Drug Name: AMBROXOL Name of Drug Classification Adverse effect Occasional gastrointestinal side effects may occur but

these are almost invariably mild. Indication Contraindication Nursing Consideration

Ambroxol 2.5ml syrup tid

Mucolytic

Assessment & Drug Effects Adjuvant There are no absolute Monitor for S&S of therapy in contraindications but aspiration of excess patients with in patients with gastric secretions, and for abnormal, ulceration relative bronchospasm viscid, or caution should be (unpredictable); inspissated observed. withhold drug and mucous notify physician secretions in immediately if either acute and occur. chronic Lab tests: Monitor bronchopulmona ABGs, pulmonary ry diseases, and functions and pulse in pulmonary oximetry as indicated. complications of Have suction apparatus cystic fibrosis immediately available. and surgery, Increased volume of tracheostomy, respiratory tract fluid and atelectasis. may be liberated; Also used in suction or endotracheal diagnostic aspiration may be bronchial necessary to establish studies and as an and maintain an open antidote for airway. acute Patient & Family Education acetaminophen Report difficulty with poisoning. clearing the airway or any other respiratory distress.

Drug Name: CLINDAMYCIN Name of drug Clindamycin General Action ANTIBIOTIC; Anti- infectives Specific Action - inhibits bacterial protein synthesis by binding to 50S subunit of ribosome. - hinders or kills susceptible bacteria. Adverse Effects CNS: headache CV: Thrombophlebitis EENT: pharyngitis GI: abdominal pain, Anorexia, bloody or tarry stools, constipation, diarrhea, dysphagia, esophagitis, flatulence, nausea, psuedomembranus colitis, unpleasant or bitter taste, vomiting. GU: UTI HEMATOLOGIC: Eosinophilia, thrombocytopenia, transient leukopenia SKIN: maculopapular rash, urticaria OTHER: anaphylaxis, Indication - infections caused by sensitive staphylococci, streptococci, pneumococci, bacteroides, fusibacterium, clostridium perfringens, and other sensitive aerobic and anaerobic organisms. -endocarditis prophylaxis for dental procedures in patients allergic to penicillin -acne vulgaris -bacterial vaginosis - pneumocystis jiroveci (carinii) pneumonia -toxoplasmosis (cerebral or ocular) immunocompromis Contraindication -contraindicated in patients hypersensitive to drug or lincomycin -use cautiously in patients with renal or hepatic disease, asthma, history of GI disease, or significant allergies. Nursing Responsibilities -assess patients infection before and regularly throughout therapy -before giving first dose, obtain specimen for culture and sensitivity test, begin therapy pending results. -monitor renal, hepatic, and hematopoetic functions during prolonged therapy. -be alert for adverse reactions and drug interactions -if adverse GI reactions occurs, monitor patients hydration. -teach patient how to store oral

erythema, pain (I.V. use), induration, pain; sterile abcess (I.M. use)

ed patients

solution. -tell patient to take entire amount prescribed even after he feels better. -warn patient that I.M. injection may be painful -instruct patient to report diarrhea and to avoid selfthreatening psudomembranus colitis -tell patient receiving drug I.V. to report discomfort at infusion site.

Drug Name: MUPIROCIN Drug Name Mechanism of Action Indication for the Patient Adverse Drug Effects Nursing Interventions

Generic: Mupirocin Brand: Bactroban Dosage & Frequency: Route: Topical Drug Classification: Dermatologicals

Binds to bacterial isoleucyl transfer RNA synthetase, which result results in inhibition of bacterial protein synthesis.

Topical treatment of Localized burning, - Document indication for impetigo, folliculitis, stinging and itching therapy including type, furuncolosis, ecthyma, onset, duration, and infected dermatoses, i.e., characteristics of infected abrasions, insect symptoms. bites,, minor wounds, and - Assess for allergic reaction: burns. Prophylaxis to Burning, stinging, swelling prevent bacterial and redness contamination of small cuts, - Monitor for possible drug and wounds, abrasions, induced adverse reactions: incisions and other clean (Topical) headache, rash, lesions. abdominal pain, burning, stinging, pain, itching, erythema, swelling, dermatitis, increased exudates; (Nasal) rhinitis, pharyngitis, taste perversion, burning, stinging, cough, blepharitis, diarrhea, dry mouth, ear pain, epistaxis, nausea, rash - Assess patients and familys knowledge of drug therapy

Drug Name: BACILLUS CLAUSII DRUG NAME CLASSIFIC ATION AntiACTION ADVERS CONTRAIN E DICATION REACTIO N to For Acute diarrhea No known Not for use in INDICATION NURSING RESPONSIBILITY 1.) Observe the 5 rights in

Brand Name:

Contributes

Erceflora Generic Name: Bacillus Clausii

diarrheals

the recovery of the intestinal microbial flora altered during the course of microbial disorders of diverse origin. It produces various vitamins, particularly group B vitamins thus contributing to correction of vitamin disorders caused by antibiotics & chemotherapeut ic agents. Promotes normalization of intestinal flora.

with duration of 14 adverse days due to infection effects. drugs or poisons. Chronic or persistent diarrhea with duration of >14 days.

immunocomp romised patients (cancer patients on chemotherapy , patients taking immunosuppr essant meds)

giving medications 2.) Shake drug well before administration. Allows equal distribution of the drug in the fluid it is in. 2.) Monitor patient for any unusual effects from drug. Monitoring allows detection of possible side effects of the drug since there has been no known side effect of the drug. 3.) Administer drug within 30 minutes after opening container. To avoid contamination of the drug. 4.) Dilute drug with sweetened milk, orange juice or tea. To allow easy administration of the drug. 5.) Administer drug orally. Proper administration allows better effects of the drug and prevent possible complications

Drug Name: ZINC SULFATE DRUG NAME GENERIC CLASSIFICAT ION Mineral and ACTION INDICATION CONTRAIND ICATION SIDE EFFECTS NURSING RESPONSIBILITIES

NAME: Zinc Sulfate BRAND NAME: Zincate Dosage: 2.5ml OD

electrolyte replacements/su pplements

Serves as a cofactor for many enzymatic reactions. Required for normal growth and tissue repair, wound healing and sense of taste and smell.

Replacement and supplementation therapy in patients who are at risk for zinc deficiency.

Hypersensitivit y or allergy to any components in the formulation. Use cautiously in renal failure

Gast ric irritation Naus ea Vom iting

Monitor progression of zinc deficiency symptoms during therapy. Encourage patient to comply with the diet recommendation. Ask the patient to notify any of the healthcare team if the he feels nausea, vomiting, abdominal pain or tarry stools occur Emphasize the importance follow up exams