Drug Name

GENERIC NAME:
Omeprazole

Dosage/
Frequency/R
oute
DOSAGE:
40g

BRAND NAME: Losec

(CAN)

FREQUENCY:
OD

DRUG
CLASSIFICATION:
Antisecretory drug
Proton Pump
Inhibitor

ROUTE: IVTT

Mechanism of
Action

Indication

Contraindicat
ion

Adverse Effect

Gastric acidpump inhibitor:

Suppresses
gastric acid
secretion by
specific
inhibition of the
hydrogenpotassium
ATPase enzyme
system at the
secretory
surface of the
gastric parietal
cells; blocks the
final step of acid
production

Indicated for:
>Short- term
treatment of
activeduodenal
ulcer; First- line
therapy in
treatment of
heartburn or
symptoms of
gastoesophageal
reflux disease
(GERD);
>Short-term
treatment of
active benign
gastric ulcer;
>GERD, severe
erosive
esophagitis,
poorly responsive
symptomatic
GERD,
>Long-term
therapy:
Treatment of
pathologic
hypersecretory
conditions
(Zollinger-Ellison
syndrome,

Contraindicat
ed with
hypersensitiv
e to
omeprazole
or its
components;
Use
cautiously
with
pregnancy,
lactation

CNS:
Headache,
dizziness,
asthenia,
vertigo,
insomnia,
apathy,
anxiety,
paresthesia,
dream
abnormalities
Dermatologic:
Rash,
inflammation,
urticarial,
pruritus,
alopecia, dry
skin
GI: Diarrhea,
abdominal
pain, nausea,
vomiting,
constipation,
dry mouth,
tongue
atrophy
Respi: URI

Nursing
Consideration
C: Antisecretory
drug; Proton
pump inhibitor
H: IVTT
E:decrease
gastric acid
secretion
C: Take the drug
before meals.
Report severe
headache,
worsening of
symptoms, fever,
chills.
K: Swallow the
capsule whole; do
not chew, open,
or crush them.

Name of Drug
GENERIC NAME:
Cefuroxime
TRADE NAME: Ceftin
AVAILABILITY:
Tablets: 125mg,
250mg, 500mg
POWDER FOR
INJECTION:
750mg, 1.5g, 7.5g
PREMIXED
CONTAINERS: 750
mg/50ml, 1.5g/50ml

Classification of
Drug
THERAPEUTIC:
Anti-infectives
PHARMACOLOG
IC:
Second
generation
Cephalosporins
Pregnancy
Category B

Mechanism
of Action
Bind to
bacterial cell
wall
membrane,
causing cell
death
THERAPEUTI
C EFFECTS:
bactericidal
action

multiple
adenomas,
systemic
mastocytosis);
>Eradication of
H.Pylori with
amoxicillin or
metronidazole
and
clarithromycin:
Indication
Contraindicati
on
TREATMENT
Hypersensitivi
OF
ty to
It is effective
cephalosporin
for the
s and related
treatment of
antibiotics;
penicillinasepregnancy
producing
(category B),
Neisseria
lactation
gonorrhea
(PPNG).
Effectively
treats bone
and joint
infections,
bronchitis,
meningitis,
gonorrhea,
otitis media,
pharyngitis/to
nsillitis,
sinusitis,

symptoms,
cough,
epistaxis
Other: Cancer
in preclinical
studies, back
pain, fever

Side Effects
GI: Diarrhea,
nausea,
antibioticassociated
colitis.
SKIN: Rash,
pruritis,
urticarial.
Urogenital:
Increased
serum
creatinine and
BUN,
decreased
creatinine
clearance
HEMAT:
Hemolytic

Nursing
Responsibilities
BEFORE:
>Determine history
of hypersensitivity
reactions to
cephalosporins,
penicillins, and
history of allergies,
particularly to drugs,
before therapy is
initiated.
>Lab tests: Perform
culture and
sensitivity tests
before initiation of
therapy and
periodically during
therapy if indicated.
Therapy may be
instituted pending
test result. Monitor

ASSESSMENT
Subjective:
nagsusuka ako
minsan kapag
katapos kong
kumain, as
verbalized by the
patient
Objective:
-Dry skin
- Poor skin turgor
-Vomiting
-Body weakness
-Decreased urine
output

DIAGNOSIS
Fluid Volume
Deficit related
to Vomiting

lower
respiratory
tract infection,
skin and soft
tissue
infection,
urinary tract
infections, and
is used for
surgical
prophylaxis,
reducing or
eliminating
infection
Planning
After 2 hours
of nursing
interventions,
the client will
be able to
maintain
adequate fluid
volume as
evidence by
mucous
membranes
and good skin
turgor

anemia
MISC:
Anaphylaxis

Intervention
-Maintain
accurate
record of I/O,
noting output
less than
intake,
increased
urine specific
gravity. Assess
skin/mucous
membranes,
peripheral
pulses, and
capillary refill.
-Perform
frequent oral
hygiene

Rationale

periodically BUN and

creatinine clearance.
DURING:
>Inspect IM and IV
injection sites
frequently for signs
of phlebitis
>Monitor for
manifestations of
hypersensitivity

Evaluation
After 2 hours of
nursing
interventions, the
client was able to
maintain adequate
fluid volume as
evidenced by moist
mucous
membranes and
good skin turgor

-Provide skin
and mouth
care
-Increased
fluid intake

Assessment
Subjective:
nagsusuka ako
minsan kapag
katapos kong
kumain, as
verbalized by the
patient
Objective:
-Dry skin
- Poor skin turgor
-Vomiting
-Body weakness
-Decreased urine

Diagnosis
Fluid Volume Deficit
related to Vomiting

Planning
After 2 hours of
nursing
interventions, the
client will be able to
maintain adequate
fluid volume as
evidence by mucous
membranes and
good skin turgor

Intervention
-Maintain accurate
record of I/O, noting
output less than
intake, increased
urine specific gravity.
Assess skin/mucous
membranes,
peripheral pulses,
and capillary refill.
-Perform frequent
oral hygiene
-Provide skin and

Evaluation
After 2 hours of
nursing
interventions, the
client was able to
maintain adequate
fluid volume as
evidenced by moist
mucous membranes
and good skin turgor

output

mouth care
-Increased fluid
intake