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Patients Initial: A.D.

O Admission Diagnosis: Ovarian New Growth, Left G1P1 (1001)

Date: September 19, 2013 Age: 26 years old

Drug name Generic name: Ampicillin Sodium Brand name: Sulbactam Classification: Antibiotic Penicillin Dosage: 750mg Route: IV Frequency: q8 Form: Ampule

Mechanism action Bacterial action against sensitive organisms; inhibits synthesis of bacterial cell wall, causing cell death.

Indication Treatment of infections caused by susceptible strains of a Shigella, Salmonella, S. typhosa, Escherichia coli, Haemophilis influenzae, Proteus mirabilis, Neisseria gonorrhoeae, enterococci, gram-positive organisms (penicillin Gsensitive staphylococci, streptococci, pneumococci)

Contraindication Contraindicated with allergies to penicillins, cephalosporins, or other allergens. Use cautiously with renal disorders.

Side effects

Nursing Responsibilities Nausea, vomiting, Do hand washing diarrhea before giving medication. Adverse effects Check the CNS: Lethargy, identification band hallucinations, or ask the name & seizures birth date of the CV: Heart failure patient before GI: Glossitis, giving medication. stomatitis, gastritis, sore mouth, furry Check IV site tongue, black carefully for signs hairy tongue, of thrombosis or abdominal pain, drug reaction. bloody diarrhea, enterocolitis, Teach the patient pseudomembranous that this antibiotic colitis, nonspecific is specific to her hepatitis problem & should GU: Nephritis not be used to Hematologic: self-treat other Anemia, infections. thrombocytopenia, leukopenia, Teach the patient neutropenia,

prolonged bleeding time Hypersensitivity: Rash, fever, wheezing, anaphylaxis Local: Pain, phlebitis, thrombosis at injection site (parenteral)

that she might be experience common side effects after taking medication like nausea, vomiting, GI upset & diarrhea. Encourage the patient to report pain or discomfort at sites, unusual bleeding or bruising, mouth sores, rash, hives, fever, itching, severe diarrhea & difficulty breathing.

Patients Initial: A.D.O Discharge Diagnosis: Ovarian New Growth Left, Appendicitis Catarhal Stage Salpingooophorectomy, Left, Appendectomy Drug name Generic name: Mefenamic acid Brand name: Revalan Classification: NSAID Dosage: 500mg Route: Oral Frequency: q8 Form: Tablet Mechanism action Anti-inflammatory, analgesic, and antipyretic activities related to inhibition of prostaglandin synthesis; exact mechanisms of action are not known. Indication Relief of moderate pain when therapy will not exceed 1 week. Contraindication Contraindicated with hypersensitivity to mefenamic acid, aspirin allergy, and as treatment of perioperative pain with coronary artery bypass grafting. Use cautiously with asthma, renal or hepatic impairment, peptic ulcer disease, GI bleeding, hypertension, heart failure, pregnancy, lactation. Side effects

Date: September 23, 2013 Age: 26 years old

Headache, dizziness, nausea, diarrhea

Nursing Responsibilities Give with milk or food to decrease GI upset.

Adverse effects: Arrange for CNS: somnolence, periodic insomnia, fatigue, ophthalmologic tiredness, tinnitus, examinations ophthalmic effects during long-term Dermatologic: therapy. Rash, pruritis, sweating, dry Teach the patient mucous membranes, to take drug with stomatitis food; take only the GI: dyspepsia, GI prescribed dosage; pain, vomiting, do not take the constipation, drug longer than flatulence, ulcers, one week. GI bleed GU: Dysuria, renal Discontinue drug impairment and consult your Hematologic: health care Bleeding, platelet provider if rash, inhibition with diarrhea, or higher doses, digestive neutropenia,

eosinophilia, leukopenia, pancytopenia, sthrombocytopenia, agranulocytes, granulocytopenia, aplastic anemia, decreased Hgb or Hct, bone marrow depression, menorrhagia Respiratory: Dyspnea, hemoptysis, pharyngitis, bronchospasm, rhinitis

problems occur. Report sore throat, fever, rash, itching, weight gain, swelling in ankles or fingers, changes in vision; black, tarry stools; severe diarrhea, right upper abdominal pain, flulike symptoms.

Patients Initial: A.D.O Discharge Diagnosis: Ovarian New Growth Left, Appendicitis Catarhal Stage Salpingooophorectomy, Left, Appendectomy Drug name Generic name: Celecoxib Brand name: Celebrex Classification: -Analgesic (nonopiod) -NSAID -Specific COX-2 enzyme inhibitor Dosage: 200mg Route: Oral Frequency: q12 Form: Capsules Mechanism action Indication Contraindication Contraindicated with allergies to sulfonamides, celecoxib, NSAIDs, or aspirim, significant renal impairment; perioperative pain post CABG surgery, pregnancy (third trimester); lactation. Use cautiously with impaired hearing, hepatic and CV conditions. Side effects

Date: September 23, 2013 Age: 26 years old

Nursing Responsibilities

Analgesic and anti- Management of inflammatory acute pain activities related to inhibition of the COX-2 enzyme, which is activated in inflammation to cause the signs and symptoms associated with inflammation; does not affect the COX1 enzyme, which protects the lining of the GI tract and has blood clotting and renal functions.

headache, dizziness Adverse effect: