest pain, of hands and feet and hypotension rash, allergic reaction occurs >caution patient to make position changes slowly to minimize orthostatic hypotension

Drug Tranexamic acid 500 cap TID

Action Drug classification: anti-fibrinolyic, antihemorrhage Mechanism of action: tranexamic acid is an antifibrinolytic agent that competitively inhibits breakdown of fibrin clots. It blocks binding of plasminogen and plasmin to fibrin, thereby preventing haemostatic plug dissolution

Indication / Contraindication Indication: Contraindications: -severe renal failure -active intravascular clotting -thromboembolic disease -colour vision disorders -subarachnoid bleeding

Adverse Effect

NSG.Responsibilities

>unusual change in bleeding pattern Diarrhea, nausea, should be reported immediately vomiting, disturbances >medication can be taken with or in colour vision, without meals headache, migraine, >swallow whole with plenty of fluids fatigue, abdominal pain, >advise patient to report severe anema, thromboembolic allergic reactions such as rash, hives, disorder itching, dyspnea, tightness in chest, swelling of mouth, face, lips and tongue