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Citicoline
fleeting and discrete hypotension effect, increased parasympathetic effects, low blood pressure -itching or hives, swelling in face or hands, chest tightness, tingling in mouth and throat.
Take Citicoline as prescribed Take Citicoline on time Monitor patients neurologic status Note if there are signs of slurring of speech
cerebrovascular parasympthetic to insufficiency and in-cranial traumatism and their sequellae. Citicoline in nervous system -use cautiously for pregnancy and lactation -concious use for
Note for adverse reactions Titer medication when discontinuing Teach patient on how to take the drug Arrange for regular follow-ups
CVA, stimulates patient with renal brain function. and hepatic damage.
Lactulose
Reduces blood
Patient who requires a low lactulose diet. Galactosemia deficiency. Intestinal obstruction
Abdominal discomfort associated with flatulence and intestinal cramps, nausea and vomiting, diarrhea on prolonged use.
Assess condition before the therapy and reassess regularly there after to monitor drugs effectiveness.
For patient with hepatic encelopathy: regular assess mental condition, monitor Iand O, monitor for increase glucose level in diabetic patient.
KCL
Principal intracellular
Use cautiously with rash, nausea and cardiac disorders, vomiting, diarrhea,
Take drug after meals or with food and a full glass of water to decrease GI upset. Do not chew or crush tablets, swallow tablets whole. Mix or dissolve oral liquids, soluble powders, and effervescent tablets completely in 38 ounces of cold water, juice, or other suitable beverage, and drink
Brand name: potassium salt, potassium acetate, potassium chloride, potassium gluconate
physiologic processes maintaining intracellular tonicity, transmission of nerve impulses, contraction of cardiac,
skeletal, and smooth muscle, maintenance of normal renal function; also plays a role in carbohydrate metabolism and various enzymatic reactions.
it slowly. Take the drug as prescribed; do not take more than prescribed. Do not use salt substitutes. Report tingling of the hands or feet, unusual tiredness or weakness, feeling of heaviness in the legs, severe nausea, vomiting, abdominal pain, black or tarry stools, pain at IV injection site.
Piperazilintazobactam
-5gm/vial (-ANST)
uncomplicated and complicated skin and skin structure infections, nosocomial or CAP caused by piperazilin resistant. Safety children < 12 years old, pregnancy lactation
pseudomembranous colitis.
Monitor for hemorrhagic manifestation because high dose may induced coagulation abnormalities.
Monitor vital signs because of cardiac arrhythmias, hypertension and fever as adverse effect.
Instruct the mother not tobreast feed the baby while taking the drug without consulting the physician.
Drug
Mechanism of Actions
Indications
Contraindication
Adverse Reaction
Nursing Consideration
Nacetylcysteine
secretions
. Paracetamol Antipyretic: Reduces fever -40mg/ amp q4 byacting directly PRN = <37.8C onthe Analgesic-antipyretic inpatients with aspirinallergy, hemostaticdisturbances, Contraindicated withallergy to acetaminophen.- Use cautiously withimpaired hepatic function,chronic Headache, chest pain, dyspnea, myocardial damage when doses of 5 Monitor the function studies: may cause hepatic toxicity and doses >4g/day Monitor renal function studies: albumin indicates nephritis Monitor blood studies: especially CBC, and pro-time
hypothalamicheat- bleedingdiatheses, regulatingcenter to causevasodilation andsweating, whichhelps dissipate heat. upper GIdisease, gouty arthritis- Arthritis and rheumaticdisorders involvingmusculoskeletal pain (butlacks clinically significantantirheumatic and anti-inflammatory
alcoholism,pregnancy, 8g/daily are lactation ingested daily for several weeks or when doses of 4g/day are
effects)- Common cold, flu, otherviral and bacterialinfections with pain andfever
if patient is on long term therapy Check I and O ratio decreasing output may indicate renal failure Assess for fever and pain
Drug
Mechanism of Action
Indication
Contraindication
Adverse Reaction
Nursing Indication Apply on affected site as necessary Burns: a) First degree burns (superficial burns): applied as immediately as possible. A thin layer (about 1 mm thickness) should cover the burnt area. It is better to keep the wound exposed, but if there is a need, a light dressing can be used. Reapplication should be done 3 to 4 times daily if exposed or twice
Mebo Ointment
Treatment of flare burns, scalds, sunburn, skin ulcers, pressure sores, wounds
Mebo is of pure herbal edible origin. No side effects to the product have been reported so far, expect for rare allergic reactions to sesame oil.
