It is because the patient is

experiencing a
DIZZINESS Dehydration. PRESENT

The temperature rises quickly as

high as 40 C, with relative low
heart rate (bradycardia) and low
blood pressure (hypotension). PRESENT
FEVER

HEADACHE

The dengue rash is

characteristically bright red
petechiae and usually appears first
RASHES on the lower limbs and the chest. NOT PRESENT
Cardiovascular signs NOT PRESENT

include hypotension and

narrow pulse pressure, poor
capillary refill and relative
bradycardia.
DRUG NAME ACTION INDICATION CONTRAINDICA ADVERSE NURSING
TION REACTIONS CONSIDERATI
ONS
Norgesic Forte Anticholinerg -Relief of Contraindication Nausea and vom 1.Provide additi
ic drug/agent painful to iting, dry mouth, onal measures
*BRAND NAME: is a substan skeletal Norgesic/Norgesi blurring of vision, to relieve disco
Norgesic Forte ce that block muscle c Forte result fro insomia, orthosta mfort heat, re
*GENERIC s theneurotr spasm m theparasypatol tic hypotension, li st for the muscl
NAME: ansmitter associated ytic action of orph ghtheadedness, e,positioning.
acetylcholine with chronic enadrine . it shoul stomach cramps, 2. Discontinue the
Orphenadrine, in the CNS low backpain d not be given to constipation, drug at any sign of
aspirin, and and PNS. , sprains and patients withglauc dizziness hypersensitivity
caffeine May be strains, oma, prostatic hy andrestlessness reaction or liver
related on prolapsed pertrophy, bladder may occur in dysfunction
part to intervertebral neck obstruction some patients .3. Monitor
itsanalgesic disc, muscle or myasthema gra susceptible respiratory status
effects also injury, non- vis. Itshould be to the 4. Monitor for
possess articular rheu used with caution parasympatholyti adverse effects
anticholinerg matism, in patients with c action .5. Monitor the
ic activity whiplash tachycardia. or orphenadrine. effectiveness of
injuries, acute Norgesic/Norgesi Rarely, rash may comfort measures
torticollis, c Forte is also occur. and compliance
tension notrecommended with the regimen
headache, for children below .6. Patients should
dysmenorrhe 12 years be cautioned to
al andother avoid alcohol
acute or chronic while taking this
painful muscular muscle relaxant dr
conditions.
Ciproloxacin -to prevent -obtain culture
-inhibits the inhalation -hypersensitivity CNS: andsensitivity
*BRAND NAME: enzyme anthrax after to abnormal gait, test results as
Cipro, Cipro I.V. DNA gyrase, exposure or ciprofloxacin,quin agitation, ordered, before
*GENERIC which is to treat olones or their anxiety, ataxia, giving
NAME: responsible inhalation components, cerebral ciprofloxacin.
Ciprofloxacin for anthrax. myasthenia thrombosis,
unwinding gravis. confusion,
and Depression
supercoiling ,dizziness,
of bacterial drowsiness,
DNA before fever
it replicates. ,hallucinations,
By inhibiting headache,
this enzyme, increased
ciprofloxacin intracranial
causes pressure
bacterial including
cells to die. pseudotumor
cerebri,
insomnia,
irritability,
lethargy, light-
headeness,
malaise, manic
reaction,
migraine,
nervousness,
nightmares,
paranoia,
parethesia,
peripheral
neuropathy,,pho
bia,
restlessness,
seizures, status
epilepticus,
 suicidal ideation,
syncope, tremor,
toxic psychosis,
Orphenadrine -to relieve unresponsivenes -Be aware that
citrate muscle s, weakness. orphenadrine
spasms in -angle-closure shoudnt be
*BRAND NAME: -may reduce painful glaucoma; given to
Norflex muscle musculoskele hypersensitivity to patients with
spasms by tal conditions. orphenadrine or tachycardia or
*GENERIC acting on its components; cardisc
NAME: cerebral myasthenia insufficiency.
Orphenadrine motor gravis; CNS: -
citrate centers or obstruction of Agitation,.
medulla. bladder neck , Confusion,
Postganglion duodenum or dizziness,
ic pylorus; prostatic drowsiness,
anticholinerg hypertrophy: light-
ic effects stenosing peptic headedness,
and some ulcers. syncope, tremor.
anti
histaminic
and local
anesthetic
action
contribute to
skeletal
muscle
relaxation.

Paracetamol -symptomatic -patient with

(also known as relief of pain alcoholic liver
acetaminophen) and fever. -hypersensitivity disease,
Relief of patients. impaired liver
*BRAND NAME headache , or kidney
Tylenol, Calpol, toothache function.
and Panadol. ,backpain,
*GENERIC dysmenorrhe
NAME -produce al. Analgesics
Paracetamol analgesia by and anti -rash, nausea &
blocking pyretic for vomiting,blood ,
 pain patients dycrasias,
impulses by hypersensitivi anemia,
inhibiting of ty for aspirin. analgesic
synthesis of neuropathy,
prostaglandi neurotoxity
n in the ,hypersensitivity
CNS or of reactions.
other
substances
that -Monitor for
Ascorbic Acid synthesis S&S of acute
(vitamin C) pain -prophylysis High Amount of haemolytic
receptors to and treatment Oxalic Acid in the anemia, sickle
*BRAND NAME stimulation. of scurvy and Urine, Anemia cell, crisis.
Cecon, Vitamin in dietary from Pyruvate
C supplement . Kinase and G6PD
Increases Deficiencies, Iron
protection of Metabolism
*GENERIC mechanism Disorder causing
NAME of the Increased Iron abdominal
ASCORBIC immune Storage, Sickle cramps or pain,
ACID an system,thus Cell Anemia chest pain,
antioxidant, supporting dental erosion,
it scavenges wound dizziness,
free radicals healing diarrhea,
and reactive necessary for faintness,
oxygen wound fatigue, flushing,
molecules, healing and gut blockage,
which are resistanceto headache,
produced infection. heartburn,
during increased risk of
metabolic lung cancer,
pathways of increased risk of
detoxificatio Parkinson's
n. It also disease,
prevents inflamed
formation of esophagus,
carcinogens injection site
from discomfort,
precursor nausea, red
 compounds blood cell
complications,
skin tingling or Assess patient
OMX Capsule -Gastric irritation, slowing for abdominal d
(OHHIRA of endurance istention, prese
malignancy
MOUNTAIN training, nce of bowel so
FRUITS Hypersensitivity thickening of
unds, and usua
EXTRACT) -Dietary Impairment renal blood vessels
l pattern of bow
supplement and hepatic close to the
el function.
that protect heart, urinary
functions
the intestinal complications,
Lactation Assess
flora from and vomiting.
Pregnancy color, consisten
-Competitive infections;
inhibition of improves cy, and amount
adhesion of intestinal of stool produc
pathogen function and ed.
-Modification maintain the
of toxins or integrity of
toxin the lining of
receptors the intestines.
-Stimulation -Headache
of specific
Hypersensitivity
and non-
specific reactions
immune Warmth
response. Sensation of
whirling and loss
of balance
Deficiency of
vitamin b12
Nausea