Question

Write:

trade and generic name

usual dose and frequency

Drug classification

Indications/use

Action/effect (what is expected patient response to MOA)

Main side Affect/Adverse reaction (any significant medical alert, warning, precaution, drug interactions, contraindications)

Nursing intervention (what kind of assessment, lab value, patient teaching etc.) of the following med:

Cefazolin 2g

Brimonidine 1 drop OPH

Oxycodone immediate release 5mg po Q4HP

Latanoprost 0.005% 1 drop QHS

Dex5 0.9% NS-KCL 20 MEQ IV, IVP

Sodium Chloride 0.9% NS 3mL IVP Q12H

Answer 1

1) cefazolin

Trade name- Ancef, Kefzol

Classes- Cephalosporins 1st generation

Dosage- powder for injection- 500mg, 1g, 2g, 10g, 20g, 100g, 300g.

Frequency- 0.5 to 1g 6 to 8 hrly for moderate to severe infections

UTI- 1g 12hrly

Prophylaxis for surgery- 1-2g 60 min before procedure

Adverse effect- Anaphylaxis, diarrhea, fever, seizures, leukopenia.

Action- It binds to 1 or more penicillin binding protein, thereby arresting bacterial cell wall synthesis and Inhibiting bacterial replication.

Nursing responsibility- Determine any prprevious allergic reactions towards antibiotics, specially penicillin.

Monitor intake output, BUN and creatinine levels, possible kidney damage, report diarrhea immediately as it can be onset of life threatening pseudomembranous colitis.

2) Brimonidine 1drop OPH

Trade name- Alphagan p

Class- Alpha adrenergic agonist.

Indications- Glucoma, occular hypertension.

Dose- 1mg/ml or 1.5mg/ ml

frequency- 3 times a day or as directed

Action- Lowers intraoccular pressure

Side effect- Allergic conjunctivitis, conjunctival folliculosis, conjconjuctival hyperemia, eye pruritis.

Nursing responsibility- Check for allergic reactions, Instruct patient to avoid driving as drug may cause blur vision. Check for other vascular and blood disorders.

3) Oxycodone immediate release 5mg PO

Trade name- Oxaydo, Roxicodone, Roxybond.

Classification- Opiod agonist

Dose- Available as 5mg, 10mg, 15mg, 20mg, 30mg.

Starting dose of 5-15mg taken 4-6 hours as needed

Indications- Moderate to severe pain

MOA- It work to decrease pain message that body sends to brain, by mimiking endorpins.

Side effects- Drowsiness, nausea vomiting, constipation, headache, weakness or lack of energy, dry mouth etc.

Nursing responsibilities Instruct patient not to drive, use heavy machinery, or perform any dangerous tasks.

- Instruct to swallow tablet as whole and drink enough water.

4) Latanoprest 0.005% drops HS

Trade name- Xalatan, Xelpros

Dose- 0.005% 2.5ml

Frequency- once daily

class- Antiglaucoma, prostaglandin agonist.

Indication- Occular hypertension, open angel glaucoma.

Action- works by increasing the outflow of aqueous fluid from eyes through uveoscleral tract.

Adverse effect- Blurry vission, redness of eye, itching, darkening of iris

Nursing responsibility- Instruct to avoid sun exposure as it gradually increases pigmentation.

Check for any other intraocular inflammation prior to administration

Monitor renal functions.