Name of Patients: Diagnose: MEDICATION Generic name: Tramadol Brand name: Ultram Mechanism of action: it is the act on the MU opioid receptors Age: INDICATIONS CONTRAINDICATIONS indicated for the management of moderate to moderately severe chronic pain in adults who require around-the clock treatment of their pain for an extended period of time. patients who have had a hypersensitivity reaction to any opioid. DRUG STUDY Gender: Doctor: SIDE EFFECTS constipation nausea dizziness vertigo headache drowsiness vomiting Height: ADVERSE EFFECTS dizziness headache drowsiness nausea and vomiting constipation lack of energy sweating dry mouth Weight: SPECIAL PRECAUTIONS This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting. NURSING CONSIDERATIONS/ IMPLEMENTATIONS Monitor other changes in mood and behavior, including euphoria, confusion, malaise, nervousness, and anxiety. Assess dizziness that might affect gait, balance, and other functional activities Dosage: 50 mg Frequency: every 4 to 6 hours as needed Use appropriate pain scales to document whether this drug is successful in helping manage the patient's pain. Name of Patients: Diagnose: MEDICATION Generic name: Omeprazole Brand name: Prilosec, and Prilosec OTC Mechanism of action: selective and irreversible proton pump inhibitor. Dosage: 40 mg Frequency: one, two, or three times a day before a meal Age: DRUG STUDY Gender: Doctor: INDICATIONS CONTRAINDICATIONS SIDE EFFECTS Omeprazole is indicated for the short-term treatment of peptic ulcer disease in adults, where most patients heal within four weeks. Contraindicated in patients with a history of hypersensitivity to the drug or any excipients from the dosage form. Back, leg, or stomach pain. Bleeding or crusting sores on the lips. blisters. bloody or cloudy urine. continuing ulcers or sores in the mouth. Omeprazole is also indicated for gastric ulcers in adults. Height: ADVERSE EFFECTS Weight: SPECIAL PRECAUTIONS Headaches. Omeprazole may Feeling sick (nausea) cause a serious Being sick (vomiting) type of allergic or diarrhoea. reaction when used Stomach pain in patients with Constipation conditions treated Farting with antibiotics. Call your doctor right away if you or your child has itching, trouble breathing or swallowing, or any swelling of your hands, face, or mouth. NURSING CONSIDERATIONS/ IMPLEMENTATIONS Advise patient to avoid alcohol and foods that may cause an increase in GI irritation. Instruct patient to report bothersome or prolonged side effects, including skin problems (itching, rash) or GI effects (nausea, diarrhea, vomiting, constipation, heartburn, flatulence, abdominal pain). Name of Patients: Diagnose: MEDICATION Generic name: Sodium Bicarbonate Age: INDICATIONS Sodium bicarbonate indicated in the treatment of metabolic acidosis Brand name: which can occur in Neut severe renal disease, uncontrolled Mechanism of diabetes, circulatory action: insufficiency due to sodium shock, anoxia or bicarbonate severe dehydration, administration extracorporeal is increasing circulation of blood plasma and severe primary bicarbonate lactic acidosis. levels, which are known to buffer excess hydrogen ion concentration. Dosage: 1mg Frequency: N/A DRUG STUDY Gender: Doctor: Height: CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS contraindicated in patients with metabolic and respiratory alkalosis and in patients with hypocalcemia in which alkalosis may produce tetany. Nausea Bloating Swelling hands/ankles/feet, unusual weight gain. chest pain, seizures. dizziness, muscle aches/spasms, mental/mood changes (such as confusion, irritability, memory problems), vomiting, weakness, signs of kidney problems Weight: SPECIAL PRECAUTIONS Before taking sodium bicarbonate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. NURSING CONSIDERATIONS/ IMPLEMENTATIONS Keep sodium bicarbonate ampules handy for emergency administration. Monitor vital signs, laboratory results and level of consciousness frequently. Watch out for signs of decreasing level of consciousness. Record intake and output accurately to monitor renal function.