Name of Patient: W.P.

Age: 55 Sex: M Room: Male Medicare Ward

Problem: Bronchial Asthma w/ AE Student Nurse: BAUTISTA, Jesther Rowen B. (BSN III-1)

NAME OF GENERAL INDICATIONS, MECHANISM OF SIDE EFFECTS NURSING

DRUG CLASSIFICA CONTRAINDICAT ACTION CONSIDERATIONS
TION IONS
Generic: cephalosporin Indicated for: Ceftin is a - o CNS: Headache, o Determine history of
Cefuroxim antibiotic o bacterial lactam type dizziness, lethargy, hypersensitivity reactions
e infections, such antibiotic. More paresthesias to cephalosporins,
as: specifically, it is a o GI: Nausea, vomiting, penicillins, and history of
Brand: o bronchitis second- diarrhea, anorexia, allergies, particularly to
Ceftin o gonorrhea generation abdominal pain, drugs, before therapy is
o Lyme disease cephalosporin. flatulence, initiated.
Dosage: o infections of Cephalosporins pseudomembranous o Inspect IM and IV injection
750 mg IV the ears, work the same colitis, liver toxicity sites frequently for signs
q8 throat, way as penicillins: o Hematologic: Bone of phlebitis.
sinuses, they interfere marrow depression: o Report onset of loose
urinary tract, with the decreased WBC, stools or diarrhea.
and skin peptidoglycan decreased platelets, Although
synthesis of the decreased Hct pseudomembranous
Contraindicated bacterial wall by o GU: Nephrotoxicity colitis.
to: inhibiting the final o Hypersensitivity: o Monitor I&O rates and
o allergy to transpeptidation Ranging from rash to pattern: Especially
cephalosporin needed for the fever to anaphylaxis, important in severely ill
antibiotics cross-links. serum sickness reaction patients receiving high
o Other: Superinfections, doses. Report any
disulfiram-like reaction significant changes.
with alcohol o Prior to reconstitution,
protect drug from light.
The power and
reconstituted drug may
darken without affecting
potency.
o Continue therapy for at
least 10 days in infections
due to Streptococcus
pyogenes.
Name of Patient: W.P. Age: 55 Sex: M Room: Male Medicare Ward

Problem: Bronchial Asthma w/ AE Student Nurse: BAUTISTA, Jesther Rowen B. (BSN III-1)
NAME OF GENERAL INDICATIONS, MECHANISM OF SIDE EFFECTS NURSING
DRUG CLASSIFICA CONTRAINDICAT ACTION CONSIDERATIONS
TION IONS
Generic: Angiotensin- Indicated for: Blocks ACE from o CV: Tachycardia, angina Assessment
Captopril converting o Treatment of converting pectoris, MI, Raynaud's o History: Allergy to
enzyme (ACE) hypertension angiotensin I to syndrome, CHF, captopril, history of
inhibitor alone or in angiotensin II, a hypotension in salt- or angioedema, impaired
Brand: combination powerful volume-depleted patients renal function, CHF, salt or
Capoten with thiazide- vasoconstrictor, o Dermatologic: Rash, volume depletion,
type diuretics leading to pruritus, pemphigoid-like pregnancy, lactation
Dosage: o Treatment of decreased blood reaction, scalded mouth o Physical: Skin color,
25 mg q6 CHF in patients pressure, sensation, exfoliative lesions, turgor; T; P, BP,
unresponsive to decreased dermatitis, peripheral perfusion;
conventional aldosterone photosensitivity, alopecia mucous membranes,
therapy; used secretion, a small o GI: Gastric irritation, bowel sounds, liver
with diuretics increase in serum aphthous ulcers, peptic evaluation; urinalysis,
and digitalis potassium levels, ulcers, dysgeusia, renal and liver function
o Treatment of and sodium and cholestatic jaundice, tests, CBC and differential
diabetic fluid loss; hepatocellular injury,
nephropathy increased anorexia, constipation Interventions
o Treatment of left prostaglandin o GU: Proteinuria, renal o Administer 1 hr before or
ventricular synthesis also insufficiency, renal 2 hr after meals.
dysfunction may be involved failure, polyuria, oliguria, o Alert surgeon and mark
after MI in the urinary frequency patient's chart with notice
Contraindicated antihypertensive o Hematologic: that captopril is being
to: action. Neutropenia, taken; the angiotensin II
o Contraindicated agranulocytosis, formation subsequent to
with allergy to thrombocytopenia, compensatory renin
captopril, history hemolytic anemia, release during surgery will
of angiodema. pancytopenia be blocked; hypotension
o Use cautiously o Other: Cough, malaise, may be reversed with
with impaired dry mouth, volume expansion.
renal function; lymphadenopathy o Monitor patient closely for
CHF; salt or fall in BP secondary to
volume reduction in fluid volume
depletion, (excessive perspiration
lactation, and dehydration,
pregnancy. vomiting, diarrhea);
excessive hypotension
may occur.
o Reduce dosage in patients
with impaired renal
function.

Teaching points
o Take drug 1 hr before or 2
hr after meals; do not take