Nursing role of medication

•
EX: cefobid-
caprofen – Amoxil – Flumox







Nursing role ;



1- perform sensitivity studies
to determine the causative organism



2- Reduce the daily dose in
impaired hepatic p.t



3- Asses SGOT and SGPT level



4- Assess electrolyte balance



2- Antibacterial – Anti parasitic drug



•
EX : Flagyl –
Ceptasol







•
Nursing role :



1- perform sensitivity studies to
determine the causative organism



2- Avoid prolonged use of the
drug because of



infection caused by overgrowth
of non susceptible organism



3-Rotate I.V frequently to
avoid thrombophlebitis



4- Protect I.V solution from
light







Antibacterial – Anti parasitic drug



5-
Reduce the dose in hepatic impairment



6- Provide regular oral hygiene if there is
G.I.T problem



7- Provide small frequent meal , sugarless to
relieve metallic taste



8- Monitor SGOT level frequently



9- Reduce dose in hepatic disease



10-Avoid alchol as toxic reaction will occur



11- Caution with p.t liable to edema or taking
corticosteroid







3- Antacid or H2 HISTAMINE ANTAGONIST



•
EX : zantac – mycogel – Ranitidine - Cemetadine







Nursing role :



1-
Rapid administration



2-It
should taken after meal



3-It
should be diluted before administration



4-Stop
or decrease the dose if there is gastric pain



5-Monitor
gastric PH frequently



4- Anti-hemorrhagic



EX : Dicynon – Vit. k – Capron – Conacion







Nursing role :



1-Prepare
the solution just before administration



2-PERFORM
liver function test and prothrombin time



3-Assess
signs and symptom of tachycardia and hypotension



4-Notify
the doctor if there is respiratory problem as it may lead to respiratory failure







5- Anti-inflammatory



EX. : ASpocid – romarin – hydroquine







Nursing role :



1-Used
with caution in p.t taking anti-coagulant and anti-diabetic



2-Used
with caution in p.t with Resp. insufficiency and renal impairment



3-
Avoid given it on an empty stomach



6- Diuretics



•
EX. : lasix – aldacton







Nursing role :



1- Measure blood pressure before
administration



2- Monitor electrolyte balance



3- Monitor p.t W.t frequently



4- Intake and output chart



5- Assess sign and symptom of dehydration



6- Give early at the morning



7- Take well balanced diet and decrease salt in the diet



8- Change position frequently to avoid
orthostatic hypotension



7- Laxative



EX. : Lactulose – glycerin







Nursing role :



1-
Assess ammonia level in the blood ( Normal;
30-70mg/100ml)



2-
Increase fluid intake



3-
Encourage the p.t to avoid using it as long term drug



4-
Assess defecation pattern







8- Anti-hypertensive



EX. : Epilat – aldomet – kapoten







Nursing role :



1-
Assess blood pressure before administration



2-
Give the drug slowly



3-
Keep the p.t in comfort position an elevate the head of the bed



4-
Assess neurologic status if the BL.P is high



9-Anti-coagulant



•
Ex. : Heparin – calixan







Nursing role :



1-Monitor
prothrombin time



2-
Assess s+s of bleeding



3-
Instruct the p.t to avoid use this medication without doctor order



4-
Monitor vital signs



5-
Monitor hemoglobin level



6-
Contraindicated with HR for bleeding p.t ( after surgery- recent stroke-
history of bleeding )



Prepared by



The spider

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