Drug Study For Cefuroxime, Tramadol, Paracetamol And Ncp For Post Thoracostomy
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GENERIC NAME
BRAND NAME
Cefuroxime
Ceftin, Zinacef
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
CONTRAINDICATION
750 mg
q8
IVP
Cephalosporin
Decrease s or control the infection.
Less susceptible to beta lactamase and have greater activity against Haemophilu s Influenzae, gonorrhea and Lyme disease
If the drug was tolerated it can cause diarrhea, nausea, vomiting, headache, or migraines, dizziness and abdominal pain.
NURSING RESPONSIBILITY
Should the check the patients name, the correct route, dosage, and frequency of the medicine that should be given.
GENERIC NAME
BRAND NAME
Tramadol
Tramal, Mabron, Ralivia, Ryzolt, Tramacet, Ultracet, Zamadol, Zytram
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
100mg
q8
IVP
Analgesic
Treat moderate to moderatel y severe pain and most types of neuralgia, including trigeminal neuralgia.
Used to treat moderate to moderately severe pain and most types of neuralgia, including trigeminal neuralgia. It has been suggested that tramadol could be effective for alleviating symptoms of depression, anxiety, and phobias.
CONTRAINDICATION
Health professionals have not yet fully endorsed of its use on a large scale for these disorders, although it may be used when other treatments have failed (under the supervision of a psychiatrist).
NURSING RESPONSIBILITY
Should the check the patients name, the correct route, dosage, and frequency of the medicine that should be given
GENERIC NAME
BRAND NAME
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
CONTRAINDICATION
Paracetamo l
Naprex
1 amp
q8
IVP
Analgesic, Antipyretic
Used for the relief of fever, headaches , and other minor aches and pains, and is a major ingredient in numerous cold and flu remedies
Suitable substitute for aspirin & recommende d to be given if the fever is 38.5C and above
Excessive use can damage multiple organs such as liver and kidney Should check first the temperature before giving the medicine and after 15-30 mins. Recheck the temperature of the patient, should also check for the patients name, right route, dosage and frequency of the medicines
NURSING RESPONSIBILITY
Should check first the temperature before giving the medicine and after 1530 mins. Recheck the temperature of the patient, should also check for the patients name, right route, dosage and frequency of the medicines
Nursing Problem
Nursing Diagnosis
Objective data: with latest vital signs of: T: 38.1
Acute pain maybe related to presence of surgical incision manipulation of tissues/muscles
P:70 R:27 BP: 110/90 with grimace and weak in appearance pale with yellowish feet with tachypnea with difficulty speaking pain scale of 8 as verbalize by the pt.
Planning
to decrease pain within 8⁰ of duty To lower the temp. at 37 ⁰C
Nursing Interventio n Assist pt. to turn side by side every 2⁰. encourage to increase time of sleep determine pain characteristic through pt. description Provide diversional activities to the pt such as listening to radio have some conversation with him or tell him some stories that he may listen of.
Rationale
Evaluation
To promote good blood circulation To avoid bed sores To be easily gain his strength Establishes base line for assessing improvement or changes to promote skin integrity to refrain pt. from anxiety, depression or stress about his condition
After 8⁰ of duty the pt’s pain lessened as verbalized by the pt. Goal in decreasing temperature is unmet.
Laboratory Examination
Hematology Result
07-20-09
07-20-09
Color: yellow
ABO type “B”
Transparency: clear
Bleeding time 3’ 35” Clotting time
Urinalysis
pH: 7.0
5’ 05”
Specific Gravity: Epithelial cells: WBC: 0-1/ hpf RBC: 0-1/ hpf Albumin: (-) Sugar: (-)
Thyroid Function Test
07-22-09
TSH: 0.212 UIU/ml T3: 1.90 nmol/L
1.005
T4: 112 nmol/L
Hematology
Eosinophils: 0.11
07-21-09
Platelet Count: 229x10 g/L
Hemoglobin: 142 g/L Hematocrit: 0.43
Blood Chemistry
WBC: 11.3x10 g/L Segmenters: 0.55 Lymphocyte: 0.34
BUN: 5.5 nmol/L Creatinine: 86 umol/L
07-21-09
BRAND NAME
Cefuroxime
Ceftin, Zinacef
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
CONTRAINDICATION
750 mg
q8
IVP
Cephalosporin
Decrease s or control the infection.
