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Generic Name Esomeprazole

Brand NAME Nexium

Dosage 40 mg IVP Q12

Classification Proton pump inhibitor

Action Suppresses the final step in gastric acid production by inhibiting the H+/ K+ AT Pase in the gastric parietal cells. This decreases gastric acid secretion

Contraindication Known hypersensitivity to any component of the formulation or to any macrolide antibiotic.

Nursing Consideration >store between 15-300C(59-860F) >record abdominal assessment

Adverse Effects

Side Effects >diarrhea >Abdominal pain >Bowel irregularity >dyspepsia

Generic Name Potassium Citrate

Brand NAME Acalca Acalka

Dosage I tab tid

Classification

Action

Contraindication

Nursing Consideration >Renal insufficiency Persistent alkaline urinary infections ->Obstruction of the urinary tract >Hyperpotassemia Adrenal insufficiency > Respiratory or metabolic alkalosis > Active peptic ulcer >Intestinal obstruction > Patients submitted to anti cholinergic therapy > Patients with slow gastric emptying.

Adverse Effects >Slight gastrointestinal disorders may appear which can be palliated by means of the joint administration of food

Side Effects

Generic Name Metopolol tartrate

Brand NAME Neobloc

Dosage 50 mg 1 tab OD

Classification

Action
>Blocks stimulation of beta1 (myoc ardial) adrenergic receptors, usually without affecting beta2 (pulm onary, vascular, uterine) adrenergic receptor sites

Contraindication

Nursing Consideration

Adverse Effects

Side Effects

>Check for the patients apical pulse before giving the medication; if pulse is slower do not give the drug. >Monitor the BP frequently, the drug masks common signs and symptoms of shock. >When therapy is stopped, reduce dose gradually for 12 weeks. >Caution patient to avoid tasks requiring mental alertness until response to therapy has been established.

Generic Name Chlorampheni col

Brand NAME Ursa Fenol

Dosage

Classification antibiotic

Action Interferes with or inhibits protein synthesis in bacteria by binding to 50S ribosomal subunit.

Contraindication >Hypersensitivit y to chloramphenico l >

Nursing Consideration > avoid simultaneous administration of other drug that may depress bone marrow. >administer IV as a 10% solution over atleast 60sec interval

Adverse Effects

Side Effects >can cause Aplastic anemia >headache Delirium Mental depression >optic neuritis

Generic Name Sodium bicarbonate

Brand NAME

Dosage

Classification Alkalinizing agent, antacid, electrolyte

Action The antacid is due to neutralizatio n of hydrochloric acid by forming sodium chloride and carbon dioxide. Provide temporary relief of peptic ulcer pain and of discomfort associated with indigestion. >Treatment of hyperacidity .

Contraindication Chloride loss due to vomiting or from continuous GI suction >hypocalcemia in which alkalosis may cause tetany.

Nursing Consideration >watch for Acid rebound >hypertonic solution must be administered by trained personnel. >avoid extravasations as tissue irritation of cellulitis may result >Do not add to calcium containing solution, expert where compatibility has been established.

Adverse Effects

Side Effects >Acid rebound >systemic alkalosis after prolonged uses

Generic Name Telmisartan

Brand NAME Diovan

Dosage

Classification Antihyperten sive ,angiotensin II receptor blocker

Action Control of BP in black is less than in whites.

Contraindication

Nursing Consideration >may be taken with or without food. >correct depletion of intravascular volume or begin therapy under close supervision.

Adverse Effects

Side Effects

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