Blood components Hemoglobin Hematocrit Leukocyte Segmentars Lymphocytes Eosinophils Platelet count
August 15 120 0.36 5.7x10 g/L 0.19 0.80 0.01 276x10 g/L
Normal value 130-150 0.42-0.48 5-10x10 g/L 0.36-0.66 0.22-0.40 0.01-0.04 150-400x10 g/L
August 16 130 0.39 6.5x10 g/L 0.30 0.66 0.04 346x10 g/L
INTERPRETATION:
August 16, 2011 Prothrombin Time Test Prothrombin Time: 15 seconds Control: 12 seconds % Activity: 63% INR: 3.1 INTERPRETATION:
Classification Name of Drug
Action
Adverse effect
Indication
Contraindication
Nursing Consideration
Assessment & Drug Effects Side effects are rare with paracetamol when it is taken at the recommended doses. Skin rashes, blood disorders and acute inflammation of the pancreas have occasionally occurred in people taking the drug on a regular basis for a long time. One advantage of paracetamol over aspirin and NSAIDs is that it doesn't irritate the stomach or causing it to bleed, potential Side effects of aspirin and To relieve mild to moderate pain due to things such as headache, muscle and joint pain, backache and period pains. It is also used to bring down a high temperature. For this reason, paracetamol can be given to children after vaccinations to prevent postimmunisation pyrexia (high temperature). Paracetamol is often included in cough, cold and flu remedies. Hypersensitivity to acetaminophen or phenacetin; use with alcohol.
Paracetamol drops 60mg/ml 1.5ml q4
Non-opioid analgesic
Monitor for S&S of: hepatotoxicity, even with moderate acetaminophen doses, especially in individuals with poor nutrition.
Patient & Family Education Do not take other medications (e.g., cold preparations) containing acetaminophen without medical advice; overdosing and chronic use can cause liver damage and other toxic effects. Do not selfmedicate children for pain
NSAIDs.
more than 5 d without consulting a physician. Do not use for fever persisting longer than 3 d, fever over 39.5 C (103 F), or recurrent fever. Do not give children more than 5 doses in 24 h unless prescribed by physician.
Cotrimoxazole (200mg/5ml) 5ml BID
Antibiotic combination of sulfamethazole and trimetoprim
Blocks synthesis of tetrahydrofolic acid;combinati on blocks two consecutive steps in bacterial synthesis of essential nucleic acids, protein
Dermatologic: Rash, pruritus, exfoliative dermatitis GI: Epigastric distress, nausea, vomiting, glossitis Hematologic: Thrombocytope nia, leukopenia, neutropenia, megaloblastic anemia, methemoglobin emia, elevated serum transaminase and bilirubin, increased BUN and serum creatinine levels
- Uncomplicated UTIs caused by susceptible strains of E. coli, Proteus mirabilis, Klebsiella pneumoniae, Enterobacter species, and coagulasenegative Staphylococcus species, including Staphylococcus saprophyticus - Treatment of acute otitis media due to susceptible strains of S. pneumoniae and H. influenza in children
Hypersensitivity to any sulfa drug or any component; porphyria; megaloblastic anemia due to folate deficiency; infants <2 months of age; marked hepatic damage
- Assess allergic reactions - Monitor I&O ratio - Monitor kidney function - Assess type of infection; obtain C&S before starting therapy - Assess blood dyscrasias
Precautions: Pregnancy C, renal disease, eldery, G6PD deficiency, impaired hepatic/renal disease, possible folate deficiency, severe allergy, bronchial asthma
Other: Fever
Contraindications - Allergy to trimethoprim, pregnancy (teratogenic in preclinical studies), megaloblastic anem ia due to folate deficiency.
