7/28/2019 Pharma PORCIL

1/4

Name of theDrug

General Action Specific Action Indications Contraindications Adverse Reaction Nursing Responsibilities

Cefuroxime750 mg IVTTq 8H ANST (-)

Bactericidal Bind to bacterial cellwall membrane, causingcell death.

Treatment of thefollowing infectionscaused by susceptibleorganisms: Respiratorytract infections, Skinand skin structureinfections, Bone and

joint infections andUrinary tract infections.

Meningitis, gynecologicinfections, and Lymedisease.

Perioperativeprophylaxis.

Contraindicated in:Hypersensitivity to

cephalosporinsSerious hypersensitivity

to penicillins.Use Cautiously in:

Renal impairment (dose/ dosing intervalrecommended for:cefuroximeif CCr 20

ml/min)History of GI disease,

especially colitis

CNS: Seizures (HighDoses).Gi: PseudomembranousColitis, diarrhea,, cramps,nausea, vomiting.Derm: rashes, urticaria.Hemat: agranulocytosis,bleeding,eosinophilia,hemolytic anemia,neutropenia ,

thrombocytopenia.Local: pain at IM site,phlebitis at IV site.Misc:Allergic ReactionsIncluding Anaphylaxis AndSerum Sickness,superinfection.

Instruct patient to take medicataround the clock at evenly spacedand to finish the medication compeven if feeling better. Take missedas soon as possible unless almosfor next dose; do not double doses

Advise patient that sharing of thismedication may be dangerous.

Advise patient to report signs osuperinfection (furry overgrowth o

tongue, vaginal itching or dischargloose or foul-smelling stools) and a

Instruct patient to notify health cprofessional if fever and diarrheadevelop, especially if stool containblood, pus, or mucus. Advise patieto treat diarrhea without consultingcare professional.

7/28/2019 Pharma PORCIL

2/4

Name of theDrug

General Action Specific Action Indications Contraindications Adverse Reaction Nursing Responsibilities

Ketorolac 30 mgIV q 8H x 2 days

Nonsteroidal anti-inflammatoryagents, nonopioidanalgesics

Inhibits prostaglandinsynthesis, producingperipherally mediatedanalgesia.

Also has antipyreticand anti-inflammatoryproperties.Therapeutic Effects:Decreased pain.

Short-termmanagement of pain(not to exceed 5 daystotal for all routescombined).

Contraindicated in:HypersensitivityCross-sensitivity with

other NSAIDs may existPre- or perioperative

useKnown alcohol

intolerance (injectiononly)

Perioperative pain from

coronary artery bypassgraft (CABG) surgery .Use Cautiously in:

Cardiovascular diseaseor risk factors forcardiovascular disease(may risk of seriouscardiovascular thromboticevents, myocardialinfarction, and stroke,especially with prolongeduse)

History of GI bleedingRenal impairment

(dosage reduction may berequired)

CNS: drowsiness, abnormalthinking, dizziness, euphoria,headache.Resp: asthma, dyspnea.CV: edema, pallor,vasodilation.GI: Gi Bleeding, abnormaltaste, diarrhea, dry mouth,dyspepsia, GI pain, nausea.GU: oliguria, renal toxicity,

urinary frequency.Derm: Exfoliative Dermatitis,Stevens-Johnson Syndrome,Toxic Epidermal Necrolysis,pruritus, purpura, sweating,urticaria.Hemat: prolonged bleedingtime. Local: injection sitepain. Neuro: paresthesia.Misc: allergic reactionsincluding, anaphylaxis.

Instruct patient on how and wheask for pain medication.

Instruct patient to take medicatexactly as directed. Take missed das soon as remembered if not almtime for next dose. Do not double Do not take more than prescribedlonger than 5 days.

May cause drowsiness or dizzinAdvise patient to avoid driving or

activities requiring alertness untilresponse to the medication is kno

Caution patient to avoid theconcurrent use of alcohol, aspirin,NSAIDs, acetaminophen, or othermedications without consulting hecare professional.

Advise patient to inform health professional of medication regimeto treatment or surgery.

Advise patient to consult healthprofessional if rash, itching, visualdisturbances, tinnitus, weight gainedema, black stools, persistent

headache, or influenza-like syndro(chills, fever, muscle aches, pain).

