Drugs For Aspirationpnuemonia

Name of Drug with Dosage 1.Zantac

Generic Name Ranitidine

Action

Histamine Antagonist

150 mg 1 tab (BID)

Mechanism of Action Completely inhibits the action of histamine at the H2 receptors of the parietal cells of the stomach inhibiting basal gastric acid and secretion that is stimulated by food, insulin, histamine, cholinergic agonist, gastrin and penta gastrin.

Indication

- Short term treatment of active duodenal ulcer

Side Effects

Contraindications

Nursing Responsibilities

- Headache

-Contraindicated with allergy to ranitidine, lactation

-Administer oral drug with meals and at bed time.

- Dizziness - Confusion

- Maintenance therapy for duodenal ulcer at reduce dosage

- Decrease doses in renal and liver failure.

- Hallucination - Skin rash

- Provide concurrent antacid therapy to relieve pain.

- Short term treatment for benign gastric ulcer

- Administer IM dose undiluted, deep into large muscle group. - Arrange for regular follow-up including blood tests, to evaluate effects.

2. Metronidazole 500 MG 1 tab (TID)

-ApoMetronidazole

-Antibacterial -Antibiotic

- Flagyl -Antiprotozoal -Noritate -Amebicide

Inhibits infection with susceptible anaerobes, causing cell death, antiprotozoal – trichomonacidal, amebicidal.

-Acute infection with susceptible anaerobic bacteria

-Dry mouth with strange metallic taste -Nausea

-Acute intestinal amebiasis

-Vomiting

-Protostat -Vandazol -Viaflex 4.) Fluimucil

Acetylcystein e

- Mucolytic - Expectorant

600 mg 1 tab in ½ glass of water (OD)

- Antiviral agent - Antidote

Used to reduce the viscocity of mucous secretions. It has also been shown to have antiviral effects in patients with HIV due to inhibition of viral stimulation by reactive oxygen intermediates.

-Bacterial vaginosis

-Diarrhea

- Acute and chronic respiratory tract infection with abundant mucous secretions.

- Increased productive cough - Nausea - GI upset

- Contraindicated with not hypersensitivity to metronidazole, pregnancy. (Do not use for trichomoniasis in 1st trimester )

- Take full course of drug therapy; take with food if GI upset occurs.

- Effervescent tab / sachet Phenylketenuris

- Dilute the 20 & acetylcysteine solution with either normal saline or sterile water for injection, use the 10% solution undiluted.

-Advice the client to avoid drinking alcohol to avoid severe reaction.

- Dyspnea - Administer the