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Name of the drug Generic:Citicoline Brand name:Zynapse Classification:CNS stimulant Route: IVTT Frequency: q8h Dosage: 1gm

Mechanism of action

indication

contraindication

Adverse reaction

Nursing consideration -

-CVA in acute and recovery phase, symptoms and signs of cerebral insufficiency, recent cranial trauma.

-parasympathetic hypertonia.

-GI disorders

Name of the drug Generic: ceftriaxone sodium Brand: rocephin

Mechanism of action Route: IVTT Frequency: OD Dosage: 1gm -Third-generation cephalosporin that inhibits cell-wall synthesis, promoting osmotic stability; usually bactericidal.

indication -UTI -skin structure infections -septicemia -

contraindication

Adverse reaction

Nursing consideration -before administration, ask patient if he is allergic to penicillin or cephalosporins. -tell patient to notify about loose stool or diarrhea.

Classification: antiinfective

-contraindicated in -CNS: fever, headache, patients -GI: diarrhea hypersensitivity to -skin: rash drug or other cephalosporins. -use cautiously in patients hypersensitive to penicillin because of possibility of crosssensitivity with other beta-lactam antibiotics.

Name of the drug Amlodepine Brand: norvasc Route: PO/ per ngt Frequency: OD

Mechanism of action

Indication

Contraindication

Adverse reaction

Nursing considerations -monitor BP frequently. -notify for signs of heart failure occurs, such as swelling of hands, feet, or shortness of breath.

Classification: Dosage: 5mg antianginals/antihypertensive

-inhibits calcium ion influx across cardiac and smooth-muscle cells, thus decreasing myocardial contractility and oxygen demand; dilates coronary arteries and arterioles.

-hypertension

-contraindicated in patients hypersensitive to drugs. -use cautiously in patients receiving other peripheral vasodilators and those with heart failure and with severe hepatic disease.

-cns: headache -cv: edema -gi: nausea, abdominal pain -respi: dyspnea -skin: rashes

Name of the drug Simvastatin Brand: zocor Classification: antihyperlipidemics

Mechanism of action Route: po/ per ngt Frequency: ODHS Dosage: 40mg/tab tab -inhibits HMG-CoA reductase, an early (and rate-limiting) step in cholesterol biosynthesis.

Indication - to reduce risk of death from CV disease and CV events in patients at high risk for coronary events - To reduce total and LDL cholesterol levels.

Contraindications -contraindicated in patients hypersensitive to drugs, those with active liver disease, consumes alcohol or have history of liver disease.

Adverse reaction -cns: headache -gi: abdominal pain, constipation, vomiting -respiratory: upper respiratory tract infection.

Nursing consideration -patient should follow standard lowcholesterol diet during therapy. -obtain liver function test results at start of therapy and then periodically. A liver biopsy may be performed if enzyme elevations persist. -take drug with evening meals to enhance absorption.