Question

List Classification, Mechanism of action and what to assess before and after administering

4. Carisoprodol (Soma)

5. Vancomycin ( Vancocin)

6. Nystatin (Mycostatin)

7. Amphotericin B (Fungizone)

8.Acyclovir (Zovirax)

9. Cefazolin (Ancef)

10. Azithromycin ( Zithromax)

Answer 1

Drug name	Class	Mode of action	Assessment Before	Assessment After
Carisoprodol	Carbamate c,Skeltal muscle relaxant	It act on central nervous system and depress and act as a sedative and muscle muscle relaxant.it prevents neural communication in the reticular formation and spinal cord leads to sedation and releif from pain.	assess for high risk.,and hypersensityvity.	Observe for drowsiness,dizziness.Teach the patient not to drive and avoid hazardous activity.
Vancomycin	Antibiotic,To treat bacterial infections.	It is an antibiotic that inhibits the cell wall synthesis,by the the method of biniding to the D Ala-D Ala terminal of the growing peptide chain during cell wall synthesis which inhibit elongating and cross linking of peptidaglycan matrix.	Assess for hypersensitrivity ,ask for allergy to corn products.	Observe for wheezinh,itching,muscle pain and dizziness.
Nystatin	Antifungal,To treat candida infection.	It is an ionosphore.It is bind with ergosterol in the fungal cell wall membrane.It makes pores in the membrane and acidification and death of fungus.	Assess for hypersensitivity	Observe for headache,CNS changes.Bone marrow suppression.
Amphotercin	Antifungal	It binds with ergosterol results in distruption of membrane and leads to cell death.	Risk assessment	Observe for toxicity ,check electrolytes ,pottassium and magnesium and ECG
Acyclovir	Antiviral	It convert to triphosphate form which prevents viral DNA polymerase and inactivate virla DNA polymerase.	Avoid in renal failure	Observe for complications.
Cefazolin	Antibiotic	It inhibits the bacterial cell wall synthesis by inactivation of one or more pencillin binding proteins and inhibits cross linking peptidoglycagen structure.	Watch for seizures.Observe for psedomembrane colitis ,diarrhoea.	Observe for complications.
Azithromycin	Antibiotic	It prevents bacterial growth by preventing the protein synthesis.It joints with 50S subunit of bacteria ribosome and prevents the translation mRNA.	Observe for risk,and hypersensitivity.	Observe for complications.