Handout 26:6 Nursing Drug Handbook Exercises: Look up Rocephin and list its adul
ID: 238726 • Letter: H
Question
Handout 26:6 Nursing Drug Handbook Exercises: Look up Rocephin and list its adult dosage for Moderate to Severe Infections - and interpret what the dosage is 1. 2. Look up Depo-Medrol and list what this ication is used for. 3. Look up Phenergan and list its chemical name and its classification. 4. Look up Depo-Provera and list its contraindications. What are contraindications? 5. Look up Nitroglycerine and list it's availability (in what forms does it come)? 6. List the value of looking up medications in a Drug Reference book. 2/6/2018 9:04 AMExplanation / Answer
1. Rocephin: ( Ceftriaxone)
Adult dosage for moderate to severe infections:
Intra-abdominal Infections- complicated mild-to-moderate, community acquired: 1-2 g/day IV in single daily dose or divided q12hr for 4-7 days, in combination with metronidazole
Pelvic Inflammatory Disease- 250 mg IM as single dose with doxycycline, with or without metonidazole for 14 days.
Prosthetic Joint Infection- 2 g IV q24hr for 2-6 weeks; continue treatment until clinical improvement observed and patient is afebrile for 48-72 hr
Meningitis -2g IV q12hr for 7-14 days
Severe Acute Bacterial Rhinosinusitis- Infection requiring hospitalization: 1-2 g IV q12-24hr for 5-7 days
2. Depo medrol: ( Methylprednisolone)
FOR INTRAMUSCULAR ADMINISTRATION
When oral therapy is not feasible and the strength, dosage form, and route of administration of the drug reasonably lend the preparation to the treatment of the condition, the intramuscular use of Depo-Medrol Sterile Aqueous Suspension is indicated as follows:
Allergic States: Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, seasonal or perennial allergic rhinitis, serum sickness, transfusion reactions.
Dermatologic Diseases: Bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, severe erythema multiforme (Stevens-Johnson syndrome).
Endocrine Disorders: Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the drug of choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy, mineralocorticoid supplementation is of particular importance), congenital adrenal hyperplasia, hypercalcemia associated with cancer, nonsuppurative thyroiditis.
Gastrointestinal Diseases: To tide the patient over a critical period of the disease in regional enteritis (systemic therapy) and ulcerative colitis.
Hematologic Disorders: Acquired (autoimmune) hemolytic anemia, congenital (erythroid) hypoplastic anemia (Diamond Blackfan anemia), pure red cell aplasia, select cases of secondary thrombocytopenia.
Miscellaneous: Trichinosis with neurologic or myocardial involvement, tuberculous meningitis with subarachnoid block or impending block when used concurrently with appropriate antituberculous chemotherapy.
Neoplastic Diseases: For palliative management of leukemias and lymphomas.
Nervous System: Acute exacerbations of multiple sclerosis; cerebral edema associated with primary or metastatic brain tumor or craniotomy.
Ophthalmic Diseases: Sympathetic ophthalmia, temporal arteritis, uveitis and ocular inflammatory conditions unresponsive to topical corticosteroids.
Renal Diseases: To induce diuresis or remission of proteinuria in idiopathic nephrotic syndrome, or that due to lupus erythematosus.
Respiratory Diseases: Berylliosis, fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy, idiopathic eosinophilic pneumonias, symptomatic sarcoidosis.
Rheumatic Disorders: As adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis; acute rheumatic carditis; ankylosing spondylitis; psoriatic arthritis; rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy). For the treatment of dermatomyositis, polymyositis, and systemic lupus erythematosus.
B. FOR INTRA-ARTICULAR OR SOFT TISSUE ADMINISTRATION
Depo-Medrol is indicated as adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis, acute and subacute bursitis, acute nonspecific tenosynovitis, epicondylitis, rheumatoid arthritis, synovitis of osteoarthritis.
C. FOR INTRALESIONAL ADMINISTRATION
Depo-Medrol is indicated for intralesional use in alopecia areata, discoid lupus erythematosus, keloids, localized hypertrophic, infiltrated, inflammatory lesions of granuloma annulare, lichen planus, lichen simplex chronicus (neurodermatitis), and psoriatic plaques, necrobiosis lipoidica diabeticorum.
Depo-Medrol also may be useful in cystic tumors of an aponeurosis or tendon (ganglia).
3. Phenergan:
Chemical name- Promethazine hydrochloride
Classification- Tricyclic
4. Depo Provera
Contraindications:
Contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient. Absolute contraindications are contraindications for which there are no reasonable circumstances for undertaking a course of action. Relative contraindications are contraindications for circumstances in which the patient is at higher risk of complications from treatment, but these risks may be outweighed by other considerations or mitigated by other measures.
5. Nitroglycerin:
Nitroglycerin is available in the form of tablets, ointment, solution for intravenous use, transdermal patches, or sprays administered sublingually.
6. Value of looking up medications in a Drug reference book:
Drug reference books provide a comprehensive, up-to-date drug information in well-organized way.
It provides information on the drug preparations, available forms, pharmaceutical terms, dosage, indications, contraindications, side effects and precautions to be taken.
It addresses the issue of safe medication administration, and educates the reader about different therapeutic classes of drugs.
It includes information about health care's most vulnerable patients: children, the elderly, pregnant women, and breast feeding mothers.
Thus, drug reference books serve as a useful guide for safe administration of drugs and also a valuable learning resource.
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