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Drug Study Choledocholithiasis

This document summarizes information on 5 drugs: Ciprofloxacin, Metronidazole, Omeprazole, Celecoxib, and Vitamin K. It includes each drug's mechanism of action, indications for use, contraindications, potential side effects, and relevant nursing responsibilities. The nursing responsibilities focus on ensuring proper administration, monitoring for side effects and therapeutic response, and educating patients.

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180 views2 pages

Drug Study Choledocholithiasis

This document summarizes information on 5 drugs: Ciprofloxacin, Metronidazole, Omeprazole, Celecoxib, and Vitamin K. It includes each drug's mechanism of action, indications for use, contraindications, potential side effects, and relevant nursing responsibilities. The nursing responsibilities focus on ensuring proper administration, monitoring for side effects and therapeutic response, and educating patients.

Uploaded by

Czafrancisco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Drug Study

Drug Name Mechanism of


Action
Indications Contraindications Side Effects Nursing
Responsibilities
1.Ciprofloxacin
(Cipro)
200mg IV q8
antibiotics
(Antibiotic) Inhibits
bacterial DNA
synthesis, mainly
by blocking DNA
gyrase;
bactericidal
Complicated
intra-abdominal
infection,
Complicated UTI,
Chronic bacterial
prostatitis,
Nosocomial
pneumonia
-hypers
ensitive to
fluoroquinolones
-with CNS
disorders
(cerebral
arteriosclerosis)
-with risk of
seizures
Seizures,
confusion,
headache,
diarrhea, N/V,
crystalluria,
interstitial
nephritis,
tendon rupture
1. Tell to take drug
as prescribed, even
after feeling better
2. Advise to take
plenty of fluids
3. Advise not to
crush, split or chew
4. Avoid hazardous
tasks
2.
Metronidazole
(Flagyl)
500mg IV q8
Anti-infectives
(Antiprotozoal)
Direct-acting
trichomonicide and
amebicide that
works inside and
outside the
intestines.
Intestinal amebiasis,
Amebic liver abscess,
Bacterial vaginosis,
PID, Prevention of
post-op
contamination
-hypersensitive
to drug
-history of blood
dyscrasia, CNS
disorder or
retinal/visual field
changes
-with hepatic
disease or
alcoholism
Headache,
seizures,
vertigo, ataxia,
syncope,
flattened t-
wave,
stomatitis, dry
mouth,
constipation,
URTI
1.Intruct to take
medication 1-2hrs
before meals
2. Instruct in proper
hygiene
3. Avoid alcohol and
alcohol containing
drugs while on tx
4. Report any
neurologic
symptoms
3. omeprazole
(Omepron)
200 mg IV q8
Proton pump
inhibitor
Increases gastric
pH, reduces
gastric acid
production
Dyspepsia,
hypersecretory
secretions
Hypersensitivity Headache,
diarrhea,
abdominal pai,
nausea
1.Notify physician if
headache, diarrhea,
discomfort, or
nausea occurs
during therapy
2.Take omperazole
before meals; do not
crush
3. Monitor AST and

ALT, serum alkaline
phosphate to assess
liver function
4. celecoxib
(Celebrex)
200mg BID PO
NSAID,
analgesic
NSAIDs that inhibit
cyclooxygenase
(COX) enzymes,
which are involved
in the synthesis of
prostaglandins and
thereby reduce
pain and
inflammation
Short term treatments
of post-op pain in
adults
Acute Pain
Hypersensitivity
to aspirin,
sulfonamides,
NSAIDS

Diarrhea,
dyspepsia,
headache,
HPN, UTi
1. Be aware of CV
events and G.I
bleedings
associated with
celecoxib
2.Advise client to
avoid alcohol and
aspirin during
therapy because it
increases GI
bleeding
3. Monitor
therapeutic
response
5. vitamin K
(Mephyton)
1 ampule IV q8
Promotes hepatic
formation of active
coagulation factors
Hyphotrhombinemia
caused by effect of
oral anticoagulants

-
hypoprothrombinemia
caused by Vit. K
malabsorption
-hypersensitivity

-dizziness,
flushing, rapid
and weak
pulse,
diaphoresis,
erythema,
swelling,
hematoma
1.Monitor client for
any allergic
reactions that may
occur after
administrating
2. Check brand
name labels for
administration
restrictions

6.

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