Escat, Sarah Jane A.
Drugs
Date Ordered:
09/25/10
Indication
Dietary
supplement
Generic Name:
Opstres
Brand Name:
-Classification:
Multivitamins
Dosage:
1 tab, po, OD
Group 10
Action
Generic Name:
Aluminium
Used to treat
the symptoms
of too
much stomach
acid such as

Opstres is scientifically
formulated with vitamin Bcomplex which produces and
maintains sufficient energy to
enable the body to fight stress.
The B group of vitamins are all
water-soluble and are not
adequately stored in the body,
so they need to be replenished
on a daily basis to support many
body functions eg, the normal
functioning of the nervous
system and providing energy by
converting carbohydrates to
glucose.
Aluminum
and magnesium antacids work
quickly to lower the acid in the
stomach. This medication works
only on existing acid in the
Nursing
Patient Teaching
Consideration
Severe allergic  Instruct
 May be taken
reactions
patient that he
with or
(rash; hives;
can take it with
without food
itching;
or without
(May be taken
difficulty
food.
w/ meals for
breathing;
better
absorption or
tightness in
if GI
the chest;
discomfort
swelling of the
occurs.)
mouth, face,
lips, or
tongue);
decreased
coordination;
numbness or
tingling of the
skin;
severe or
persistent
constipation.
Side Effect
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Date Ordered:
09/25/10
09/28/10
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nausea,
constipation,
diarrhea,
headache

Instruct
patient that it
must be taken
on an empty
stomach, they

This
medication
comes as a
chewable
tablet and
hydroxide
stomach upset
Brand Name:
Maalox
Classification:
Antacid
stomach. It does not prevent
acid production. It may be used
alone or with other medications
that lower acid production (e.g.,
H2 blockers such
as cimetidine/ranitidine and
proton pump inhibitors such as
omeprazole).
Dosage:
1tab, po, BID
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Date Ordered:
09/25/10
Generic Name:
Benutrex-C
Brand Name:
-Classification:
Vitamin C
Deficiencies of
components
esp of vit B &
vit C due to
impaired
absorption
Vitamin C is required for the
growth and repair of tissues in
all parts of your body. It is
necessary to form collagen, an
important protein used to make
skin, scar tissue, tendons,
ligaments, and blood vessels.
Vitamin C is essential for the
healing of wounds, and for the
repair and maintenance of
cartilage, bones, and teeth.

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black/tarry
stools,
slow/shallow
breathing,
slow/irregular
heartbeat,
mental/mood

changes (e.g.,
confusion),
deep sleep,
pain with
urination,
stomach/abdom
inal pain,
vomit that looks
like coffee
grounds.
Dry and

splitting hair
Gingivitis
(inflammation
of the gums)
Bleeding gums
Rough, dry,
scaly skin
Decreased
wound-healing
rate
only neutralize
acid for 30 to
60 minutes
because the
antacid quickly
leaves the
stomach
If taken with
food, the
protective
effect may be 
2 or 3 hours.
Instruct
patient that a
skin test will
be done to
know if he has
allergy to this
medication