physiological moist
environment to ehnance the natural healing processes, whereby keratinocytes migration, angiogenesis, and interaction with growth factors are facilitated
daily is closed. b) Second degree burns: First Phase Liquefying period: A thin layer should cover the burnt area and renewed 3 to 4 times daily. Before reapplication, the liquefied necrotic tissue and the residues of the old ointment should be wiped off gently. It is better to keep the wound exposed, but if there is a need, a light dressing can be used and a relatively thicker layer (about 3 mm thickness) should
be applied and renewed twice daily. Second Phase Repair period: should be applied as before, but less frequently (2-3 times daily). Third Phase Rehabilitation period: ointment should be applied as before, but only once daily. c) Third degree burns: ointment should be applied as mentioned before to liquefy the necrotic tissue. A thin layer should cover the burnt site and renewed 3 to 4
times daily. 2) Donor Site: A thin layer should cover the donor site and renewed 3 to 4 times daily if exposed or twice daily if closed. 3) Leg Ulcers: A sterile gauze should be impregnated with and should fill the cavity of the ulcer, and renewed twice daily. 4) Surgical and Obstetrical Wounds: ointment should cover the wound in a relatively thick layer (about 3 mm) under a sterile dressign and
renewed twice daily. 5) Cracked Nipples: A thin layer should be applied to the nipple under a light pad, and renewed 3-4 times daily. It is safe for the infant that nursing can precede without any hazards. Albumin attracts 3 Egg White the fluid in the blood and -source of Albumin -TID (9-1-5) -NGT keeps it in the blood vessels. Albumin attaches to and transports hormones, including thyroid hormone throughout the body. It carries free fatty acids to the liver; it transports bilirubin. Albumin also transports drugs, binds with
Sensitivity to egg
Skin inflammation or hives, Allergic nasal inflammation (allergic rhinitis), Digestive (gastrointestinal) symptoms, such as cramps, nausea and vomiting, Asthma signs and symptoms such as coughing, chest
calcium, and helps maintain the blood acidity in a narrow range. Its most important function is that it maintains osmotic pressure, which keeps the plasma inside the blood vessels where it belongs instead of allowing it to ooze out into the tissues. Prosure 5 drops + 150cc Helps normalize -Medical Nutrition therapy -TID (9-1-5) - NGT metabolism and promote weight gain and help build lean body mass (LBM) in people Dietary management of people at risk of experiencing cancer induced wt loss Parenteral use. Galactosemia.
Drug
Mechanism of Action
Indication
Contraindication
Adverse Reaction
Nursing Indication
Albumin
Albumin is
1.1 Hypovolemia 1.2 Hypoalbuminemia 1.3 Prevention of Central Volume Depletion after Paracentesis due to Cirrhotic Ascites (Treatment Adjunct)
Do not use in individuals who are hypersensitive to albumin preparations, any ingredient in the formulation, or components of the container.
The most serious events are anaphylactic shock, circulatory failure, cardiac failure, and pulmonary edema. The most common adverse events are anaphylactoid
This product is usually given in a hospital setting. Inform patients being treated with Albumin (Human) 5% about the potential risks and benefits with its use [see Adverse Reactions (6)].
Infusion 20% responsible for Human Recumbant Furosimal 75-80% of the colloid osmotic pressure of
20mg/ amp x normal 3 doses Q6 IV plasma. Albumin stabilizes circulating blood volume
and is a carrier of hormones, enzymes, medicinal products and toxins. Albumin is a protein with a total extravascular mass of approximately 160 g and an intravascular mass of about 120 g.
type of reactions. Adverse reactions for ALBUMIN (HUMAN) 5% normally resolve when the infusion rate is slowed down or the infusion is stopped. In case of severe reactions, the infusion should be stopped and appropriate treatment should be initiated.
Discontinue immediately if allergic symptoms occur (e.g. skin rashes, hives, itching, breathing difficulties, coughing, nausea, vomiting, fall in blood pressure, increased heart rate). Inform patients that ALBUMIN (HUMAN) 5% is a derivative of human plasma and may contain infectious agents that cause disease (e.g., viruses, and theoretically, CJD agent). Inform patients that the risk that ALBUMIN (HUMAN) 5% may transmit an infections agent has been reduced by screening plasma
donors for prior exposure for certain viruses, by testing the donated plasma for certain virus infections and by inactivating and/or removing certain viruses during manufacturing [see Warnings and Precautions (5.7)].
Combivent Inhalation Solution is a combination of the anticholinergic bronchodilator, ipratropium bromide, and the beta2adrenergic bronchodilator,
Headache, nausea,
1.monitor respiratory status; auscultate lungs before and after inhalation 2.report treatment failure (exacerbation of respiratory symptoms) to physician
tachyarrhythmias, nervousness, hypertrophic trouble sleeping,dizziness, dry mouth/throat, coughing, or runny nose may occur
obstructivepulmonary obstructive disease (COPD) who requires regular treatment with both ipratropium and salbutamo cardiomyopathy and patients with a history of hypersensitivity to any of its components or to atropine or its
salbutamol sulfate. Ipratropium bromide is a quaternary ammonium derivative of atropine and is an anticholinergic drug which has bronchodilator properties. Salbutamol produces bronchodilation through stimulation of beta2adrenergic receptors in bronchial smooth muscle,
derivatives
thereby causing relaxation of muscle fibres. This action is manifested by an increase in pulmonary function as demonstrated by spirometric measurements