DRUG STUDY

DRUG NAME INDICATION ACTION ADVERSE CONTRAINDICATIONS NURSING

REACTIONS RESPONSIBILITIES

Generic:
Iron deficiency Provides GI: nausea, Contraindicated in patients - Tell the patient to take
FEROUS
elemental iron, epigastric pain, with hemosiderosis, tab. With juice or water,
SULFATE
an essential vomiting, primary hemochromatosis, but not milk or antacids.
component in constipation, hemolytic anemia, peptic
Brand:
the formation of black stools, ulceration, ulcerative - Instruct patient not to
Fer-Iron
hemoglobin diarrhea, anorexia colitis and in those crush or chew
receiving repeated blood extended-release forms.
Dosage:
Other: temporary transfusions.
200 mg tab, OD
stained teeth from -Advise patient to
liquid forms report constipation and
Classification:
change in stool color or
Iron supplement
consistency.

DRUG STUDY

DRUG NAME INDICATION ACTION ADVERSE CONTRAINDICATIONS NURSING

 REACTIONS RESPONSIBILITIES

Generic: Serious infections Inhibits protein CNS: Contraindicated in patients -Obtain specimen for
AMIKACIN caused by synthesis by neuromuscular hypersensitive to drug or culture and sensitivity
SULFATE sensitive strains binding directly blockade. other aminoglycosides. tests before giving first
of Pseudomonas to the 30s dose.
Brand: aeruginosa, ribosomal EENT: ototoxicity
Amikin E.coli, Proteus, subunit; -Watch for signs and
Klebsiella, or bactericidal GU: possible symptoms of super
Dosage: Staphylococcus increase in urinary infection, such as
500 mg IV q 12°
excretion of casts, continued fever, chills
x 5 days
nephrotoxicity and increased pulse
rate.
Classification:
Musculoskeletal:
Anti-infectives
arthralgia -Instruct patient to
promptly report adverse
Respiratory: reactions to prescriber.
apnea
DRUG STUDY

DRUG NAME INDICATION ACTION ADVERSE CONTRAINDICATIONS NURSING

 REACTIONS RESPONSIBILITIES

Paracetamol Mild pain or fever Thought to produce Contraindicated in patients Advise patient that drug
Hematologic:
analgesia by hypersensitive to drug. is only for short-term
hemolytic
Dosage: blocking pain use.
anemia,
300 mg IV q 4° impulses by
neutropenia,
for temp. 38°C inhibiting synthesis Monitor vital signs.
leucopenia
of prostaglandin in
Classification: the CNS or other
Hepatic:
Analgesic substances that
jaundice
sensitize pain
receptors to
Metabolic:
stimulation. The
hypoglycemia
drug may relieve
fever through
Skin: rash,
central action in the
urticaria
hypothalamic heat-
regulating center.
NURSING CARE PLAN

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

 DIAGNOSIS ANALYSIS

Subjective: Ø The extremities -establish rapport -to gain pt.’s

Impaired After series of After series of
cannot function trust and
Objective cues: physical nursing cooperation nursing
properly after a
mobility related interventions, -monitor vital signs –to have interventions,
-pale and weak fracture, thus,
in appearance to fractured patient will be baseline data patient was able
there is
femur able to -to immobilize to demonstrate
-difficulty in immobility -maintain
the extremity,
changing demonstrate temporary skin increasing
because normal and to relieve
positions while traction
increasing pain function of the
lying on bed function of the
function of the extremities.
muscle depends
-difficulty in extremities. -apply and
on the integrity -to control
moving the maintain sandbags
external rotation
extremities of the bones to or a trochanter roll
-to maintain
-inability to which they are -place a pillow bet.
abduction and
the legs
walk or stand attached. alignment
alone
Immobility of a
-limited ROM body part may
possibly
interrupt the -encourage the
-to promote
circulation of patient to exercise
 blood through as much as muscle strength
possible by means
the circuitous
of overhead
network of trapeze
arteries and -turn the patient on
veins the affected or
unaffected -to prevent
extremity as bedsores
prescribed by the
physician

NURSING CARE PLAN

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

 DIAGNOSIS ANALYSIS

-establish rapport -to gain pt.’s At the end of the

Subjective: Pain r/t open The pain is Within the shift,
trust and
“Masakit parin fracture, soft continuous and patient will cooperation shift, patient’s

ung kaliwang tissue damage, increases alleviate pain. -monitor vital signs -to have baseline pain was

binti ko.”as muscle spasm in severity until data and to alleviated, AEB
monitor for pt.’s
verbalized by the and surgery the bone signs of
patient. fragment are infections verbalization,

immobilized. “hindi na
-assess type, masakit”.
The muscle degree and location -to have basis of
Objective cues: spasm that of pain treatment and
management
-wounds and accompanies
bruises noted fracture is a type
both in lower
and upper of
-position for
extremities natural splinting comfort and -to promote
function, and assist wellness and to
designed to prevent bedsores
with frequent
minimize further changes in position

-facial grimace -to promote

movement of he relaxation
noted when -encourage deep
moving lower fracture breathing exercises
extremities fragments.
-with complaints -to permit
of pain on left swelling and
knee aggravated -perform aseptic wound drainage,
by too much dressing changes with wound
with sterile gauze irrigation and
movement
debridement as
-with pain scale ordered
of 7 out of 10
-to minimize
-elevate the edema
extremity

-to promote
-promote intake of wound healing
adequate nutrition

-to relieve pain

-administer
analgesics as
prescribed by the
physician
 HEALTH TEACHINGS
1. Explain the goals of frequent position changes.

Positioning (Goals)
* to prevent contractures
* stimulate circulation and prevent pressure sores
* prevent thrombophlebitis and pulmonary embolism.
* promote lung expansion and prevent pneumonia
* decrease edema of the extremities
* changing position from lying to sitting several times
a day can help prevent changes in the CVS known as deconditioning.
*the recommendation is to change body position at least
every 2 hours, and preferably more frequently in patients who have no spontaneous
movement.

2. Discuss the different therapeutic exercises.

Therapeutic Exercises
1. Positive range of motion exercise
2. active assistive range of motion
3. active range of motion
4. Resistive exercise
5. Isometric or muscle settings exercise.

3. Encourage patient to have adequate nutrition to promote healing of soft

tissue and bone.

4. Encouraged patient to increase oral fluid intake.

5. Teach patient and family to elevate the extremity to minimize edema.

6. Teach patient and family to perform wound care to flap or skin graft after
the wound is closed in 5 to 7 days.