SALARDA, RYA SHEEN T.

BSN4 C
Patient Name: Durano, Aireen E.
Age & Sex: 40 years old, Female
Physician: Dr. Gayao
NAME OF DRUG/ MECHANISM INDICATION CONTRAINDICATION ADVERSE NURSING
DRUG FREQUENCY/ OF ACTION EFFECTS RESPONSIBILITY
ROUTE
Generic Name: Route & Dosage: Isomer of Erosive Hypersensitivity to CNS: Assessment & Drug
Esomeprazole Healing of Erosive omeprazole. A esophagitis, esomeprazole magnesium, Headache. Effects:
(e-so-me'pra-zole) Esophagitis weak base that gastrointestinal omeprazole, or other
Adult: PO or IV is converted to reflux disease proton pump inhibitors; GI: Nausea,  Monitor for S&S
Brand Name: 20–40 mg q.d. at the active form (GERD), gastric malignancy; vomiting, of adverse CNS
Nexium least 1 h before in the highly duodenal ulcer lactation. diarrhea, effects (vertigo,
meals times 4–8 acidic associated constipation agitation,
Classification: wks environment of with H. pylori in , abdominal depression)
Gastrointestinal the secretory combination pain, especially in
Agent; Proton GERD, Erosive surface of the with antibiotics. flatulence, severely ill
Pump Inhibitor Esophagitis gastric parietal dry mouth. patients.
Maintenance cells. Inhibits  Monitor
Adult: PO 20 mg the enzyme phenytoin levels
q.d. H+K+-ATPase with concurrent
(the acid pump). use.
Duodenal Ulcer  Monitor INR/PT
Adult: PO 40 mg with concurrent
q.d. times 10 d warfarin use.
 Lab tests:
Periodic liver
Administration: function tests,
Oral CBC, Hct & Hbg,
 Give at least 1 urinalysis for
h before eating. hematuria and
 Do not crush or proteinuria.
chew capsule.
Must be Patient & Family
swallowed Education:
whole.
 Open capsule  Report any
and mix pellets changes in
with applesauce urinary
(cold or room elimination such
temperature) if as pain or
patient cannot discomfort
swallow associated with
capsules. Do urination to
NOT crush physician.
pellets.  Report severe
Applesauce diarrhea. Drug
should be may need to be
swallowed discontinued.
immediately  Do not breast feed
after mixing while taking this
without drug without
chewing. consulting
 May take with physician.
antacids.
 Store in the
original blister
package 15°–
30° C (59°–86°
F).
SALARDA, RYA SHEEN T. BSN4 C
Patient Name: Durano, Aireen E.
Age & Sex: 40 years old, Female
Physician: Dr. Gayao
NAME OF DRUG/ MECHANISM INDICATION CONTRAINDICATION ADVERSE NURSING
DRUG FREQUENCY/ OF ACTION EFFECTS RESPONSIBILITY
ROUTE
Generic Name: For oral dosage As an Simethicone is General Information:  Headache  Take this drug
Simethicone forms (capsules antiflatulent, used to treat the Simethicone is  Constipation after each meal
(si-me-ti-kon) or tablets): simethicone has symptoms of gas contraindicated in patients  Diarrhea and at bedtime;
been shown in such as with hypersensitivity to  Nausea chew chewable
Brand Name: Adults and vitro to disperse uncomfortable simethicone or any tablets
Mylanta, Mygel, teenagers: Usual and prevent the or painful component of the inactive thoroughly
DiGel, Gelusil, dose is 60 to 125 formation of pressure, ingredients. before
and Rulox milligrams (mg) mucus- fullness, and swallowing;
four times a day, surrounded gas bloating. Breast-feeding: shake drops
Classification: after meals and pockets in the GI Studies have not been bottle thoroughly
Oral antiflatulent at bedtime. The tract. Changing conducted to determine if before
agent dose should not the surface simethicone is excreted in administration.
be more than 500 tension of the human milk. However, Parents may
mg in twenty- gas bubble due to the fact that want to add
four hours. prevents these simethicone is not drops to 30 ml
Children: Dose pockets. The gas absorbed systemically, it cool water,
must be bubbles coalesce seems unlikely that infant formula,
determined by and are more simethicone would be or other liquid to
the doctor. quickly excreted in the milk of ease
eliminated by breast-feeding women. administration.
For oral dosage flatus, belching, Problems in infants have  You may
form (chewable or absorption not been documented. experience
tablets): into the increased
bloodstream. Pregnancy: belching and
Adults and These actions in Epidemiologic evidence passing of flatus
teenagers: Usual vivo have not during human pregnancy as gas disperses.
dose is 40 to 125 been clearly shows no difference in  Report extreme
mg four times a established. outcomes between abdominal pain,
day, after meals Additionally, simethicone exposed and worsening of
and at bedtime or simethicone nonexposed pregnancies, condition being
the dose may be exhibits in vitro and there is a low risk for treated,
150 mg three activity against use during endoscopy or vomiting.
times a day, after Helicobacter as an antiflatulent because
meals. The dose pylori. it is not systemically
should not be absorbed. In normal
more than 500 Simethicone also therapeutic doses for the
mg in twenty- reduces gas treatment of occasional
four hours. bubbles that gas, the drug is also
Children: Dose obstruct considered low risk.
must be visualization in
determined by various Phenylketonuria:
the doctor. gastrointestinal Some formulations of
procedures such chewable simethicone
For oral dosage as radiography, tablets contain aspartame,
form gastroscopy, and a source of phenylalanine.
(suspension): colonoscopy. For Check inactive ingredient
example, labels if simethicone is
Adults and simethicone- used in patients with
teenagers: Usual coated cellulose phenylketonuria.
dose is 40 to 95 suspension (e.g.,
mg four times a SonoRx) acts to
day, after meals absorb and
and at bedtime. disperse gas
The dose should within the bowel
not be more than lumen resulting
500 mg in in reduced
twenty-four shadowing
hours. during
Children: Dose ultrasound
must be imaging.
determined by
the doctor.