University of Iloilo - PEN College of Nursing DRUG STUDY Patients Name: ___________________________________ Ward/Bed No.

: ___________________ Impression/Diagnosis: __________________________ Age: ____________________________________________ Chief Complaints: __________________ Attending Physician: __________________________

Drugs

Classification/Mechanis m of Action

Indication

Contraindication

Side Effect/Adverse Reaction

Special Precaution/Nursing Responsibility

Generic: levetiracetam Brand: Keppra Dosage: 500mg Route: NGT Frequency: BID Anticonvulsant Unknown may inhibit nerve impulses by limiting influx of sodium ions across cell membrane in motor cortex Adjunctive therapy in partial onset seizures Hypersensitivity to medication HEMA: Lowered Hct, Hgb, RBC, Infection CNS: Dizziness Somnolence Asthenia MISC: Infection Abdominal pain Pharyngitis Observe 10 rights in administering medication. Assess:

Renal Studies: Urinalysis, BUN, Urine creatinine every 3 months Blood Studies: RBC, Hct, Hgb,

WBC

Description of seizures Administer with food to decrease GI upset (rare)

Timing: 8AM 6PM

Teach/Instruct Family:

Not to discontinue medication quickly after long-term use Evaluate: Therapeutic response (decreased seizure activity document on patients chart)

Students name: _____________________________________ Year & Section: _____________________________________

Clinical Instructor: ________________________________ Date Submitted: __________________________________