ESOMEPRAZOLE MAGNESIUM

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(e-so-me’pra-zole)
Nexium
Classifications: gastrointestinal agent; proton pump inhibitor
Prototype: Omeprazole
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

• Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients.
• Monitor phenytoin levels with concurrent use.
• Monitor INR/PT with concurrent warfarin use.
• Lab tests: Periodic liver function tests, CBC, Hct & Hbg, urinalysis for hematuria and proteinuria.

Patient & Family Education

• Report any changes in urinary elimination such as pain or discomfort associated with urination to physician.
• Report severe diarrhea. Drug may need to be discontinued.
• Do not breast feed while taking this drug without consulting physician.

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• AZITHROMYCIN (a-zi-thro-mye’sin) Zithromax Classifications: antiinfective; macrolide antibiotic Prototype: Erythromycin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Monitor for and report loose stools or diarrhea, since pseudomembranous colitis (see Appendix F) must be ruled out. Monitor PT and INR closely with concurrent warfarin use. Patient & Family Education Direct sunlight
• CIPROFLOXACIN HYDROCHLORIDE (ci-pro-flox’a-cin) Cipro, Cipro IV, Cipro XR CIPROFLOXACIN OPHTHALMIC Ciloxan Classifications: antiinfective; quinolone antibiotic Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Report tendon inflammation or pain. Cipro needs to be discontinued. Lab tests: Culture and sensitivity tests should be done prior to initial dose. Treatment may be implemented
• MEROPENEM (mer-o’pe-nem) Merrem Classifications: antiinfective; carbapenem antibiotic Prototype: Imipenem Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Lab tests: Perform C&S tests prior to therapy. Monitor periodically liver and kidney function. Determine history of hypersensitivity reactions to other beta-lactams, cephalosporins, penicillins, or other drugs. Discontinue drug and
• AMPICILLIN SODIUM AND SULBACTAM SODIUM (am-pi-sill’in/sul-bak’tam) Unasyn Classifications: antiinfective; antibiotic; aminopenicillin Prototype: Ampicillin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Determine previous hypersensitivity reactions to penicillins, cephalosporins, and other allergens prior to therapy. Lab tests: Baseline C&S tests prior to initiation of therapy; start drug pending results. Report promptly unexplained
• TRAMADOL HYDROCHLORIDE (tra’ma-dol) Ultram, Zydol  Classifications: central nervous system (cns) agent; analgesic; narcotic (opiate) agonist Prototype: Morphine sulfate Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Assess for level of pain relief and administer prn dose as needed but not to exceed the recommended total daily dose. Monitor vital signs and