Name of the Mechanism of Indication and Contraindication Side Effects/ Nursing
Drug Action Dosage Adverse Management
Reactions
Mefenamic Mefenamic acid 500mg/tab GI ulceration of Gi disturbances
Acid is a nonsteroidal inflammation. and hemorrhage, Q6 RTC/ prn for anti- Kidney or liver blood dyscrasias. (dolfenal) inflammatory pain impairment. Drowsiness, drug (NSAID) dizziness, which is an headache, visual anthranilic acid Relief of mild to disturbances. Skin derivative. It moderately reactions and exhibits anti- inflammatory, severe somatic nephropathy. analgesic and and neuritic pain; antipyretic headache, activity by migraine,traumati inhibiting c pain, post- prostaglandin partum pain, synthesis in postop pain, body tissues. dental pain and in Unlike most pain and fever other nonsteroidal following various anti- inflammatory inflammatory conditions; drugs, dysmenorrheal, mefenamic acid menorrhagia appears to accompanied by compete with prostaglandins spasm of for binding at the hypogastric pain prostaglandin receptor site and thus, potentially affect prostaglandins that have already been formed.
Tramadol Binds to mu- 50mg Resp Nausea, vomiting, ®assess type,
opoid receptors. depression, fatigue, headache, location and (TDL) Q6 prn for pain Inhibits reuptake especially in constipation, intensity of pain of serotonin and presence of drowsiness, before 2-3 hr norepinephrine cyanosis and confusion, skin after in the CNS. Moderate to excessive reactions, dry administration. severe acute and bronchial mouth, facial Therapeutic chronic pain, ®assess BP and secretion, and flushing, sweating, effect: painful diagnostic RR. Respi after op on vertigo, decreased pain procedures and depression has biliary tract. bradychardia, surgery. not occurred Acute palpitation, with alcoholism, head orthostatic recommended injuries, hypotension, doses. conditions in hypothermia, which restleness, ®advise patient intracranial changes in to change pressure is modod, miosis. position slowly raised. Attack of Rarely, muscle to minimize bronchospasm. weakness,appetit orthostatic Heart failure e changes, hypotension. secondary to difficulty in ®do not confuse chronic lung passing urine, tramadol from disease. biliary spasm. toradol. Parecoxib Parecoxib is a Short term Hypersensitivity Body as a Whole: prodrug of treatment of acute to parecoxib or Back pain. (Dynastat) valdecoxib. The pain & post-op to any other Central and mechanism of pain. May be used ingredient of Peripheral action of pre-op to prevent Dynastat. Nervous System: valdecoxib is by or reduce post-op Patients who Dizziness. inhibition of pain; can reduce have GI System: cyclooxygenase- opioid demonstrated Alveolar osteitis 2 (COX-2)- requirements allergic-type (dry socket), mediated when used reactions to constipation and flatulence. prostaglandin concomitantly. sulfonamides, synthesis. acetylsalicylic Platelet, Bleeding Cyclooxygenase acid (aspirin) or and Clotting: Ecchymosis. is responsible for nonsteroidal generation of anti- Psychiatric: Agitation and prostaglandins. inflammatory insomnia. Two isoforms, drugs (NSAIDS) Skin and COX-1 and including other Appendages: COX-2, have cyclooxygenase- Increased been identified. 2 (COX-2) sweating and COX-2 is the specific isoform of the inhibitors; pruritus. enzyme that has asthma and Events Occurring been shown to urticaria ≥0.5% and <1%: be induced by Application Site: pro-inflammatory Injection site pain. stimuli and has Autonomic been postulated Nervous System: to be primarily Dry mouth. responsible for Body as a Whole: the synthesis of Asthenia and prostanoid peripheral edema. mediators of Hearing and pain, Vestibular: inflammation and Earache. fever. At Heart Rate and therapeutic Rhythm: doses, Bradycardia. valdecoxib is a Metabolic and COX-2 selective Nutritional: inhibitor of both Hyperglycemia. peripheral and Musculoskeletal central System: Arthralgia. prostaglandins and does not Respiratory System: inhibit COX-1, Pharyngitis. thereby sparing COX-1- Skin and Appendages: dependent physiological Rash and skin processes in postoperative tissues, complications. particularly the Urinary System: stomach, Oliguria. intestine and platelets. COX-2 is also thought to be involved in ovulation, implantation and closure of the ductus arteriosus and CNS functions (fever induction, pain perception and cognitive function). Cefazolin Bind to bacterial 500mg History of shock Shock; Give the cell wall by cefazolin. hypersensitivity medication (Stancef) IVTT membrane reactions; around the clock causing cell Q8H hematologic eg at evenly death. granulocytopenia, spaced times Therapeutic eosinophilia or and to finish the effect: thrombocytopenia; medication Infections of the bactericidal hepatic, renal completely at resp, GIT & GUT, action against otic & bone; skin, impairment; GIT directed, even if susceptible soft tissue & post- disease eg colitis; feeling better. bacteria. op infections; CNS signs Check for signs bacteremia, including of super septicemia, convulsions; infection endocarditis & alteration in (vaginal itching/ other infections bacterial flora; vit discharges) and due to susceptible deficiencies & allergy. organisms; others eg surgical headache, prophylaxis dizziness or malaise