VII.

DRUG STUDY

Drug & Classification Dosage & Route Action Indication Nursing Responsibilites
GENERIC NAME DOSAGE Competitively inhibits  Prevention and treatment  May only be used for 2-8 days only.
Tranexamic Acid 500 mg TIV q6 activation of plasminogen, of iron-deficiency anemias.  Tranexamic acid has a similar mechanism of action to aminocaproic acid,
thereby reducing  Prophylaxis in patients with but is approximately 10 times more potent in vitro.
BRAND NAME ROUTE conversion of plasminogen coagulopathy undergoing  Prolonged use carries a risk of thrombosis in patients who have an
Cyklokapron IV to plasmin (fibrinolysin), an blood transfusion. underlying prothrombotic state.
enzyme that degrades  Contraindicated in patients with disseminated intravascular coagulation
CLASSIFICATION fibrin clots, fibrinogen, and without concomitant heparin therapy.
Antifibrinolytics other plasma proteins,  Tranexamic acid should be avoided in patients with acquired disturbances
including the procoagulant in colour vision; ophthalmic exam is recommended before and during
factors V and VIII. therapy if patient is treated beyond several days.
 Primarily eliminated as unchanged drug (>90%) in urine.
 Use with caution in patients with renal insufficiency, cardiovascular or
cerebrovascular disease.
 Not indicated in hematuria caused by diseases of the renal parenchyma.

GENERIC NAME DOSAGE Replaces iron found in Used to treat iron deficiency  Give ferrous fumarate on an empty stomach, at least 1 hour before or 2
Ferrous Fumarate 1 tab BID hemoglobin, myoglobin, anemia (a lack of red blood hours after a meal.
and enzymes; allows the cells caused by having too  Avoid giving the medication within 1 hour before or 2 hours after eating
BRAND NAME ROUTE transportation of oxygen little iron in the body). fish, meat, liver, and whole grain or "fortified" breads or cereals.
Femiron PO via hemoglobin.  Avoid taking antacids or antibiotics within 2 hours before or after taking
ferrous fumarate.
CLASSIFICATION  Give medication with a full glass of water
Iron Supplement  Advice the patient to swallow the whole tablet and not chew it.
 Advice patient that he/she may have black tarry stools
 Do not give it to the patient when he/she has just taken an antibiotic
medicine within 2 hours before or after take ferrous fumarate.
 Watch out for any allergic reaction the medication.

GENERIC NAME DOSAGE Inhibits secretion of Treatment of amenorrhea,  Give a glass of water after drinking the medication.
Medroxyprogesterone 10mg 1 tab OD x pituitary gonadotropins, abnormal uterine bleeding,  Advice the patient that she will be infertile while taking the drug.
10 days which prevents follicular endometriosis believed to be  Contraindicated in patients with hepatic disease, hepatic dysfunction,
BRAND NAME maturation and ovulation. secondary to hormonal incomplete abortion, suspected pregnancy, or abnormal and
Provera ROUTE The drug converts a imbalances undiagnosed vaginal bleeding.
PO proliferative endometrium  Contraindicated in patients with asthma, cardiac disease, seizure
CLASSIFICATION into a secretory state. disorder, migraine, or renal disease because it can cause fluid retention,
Progestins this could aggravate these conditions.