Drug order

Drug
Action

Indications

Contraindications

Generic Name:
cefuroxime

Inhibits cell
wall
synthesis
promoting
osmotic
instability
usually
bactericida
l

Perioperative
prevention

Contraindicated in
patients
hypersensitive to
drug or other
cephalosporin.

CV: phlebitis,
thrombophlebitis

Use cautiously in
patients
hypersensitive to
penicillin because
of possibility of
cross-sensitivity
with other beta
lactam antibiotics

Hematologic:
hemolytic anemia,
thrombocytopenia
, transient
neutropenia,
eosinophilia

Brand Name:
Xorimix

Drug Order

Generic Name:
Ketorolac
Tromethamine
Brand Name:
Toradol
Classification
:
AntipyreticNSAID
Dosage:
30mg (3
doses)
Route:
IVTT

Mechanism
Of
Action
Anti-inflammatory
and analgesic
activity;inhibits
prostaglandinsan
d leukotriene
synthesis

750 mg 1
tab BID

Adverse Effect

GI: diarrhea,
anorexia, vomiting

Indications

Contraindications

Adverse
Effect

Short-term
managemen
t of pain (up
to 5 days)

Contraindicated
with significant renal
impairment, aspirin
allergy, recent GI
bleed or perforation
Use cautiously with
impaired hearing;
allergies; hepatic
conditions

CNS:headache,
dizziness,
somnolence,
insomnia,
fatigue,
dizziness
stinnitus,
ophthalmologic
effects

Nursing
Responsibility/Precautions
Before giving drug. ask patient if
she is allergic to penicillin or
cephalosporin.
Obtain specimen for culture and
sensitivity tests before giving first
dose. absorption of oral drug is
induced.

Nursing Responsibilities/
Precautions
Renal impairment,Impaired
hearing,allergies, hepatic,
Skin color and lesions,orientation,
reflexes,peripheral
sensation,clotting times,
CBC,adventitious sounds
Be aware that patient may be at
risk for CV events, GI
bleeding,renal toxicity,
monitoraccordingly.
Keep emergency equipment
readily available at time of
initialdose, in case of
severehypersensitivity reaction.
Protect drug vials from light.

Frequency:
Every 6 hours

Administer every 6 hrs to

maintain serum levels and control

pain.

Babylen S. Divinagracia
Bsn-2a
Drug Study
Drug Order
Generic Name:

Paracetamol
Brand Name:

Biogesic
Dosage:

Adults
andchildren
500-1000 mg
orallyevery 4-6
hours.

Indication
Symptomatic
relief of pain
and fever.

Classification
Anti-pyretic

Contraindications

Adverse Effect

Contraindicated in
patients
hypersensitive to
drug.

Use cautiously in
patients with long
term alcohol use
because therapeutic
doses cause
hepatotoxicity in
these patients.
Hematologic:
hemolytic
anemia,neutropenia
, leucopenia,
pancytopenia.
Hepatic: Jaundice
Metabolic:
Hypoglycemia
Skin: rash, urticaria.

Nursing
Responsibility
Use liquid form for
children
andpatients who
have
difficultyswallowing.
In children, dont
exceed five
dosesin 24 hours.
Advise patient that
drug is only
forshort term use
and to consult
thephysician if
giving to children
forlonger than 5
days or adults
forlonger than 10
days.
Advise patient or
caregiver thatmany
over the counter
productscontain
acetaminophen; be
awareof this when
calculating total
dailydose.
Warn patient that
high doses
orunsupervised
long term use
cancause liver
damage.