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Classifications Dosage
Indications
Side effects
Nursing responsibilities
Analgesics
adult and pedia >12 years old: 1 tab every 4-6 hrs as needed
Ibuprofen Alaxan
Faster relief to moderate from severe pain on musculoskeletal origin Adjunctive treatment to decrease the number of adenomatous colorectal polyps in familial adenomatous polyposis
In children, dont exceed 5 doses in 24 hours Advice that drug is only for shortterm use and to consult prescriber if giving to children for longer than 5 days or adults for longer than 10 days. Observe patients with history of cardiac decompensating closely for evidence of fluid retention and edema
Celecoxib Celebrex
NSAID
400mg OD PRN
CNS: Dizziness Drowsiness, Headache Insomnia Fatigue CV: Peripheral edema EENT: ophthalmic effects tinnitus pharyngitis rhinitis sinusitis GI:
Before: Assess patients history of allergic reaction to the drug Monitor complete blood count, electrolyte levels, creatinine clearance, and occult fecal blood test and liver function test results every 6 to 12months During:Instruct patient to take drug with food or milk.- Teach patient to avoid aspirin and other NSAIDs (such as ibuprofen and naproxen)during
therapy. After: Advise patient to immediately report bloody stools, blood in vomit, or signs or symptoms of liver damage(nausea, fatigue, lethargy, pruritus, yellowing of eyes or skin tenderness on upper right side of abdomen Caution should be exercised in patients with history of heart, liver, kidney disease, high blood pressure, blood clotting disorder, any allergy, children, elderly, during pregnancy and breast feeding. Drink adequate fluid to avoid dehydration. Stop the medication immediately if gastrointestinal lesions occur. Monitor blood pressure regularly while taking this medication.
Etoricoxib Arcoxia
NSAID
Immune system disorders Acute gouty arthritis Nervous system disorder Confusion and hallucination Relief of acute pain
Anti anemics
Caution the patient on the possible side effects of the drug. Monitor for signs of psychological hypofunction during treatment. Administer the
Aspirin Apilets
Antipyretic NSAID
Ischaemic stroke 50-325mg OD Acute MI 160mg Maintaining dose: 160mg for 30 days
drug after meals to decrease gastric irritation Assess for pain: type, location and pattern Note for asthma Monitor renal Determine history of peptic ulcers or bleeding tendencies