Less susceptible to beta lactamase and have greater activity against Haemophilu s Influenzae, gonorrhea and Lyme disease
If the drug was tolerated it can cause diarrhea, nausea, vomiting, headache, or migraines, dizziness and abdominal pain.
NURSING RESPONSIBILITY
Should the check the patients name, the correct route, dosage, and frequency of the medicine that should be given.
GENERIC NAME
BRAND NAME
Tramadol
Tramal, Mabron, Ralivia, Ryzolt, Tramacet, Ultracet, Zamadol, Zytram
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
100mg
q8
IVP
Analgesic
Treat moderate to moderatel y severe pain and most types of neuralgia, including trigeminal neuralgia.
Used to treat moderate to moderately severe pain and most types of neuralgia, including trigeminal neuralgia. It has been suggested that tramadol could be effective for alleviating symptoms of depression, anxiety, and phobias.
CONTRAINDICATION
Health professionals have not yet fully endorsed of its use on a large scale for these disorders, although it may be used when other treatments have failed (under the supervision of a psychiatrist).
NURSING RESPONSIBILITY
Should the check the patients name, the correct route, dosage, and frequency of the medicine that should be given
GENERIC NAME
BRAND NAME
DOSAGE
FREQUENCY
ROUTE
CLASSIFICATION
ACTION
INDICATION
CONTRAINDICATION
Paracetamo l
Naprex
1 amp
q8
IVP
Analgesic, Antipyretic
Used for the relief of fever, headaches , and other minor aches and pains, and is a major ingredient in numerous cold and flu remedies
Suitable substitute for aspirin & recommende d to be given if the fever is 38.5C and above
Excessive use can damage multiple organs such as liver and kidney Should check first the temperature before giving the medicine and after 15-30 mins. Recheck the temperature of the patient, should also check for the patients name, right route, dosage and frequency of the medicines
NURSING RESPONSIBILITY
Should check first the temperature before giving the medicine and after 1530 mins. Recheck the temperature of the patient, should also check for the patients name, right route, dosage and frequency of the medicines
Nursing Problem
Nursing Diagnosis
Objective data: with latest vital signs of: T: 38.1
Acute pain maybe related to presence of surgical incision manipulation of tissues/muscles
P:70 R:27 BP: 110/90 with grimace and weak in appearance pale with yellowish feet with tachypnea with difficulty speaking pain scale of 8 as verbalize by the pt.
Planning
to decrease pain within 8⁰ of duty To lower the temp. at 37 ⁰C
Nursing Interventio n Assist pt. to turn side by side every 2⁰. encourage to increase time of sleep determine pain characteristic through pt. description Provide diversional activities to the pt such as listening to radio have some conversation with him or tell him some stories that he may listen of.
Rationale
Evaluation
To promote good blood circulation To avoid bed sores To be easily gain his strength Establishes base line for assessing improvement or changes to promote skin integrity to refrain pt. from anxiety, depression or stress about his condition
After 8⁰ of duty the pt’s pain lessened as verbalized by the pt. Goal in decreasing temperature is unmet.
Laboratory Examination
Hematology Result
07-20-09
07-20-09
Color: yellow
ABO type “B”
Transparency: clear
Bleeding time 3’ 35” Clotting time
Urinalysis
pH: 7.0
5’ 05”
Specific Gravity: Epithelial cells: WBC: 0-1/ hpf RBC: 0-1/ hpf Albumin: (-) Sugar: (-)
Thyroid Function Test
07-22-09
TSH: 0.212 UIU/ml T3: 1.90 nmol/L
1.005
T4: 112 nmol/L
Hematology
Eosinophils: 0.11
07-21-09
Platelet Count: 229x10 g/L
Hemoglobin: 142 g/L Hematocrit: 0.43
Blood Chemistry
WBC: 11.3x10 g/L Segmenters: 0.55 Lymphocyte: 0.34
BUN: 5.5 nmol/L Creatinine: 86 umol/L
07-21-09
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