liquid to take
by mouth.
Chew tablets
thoroughly; do
not swallow
them whole.
Drink a full
glass of water
after taking
the tablets.
You should
not use this
medication if
you have ever
had an allergic
reaction to
ascorbic acid.
Dosage:
Incorporated in
the IVF
Vitamin C is one of many
antioxidants. Vitamin
E and beta-carotene are two
other well-known antioxidants.
Antioxidants are nutrients that
block some of the damage
caused by free radicals, which
are by-products that result
when our bodies transform food
into energy.
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Date Ordered:
09/25/10
Generic Name:
Paracetamol
Brand Name:
-Classification:
Anti-pyretic
Dosage:
Relief of milto-moderate
pain;
treatment of
fever.
Decrease fever by inhibiting the
effects of pyrogens on the
hypothalamic heat regulating
centers and by a hypothalamic
action leading to sweating and
vasodilation.
Easy bruising
Nosebleeds
Weakened
tooth enamel
Swollen and
painful joints
Anemia
Decreased
ability to fight
infection
Possible
weight gain
because of
slowed
metabolism
Stimulation,
drowsiness,
nausea, vomiting,
abdominal pain,
hepatotoxicity,
hepatic seizure
(overdose), renal
failure (high,
prolonged doses),
leukopenia,
neutropenia,
hemolytic anemia
(long term use),
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
Assess
patient’s fever:
temperature,
diaphoresis
Assess allergic
reaction: rash,
urticaria; if
these occur
drug may have
to be
discontinued
Tell patient to
read label on
other OTC
drugs. Advise
patient to
avoid taking
more than one
product
containing
paracetamol
at one time; as
this may cause
toxicity if
300mg IV q4h,
prn for T > 38.7
500mg 1tab
q4h, prn, po, for
T >37.8
thrombocytopenia, 
pancytopenia, rash,
urticaria,
hypersensitivity,
cyanosis
Assess
hepatotoxicity:
dark urine, claycolored stools,
yellowing of skin
and sclera;
itching,
abdominal pain,
fever, diarrhea if
patient is on
long-term
therapy

Monitor liver
and renal
functions. AST,
ALT, bilirubin,
pro-time, BUN,
CREA
Check input
and output
ratio;
decreasing
output may
indicate renal
failure
Assess for
chronic
poisoning:
rapid, weak
pulse;
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taken
concurrently
Advise patient
patient to
avoid alcohol;
acute
poisoning with
liver damage
may result;
acute toxicity
includes
symptoms of
nausea,
vomiting and
abdominal
pain; physician
should be
notified
immediately.
Teach patient
to recognize
sign of chronic
overdose:
bleeding,
bruising,
malaise, fever,
sore throat
Inform patient
that urine may
dyspnea: cold,
clammy
extremities;
report
immediately to
prescriber

Date Ordered:
09/26/10
Generic Name:
Essentiale Forte
Brand Name:
-Classification:
Hepatic
Protectors
Dosage:
1tab, BID, po
Prevention of
infection on
the liver
Essentiale/Forte regulates
-membrane permeability and
improves the exchange of
substances between the intraand extracellular space. It
activates metabolic function and
supports the energy balance of
the liver. It restores enzyme
functions and promotes
detoxification of the liver.
Neutral fats and cholesterol are
transformed into transportable
forms and led to their
physiological oxidation. Liver cell
regeneration is stimulated and
the bile is stabilized.

Instruct
patient that it
must be taken
with food

become dark
brown as a
result of
phenacetin
(metabolite of
acetamoniphe
n)
Tell patient to
notify
prescriber for
fever lasting
for more than
3 days
To be
swallowed
whole, with a
little liquid if
desired.
Date Ordered:
09/25/10
Generic Name:
Bactidol
Brand Name:
-Classification:
Anti-bacterial
Mouth/Throat
Preparations
Dosage:
Gargle after
meals
For topical use
in dentistry.
General
hygiene
Hexetidine, a
hexahydropyrimidine, arrests
the thiamine metabolism of
microorganisms, thereby
inhibiting their growth.
Hexetidine has both
antibacterial and antifungal
properties in vivo and possesses
a broad spectrum of activity
against both gram-positive and
gram-negative organisms that
cause mouth and throat
infections.
Hexetidine has been proven to
exhibit an analgesic property. It
possesses an anti-infective
(preventive and curative)
property. It has been shown to
have a cicatrizing action. It also
exhibits a mild hemostatic
action.
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Altered
taste
Stain in the
teeth

Inform patient
that it might
stain his teeth
but this is not
permanent
and can be
removed by
polishing with
pumice.


Gargle with
half a
mouthful of
Bactidol for 30
sec, 2-3 times
a day for a
week, until
symptoms
disappear. No
need to dilute.
General Oral
Hygiene:
Gargle once in
the morning
and before
retiring at
night.