7/28/2019 Pharma PORCIL

3/4

Name of the

DrugGeneral Action Specific Action Indications Contraindications Adverse Reaction Nursing Responsibilities

Cefadroxil500mg 1 capTID

Anti-infective Bind to bacterial cellwall membrane,causing cell death.Therapeutic Effects:Bactericidal actionagainst susceptiblebacteria

Treatment of thefollowing infectionscaused by susceptibleorganisms: Skin andskin structureinfections (includingburn wounds),Pneumonia, Urinarytract infections, Boneand joint infections,Septicemia.

Not suitable for thetreatment ofmeningitis.

Pharyngitis and/ortonsillitis.

Contraindicated in:Hypersensitivity to

cephalosporinsSerious hypersensitivity

to penicillins.Use Cautiously in:

Renal impairment(dosage reduction and/orincreased dosing intervalrecommended for: if CCr 50 ml/min

History of GI disease,especially colitis

CNS: Seizures (high doses).GI: PseudomembranousColitis, Diarrhea, Nausea,Vomiting, Cramps.Derm: Rashes, Pruritis,Urticaria.Hemat:Agranulocytosis,Eosinophilia, Hemolytic

Anemia, Neutropenia,Thrombocytopenia.Local: Pain At IM Site,Phlebitis At IV Site.Misc:Allergic ReactionsIncluding Anaphylaxis AndSerum Sickness,Superinfection.

Instruct patient to take medicatioaround the clock at evenly spaced and to finish the medication compledirected, even if feeling better. Takmissed doses as soon as possible almost time for next dose; do not ddoses. Instruct patient to use calibrmeasuring device with liquid prepa

Advise patient that sharing thismedication may be dangerous. .

Advise patient to report signs ofsuperinfection (furry overgrowth ontongue, vaginal itching or dischargeor foul-smelling stools) and allergy

Instruct patient to notify health cprofessional if fever and diarrhea despecially if diarrhea contains bloomucus, or pus. Advise patient not tdiarrhea without consulting health professional.

7/28/2019 Pharma PORCIL

4/4

Name of theDrug

General Action Specific Action Indications Contraindications Adverse Reaction Nursing Responsibilities

IbuprofenArginine500 mg 1 capTID

Antipyretics,Antirheumatics,Nonopioid

Analgesics,Nonsteroidal Anti-Inflammatory

Agents

Inhibits prostaglandinsynthesis.Therapeutic Effects:Decreased pain andinflammation.Reduction of fever.

Mild to moderatepain.

Inflammatorydisorders including:Rheumatoid arthritis(including juvenile),Osteoarthritis.

Contraindicated in:HypersensitivityCross-sensitivity may

exist with other NSAIDs,including aspirin

Active GI bleeding orulcer disease

Chewable tablets containaspartame and should notbe used in patients with

phenylketonuriaPeri-operative pain from

coronary artery bypassgraft (CABG) surgery .Use Cautiously in:

Cardiovascular disease(may risk ofcardiovascular events)

Renal or hepaticdisease, dehydration, orpatients on nephrotoxicdrugs (may risk of renaltoxicity)

Aspirin triad patients

(asthma, nasal polyps, andaspirin intolerance); cancause fatal anaphylactoidreactions

Chronic alcoholuse/abuse

History of ulcer disease(may risk of GI bleeding)

CNS: Headache, Dizziness,Drowsiness, PsychicDisturbances.EENT:Amblyopia, BlurredVision, Tinnitus.CV:Arrhythmias, Edema.GI: GI Bleeding, Hepatitis,Constipation, Dyspepsia,Nausea, Vomiting,

Abdominal Discomfort.

GU: Cystitis, Hematuria,Renal Failure.Derm: Exfoliative Dermatitis,Stevens-Johnson Syndrome,Toxic Epidermal Necrolysis,Rashes.Hemat: Blood Dyscrasias,Prolonged Bleeding Time.Misc:Allergic ReactionsIncluding Anaphylaxis.

Advise patients to take ibuprofefull glass of water and to remain in upright position for 15-30 min afteradministration.

Instruct patient to take medicatiodirected. Take missed doses as soremembered but not if almost time next dose. Do not double doses.

Advise patient to inform health cprofessional of medication regimen

to treatment or surgery.Advise patient to consult health

professional if rash, itching, visualdisturbances, tinnitus, weight gain,edema, black stools, persistent heaor influenza-like syndrome (chills, fmuscle aches, pain) occurs.