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 Date Ordered: 09/25/10 09/28/10 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 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. 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. 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), 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; 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. 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.