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Name: SN
Sex: Female
Room #: Ward 6
Chief Complains:
Diagnosis: Avulsed 4th digit (degloving injury), right foot secondary to vehicular accident
Action
Bind to bacterial cell wall membrane,
causing cell death; usually
bactericidal.
Indication
Treatment for respiratory tract
infections, skin and skin structure
infections, bone and joint infections,
urinary tract and gynecologic
infection.
Contraindication
Contraindicated in hypersensitivity to
cephalosporins. Serious
hypersensitivity to penicillin.
7.
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Action
Inhibits prostaglandin synthesis, to
produce anti-inflammatory, analgesic,
and antipyretic effects.
Indication
Short-term management of pain (not
to exceed 5 days total for all routes
combined)
Contraindication
Contraindicated in patients with
previously demonstrated
hypersensitivity to Toradol or other
NSAIDs and patients in whom aspirin
or other prostaglandin synthesis
inhibitors induce allergic reactions.
Action
The exact site and mechanism of its
analgesic action is not clearly defined.
Indication
Management of moderate to severe
pain.
Contraindication
Patients who have previously
demonstrated hypersensitivity to
Tramadol, Paracetamol and any other
component of Dolcet oropioids.
hallucinations
5. Assess for any allergic reaction
6. Encourage to increase oral fluid
intake
7. For better analgesic effect, give
drug before onset of intense pain.
8. Tell patient to take as prescribed
and not to increase dose or dosage
interval unless ordered by prescriber.
Action
Unknown. A centrally acting
synthetic analgesic compound not
chemically related to opioids.
Thought to bind to opioid receptors
and inhibit reuptake of norepinephrine
and serotonin.
Indication
Moderate to moderately severe pain.
Contraindication
Contraindicated in patient
hypersensitive to drug or other
opioids, in breastfeeding women, and
in those with acute intoxication from
alcohol, hypnotics, centrally acting
analgesics, opioids or psychotropic
drugs.
Action
Binds to opiate receptor in CNS.
Alters the perception of and response
to painful stimuli while producing
generalized CNS depression.
Indication
Moderate to severe pain. Also
provides: analgesia during labor,
Sedation before surgery, Suplement to
balanced anesthesia.
Contraindication
Contraindicated in patients
hypersensitivity to drug. Use
cautiously in elderly and debilitated
patients and in those with head injury,
increased intracranial pressure,
impaired ventilation, MI accompanied
by nausea and vomiting, upcoming
biliary surgery, and hepatic or renal
disease.
Action
Mefenamic acid is an NSAID which
is an anthranilic acid derivate. It
exhibits anti-inflammatory, analgesic,
and antipyretic activity by inhibiting
prostaglandin synthesis in body
tissues.
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 preoperative pain
with coronary artery bypass grafting.
Action
Binds to the bacterial cell wall,
causing cell death; spectrum of
amoxicillin is broader than penicillin.
Clavulanate resist action of betalactamase, an enzyme produced by
bacteria that is capable of inactivating
some penicillin. Bactericidal action
against susceptible bacteria.
Indication
Treatment of a variety of infections
including: skin to skin structure
infections, Otitis media, sinusitis,
respiratory tract infections,
genitourinary tract infection.
Contraindication
Hypersensitivity to penicillin.
Hypersensitivity to clavulanate.
Suspension and chewable tablets
contain aspartame and should be
avoided in phenylketonurics. History
of amoxicillin/clavulanate-associated
cholestatic jaundice..
Action
Lactated Ringer's solution contains
isotonic concentrations of electrolytes
in water for inj. It is used for
parenteral replacement of
extracellular losses of fluid and
electrolytes.
Indication
As an alkaliniser agent, Replacement
of fluid and electrolytes.
Contraindication
Lactated ringers should not be used in
patients with congestive heart failure
or renal failure.
Action
Hypertonic solutions are those that
have an effective osmolarity greater
than the body fluids. This pulls the
fluid into the vascular by osmosis
resulting in an increase vascular
volume. It raises intravascular
osmotic pressure and provides fluid,
electrolytes and calories for energy.
Indication
Treatment for persons needing extra
calories who cannot tolerate fluid
overload. Treatment of shock.
Contraindication
Hypersensitivity to any of the
components.